Personal Health: That Loving Feeling Takes a Lot of Work

When people fall in love and decide to marry, the expectation is nearly always that love and marriage and the happiness they bring will last; as the vows say, till death do us part. Only the most cynical among us would think, walking down the aisle, that if things don’t work out, “We can always split.”

But the divorce rate in the United States is half the marriage rate, and that does not bode well for this cherished institution.

While some divorces are clearly justified by physical or emotional abuse, intolerable infidelity, addictive behavior or irreconcilable incompatibility, experts say many severed marriages seem to have just withered and died from a lack of effort to keep the embers of love alive.


Jane Brody speaks about love and marriage.



I say “embers” because the flame of love — the feelings that prompt people to forget all their troubles and fly down the street with wings on their feet — does not last very long, and cannot if lovers are ever to get anything done. The passion ignited by a new love inevitably cools and must mature into the caring, compassion and companionship that can sustain a long-lasting relationship.

Studies by Richard E. Lucas and colleagues at Michigan State University have shown that the happiness boost that occurs with marriage lasts only about two years, after which people revert to their former levels of happiness — or unhappiness.

Infatuation and passion have even shorter life spans, and must evolve into “companionate love, composed more of deep affection, connection and liking,” according to Sonja Lyubomirsky, a professor of psychology at the University of California, Riverside.

In her new book, “The Myths of Happiness,” Dr. Lyubomirsky describes a slew of research-tested actions and words that can do wonders to keep love alive.

She points out that the natural human tendency to become “habituated” to positive circumstances — to get so used to things that make us feel good that they no longer do — can be the death knell of marital happiness. Psychologists call it “hedonic adaptation”: things that thrill us tend to be short-lived.

So Dr. Lyubomirsky’s first suggestion is to adopt measures to avert, or at least slow down, the habituation that can lead to boredom and marital dissatisfaction. While her methods may seem obvious, many married couples forget to put them into practice.

Building Companionship

Steps to slow, prevent or counteract hedonic adaptation and rescue a so-so marriage should be taken long before the union is in trouble, Dr. Lyubomirsky urges. Her recommended strategies include making time to be together and talk, truly listening to each other, and expressing admiration and affection.

Dr. Lyubomirsky emphasizes “the importance of appreciation”: count your blessings and resist taking a spouse for granted. Routinely remind yourself and your partner of what you appreciate about the person and the marriage.

Also important is variety, which is innately stimulating and rewarding and “critical if we want to stave off adaptation,” the psychologist writes. Mix things up, be spontaneous, change how you do things with your partner to keep your relationship “fresh, meaningful and positive.”

Novelty is a powerful aphrodisiac that can also enhance the pleasures of marital sex. But Dr. Lyubomirsky admits that “science has uncovered precious little about how to sustain passionate love.” She likens its decline to growing up or growing old, “simply part of being human.”

Variety goes hand in hand with another tip: surprise. With time, partners tend to get to know each other all too well, and they can fall into routines that become stultifying. Shake it up. Try new activities, new places, new friends. Learn new skills together.

Although I’ve been a “water bug” my whole life, my husband could swim only as far as he could hold his breath. We were able to enjoy the water together when we both learned to kayak.

“A pat on the back, a squeeze of the hand, a hug, an arm around the shoulder — the science of touch suggests that it can save a so-so marriage,” Dr. Lyubomirsky writes. “Introducing more (nonsexual) touching and affection on a daily basis will go a long way in rekindling the warmth and tenderness.”

She suggests “increasing the amount of physical contact in your relationship by a set amount each week” within the comfort level of the spouses’ personalities, backgrounds and openness to nonsexual touch.

Positive Energy

A long-married friend recently told me that her husband said he missed being touched and hugged. And she wondered what the two of them would talk about when they became empty-nesters. Now is the time, dear friend, to work on a more mutually rewarding relationship if you want your marriage to last.

