The Boss: Bert Quintana of Sitel, on Making Career Choices





I WAS born in Cuba, and I was 2 when my parents brought me to the United States in 1962 with my baby brother, Jorge.







Bert Quintana is the president and C.E.O. of Sitel, a call center and telemarketing company based in Nashville.




AGE 52


NAME OF HIS BOAT Sea Gem


FAVORITE SPORT Golf


SPORTS HERO Don Shula, former Miami Dolphins coach





We passed through the Freedom Tower, an assistance center in Miami for Cuban refugees, and a year later a religious group, the Damas Catolicas, moved us to Dallas and helped my mom find work as a nurse. My dad, who had a fifth-grade education, was a mechanic. My mother would work the evening shift at a hospital, often followed by the night shift, and my dad would work from 7 a.m. to 3 p.m. so that one of them could be home with us.


We couldn’t afford laundry detergent, so my mom used gasoline to clean our clothes. One day she was using a space heater at the same time. We knew nothing about the danger. The gas caught fire, and my mom and brother were burned. They still have a few scars.


My parents eventually bought a house, but they divorced when I was 9 and my mother moved back to Miami with Jorge and me. In high school I worked in a hospital lab after classes as part of a research program. I won a community science award and several science fair awards as a result of what I learned. On the weekends, I apprenticed as a machinist in my uncle’s production shop, which sparked my interest in engineering. I was high school valedictorian and attended the University of Miami for a bachelor’s degree in electrical engineering, graduating in 1983.


In 1984, I started at Florida Power and Light in an entry-level engineering position. One of my responsibilities was to put into practice the business process improvement techniques of W. Edwards Deming. My training for that led to my moving to the company’s call centers, and within six years I was managing the largest one.


In 1994, I moved to MCI Telecommunications. By the time I left, two years later, I’d risen to regional director of the customer service support division.


I was a vice president for the customer care call centers at ADT in 1997, the year it was acquired by Tyco, and the next year I served as president for another home security company.


A headhunter called about a position at Dell as director of its consumer sales operation. Because it was an international company, the job would mean that I could leverage my bilingual skills and learn more about the global marketplace. I accepted, and by 2003 was promoted to vice president of the international services division.


I had been planning to take a sabbatical for quite a while, or perhaps start my own business, and the planets aligned when there was a reorganization at Dell. I left the company in 2006 and my wife, Alicia, and I sailed around the Bahamas and explored the islands on our 43-foot sailboat. We also started fixing and selling homes in Key Largo, where we now live part of the time.


In 2009, another headhunter called about the position of chief operating officer at Sitel. When I was considering whether to take the job, I asked one of the company’s major investors what winning looked like to him. He described it as having someone help him build a company he could be proud of. That response persuaded me to take the job. In 2010, I was appointed president and, in 2011, C.E.O.


While on sabbatical, I mentored former colleagues who asked for advice. My wife said my eyes would light up whenever I talked to them — a sign to both of us that I wanted to get back in the game. People talk about passion, focus, balance and making a difference as the definition of success. I feel as if the planets are aligned for me again.


As told to Patricia R. Olsen.



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Samsung to reportedly take on BlackBerry with new enterprise platform









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Weeping Pistorius faces life in prison in shooting


PRETORIA, South Africa (AP) — Olympic athlete Oscar Pistorius wept in court Friday as prosecutors said they'll pursue a charge of premeditated murder against him in the killing of his model girlfriend, meaning the man who once inspired the world could spend the rest of his life in prison.


Pistorius' family and London-based management issued a statement disputing the murder charge he now faces for the slaying of Reeva Steenkamp. The athlete himself initially appeared solemn and collected in his first court appearance, but later sobbed loud enough for his cries to be heard over the more than 100 spectators gathered for the hearing.


His tears even drew the attention of Chief Magistrate Desmond Nasir, who at one point simply said: "Take it easy."


