Unboxed: Stand-Up Desks Gaining Favor in the Workplace


THE health studies that conclude that people should sit less, and get up and move around more, have always struck me as fitting into the “well, duh” category.


But a closer look at the accumulating research on sitting reveals something more intriguing, and disturbing: the health hazards of sitting for long stretches are significant even for people who are quite active when they’re not sitting down. That point was reiterated recently in two studies, published in The British Journal of Sports Medicine and in Diabetologia, a journal of the European Association for the Study of Diabetes.


Suppose you stick to a five-times-a-week gym regimen, as I do, and have put in a lifetime of hard cardio exercise, and have a resting heart rate that’s a significant fraction below the norm. That doesn’t inoculate you, apparently, from the perils of sitting.


The research comes more from observing the health results of people’s behavior than from discovering the biological and genetic triggers that may be associated with extended sitting. Still, scientists have determined that after an hour or more of sitting, the production of enzymes that burn fat in the body declines by as much as 90 percent. Extended sitting, they add, slows the body’s metabolism of glucose and lowers the levels of good (HDL) cholesterol in the blood. Those are risk factors toward developing heart disease and Type 2 diabetes.


“The science is still evolving, but we believe that sitting is harmful in itself,” says Dr. Toni Yancey, a professor of health services at the University of California, Los Angeles.


Yet many of us still spend long hours each day sitting in front of a computer.


The good news is that when creative capitalism is working as it should, problems open the door to opportunity. New knowledge spreads, attitudes shift, consumer demand emerges and companies and entrepreneurs develop new products. That process is under way, addressing what might be called the sitting crisis. The results have been workstations that allow modern information workers to stand, even walk, while toiling at a keyboard.


Dr. Yancey goes further. She has a treadmill desk in the office and works on her recumbent bike at home.


If there is a movement toward ergonomic diversity and upright work in the information age, it will also be a return to the past. Today, the diligent worker tends to be defined as a person who puts in long hours crouched in front of a screen. But in the 19th and early 20th centuries, office workers, like clerks, accountants and managers, mostly stood. Sitting was slacking. And if you stand at work today, you join a distinguished lineage — Leonardo da Vinci, Ben Franklin, Winston Churchill, Vladimir Nabokov and, according to a recent profile in The New York Times, Philip Roth.


DR. JAMES A. LEVINE of the Mayo Clinic is a leading researcher in the field of inactivity studies. When he began his research 15 years ago, he says, it was seen as a novelty.


“But it’s totally mainstream now,” he says. “There’s been an explosion of research in this area, because the health care cost implications are so enormous.”


Steelcase, the big maker of office furniture, has seen a similar trend in the emerging marketplace for adjustable workstations, which allow workers to sit or stand during the day, and for workstations with a treadmill underneath for walking. (Its treadmill model was inspired by Dr. Levine, who built his own and shared his research with Steelcase.)


The company offered its first models of height-adjustable desks in 2004. In the last five years, sales of its lines of adjustable desks and the treadmill desk have surged fivefold, to more than $40 million. Its models for stand-up work range from about $1,600 to more than $4,000 for a desk that includes an actual treadmill. Corporate customers include Chevron, Intel, Allstate, Boeing, Apple and Google.


“It started out very small, but it’s not a niche market anymore,” says Allan Smith, vice president for product marketing at Steelcase.


The Steelcase offerings are the Mercedes-Benzes and Cadillacs of upright workstations, but there are plenty of Chevys as well, especially from small, entrepreneurial companies.


In 2009, Daniel Sharkey was laid off as a plant manager of a tool-and-die factory, after nearly 30 years with the company. A garage tinkerer, Mr. Sharkey had designed his own adjustable desk for standing. On a whim, he called it the kangaroo desk, because “it holds things, and goes up and down.” He says that when he lost his job, his wife, Kathy, told him, “People think that kangaroo thing is pretty neat.”


Today, Mr. Sharkey’s company, Ergo Desktop, employs 16 people at its 8,000-square-foot assembly factory in Celina, Ohio. Sales of its several models, priced from $260 to $600, have quadrupled in the last year, and it now ships tens of thousands of workstations a year.


Steve Bordley of Scottsdale, Ariz., also designed a solution for himself that became a full-time business. After a leg injury left him unable to run, he gained weight. So he fixed up a desktop that could be mounted on a treadmill he already owned. He walked slowly on the treadmill while making phone calls and working on a computer. In six weeks, Mr. Bordley says, he lost 25 pounds and his nagging back pain vanished.