Support your partner’s values, goals and dreams, and greet his or her good news with interest and delight. My husband’s passion lay in writing for the musical theater. When his day job moved to a different city, I suggested that rather than looking for a new one, he pursue his dream. It never became monetarily rewarding, but his vocation fulfilled him and thrilled me. He left a legacy of marvelous lyrics for more than a dozen shows.

Even a marriage that has been marred by negative, angry or hurtful remarks can often be rescued by filling the home with words and actions that elicit positive emotions, psychology research has shown.

According to studies by Barbara L. Fredrickson, a social psychologist and professor at the University of North Carolina at Chapel Hill, a flourishing relationship needs three times as many positive emotions as negative ones. In her forthcoming book, “Love 2.0,” Dr. Fredrickson says that cultivating positive energy everyday “motivates us to reach out for a hug more often or share and inspiring or silly idea or image.”

Dr. Lyubomirsky reports that happily married couples average five positive verbal and emotional expressions toward one another for every negative expression, but “very unhappy couples display ratios of less than one to one.”

To help get your relationship on a happier track, the psychologist suggests keeping a diary of positive and negative events that occur between you and your partner, and striving to increase the ratio of positive to negative.

She suggests asking yourself each morning, “What can I do for five minutes today to make my partner’s life better?” The simplest acts, like sharing an amusing event, smiling, or being playful, can enhance marital happiness.


This post has been revised to reflect the following correction:

Correction: January 18, 2013

The Personal Health column on Tuesday, about making marriages last, misspelled the given name of a professor of psychology at the University of California, Riverside, who studies happiness. She is Sonja Lyubomirsky, not Sonya.

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Chicago seeks investors for potential Midway Airport deal









Mayor Rahm Emanuel's administration on Friday began testing the investment market's appetite for a potential deal to privatize Midway Airport, launching the process for finding prospective bidders.


The city posted a "request for qualifications," seeking expressions of interest and documentation of credentials from teams interested in financing, operating, maintaining and improving the Southwest Side airport, which is the nation's 26th busiest, with about 9 million passengers passing through annually.


The document reiterates a framework, laid out by Emanuel earlier, aimed at providing city taxpayers with a better deal than the widely criticized 75-year agreement to privatize parking meter operations, carried out during former Mayor Richard Daley's administration. Proceeds from the earlier deal were used to plug operating deficits, and meter rates rose sharply.





This time, proposed leases must be less than 40 years, which locks in the city for a shorter period.


Rather than awarding the city only an upfront payment, the private operator also must share revenue with the city on an ongoing basis. Initial proceeds would be used to pay down debt issued since 1996 to rebuild the airport, the mayor's office said. There is about $1.4 billion in outstanding debt.


Longer term, cash flow would be directed to city infrastructure needs. The mayor has pledged proceeds would not be used to pay for city operations.


The city also is seeking assurances that prices for parking, food and beverages will be kept reasonable.


This is the second time Chicago has looked at privatizing Midway. A 99-year lease that would have brought in $2.5 billion died in 2009 when the financial markets froze up.


Prospective bidders will be asked to prove their ability to raise the needed financing, said Tom Alexander, a spokesman for the mayor.


As in the first go-round, the city is using Credit Suisse Securities LLC as its lead financial adviser.


"The city's process and approach will be thorough and open," Lois Scott, the city's chief financial officer, said in a written statement.


Southwest Airlines, the airport's dominant carrier, supports the move.


Some observers have said a structure with a shorter lease and greater control for the city could translate into lower bids.


But Alexander said the city was confident investors "would gladly meet our terms and still make very attractive offers." The city has declined to estimate how much such a deal could garner.


The request for proposal states "there is significant potential to increase commercial revenue both in terms of variety of activities and increases in sales per passenger."


The city posted the request for qualifications shortly after the Federal Aviation Administration accepted its preliminary application to privatize the airport, clearing the way for the city to move forward in its evaluation process.