The double-amputee athlete's arrest stunned South Africa, which awoke the morning of Valentine's Day to hear that Steenkamp had been shot to death at Pistorius' home in a gated community in an eastern suburb of South Africa's capital, Pretoria. Police said investigators recovered a 9 mm pistol from the home.


In Pretoria Magistrate's Court on Friday, throngs of photographers, videographers and journalists besieged the brick-walled Courtroom C, where Pistorius appeared. Nasir's first ruling in the matter focused on the press: He dismissed requests from a private television station and the state broadcaster to air the hearing live.


Nasir also ordered that no photographs be taken while court was in session. That left kneeling photographers less than a meter (three feet) from Pistorius to simply stare at a man some previously photographed sprinting on his famous carbon-fiber blades as he cried uncontrollably. Pistorius' brother, Carl, and his father, Henke, reached out at separate times to comfort him as he sat in the dock.


Prosecutor Gerrie Nel said in court he would pursue a charge of premeditated murder against Pistorius for allegedly killing Steenkamp, a 29-year-old model known for her vamping, bikini pictures in men's magazines and appearances in cosmetics commercials. Police have said Steenkamp is 30. The discrepancy has not been explained.


Police said Friday that investigators conducted an autopsy on Steenkamp's body. Lt. Col. Katlego Mogale said the results of the autopsy would not be published.


Pistorius entered no plea at the hearing and his family left quickly, without speaking to journalists who followed them outside. In a statement later Friday, his family and management questioned the criminal charge the 26-year-old athlete faces.


"The alleged murder is disputed in the strongest terms," the statement read, without elaborating.


The statement also said Pistorius wanted to "send his deepest sympathies to the family of Reeva."


"He would also like to express his thanks through us today for all the messages of support he has received — but as stated our thoughts and prayers today should be for Reeva and her family — regardless of the circumstances of this terrible, terrible tragedy," the statement read.


South Africa continues to question itself over what to think about the shooting, with local newspaper headlines veering from the lurid to "Blade gunner?" on Friday morning, playing on Pistorius' nickname given for his running blades. The nation of 50 million has one of the world's highest rates of shooting deaths, behind only Colombia. South Africa as a whole recently recoiled at the brutal gang rape and attack that killed a 17-year-old girl and many wore black Friday to demonstrate against the high levels of violence against women in the country.


Others focused their attention on Pistorius, who is fascinated by fast cars, cage fighting and firearms. He crashed a speedboat in February 2009, breaking his nose, jaw and several ribs and damaging an eye socket. He later required 180 stitches to his face. Witnesses said he had been drinking, and officers found alcoholic beverages in the wreckage, though they did not do a blood test on Pistorius.


His love life, the fodder of gossip columns in the country, also saw turmoil. In November, Pistorius was involved in an altercation over a woman with a local coal mining millionaire, South African media reported.


Gianni Merlo, who co-authored the 2009 biography "Blade Runner" with Pistorius, told The Associated Press in a phone interview Friday from Italy that Pistorius once drove out in the middle of the night to see his first love after a fight. Pistorius crashed his car when he fell asleep behind the wheel, though Merlo said it showed his devotion.


However, he said Pistorius once threw a friend's girlfriend out of his house, prompting police to investigate and take him in for questioning.


"He explained that this was a kind of (plot) against him, planned against him," Merlo said.


At the defense's request, the chief magistrate delayed Pistorius' bail hearing until Tuesday and Wednesday. Prosecutors and defense lawyers agreed to keep Pistorius in a police holding cell, rather than transfer him to prison like most normal suspects. While Nasir acknowledged that could give them impression that the athlete was getting "preferential treatment," he agreed to it. Police have said they oppose Pistorius being freed on bail.


In saying they'll seek a premeditated murder charge against Pistorius, prosecutors likely are claiming they have evidence that the athlete planned the killing ahead of time, said William Booth, a prominent defense lawyer from Cape Town. The charge, which carries a sentence of life in prison, also makes it more difficult for Pistorius to successfully apply for bail, Booth said, though it could be a challenge to get a conviction.