He quit the commercial real estate business and founded TrekDesk in 2007. He began shipping his desk the next year. (The treadmill must be supplied by the user.) Sales have grown tenfold from 2008, with several thousand of the desks, priced at $479, now sold annually.


“It’s gone from being treated as a laughingstock to a product that many people find genuinely interesting,” Mr. Bordley says.


There is also a growing collection of do-it-yourself solutions for stand-up work. Many are posted on Web sites like howtogeek.com, and freely shared like recipes. For example, Colin Nederkoorn, chief executive of an e-mail marketing start-up, Customer.io, has posted one such design on his blog. Such setups can cost as little as $30 or even less, if cobbled together with available materials.


UPRIGHT workstations were hailed recently by no less a trend spotter of modern work habits and gadgetry than Wired magazine. In its October issue, it chose “Get a Standing Desk” as one of its “18 Data-Driven Ways to Be Happier, Healthier and Even a Little Smarter.”


The magazine has kept tabs on the evolving standing-desk research and marketplace, and several staff members have become converts themselves in the last few months.


“And we’re all universally happy about it,” Thomas Goetz, Wired’s executive editor, wrote in an e-mail — sent from his new standing desk.


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After Moves on New Constitution, Protesters Gather in Cairo





CAIRO — In the second potent showing of opposition rage in less than a week, tens of thousands of people streamed into Tahrir Square on Friday, angrily denouncing Egypt’s president, Mohamed Morsi, and the hasty passage earlier in the day of a draft constitution written by an Islamist assembly.




The gathering on Friday was smaller than one that packed the square on Tuesday, raising the question of whether Mr. Morsi’s opponents — liberals, leftists and fierce opponents of the Islamist group that the president once helped lead — could maintain their momentum. As they planned ways to escalate the protests with civil disobedience, Mr. Morsi had to face his critics personally at a mosque in Cairo, where, state news media reported, the president was heckled during Friday Prayer.


Egypt’s often fractured opposition banded together this week to protest a series of moves by Mr. Morsi that had led to accusations that he was reviving the country’s autocracy, presenting the president with the most severe crisis in the five months since he took office.


Mr. Morsi’s moves to issue an edict that places his decisions above judicial review and to press the constitutional assembly to pass a draft constitution hastily, despite a walkout by non-Islamists, have provided the opposition with a rallying cry. Despite the heady atmosphere on Friday, protesters and activists in Tahrir Square’s choked approaches, bus shelters and plazas predicted an increasingly bitter standoff, given the slim likelihood that the president planned to accede to their demands.


Slogans calling on Mr. Morsi to leave or for the fall of his government have energized crowds and drawn new faces to the opposition, including people staunchly opposed to Islamist rule and those who have supported figures from Hosni Mubarak’s government, like Ahmed Shafik, a former minister who ran against Mr. Morsi in the presidential race. Strikingly, some revolutionary activists now refuse to use the word “remnant,” as they had in the past, to describe their new allies, saying instead that they are glad for the support of people who decided to stay home during the uprising.


It was unclear whether the newcomers would remain as the opposition pressed more concrete demands and stepped up its confrontation with the government. Sitting on a curb in Tahrir Square on Friday night, Adel Abdullah, an unemployed Web designer, said he was happy to find like-minded people also bitterly opposed to Mr. Morsi. But, short of demanding that Mr. Morsi leave office, he said he was not sure, practically, what the president’s opponents should do.


“The people don’t want him,” he said of Mr. Morsi. “I’m so glad he made a mistake.”


Other opposition figures were trying to find ways to capitalize on the president’s mistakes. Leaders of the newly formed National Salvation Front, a coalition of parties, threatened to call for a national strike and possibly to march on the presidential palace to prevent the draft constitution’s going to referendum.


Mohamed Ahmed, a leader of the April 6th Revolutionary Youth Group, spoke of plans to escalate the protests in an effort to win concessions on key demands, including a rescinding of Mr. Morsi’s edict; a new, more representative constituent assembly; and an overhaul of the Interior ministry.


“We’re going to have demonstrations in places that affect the regime,” he said, also mentioning the possibility of strikes and civil disobedience. Nearby, a judge speaking to a crowd compared Mr. Morsi to Hitler and Caligula.


Mr. Ahmed said that the talk of toppling Mr. Morsi was unrealistic — but tactically important. “We have to raise our demands to get our demands,” he said.