Prospective bidders were asked to formally express their interest by Feb. 22. If the city moves forward and seeks proposals, a privatization plan could be submitted to the City Council this summer.


kbergen@tribune.com


Twitter @kathy_bergen





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Autopsy today for lottery winner poisoned by cyanide

The body of poisoned lottery winner, Urooj Khan, is exhumed at Rosehill Cemetery in Chicago on Friday, Jan. 18, 2013. (John J. Kim, Chicago Tribune)









Officials will conduct an autopsy this morning on the body of a West Rogers Park man who was exhumed from Rosehill Cemetery on Chicago's North Side after dying of cyanide poisoning last summer after winning a million-dollar lottery.


A hearse was being opened in front of a green tent set up at the grave site just north of Peterson Avenue and Urooj Khan's body was loaded into it. An evidence technician snapped a photo of it before the hearse's rear doors were closed up and the vehicle began driving away across the grass on the cemetery, escorted by a Chicago police evidence technician squad car and several other marked and unmarked police vehicles. They exited west onto Peterson Avenue.


The whole exhumation process lasted about two hours.








Khan's body was not frozen, officials said, and his autopsy will be today. A medical examiner's office spokeswoman, Mary Paleologos, said Khan's body will be buried again on Monday.


Dr. Marta Helenowski, the forensic pathologist who originally handled Khan's case, will be performing the autopsy this morning at the medical examiner's office, 2121 W. Harrison St., Paleologos said in a telephone interview.


The pathologist is going to be taking samples of Khan's lungs, liver and spleen for further testing. She will also be looking at the contents of Khan's stomach and intestines and taking bone, nail and hair samples, all for further examination, according Paleologos.


"Depending on the condition of the body and the quality of the samples, (the medical examiner's office) will hopefully be able to determine how the cyanide entered his body," Paleologos said.


Chief Medical Examiner Stephen J. Cina will hold a 2:30 p.m. news conference about the autopsy. He will likely only be able to discuss whether Khan's body is in good condition and if the samples taken from it are good quality.


It'll be two or three weeks before the medical examiner's office knows how the cyanide got into Khan's system. The office will also have to wait for independent lab test results.


Helenowski and a few medical examiner's office personnel were on hand for the exhumation. An imam also was present to say prayers at the grave site as the exhumation went on.


Several helicopters hovered over Rosehill Cemetery this morning and a backhoe and three or four pickup trucks were stationed at the grave site in the middle of the cemetery's northern section, where a beam of light could be seen shining over Khan's headstone. The backhoe soon began its work digging into the ground at the grave site. In addition to the backhoe, one or two workers were seen helping dig up the body with shovels.


A large tent was set up at the site where some two dozen police officers were gathered. Among the officers are two Chicago police evidence technicians, Paleologos said. One was taking still photos of the exhumation, while the other was shooting video.


An unmarked police car and two blue barricades blocked off the Peterson Avenue gate to Rosehill, the only entrance and exit in the northern section of the cemetery.


Four TV trucks sat parked along the fence about 100 yards west of the grave site along Oakley Avenue, the designated staging area for the media. A group of about a dozen photographers, a videographer and TV reporters stood along the Peterson Avenue fence, next to where traffic moved along the busy thoroughfare like any normal morning rush hour.


A few passersby gazed at the police activity at the grave site from Oakley Avenue. One, curious about large presence inside the cemetery, was surprised to learned from a Tribune reporter that it was Khan's body being dug up. Another thought someone was having a funeral.


The exhumation of Khan's remains – scheduled to begin at about 7 a.m. – will come about six months after he was buried at Rosehill. In court papers last week, Cina said it was important to exhume the remains "as expeditiously as possible" since Khan's body was not embalmed.

In court papers, Cina said it was necessary to perform a full autopsy to "further confirm the results of the blood analysis as well as to rule out any other natural causes that might have contributed to or caused Mr. Khan's death."


The exhumation comes after the Tribune broke the story on Jan. 7 about Khan's mysterious death, sparking international media interest in the case.


The medical examiner's office initially ruled Khan's July 20 death was from hardening of the arteries when there were no signs of trauma on the body and a preliminary blood test didn't raise any questions. But the investigation was reopened about a week later after a relative suggested to authorities that Khan's death "may have been the result of poisoning," prosecutors said in a court filing seeking the exhumation.