"It's quite difficult to prove that in a situation where there isn't a witness," the defense lawyer said. "If I just plan it in my mind and I arrive at somebody's house and there's no witnesses and I shoot the person, it's really tough for the prosecution to show that planning."


On call-in radio shows and in private conversations Friday, some in South Africa compared Pistorius' case to that of O.J. Simpson, a former football star accused of the slayings of his former wife, Nicole Brown Simpson, and her friend, Ronald Goldman. That case, drawing international media attention, saw Simpson acquitted by a jury in 1995. However, in South Africa, there is no jury system, leaving Pistorius face largely to the judge who will oversee his possible trial.


Pistorius made history at the London Olympics last year when he became the first double-amputee track athlete to compete at any games. He didn't win a medal but did make the semifinals of the 400 meters and the final of the 4X400 relay, propelling the world's best-known Paralympian to the level of an international track star and one of the world's best-known sportsmen.


But police hinted at a troubled lifestyle away from public scrutiny for the runner Thursday when they said there had previously been domestic incidents at Pistorius' home.


___


AP Sports Writer Gerald Imray reported from Johannesburg. Associated Press writer Michelle Faul in Johannesburg contributed to this report.


___


Jon Gambrell can be reached at www.twitter.com/jongambrellAP . Gerald Imray can be reached at www.twitter.com/geraldimrayAP .


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Fat Dad: Baking for Love

Fat Dad

Dawn Lerman writes about growing up with a fat dad.

My grandmother Beauty always told me that the way to a man’s heart was through his stomach, and by the look of pure delight on my dad’s face when he ate a piece of warm, homemade chocolate cake, or bit into a just-baked crispy cookie, I grew to believe this was true. I had no doubt that when the time came, and I liked a boy, that a batch of my gooey, rich, chocolatey brownies would cast him under a magic spell, and we would live happily ever.

But when Hank Thomas walked into Miss Seawall’s ninth grade algebra class on a rainy, September day and smiled at me with his amazing grin, long brown hair, big green eyes and Jimi Hendrix T-shirt, I was completely unprepared for the avalanche of emotions that invaded every fiber of my being. Shivers, a pounding heart, and heat overcame me when he asked if I knew the value of 1,000 to the 25th power. The only answer I could think of, as I fumbled over my words, was “love me, love me,” but I managed to blurt out “1E+75.” I wanted to come across as smart and aloof, but every time he looked at me, I started stuttering and sweating as my face turned bright red. No one had ever looked at me like that: as if he knew me, as if he knew how lost I was and how badly I needed to be loved.

Hank, who was a year older than me, was very popular and accomplished. Unlike other boys who were popular for their looks or athletic skills, Hank was smart and talented. He played piano and guitar, and composed the most beautiful classical and rock concertos that left both teachers and students in awe.

Unlike Hank, I had not quite come into my own yet. I was shy, had raggedy messy hair that I tied back into braids, and my clothes were far from stylish. My mother and sister had been on the road touring for the past year with the Broadway show “Annie.” My sister had been cast as a principal orphan, and I stayed home with my dad to attend high school. My dad was always busy with work and martini dinners that lasted late into the night. I spent most of my evenings at home alone baking and making care packages for my sister instead of coercing my parents to buy me the latest selection of Gloria Vanderbilt jeans — the rich colored bluejeans with the swan stitched on the back pocket that you had to lie on your bed to zip up. It was the icon of cool for the popular and pretty girls. I was neither, but Hank picked me to be his math partner anyway.

With every equation we solved, my love for Hank became more desperate. After several months of exchanging smiles, I decided to make Hank a batch of my chocolate brownies for Valentine’s Day — the brownies that my dad said were like his own personal nirvana. My dad named them “closet” brownies, because when I was a little girl and used to make them for the family, he said that as soon as he smelled them coming out of the oven, he could imagine dashing away with them into the closet and devouring the whole batch.