Islamist parties have repeatedly prevailed at the polls since Mr. Mubarak’s overthrow, leaving the opposition to rely on obstructionist tactics to try to thwart them. Some activists say they hope for help from an Egyptian judiciary angered at Mr. Morsi’s bid to place his decisions out of their reach. They have argued that the president will be unable to hold a referendum on the constitution because the interim charter requires judicial supervision of the vote. Most of Egypt’s judges, though, have gone on strike to protest the decree.


“The judicial bodies don’t approve of the decree, and they don’t approve of the draft constitution, and under current constitutional articles, it is impossible to hold a referendum without judicial monitoring,” said Ahmed Kamel, a spokesman for Amr Moussa, a former diplomat under Mr. Mubarak who ran for president last year and has emerged as an opposition leader.


On Friday, with Mr. Morsi in attendance, worshipers at the Al-Sharbatly mosque heckled the imam as he called on the public to support the president and recited religious verse that called on people to “obey those in authority,” according to an account of the visit in the semiofficial newspaper Al-Ahram. After the imam stopped his sermon, some worshipers chanted, “Down with the rule of the supreme guide,” referring to the spiritual leader of the Muslim Brotherhood, Mr. Morsi’s Islamist party. The president asked the crowd to calm down and tried to explain recent decisions, as some supporters chanted his name, the paper said.


David D. Kirkpatrick, Joe Gabra and Mayy El Sheikh contributed reporting.



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Is Facebook planning to develop its own games? Revised Zynga terms open the door












As Zynga (ZNGA) continues its free fall into irrelevancy with layoffs and its one-hit social games, the gaming company has revised its contract with Facebook (FB) to free it from being “forced to launch games exclusively on the Facebook platform” and “obligated to use Facebook Credits for Zynga game pages,” according to AllThingsD. The change of terms filed with the SEC also includes a clause that states “Facebook will no longer be prohibited from developing its own games” on March 31, 2013. Could Facebook start developing its own social games? Theoretically, yes. But would Facebook really jeopardize its relationships with game developers who already make games for its social network? Probably not.


“We’re not in the business of building games and we have no plans to do so,” a Facebook spokesman told AllThingsD. “We’re focused on being the platform where games and apps are built.”












AllThingsD’s report says the change in terms isn’t so much as a bid by Facebook to make its own games, but to shed its dependence on Zynga to supply it with hit games. The new revised terms give Facebook more leverage and other game developers such as Wooga and King.com greater incentive to create games.


At the end of the day, Facebook is a publicly traded company chasing profits, despite what CEO Mark Zuckerberg says. It might not be developing games today, but that doesn’t mean it won’t create them in the future. The new terms with Zynga now leaves that door open, should it want to make its own games one day.


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NBA fines Spurs $250,000 for sending starters home

Gregg Popovich sent his best players home, deciding they reached the end of the road before the trip was over.

For that, and for keeping it a secret, the San Antonio Spurs were fined $250,000 by the NBA on Friday.

Commissioner David Stern said the Spurs "did a disservice to the league and our fans" when they didn't bring Tim Duncan, Tony Parker, Manu Ginobili or Danny Green to Miami for the final game of the six-game trip.

"The result here is dictated by the totality of the facts in this case," Stern said in a statement. "The Spurs decided to make four of their top players unavailable for an early-season game that was the team's only regular-season visit to Miami. The team also did this without informing the Heat, the media, or the league office in a timely way. Under these circumstances, I have concluded that the Spurs did a disservice to the league and our fans."

Teams are required to report as soon as they know a player will not travel because of injury.

The league's statement said the Spurs were in violation of league policy reviewed with the board of governors in April 2010 against resting players in a manner "contrary to the best interests of the NBA."

The Spurs didn't comment on the penalty.

The issue of resting healthy players has been debated before, though usually at the end of the season, not a month into it. And the Spurs have been right at the center of it, Popovich using the rest strategy for an aging team that could use more time off than the NBA schedule often allows.

They even made a joke out of it last season, the box score listing "OLD" next to the 36-year-old Duncan's name as the reason he didn't play.

Stern wasn't laughing Thursday.

He has a nearly $5 billion a year industry to protect and can't like it when teams aren't willing to put their best product on display in a marquee game televised by national TV partner TNT. Fans and viewers were excited about seeing the Spurs try to complete an unbeaten road trip against LeBron James, Dwyane Wade, Chris Bosh and the NBA champions, so there was an understandable letdown when they learned of the absences.

But there's never a guarantee that any players are going to play, and Stern himself has previously made it clear he wasn't going to impose rules to change that.