The medical examiner's office contacted Chicago police Sept. 11 after tests showed cyanide in Khan's blood. By late November, more comprehensive toxicological tests showed lethal levels of the toxic chemical and the medical examiner's office declared his death a homicide.


Khan's widow, Shabana Ansari, who has hired a criminal-defense lawyer, told the Tribune last week that she had been questioned for more than four hours by detectives and had fully cooperated.  She said the detectives had asked her about ingredients she used to prepare his last meal of lamb curry, shared by Ansari, her father-in-law Fareedun Ansari and Khan's daughter from a previous marriage, Jasmeen, 17.


While a motive has not been determined, police have not ruled out that Khan was killed because of his lottery win, a law enforcement source has told the Tribune. He died before he could collect the winnings – a lump-sum payment of about $425,000 after taxes.


According to court records obtained by the Tribune, Khan's brother has squabbled with Shabana Ansari over the lottery winnings in probate court. The brother, ImTiaz Khan, raised concern that since Khan left no will, Jasmeen Khan would not get "her fair share" of her father's estate.


Khan and Ansari did not have children together. Since her father's death, Jasmeen Khan has been living with Khan's siblings.


An attorney for Ansari in the probate case said the money was all accounted for and the estate was in the process of being divided up by the court. Under state law, the estate typically would be split evenly between the spouse and Khan's only child, he said.


In addition, almost two years ago, the Internal Revenue Service placed liens on Khan's residence on West Pratt Boulevard in an effort to collect more than $120,000 in back taxes from his father-in-law,  Fareedun Ansari, who still lives at the home with his daughter.


Fareedun and Shabana Ansari have denied involvement in Khan's death.


jgorner@tribune.com

Twitter: @ChicagoBreaking





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Morrisons to launch online kitchenware business






LONDON (Reuters) – Britain‘s fourth largest supermarket group Wm Morrison said on Friday it would extend its online presence in the spring with the launch of a kitchenware website in partnership with specialist Lakeland.


The joint venture will be Morrisons‘ third fully transactional website following the launch of wine website MorrisonsCellar.com in November and the purchase of baby care retailer Kiddicare.com in 2011.






“We believe the future for retailing many non-food products is online rather than in supermarkets,” said Chief Executive Dalton Philips.


Unlike the other grocers that make up Britain’s so called “big four” – market leader Tesco, Wal-Mart’s Asda and J Sainsbury – Morrisons does not have a website for the home delivery of food.


Earlier this month Morrisons posted a weak Christmas trading update that it partly attributed to its lack of an online food offer.


The firm is researching the possibility and plans to say more when it publishes full year results in March. Most analysts expect it to launch a trial this year.


(Reporting by James Davey; editing by Kate Holton)


Internet News Headlines – Yahoo! News





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“Breaking Bad” star Betsy Brandt is Michael J. Fox’s new TV wife






NEW YORK (TheWrap.com) – “Breaking Bad” star Betsy Brandt has been cast as Michael J. Fox’s TV wife.


NBC is eyeing the series, which has already been ordered for a full season, for fall. Brandt will play the wife of Fox’s character, a New York news anchor coping – like Fox – with Parkinson’s disease. He’ll also have the usual sitcom troubles, like juggling family and his career.






Brandt’s “Breaking Bad” husband, Hank Schrader (Dean Norris) also struggled with health problems: Brandt’s character nursed him back to health after he was shot and had to re-learn to walk.


She joins a cast that also includes Connor Romero and Jack Gore as the couple’s children, Katie Finneran as the sister of Fox’s character, and “The Wire” star Wendell Pierce as his boss.


The second half of the fifth and final season of “Breaking Bad” will air this summer. Both “Breaking Bad” and the Fox show come from Sony Pictures Television.


The as-yet-untitled series, is written by “Cougar Town” scribe Sam Laybourne and helmed by “Easy A” director Will Gluck.