After debating for hours if I should make the brownies with walnuts or chips, or fill the centers with peanut butter or caramel, I got to work. I had made brownies hundreds of times before, but this time felt different. With each ingredient I carefully stirred into the bowl, my heart began beating harder. I felt like I was going to burst from excitement. Surely, after Hank tasted these, he would love me as much as I loved him. I was not just making him brownies. I was showing him who I was, and what mattered to me. After the brownies cooled, I sprinkled them with a touch of powdered sugar and wrapped them with foil and red tissue paper. The next day I placed them in Hank’s locker, with a note saying, “Call me.”

After seven excruciating days with no call, some smiles and the usual small talk in math class, I conjured up the nerve to ask Hank if he liked my brownies.

“The brownies were from you?” he asked. “They were delicious.”

Then Hank invited me to a party at his house the following weekend. Without hesitation, I responded that I would love to come. I pleaded with my friend Sarah to accompany me.

As the day grew closer, I made my grandmother Beauty’s homemade fudge — the chocolate fudge she made for Papa the night before he proposed to her. Stirring the milk, butter and sugar together eased my nerves. I had never been to a high school party before, and I didn’t know what to expect. Sarah advised me to ditch the braids as she styled my hair, used a violet eyeliner and lent me her favorite V-neck sweater and a pair of her best Gloria Vanderbilt jeans.

When we walked in the door, fudge in hand, Hank was nowhere to be found. Thinking I had made a mistake for coming and getting ready to leave, I felt a hand on my back. It was Hank’s. He hugged me and told me he was glad I finally arrived. When Hank put his arm around me, nothing else existed. With a little help from Cupid or the magic of Beauty’s recipes, I found love.


Fat Dad’s ‘Closet’ Brownies

These brownies are more like fudge than cake and contain a fraction of the flour found in traditional brownie recipes. My father called them “closet” brownies, because when he smelled them coming out of the oven he could imagine hiding in the closet to eat the whole batch. I baked them in the ninth grade for a boy that I had a crush on, and they were more effective than Cupid’s arrow at winning his heart.

6 tablespoons unsalted butter, plus extra for greasing the pan
8 ounces bittersweet chocolate, chopped, or semisweet chocolate chips
3/4 cup brown sugar
2 eggs at room temperature, beaten
1 teaspoon vanilla extract
1/4 cup flour
1/2 cup chopped walnuts (optional)
Fresh berries or powdered sugar for garnish (optional)

1. Preheat oven to 350 degrees.

2. Grease an 8-inch square baking dish.

3. In a double boiler, melt chocolate. Then add butter, melt and stir to blend. Remove from heat and pour into a mixing bowl. Stir in sugar, eggs and vanilla and mix well.

4. Add flour. Mix well until very smooth. Add chopped walnuts if desired. Pour batter into greased baking pan.

5. Bake for 35 minutes, or until set and barely firm in the middle. Allow to cool on a rack before removing from pan. Optional: garnish with powdered sugar, or berries, or both.

Yield: 16 brownies


Dawn Lerman is a New York-based health and nutrition consultant and founder of Magnificent Mommies, which provides school lectures, cooking classes and workshops. Her series on growing up with a fat father appears occasionally on Well.

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DealBook: SAC Investors Ask to Withdraw $1.7 Billion

Clients of SAC Capital Advisors have asked to withdraw $1.7 billion from the giant hedge fund amid an intensifying insider trading investigation involving the fund, according to people briefed on the matter.

That amount represents slightly more than a quarter of the $6 billion that SAC manages for clients, and is the largest amount ever withdrawn from the fund. Clients had to inform SAC by Thursday – a regularly scheduled quarterly redemption deadline – whether they wanted to redeem their money.

While the outflows are a blow to the fund founded by Steven A. Cohen, which boasts one of the best investment track records on Wall Street, they are expected to have little impact on the fund’s business. More than half of SAC’s assets under management, which stood at $15 billion as of mid-January, belong to Mr. Cohen and his employees.