The Cleveland Cavaliers rested a healthy James for four straight games at the end of the 2009-10 regular season. Owners discussed the issue later that week at a meeting in New York, and Stern reported that there was "no conclusion reached, other than a number of teams thought it should be at the sole discretion of the team, the coach, the general manager, and I think it's fair to say I agree with that, unless that discretion is abused."

In the NFL, the Indianapolis Colts rested a healthy Peyton Manning even with an undefeated record late in the 2009 season, and the league eventually started trying to schedule as many division matchups as possible for the final two weeks of the season in an effort to make late-season games matter.

Popovich doesn't wait until the end of the season to start resting players.

He was both praised and ripped for the way he navigated the lockout schedule last season, twice surrendering 11-game winning streaks by playing without his Big Three. Even those who didn't like it conceded that a coach who had won four championships with what's long been considered the NBA's model organization probably knew what he was doing, and more defense came Thursday night.

"Popovich has done this before and he knows what's best for his team," former NBA star Shaquille O'Neal said on TNT. "It's his job to manage his players and do whatever he'd like. He's thinking about the big picture."

Another former player turned TNT analyst, Steve Kerr — who played for Popovich — also defended the franchise's actions.

"If the NBA punishes the Spurs for sitting players, it opens up a huge can of worms," he wrote on Twitter. "This is a serious legal challenge for the league."

Celtics coach Doc Rivers didn't think the penalty would keep teams from resting players.

"I don't like it," he said. "It's a tough one. You've got to coach your team to win in the long run and you have to do whatever you need to do. If that's sitting players, you sit players."

That San Antonio — largely unloved in its championship days but suddenly a plucky underdog cheered by those who felt Stern overstepped his bounds — nearly won the game before the Heat rallied for a 105-100 victory didn't sway the commissioner.

The league has an expectation that fans paying hundreds of dollars should get what they paid for. On Friday, the Phoenix Suns announced a "satisfaction guaranteed night" next Thursday against Dallas, offering fans a rebate if they didn't enjoy their experience in what the team called a first-of-its-kind promotion in the league.

But nobody buying a ticket can be assured of seeing his favorite players. The Heat occasionally sat their superstars late last season for what the organization termed a "maintenance program," and a late-season matchup against the Celtics included the following DNPs: James, Wade, Bosh and Boston's Ray Allen, Kevin Garnett and Rajon Rondo.

Then there are the neutral-site preseason games the league stages in markets where fans rarely get to see the NBA live. Signs outside the Times Union Center in Albany, N.Y. before a Celtics-Knicks matchup in October featured pictures of Paul Pierce and Carmelo Anthony, although neither played despite being healthy.

With Stern reaching in now, does he reach that far? Or are there be a separate set of guidelines depending on the calendar?

The league wouldn't clear that up, not commenting beyond its statement. The Spurs were unavailable Friday after the long trip.

They were resting.

___

AP Sports Writer Howard Ulman in Boston contributed to this report.

___

Follow Brian Mahoney on Twitter: http://www.twitter.com/Briancmahoney

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General Assembly Grants Palestine Upgraded Status in U.N.


Chang W. Lee/The New York Times


President Mahmoud Abbas of the Palestinian Authority spoke at the United Nations before the General Assembly voted on Palestine's status as a “nonmember observer state” on Thursday.







UNITED NATIONS — More than 130 countries voted on Thursday to upgrade Palestine to a nonmember observer state of the United Nations, a triumph for Palestinian diplomacy and a sharp rebuke to the United States and Israel.




But the vote, at least for now, did little to bring either the Palestinians or the Israelis closer to the goal they claim to seek: two states living side by side, or increased Palestinian unity. Israel and the militant group Hamas both responded critically to the day’s events, though for different reasons.


The new status will give the Palestinians more tools to challenge Israel in international legal forums for its occupation activities in the West Bank, including settlement-building, and it helped bolster the Palestinian Authority, weakened after eight days of battle between its rival Hamas and Israel.


But even as a small but determined crowd of 2,000 celebrated in central Ramallah in the West Bank, waving flags and dancing, there was an underlying sense of concerned resignation.


“I hope this is good,” said Munir Shafie, 36, an electrical engineer who was there. “But how are we going to benefit?”


Still, the General Assembly vote — 138 countries in favor, 9 opposed and 41 abstaining — showed impressive backing for the Palestinians at a difficult time. It was taken on the 65th anniversary of the vote to divide the former British mandate of Palestine into two states, one Jewish and one Arab, a vote Israel considers the international seal of approval for its birth.