TV News Headlines – Yahoo! News





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Well: Your Twitter Tips for Going Vegan

In this week’s Well column, “How to Go Vegan,”, we asked you to send in your favorite tips and tricks for adopting a solely plant-based diet on Twitter. We received a range of responses, from quirky ingredient combinations that replicate a nonvegan dish to simple mantras to get you in a vegan frame of mind. Here are some of our favorites. To see the entire list of submissions, visit the hashtag, #vegantips.

Let’s start with some simple recipes that may satisfy your vegan craving:


Add some of your favorite ingredients:


Don’t forget to love your legumes:


And what about some tips to keep you on the vegan path?


And don’t forget to serve a healthy side of humor with that vegan dish:

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Trestman: 'Passion' and 'urgency' to win with Bears









Marc Trestman emphasized passion, urgency and commitment and said he "can't wait to get my hands on" quarterback Jay Cutler when he was introduced Thursday at Halas Hall as the 14th coach in Chicago Bears history.


Trestman, 57, said the Bears were "clearly a franchise that has the highest expectations for its team."


"I do feel the passion, I do feel the urgency, and boy, do I feel the commitment to win," Trestman said.





General manager Phil Emery, in explaining his decision to fire former coach Lovie Smith more than two weeks ago, cited long-running offensive efficiencies for an organization that has typically looked to the defensive side of the ball for its highest leader.


Emery on Thursday described the interview process that led to Trestman this way: "It was an interesting road ... and a road well-traveled." He confirmed that Trestman, Colts offensive coordinator Bruce Arians and Seahawks offensive coordinator Darrell Bevell were the three finalists, with Bevell the first to be eliminated.


As to why he chose Trestman over Arians in the end, Emery cited adaptability, the fact that Trestman has been with numerous NFL teams as an assistant and also coached in the unfamiliar Canadian Football League and excelled at each stop.

"He’s had personal ups and downs, but in the end, where is he? He’s a champion and now he’s the head coach of the Chicago Bears," Emery said. "Do not underestimate Marc Trestman as a cmpetitor. He's as tough-minded as anybody I've been around. That's the kind of guy I want to be in a room with."


The challenge for Trestman will be bringing out the best in Cutler, whom the Bears acquired by mortgaging the future in 2009. The belief then was the young, Pro Bowl gunslinger was the missing piece. He’s played in two playoff games since, winning one. Now, Cutler will be 30 in April and is entering the final year of his contract. His future must be determined in the coming months and Emery made the handling of Cutler a key component of the interview process.


Trestman emphasized the importance of the quarterback position and also the offensive line that protects him.


"I'm going to be responsible for keeping Jay and our quarterbacks safe in the pocket," he said.


As for his role, Trestman said, "I get to be the GPS system of the team. That's the fun part."

Asked about Cutler, Trestman said he spoke with the quarterback recently over lunch and, "I can't wait to get my hands on him, and work with him. I think he's ready.


"This guy loves football. He wants to be great. Hopefully, we can give him some protection and some direction."


Cutler confirmed that he and Trestman had a two-hour sitdown and that neither of them touched lunch. "It was fun," Cutler told WMVP-AM 1000.

"Change isn't always bad," Cutler said. "I said that after we fired Lovie. That was a tough situation for everybody. But getting Marc Trestman and the direction we're going in, it's exciting."

Asked if the Bears had the right coach from an offensive aspect, Cutler said, "I think in every aspect of a coach, we got it right. We're going to hit the ground running. He's a hands-on guys, a high-energy guy, a high-tempo guy and he loves ball. Any time you're around a guy like that, it's infectious. It makes it fun going to work."


Trestman said he will continue to call the offensive plays: "I love calling plays. As long as Phil lets me, I get to do that. If it's in the best interests of the team, that's what I will start out doing."


Trestman termed his expected relationship with Cutler this way: "The No. 1 marriage in all of sports is the marriage between a quarterback and his coach." He said the quarterback "is going to have the keys to the car."