“As we have been saying, the redemptions will have no significant impact on our funds,” an SAC spokesman said in a statement.

Still, the amount highlights the reputational damage wrought on SAC by the wave of insider trading cases involving the Stamford, Conn.-based hedge fund. Among the high-profile clients taking money out of the fund include a Citigroup unit that manages money for wealthy families and Lyxor Asset Management, a division of the French bank Societe Generale.

Other SAC clients have taken a more wait-and-see approach, keeping their money with the fund while monitoring developments in the insider trading inquiry. Blackstone Group, SAC’s largest outside investor, took this route, saying it would keep its $550 million investment with the fund for at least the next three months while it learns more information about the latest criminal case against SAC.

In late November, the government brought charges against Mathew Martoma, a former SAC portfolio manager, in a prosecution that they are calling the most lucrative insider trading scheme ever uncovered. The trades at the center of the case involve Mr. Cohen, who has not been charged and denied wrongdoing. Mr. Martoma has pleaded not guilty.

At least seven other current or former SAC employees have been tied to allegations of insider trading while working there, four of whom have pleaded guilty. And the Securities and Exchange Commission has advised SAC that they might file a civil fraud action against the firm related to the Martoma trades.

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Justin Timberlake’s ‘Suit & Tie’ Video Is Just as Justin Timberlake-y as Expected






At the Grammys he made our screens go sepia tone, and now, in his new, black-and-white, David Fincher-directed music video for the much hyped comeback single “Suit & Tie,” Justin Timberlake continues to try and prove that he’s a classy neo-Rat Pack star. That is, he’s a classy neo-Rat Pack star with a nearly naked women writhing around him and lot of “cool” modern conveniences like his iPad. See, JT gets rolled, via bed, into a soundstage-type area reading such a device: 


RELATED: David Fincher Is Directing the Ridiculous Justin Timberlake Music Video






Before he starts performing the song at a venue that appears to be Los Angeles’ Hollywood Bowl, JT and Jay-Z are just kind of chilling, because remember these are two improbably famous bros with a lot of fancy amenities: 


RELATED: The 2012 Gossip Stories We Loved


There are references to Singin’ in the Rain-type films: 


RELATED: Dr. Dre and the Lucrative Business of Not Rapping


9144c  7b354a620ff8d137a92f6d97f484b520 600x320 Justin Timberlakes Suit & Tie Video Is Just as Justin Timberlake y as Expected


And then, later on, hot girls in puddles on a stage because such is the life of Justin Timberlake, apparently: 


9144c  53ffc0d2865daeaed71614bedd7aaf6c 600x316 Justin Timberlakes Suit & Tie Video Is Just as Justin Timberlake y as Expected


Watch the entire video here, and remember it was directed by Fincher, so they all probably did a million takes of every shot: 


Gadgets News Headlines – Yahoo! News




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The Lede: Teenager Killed as Bahrain Marks Protest Anniversary

Video posted on YouTube by activists in Bahrain showed a man confronting riot police officers after a young protester was shot and killed in the village of Al Daih on Thursday.

A Bahraini teenager was shot and killed during clashes with the kingdom’s security forces on Thursday, as protesters marked the second anniversary of the start of their movement calling for reforms on the Arab island.

Both rights activists and the interior ministry reported the young man’s death in the village of Al Daih, outside Manama, the capital. The Bahrain Center for Human Rights posted an image of a death certificate online that said Hussein Ali Ahmed, 16, was killed at 8:30 a.m. on Thursday by gunshot.

The rights group also added the young man’s name to a list of 88 fatalities since the protest movement began two year ago. According to the center, whose founder and current president have both been jailed for their part in the protest movement, 88 people have died since Feb. 14, 2011, including three police officers.