The past two years of Arab uprisings have marginalized the Palestinian cause to some extent as nations that focused their political aspirations on the Palestinian struggle have turned inward. The vote on Thursday, coming so soon after the Gaza fighting, put the Palestinians again — if briefly, perhaps — at the center of international discussion.


“The question is, where do we go from here and what does it mean?” Salam Fayyad, the Palestinian prime minister, who was in New York for the vote, said in an interview. “The sooner the tough rhetoric of this can subside and the more this is viewed as a logical consequence of many years of failure to move the process forward, the better.” He said nothing would change without deep American involvement.


President Mahmoud Abbas of the Palestinian Authority, speaking to the assembly’s member nations, said, “The General Assembly is called upon today to issue a birth certificate of the reality of the state of Palestine,” and he condemned what he called Israeli racism and colonialism. His remarks seemed aimed in part at Israel and in part at Hamas. But both quickly attacked him for the parts they found offensive.


“The world watched a defamatory and venomous speech that was full of mendacious propaganda against the Israel Defense Forces and the citizens of Israel,” Prime Minister Benjamin Netanyahu of Israel responded. “Someone who wants peace does not talk in such a manner.”


While Hamas had officially backed the United Nations bid of Mr. Abbas, it quickly criticized his speech because the group does not recognize Israel.


“There are controversial issues in the points that Abbas raised, and Hamas has the right to preserve its position over them,” said Salah al-Bardaweel, a spokesman for Hamas in Gaza, on Thursday.


“We do not recognize Israel, nor the partition of Palestine, and Israel has no right in Palestine,” he added. “Getting our membership in the U.N. bodies is our natural right, but without giving up any inch of Palestine’s soil.”


Israel’s ambassador to the United Nations, Ron Prosor, spoke after Mr. Abbas and said he was concerned that the Palestinian Authority failed to recognize Israel for what it is.


“Three months ago, Israel’s prime minister stood in this very hall and extended his hand in peace to President Abbas,” Mr. Prosor said. “He reiterated that his goal was to create a solution of two states for two peoples, where a demilitarized Palestinian state will recognize Israel as a Jewish state.


“That’s right. Two states for two peoples. In fact, President Abbas, I did not hear you use the phrase ‘two states for two peoples’ this afternoon. In fact, I have never heard you say the phrase ‘two states for two peoples’ because the Palestinian leadership has never recognized that Israel is the nation-state of the Jewish people.”


The Israelis also say that the fact that Mr. Abbas is not welcome in Gaza, the Palestinian coastal enclave run by Hamas, from which he was ejected five years ago, shows that there is no viable Palestinian leadership living up to its obligations now.


Jennifer Steinhauer contributed reporting from Washington, Isabel Kershner from Jerusalem, and Khaled Abu Aker from Ramallah, West Bank.



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Thousands touched by photograph of New York cop helping shoeless man












NEW YORK (Reuters) – A photograph of a New York City police officer crouching by a shoeless panhandler to give him a new pair of boots on a cold night in Times Square has drawn a deluge of praise after it was published on the police department‘s Facebook page this week.


By Thursday afternoon, nearly 394,000 people had clicked a button on the department’s Facebook page to indicate that they “liked” the photograph. Tens of thousands left comments, most praising Officer Lawrence DePrimo for his charitable deed.












The photograph was snapped by Jennifer Foster, an employee of the Pinal County Sheriff‘s Office in Florence, Arizona, during a trip to New York this month, according to police.


She took the picture shortly after she noticed the man asking passersby for money.


“Right when I was about to approach, one of your officers came up behind him,” Foster wrote in an email to the New York Police Department accompanying the snapshot, according to the picture caption on the department’s Facebook page. She said she was some distance away, and the officer did not know he was being photographed.


“The officer said, ‘I have these size 12 boots for you, they are all-weather. Let’s put them on and take care of you.’ The officer squatted down on the ground and proceeded to put socks and the new boots on this man.”


DePrimo and Foster could not be reached for comment on Thursday, and the police department did not respond to queries about the photograph.


DePrimo, 25, joined the force in 2010 and lives with his parents on Long Island, according to The New York Times. He paid $ 75 for the boots from a nearby Skechers store after an employee there gave him a 25 percent discount upon learning they were to be donated to a man in need.


“I wish more cops were like this guy,” one person wrote on the department’s Facebook page. Others suggested there were plenty of good-hearted police officers about, even if their good deeds were not photographed or touted on Facebook.