Trestman said he would sit down with Cutler and review every play from every game and that the quarterback would be evaluated "on a macro level and on a micro level. The big things he does that he wants to improve on and we want him to improve on, and the micro level, from taking the snap and dropping back and throwing the football and everything in between."


Asked about the pass/run balance on offense, Trestman said, "The only objective is to score touchdowns."


Under Smith, Dick Jauron and Dave Wannstedt, the three coaches that followed Mike Ditka, the Bears rarely have produced consistent offensive efforts. All three were defensive coordinators before coming to the club. While the Bears were stout defensively throughout Smith’s nine seasons, they were almost always deficient on offense.


With Trestman in place, the Bears will work to revamp the offense on the fly and take advantage of what remains a productive defense with aging core players. Trestman’s long history as a quarterback guru and innovative offensive mind pushed him to the top of a thorough coaching search by Emery.


On defense, Trestman said it all starts with pressuring the opponent's quarterback.


"We've got to hurry 'em, hit 'em and knock 'em down," he said.


Trestman said his first priority would be assembling a staff and said he had the final say. He said some of his assistants from the CFL's Montreal Alouettes could be joining him. Another candidate could be Scott Milanovich, head coach of the Toronto Argonauts and a former Maryland quarterback. Milanovich made a name for himself in the CFL as offensive coordinator of the Alouettes from 2008-2011.


"We've got to put together a staff of high character," he said. "Men who are experts in the science of football."


Asked about Rod Marinelli, Trestman said the veteran defensive coordinator wouldn't be staying.

"I had a chance to talk to Rod," Trestman said. "He's made up his mind I believe to move on."

Trestman said he and Emery would discuss the future defensive leadership.


Asked about Brian Urlacher, Trestman lavished praise on the veteran linebacker but stopped short of saying he definitely will be part of the defense going forward.


"I recognize what he's meant to this locker room," Trestman said.


Trestman said he would be open to playing a 3-4 defense, but that it would depend on his team's personnel and that he was aware of the success the Bears have enjoyed with the 4-3.

During a five-year stint as the head coach of the Alouettes. His team reached the playoffs in five consecutive seasons, winning two Grey Cup championships. Previously, he spent 17 seasons working as an assistant in the NFL for eight different organizations. He last worked for the Dolphins in 2004 under Wannstedt. Now, Trestman has the opportunity to operate his own club in the NFL, fulfilling a lifelong goal.


"Our goal will be to hold up a trophy," Trestman said.





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Singer Elton John a father for second time






LONDON (Reuters) – British pop star Elton John announced on Wednesday he had become a father for the second time after the birth via a surrogate mother of Elijah Joseph Daniel Furnish-John.


The “Rocket Man” and “Candle in the Wind” singer and his partner David Furnish confirmed the news in a short statement on John‘s official website, which also provided a link to an article in Hello! magazine.






“Both of us have longed to have children, but the reality that we now have two sons is almost unbelievable,” said the couple, who entered a civil partnership in 2005.


“The birth of our second son completes our family in a most precious and perfect way,” they told Hello!.


John, 65, and Furnish, 50, are already parents to Zachary, who is two. Elijah was born in Los Angeles on January 11.


“I know when he goes to school there’s going to be an awful lot of pressure, and I know he’s going to have people saying, ‘You don’t have a mummy,’” John said of his decision to have another baby.


“It’s going to happen. We talked about it before we had him. I want someone to be at his side and back him up. We shall see.”


(This story has been corrected to change magazine to Hello! from People in paragraph two)


(Reporting by Mike Collett-White, editing by Paul Casciato)


Music News Headlines – Yahoo! News





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The New Old Age: In Flu Season, Use a Mask. But Which One?

Face masks help prevent people from getting the flu. But how much protection do they provide?

You might think the answer to this question would be well established. It’s not.

In fact, there is considerable uncertainty over how well face masks guard against influenza when people use them outside of hospitals and other health care settings. This has been a topic of discussion and debate in infectious disease circles since the 2009 H1N1 flu pandemic, also known as swine flu.