After the young man was shot, local activists uploaded graphic video and distressing photographs of the frantic attempts to save his life, despite a gaping wound in his chest.

One image posted online later was said to show the dead boy’s blood on a man’s shirt.

In another, a woman pushed a shopping cart filled with spent tear gas canisters fired at protesters during the clashes in the village.

Maj. Gen. Tariq Hassan Al Hassan, Bahrain’s chief of public security, acknowledged the death of a “rioter” in a statement that blamed protesters for “several incidents of violent attacks on police officers, attacks on citizens, destruction of property and blocking of roads.”

The police chief’s statement also defended the actions of his officers as necessary since the presence of protesters on the roads of the kingdom impeded the flow of traffic.

Police responded to restore order and clear roads. Traffic flowed freely in the vast majority of areas throughout the day.

When necessary, the police employed proportionate force to disperse violent crowds. Most incidents involved small groups of rioters who were quickly dispersed before they could amass into larger groups. During some of these dispersals, several police officers were injured. Some were injured severely and required hospital care.

The most violent group amassed at around 8 a.m. in the village of Daih, where 300 rioters assembled to attack police, who were deployed in the area, with rocks, steel rods and Molotov cocktails. Warning shots were fired but failed to disperse the advancing crowd who continued their attack. Officers discharged birdshot to defend themselves. At least one rioter was injured in the process. A short time later, a young man was pronounced dead at Salmaniya Medical Center.

The statement said that the death would be investigated and conveyed the police chief’s condolences to the family, while adding that he had “advised young men to avoid taking part in violent street activities and riots,” the day before.

International human rights groups have criticized Bahrain’s use of force in its crackdown on dissent.

Ahmed Al-haddad, who handles international relations for the Bahrain Center for Human Rights, posted an image on Twitter of what he said was an Italian-made shotgun used by the security forces to fire at demonstrators.

Thirteen of the country’s most prominent dissidents remain in jail after being convicted by a military tribunal of trying to overthrow the government. As our colleague Kareem Fahim reported last month, a court upheld their sentences of between five years and life in prison for their leadership roles in the protest movement.

The protests and clashes before and after the fatal shooting in Al Daih were extensively documented in photographs and video posted online by activist bloggers. In several photographs, protesters could be seen holding up cameraphones as they marched.

Mazen Mahdi, a Bahraini photojournalist, wrote on Twitter that he and other photographers were briefly detained while covering the protests.

Video posted online by activists later on Thursday showed the street fighting between rock-throwing protesters and officers who fired tear gas, shotgun pellets and stun grenades. Another raw clip showed a tense confrontation after the fatal shooting between an emotional man and riot police officers.

Activists posted more video online late Thursday that appeared to show the protesters regrouped on the streets after dark and chanted, “The People Want to Topple the Regime!”

Video posted online by activists in Bahrain appeared to show protesters on the streets of Al Daih on Thursday night.

Clashes south of the capital, in Sitra and Nuwaidrat, were also documented on video by activists calling themselves the Media Center for the Revolution in Bahrain (who add titles to their clips and what seems to be introductory music copied from videos posted online by The Associated Press).

In the video from Sitra, a police vehicle appeared to catch fire after protesters hurled Molotov cocktails at it.

The group’s footage of a clash in Nuwaidrat showed small numbers of protesters and the security forces facing off across flaming barricades

The monarchy’s police force continued its aggressive use of social media to combat perceptions that its use of violence in response to protests is disproportionate. The official interior ministry Twitter feed on Thursday featured two video clip uploaded to a police YouTube account on Thursday of “thugs” hurling Molotov cocktails at officers. One of the clips was recorded last week, the police said, the second was undated.

The police did not explain why these previously recorded video clips were not posted on YouTube until the day of the protest movement’s anniversary and did not immediately reply to a request for comment from The Lede.


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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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Doctor and Patient: Afraid to Speak Up to Medical Power

The slender, weather-beaten, elderly Polish immigrant had been diagnosed with lung cancer nearly a year earlier and was receiving chemotherapy as part of a clinical trial. I was a surgical consultant, called in to help control the fluid that kept accumulating in his lungs.