(Editing by Paul Thomasch and Stacey Joyce)


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Steelers QB Roethlisberger testing hurt shoulder

PITTSBURGH (AP) — Ben Roethlisberger can hold his newborn son Ben Jr. in his injured right arm just fine, thanks.

When the Pittsburgh Steelers quarterback will be able to say the same about a football, even he's not sure.

Roethlisberger practiced in a limited role Thursday and appears a long shot to return for Sunday's game in Baltimore.

"There's always a chance," Roethlisberger offered somewhat hopefully.

The lengthy list of issues still plaguing Roethlisberger more than two weeks after he sprained his right shoulder and suffered a dislocated rib in a 16-13 overtime win against Kansas City, however, suggests he's still a week away from giving it a go.

Though the pain isn't quite as intense as it was in the days after Kansas City linebacker Tamba Hali drilled Roethlisberger into the soggy Heinz Field turf, the two-time Super Bowl winner can still only sleep in certain positions at night. And while he's tested the shoulder this week, he's uncertain if he can make all the throws necessary to attack Baltimore's secondary.

"Can I put a lot of zip on the ball, throw it really hard before people like Ed Reed and defenders can get to the ball?" Roethlisberger said. "If I can't I'm not putting us in the best situation to win the game."

The Steelers (6-5) have struggled in Roethlisberger's absence, needing overtime to beat the woeful Chiefs before looking listless at times and sloppy at others in losses to Baltimore and Cleveland. A season that looked promising after a 24-20 win over the defending Super Bowl-champion Giants in New Jersey on Nov. 4 is suddenly on very shaky ground.

Still, don't expect Roethlisberger to push too quickly. It's something he's done in the past, with less than desired results. He played on a battered right ankle in San Francisco last year, limping around in a 20-3 loss. He ended up sitting out the next week and wasn't the same when he returned.

"We've had people talk about last year in San Francisco, if I would have rested maybe I would have been better off the next couple games but to me, I live for the here and now," he said. "I'm going to do everything I can to be out there and if it doesn't work then I'll do what I can about the next week."

Offensive coordinator Todd Haley said Roethlisberger threw "a little bit" on Thursday but the team continues to prepare as if Charlie Batch will make his second straight start. Batch completed 20 of 34 passes for 199 yards and three costly interceptions against the Browns, mistakes Haley attributed to rusty timing more than physical ability.

"I don't think there's any limitations to what Chuck can do," Haley said, "or needs to do with the guys we have."

Roethlisberger remains optimistic Batch can muster some of the magic that helped him lead the Steelers to three victories since 2010 while filling in for his good friend.

"I firmly believe that," Roethlisberger said. "They know what he's capable of. He's been doing it a long time. They respect him. I think he's ready to rise to the occasion."

Something the Steelers need to do if they want to build any momentum going into the final quarter of the season. A loss in a place they struggle to play well in — no matter who is behind the center — would leave them with no wiggle room whenever Roethlisberger gets back to work.

The game's importance is not lost on Roethlisberger, who will wear "juiced up" pads to protect his shoulder, though doctors have told him the dislocated rib no longer poses a threat to his aorta.

That's welcome news for a guy in the first days of fatherhood. Roethlisberger called being a dad "pretty cool" and while he's enjoyed the time at home, he's also eager to go back to his job. If he doesn't play on Sunday he'll do what he's done the last two weeks and stand on the sideline — earbuds in place — and provide the kind of insight Batch has imparted on him so many times though the years.

"It's hard for me," Roethlisberger said. "You watched me during these games. I've been on the field more than most of the coaches because I'm just antsy to get out there."

That anxiousness, however, figures to be around for at least another week.

___

NOTES: While Roethlisberger is doubtful, S Troy Polamalu appears ready to play for the first time since Oct. 7. Polamalu practiced for the second straight day and barring a setback should be on the field in Baltimore. Polamalu has been limited to just five quarters all season due to a strained right calf ... Rookie G David DeCastro continued to make progress in his first week on the active roster after recovering from right knee surgery in August. Haley said he expects DeCastro to make an impact on the field before the end of the season.

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Clearing the Fog Around Personality Disorders





For years they have lived as orphans and outliers, a colony of misfit characters on their own island: the bizarre one and the needy one, the untrusting and the crooked, the grandiose and the cowardly.




Their customs and rituals are as captivating as any tribe’s, and at least as mystifying. Every mental anthropologist who has visited their world seems to walk away with a different story, a new model to explain those strange behaviors.