As the government noted in a document that provides guidance on the issue, “Very little information is available about the effectiveness of facemasks and respirators in controlling the spread of pandemic influenza in community settings.” This is also true of seasonal influenza — the kind that strikes every winter and that we are experiencing now, experts said.

Let’s jump to the bottom line for older people and caregivers before getting into the details. If someone is ill with the flu, coughing and sneezing and living with others, say an older spouse who is a bit frail, the United States Centers for Disease Control and Prevention recommends the use of a face mask “if available and tolerable” or a tissue to cover the nose and mouth.

If you are healthy and serving as a caregiver for someone who has the flu — say, an older person who is ill and at home — the C.D.C. recommends using a face mask or a respirator. (I’ll explain the difference between those items in just a bit.) But if you are a household member who is not in close contact with the sick person, keep at a distance and there is no need to use a face mask or respirator, the C.D.C. advises.

The recommendations are included in another document related to pandemic influenza — a flu caused by a new virus that circulates widely and ends up going global because people lack immunity. That is not a threat this year, but the H3N2 virus that is circulating widely is hitting many older adults especially hard. So the precautions are a good idea, even outside a pandemic situation, said Dr. Ed Septimus, a spokesman for the Infectious Diseases Society of America.

The key idea here is exposure, Dr. Septimus said. If you are a caregiver and intimately exposed to someone who is coughing, sneezing and has the flu, wearing a mask probably makes sense — as it does if you are the person with the flu doing the coughing and sneezing and a caregiver is nearby.

But the scientific evidence about how influenza is transmitted is not as strong as experts would like, said Dr. Carolyn Bridges, associate director of adult immunization at the C.D.C. It is generally accepted that the flu virus is transmitted through direct contact — when someone who is ill touches his or her nose and then a glass that he or she hands to someone else, for instance — and through large droplets that go flying through the air when a person coughs or sneezes. What is not known is the extent to which tiny aerosol particles are implicated in transmission.

Evidence suggests that these tiny particles may play a more important part than previously suspected. For example, a November 2010 study in the journal PLoS One found that 81 percent of flu patients sent viral material through air expelled by coughs, and 65 percent of the virus consisted of small particles that can be inhaled and lodge deeper in the lungs than large droplets.

That is a relevant finding when it comes to masks, which cover much of the face below the eyes but not tightly, letting air in through gaps around the nose and mouth. As the C.D.C.’s advisory noted, “Facemasks help stop droplets from being spread by the person wearing them. They also keep splashes or sprays from reaching the mouth and nose of the person wearing them. They are not designed to protect against breathing in the very small particle aerosols that may contain viruses.”

In other words, you will get some protection, but it is not clear how much. In most circumstances, “if you’re caring for a family member with influenza, I think a surgical mask is perfectly adequate,” said Dr. Carol McLay, an infection control consultant based in Lexington, Ky.

By contrast, respirators fit tightly over someone’s face and are made of materials that filter out small particles that carry the influenza virus. They are recommended for health care workers who are in intimate contact with patients and who have to perform activities like suctioning their lungs. So-called N95 respirators block at least 95 percent of small particles in tests, if properly fitted.

Training in how to use respirators is mandated in hospitals, but no such requirement applies outside, and consumers frequently put them on improperly. One study of respirator use in New Orleans after Hurricane Katrina, when mold was a problem, found that only 24 percent of users put them on the right way. Also, it can be hard to breathe when respirators are used, and this can affect people’s willingness to use them as recommended.

Unfortunately, research about the relative effectiveness of masks and respirators is not robust, and there is no guidance backed by scientific evidence available for consumers, Dr. Bridges said. Nor is there any clear way of assessing the relative merits of various products being sold to the public, which differ in design and materials used.

“Honestly, some of the ones I’ve seen are almost like a paper towel with straps,” Dr. McLay said. Her advice: go with name-brand items used by your local hospital.