During one visit, he motioned for me to come closer. His voice was hoarse from a tumor that spread, and the constant hissing from his humidified oxygen mask meant I had to press my face nearly against his to understand his words.

“This is getting harder, doctor,” he rasped. “I’m not sure I’m up to anymore chemo.”

I was not the only doctor that he confided to. But what I quickly learned was that none of us was eager to broach the topic of stopping treatment with his primary cancer doctor.

That doctor was a rising superstar in the world of oncology, a brilliant physician-researcher who had helped discover treatments for other cancers and who had been recruited to lead our hospital’s then lackluster cancer center. Within a few months of the doctor’s arrival, the once sleepy department began offering a dazzling array of experimental drugs. Calls came in from outside doctors eager to send their patients in for treatment, and every patient who was seen was promptly enrolled in one of more than a dozen well-documented treatment protocols.

But now, no doctors felt comfortable suggesting anything but the most cutting-edge, aggressive treatments.

Even the No. 2 doctor in the cancer center, Robin to the chief’s cancer-battling Batman, was momentarily taken aback when I suggested we reconsider the patient’s chemotherapy plan. “I don’t want to tell him,” he said, eyes widening. He reeled off his chief’s vast accomplishments. “I mean, who am I to tell him what to do?”

We stood for a moment in silence before he pointed his index finger at me. “You tell him,” he said with a smile. “You tell him to consider stopping treatment.”

Memories of this conversation came flooding back last week when I read an essay on the problems posed by hierarchies within the medical profession.

For several decades, medical educators and sociologists have documented the existence of hierarchies and an intense awareness of rank among doctors. The bulk of studies have focused on medical education, a process often likened to military and religious training, with elder patriarchs imposing the hair shirt of shame on acolytes unable to incorporate a profession’s accepted values and behaviors. Aspiring doctors quickly learn whose opinions, experiences and voices count, and it is rarely their own. Ask a group of interns who’ve been on the wards for but a week, and they will quickly raise their hands up to the level of their heads to indicate their teachers’ status and importance, then lower them toward their feet to demonstrate their own.

It turns out that this keen awareness of ranking is not limited to students and interns. Other research has shown that fully trained physicians are acutely aware of a tacit professional hierarchy based on specialties, like primary care versus neurosurgery, or even on diseases different specialists might treat, like hemorrhoids and constipation versus heart attacks and certain cancers.

But while such professional preoccupation with privilege can make for interesting sociological fodder, the real issue, warns the author of a courageous essay published recently in The New England Journal of Medicine, is that such an overly developed sense of hierarchy comes at an unacceptable price: good patient care.

Dr. Ranjana Srivastava, a medical oncologist at the Monash Medical Centre in Melbourne, Australia, recalls a patient she helped to care for who died after an operation. Before the surgery, Dr. Srivastava had been hesitant to voice her concerns, assuming that the patient’s surgeon must be “unequivocally right, unassailable, or simply not worth antagonizing.” When she confesses her earlier uncertainty to the surgeon after the patient’s death, Dr. Srivastava learns that the surgeon had been just as loath to question her expertise and had assumed that her silence before the surgery meant she agreed with his plan to operate.

“Each of us was trying our best to help a patient, but we were also respecting the boundaries and hierarchy imposed by our professional culture,” Dr. Srivastava said. “The tragedy was that the patient died, when speaking up would have made all the difference.”

Compounding the problem is an increasing sense of self-doubt among many doctors. With rapid advances in treatment, there is often no single correct “answer” for a patient’s problem, and doctors, struggling to stay up-to-date in their own particular specialty niches, are more tentative about making suggestions that cross over to other doctors’ “turf.” Even as some clinicians attempt to compensate by organizing multidisciplinary meetings, inviting doctors from all specialties to discuss a patient’s therapeutic options, “there will inevitably be a hierarchy at those meetings of who is speaking,” Dr. Srivastava noted. “And it won’t always be the ones who know the most about the patient who will be taking the lead.”