This weekend the Board of Trustees of the American Psychiatric Association will vote on whether to adopt a new diagnostic system for some of the most serious, and striking, syndromes in medicine: personality disorders.


Personality disorders occupy a troublesome niche in psychiatry. The 10 recognized syndromes are fairly well represented on the self-help shelves of bookstores and include such well-known types as narcissistic personality disorder, avoidant personality disorder, as well as dependent and histrionic personalities.


But when full-blown, the disorders are difficult to characterize and treat, and doctors seldom do careful evaluations, missing or downplaying behavior patterns that underlie problems like depression and anxiety in millions of people.


The new proposal — part of the psychiatric association’s effort of many years to update its influential diagnostic manual — is intended to clarify these diagnoses and better integrate them into clinical practice, to extend and improve treatment. But the effort has run into so much opposition that it will probably be relegated to the back of the manual, if it’s allowed in at all.


Dr. David J. Kupfer, a professor of psychiatry at the University of Pittsburgh and chairman of the task force updating the manual, would not speculate on which way the vote might go: “All I can say is that personality disorders were one of the first things we tackled, but that doesn’t make it the easiest.”


The entire exercise has forced psychiatrists to confront one of the field’s most elementary, yet still unresolved, questions: What, exactly, is a personality problem?


Habits of Thought


It wasn’t supposed to be this difficult.


Personality problems aren’t exactly new or hidden. They play out in Greek mythology, from Narcissus to the sadistic Ares. They percolate through biblical stories of madmen, compulsives and charismatics. They are writ large across the 20th century, with its rogues’ gallery of vainglorious, murderous dictators.


Yet it turns out that producing precise, lasting definitions of extreme behavior patterns is exhausting work. It took more than a decade of observing patients before the German psychiatrist Emil Kraepelin could draw a clear line between psychotic disorders, like schizophrenia, and mood problems, like depression or bipolar disorder.


Likewise, Freud spent years formulating his theories on the origins of neurotic syndromes. And Freudian analysts were largely the ones who, in the early decades of the last century, described people with the sort of “confounded identities” that are now considered personality disorders.


Their problems were not periodic symptoms, like moodiness or panic attacks, but issues rooted in longstanding habits of thought and feeling — in who they were.


“These therapists saw people coming into treatment who looked well put-together on the surface but on the couch became very disorganized, very impaired,” said Mark F. Lenzenweger, a professor of psychology at the State University of New York at Binghamton. “They had problems that were neither psychotic nor neurotic. They represented something else altogether.”


Several prototypes soon began to emerge. “A pedantic sense of order is typical of the compulsive character,” wrote the Freudian analyst Wilhelm Reich in his 1933 book, “Character Analysis,” a groundbreaking text. “In both big and small things, he lives his life according to a preconceived, irrevocable pattern.”


Others coalesced too, most recognizable as extreme forms of everyday types: the narcissist, with his fragile, grandiose self-approval; the dependent, with her smothering clinginess; the histrionic, always in the thick of some drama, desperate to be the center of attention.


In the late 1970s, Ted Millon, scientific director of the Institute for Advanced Studies in Personology and Psychopathology, pulled together the bulk of the work on personality disorders, most of it descriptive, and turned it into a set of 10 standardized types for the American Psychiatric Association’s third diagnostic manual. Published in 1980, it is a best seller among mental health workers worldwide.


These diagnostic criteria held up well for years and led to improved treatments for some people, like those with borderline personality disorder. Borderline is characterized by an extreme neediness and urges to harm oneself, often including thoughts of suicide. Many who seek help for depression also turn out to have borderline patterns, making their mood problems resistant to the usual therapies, like antidepressant drugs.


Today there are several approaches that can relieve borderline symptoms and one that, in numerous studies, has reduced hospitalizations and helped aid recovery: dialectical behavior therapy.


This progress notwithstanding, many in the field began to argue that the diagnostic catalog needed a rewrite. For one thing, some of the categories overlapped, and troubled people often got two or more personality diagnoses. “Personality Disorder-Not Otherwise Specified,” a catchall label meaning little more than “this person has problems” became the most common of the diagnoses.


It’s a murky area, and in recent years many therapists didn’t have the time or training to evaluate personality on top of everything else. The assessment interviews can last hours, and treatments for most of the disorders involve longer-term, specialized talk therapy.


Psychiatry was failing the sort of patients that no other field could possibly help, many experts said.