Meanwhile, it is worth repeating: The single most important thing that older people and caregivers can do to prevent the flu is to be vaccinated, Dr. Bridges said. “It’s the best tool we have,” she said, noting that preventing flu also involves vigilant hand washing, using tissues or arms to block sneezing, and staying home when ill so people do not transmit the virus. And it is by no means too late to get a shot, whose cost Medicare will cover for older adults.

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US, EU and Japan ground Dreamliners

Federal officials say they are temporarily grounding Boeing's 787 Dreamliners until the risk of possible battery fires is addressed. (Jan. 16)









With its new plane ordered to stay on the ground, Boeing Co. confronts a full-fledged crisis as it struggles to regain the confidence of passengers and the airline customers who stood by the 787 Dreamliner during years of cost overruns and delivery delays.

A second major incident involving "a potential battery fire risk'' prompted the Federal Aviation Administration on Wednesday to temporarily ground all 787s operated by U.S. carriers until it is determined that the lithium-ion batteries on board are safe.






The order affects United Airlines, which is the first U.S. customer. The FAA gave no indication how soon the plane could resume flying.

On Thursday, the European Aviation Safety Agency followed suit, grounding all Dreamliners in Europe.

Japanese airlines grounded their 787s Wednesday after an emergency landing and five days after the FAA and U.S. Transportation Secretary Ray LaHood declared that the flying public is safe on Dreamliners. When it offered those assurances Friday, however, the FAA also announced a comprehensive review of the 787's design, manufacture and assembly.

Ethiopian Airlines grounded its four 787s Thursday for "precautionary inspection."

The grounding represents a significant setback for Chicago-based Boeing, which is marketing the fuel-efficient, mainly carbon-composite jetliner as a vision of the future of commercial passenger aviation. The development of the plane was marred by long production and delivery delays, but it is selling well and has customers around the world.

"We stand behind its overall integrity. We will be taking every necessary step in the coming days to assure our customers and the traveling public of the 787's safety and to return the airplanes to service," Jim McNerney, Boeing's chairman and chief executive, said in a statement. He said Boeing is working with the FAA to find answers as quickly as possible.

Chicago-based United Airlines has six 787s, but it has been flying only one on flights between O'Hare International Airport and Houston. The airline said Wednesday night that it will accommodate customers on other planes. The domestic 787 flights were to end in late March, when United's first 787s were to begin serving international routes. 

United said it "will work closely with the FAA and Boeing on the technical review as we work toward restoring 787 service."

Foreign carriers are not affected by the FAA order, but LOT Polish Airlines canceled its inaugural flight celebration at O'Hare on Wednesday night, even before the flight landed from Warsaw.

"We just think it would be inappropriate to go ahead with the activities," said Frank Joost, regional sales director of the Americas for LOT. He described the FAA grounding of 787 flights as a "surprise."

LOT also canceled the Dreamliner's return flight to Warsaw. Passengers hoping to depart on the 9:55 p.m. flight said they were disappointed. Many were rebooked on Lufthansa through Munich.

Suzy Zaborek, 27, of Chicago was at Chicago O'Hare on Wednesday night waiting for her father to arrive from Poland aboard the 787. He came home early specifically to ride on the inaugural flight.

Zaborek had not been following the Dreamliner woes in recent weeks and the dramatic groundings on Wednesday.

"I'm glad I didn't know because I wouldn't have let him get on on of those," she said.

The FAA decision to ground all U.S.-registered 787s was the direct result of an in-flight incident involving a battery earlier in the day in Japan, FAA officials said. It followed another 787 battery fire that occurred Jan. 7 on the ground in Boston.

Both failures resulted in the release of flammable materials, heat damage, smoke and the potential for fire in the electrical compartments, the FAA said.

"Before further flight, operators of U.S.-registered Boeing 787 aircraft must demonstrate to the FAA that the batteries are safe," the regulatory agency said. The statement said the FAA will work with Boeing and airlines "to develop a corrective action plan to allow the U.S. 787 fleet to resume operations as quickly and safely as possible."

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