It is the potentially disastrous repercussions for patients that make this overly developed awareness of rank and boundaries a critical issue in medicine. Recent efforts to raise safety standards and improve patient care have shown that teams are a critical ingredient for success. But simply organizing multidisciplinary lineups of clinicians isn’t enough. What is required are teams that recognize the importance of all voices and encourage active and open debate.

Since their patient’s death, Dr. Srivastava and the surgeon have worked together to discuss patient cases, articulate questions and describe their own uncertainties to each other and in patients’ notes. “We have tried to remain cognizant of the fact that we are susceptible to thinking about hierarchy,” Dr. Srivastava said. “We have tried to remember that sometimes, despite our best intentions, we do not speak up for our patients because we are fearful of the consequences.”

That was certainly true for my lung cancer patient. Like all the other doctors involved in his care, I hesitated to talk to the chief medical oncologist. I questioned my own credentials, my lack of expertise in this particular area of oncology and even my own clinical judgment. When the patient appeared to fare better, requiring less oxygen and joking and laughing more than I had ever seen in the past, I took his improvement to be yet another sign that my attempt to talk about holding back chemotherapy was surely some surgical folly.

But a couple of days later, the humidified oxygen mask came back on. And not long after that, the patient again asked for me to come close.

This time he said: “I’m tired. I want to stop the chemo.”

Just before he died, a little over a week later, he was off all treatment except for what might make him comfortable. He thanked me and the other doctors for our care, but really, we should have thanked him and apologized. Because he had pushed us out of our comfortable, well-delineated professional zones. He had prodded us to talk to one another. And he showed us how to work as a team in order to do, at last, what we should have done weeks earlier.

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Cardinal Health Buys AssuraMed for $2 Billion





Cardinal Health, the second-largest distributor of prescription drugs, announced on Thursday that it was buying a large medical supplier in a $2 billion deal aimed at expanding the business into the growing area of home health care.




The medical supplier, the privately held AssuraMed, supplies products for home use to aid treatment of diabetes, wounds, incontinence and other conditions. It had revenue of $1 billion in 2012, Cardinal Health said.


AssuraMed, which has been owned by the private equity firms Clayton, Dubilier & Rice and Goldman Sachs’s GS Capital Partners, serves more than one million patients nationwide and sells more than 30,000 products.


In an interview, George S. Barrett, Cardinal’s chairman and chief executive, said the acquisition was aimed at taking advantage of a confluence of national trends: the aging population, which has led to an increase in patients with chronic conditions, and more treatment of those conditions at home or in nonhospital settings like doctors’ offices and outpatient clinics.


“One of the things that has become clear is we’re going to have to manage patients differently,” Mr. Barrett said. “It very strategically aligns with where we think health care is moving, and it’s a natural extension of our skill set.”


In a conference call with investors, Mr. Barrett said the home health care area was growing at nearly 7 percent and represented a market opportunity of about $16 billion.


The deal is expected to close in April and will be financed with a combination of $1.3 billion in senior unsecured notes and cash. Cardinal estimated the acquisition would add 2 to 3 cents to its earnings a share in 2013, and 18 cents a share by 2014.


Cardinal, based in Dublin, Ohio, had revenue of $108 billion in 2012, and ranks second in the drug-distribution market behind the McKesson Corporation, based in San Francisco. AssuraMed is based in Twinsburg, Ohio.


Shares in Cardinal closed up 56 cents, or 1.2 percent, at $46 on Thursday.


Cardinal was advised by Bank of America Merrill Lynch and the law firm Wachtell, Lipton, Rosen & Katz. Clayton Dubilier and GS Capital were advised by JPMorgan Chase, Goldman Sachs and the law firm Debevoise & Plimpton.


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