“The diagnoses simply weren’t being used very much, and there was a real need to make the whole system much more accessible,” Dr. Lenzenweger said.


Resisting Simplification 


It was easier said than done.


The most central, memorable, and knowable element of any person — personality — still defies any consensus.


A team of experts appointed by the psychiatric association has worked for more than five years to find some unifying system of diagnosis for personality problems.


The panel proposed a system based in part on a failure to “develop a coherent sense of self or identity.” Not good enough, some psychiatric theorists said.


Later, the experts tied elements of the disorders to distortions in basic traits.


This article has been revised to reflect the following correction:

Correction: November 29, 2012

An earlier version of this article misstated the number of traits included in the proposed criteria for narcissistic personality disorder.   The final proposal relies on two personality traits, not four.



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DealBook: Vinod Khosla Keeps Long-Term Bet on Clean Technology

Vinod Khosla crowed about the clean energy industry last year. Three of the biofuel start-ups in his venture capital portfolio had just gone public, and the stocks had risen considerably after their debuts. “I challenge anybody to claim that clean tech done right is a disaster,” Mr. Khosla said at a conference, rebuffing recent criticism. “We’ve generated more profits there than anybody has.”

Since then, Mr. Khosla, the founder of Khosla Ventures, has watched much of those paper gains evaporate. As the clean energy industry broadly has taken a hit, shares of the biofuel companies — Amyris, Gevo and KiOR — have slumped 70 percent to 90 percent from their peaks. His stakes, once worth as much as $1.3 billion, are now valued at roughly $378 million.

The billionaire investor has been caught in the cyclical downdraft.

The public stocks of solar, wind and biofuel companies are suffering amid industrywide pressures. The price of natural gas remains low. Europe has pulled back on incentives. American subsidies are in question after the bankruptcy of the solar panel maker Solyndra. And China is providing formidable low-cost competition.

“The whole clean tech sector has been out of favor,” said Pavel Molchanov, an analyst at Raymond James & Associates, a brokerage firm. “I’d be hard pressed to name one trading above its I.P.O. price.”

Despite the crosscurrents, Mr. Khosla seems unwavering in his commitment. He is pouring money into start-ups. Khosla Ventures recently invested more in LightSail Energy, a three-year-old start-up working to develop low-cost energy storage. He is also sticking with his public companies. His firm, for example, still owns 54 percent of KiOR.

“He’s a visionary who likes to make big bets on ideas that can really change the world,” said Andy Bechtolsheim, who co-founded Sun Microsystems with Mr. Khosla 30 years ago and shares a house with him at Big Sur on the California coast. “I would think he’s made a larger personal bet on green tech than anybody else.”

While the public markets are raising short-term doubts, the long-term investment thinking remains unchanged. Governments around the globe are pushing to find alternative sources of energy in an effort to reduce their dependence on fossil fuels that may hurt the environment. In a television interview in 2007, Mr. Khosla said “mainstream solutions” could replace up to 80 percent of oil-based power. Without them, he said, “this planet is history the way we know it today.” After Hurricane Sandy, the subject of global warming — and changing climate conditions — has again come to the forefront.

In a recent blog post on the Forbes Web site, Mr. Khosla acknowledged the shift in market sentiment. “Clean tech went through a time when it was in vogue and now it is not,” he wrote. “The financing environment for clean tech companies is tough today,” he added. But he said he still expected “to do better than industry averages by keeping our losing companies to a minority.”

Since founding his venture capital firm in 2004, Mr. Khosla has become one of the most vocal advocates for clean tech innovation, buying stakes in about 60 industry start-ups. Ausra, a solar thermal start-up that had drawn $130 million in venture backing, was sold in 2010 to the French nuclear plant builder Areva for about $250 million, according to one industry estimate. And SeaMicro, a low-power server maker, was bought this year by Advanced Micro Devices for $334 million, more than five times the amount invested by its venture backers, according to a SeaMicro co-founder, Andrew Feldman.

It’s unclear how the broader clean tech portfolio has performed at Khosla Ventures. Mr. Khosla declined to disclose the firm’s returns or to comment for the article.

But one of his funds, which raised $1 billion to invest in clean tech and other start-ups, shows gain of 30 percent since its inception in 2009, according to filings by the California Public Employees’ Retirement System, the largest state pension fund. In his Forbes blog post, Mr. Khosla said a recent fund, which raised $1.05 billion in October 2011, was oversubscribed, and his firm’s broader performance since 2006 had “well exceeded typical venture funds.” In that period, venture funds over all have returned 7.25 percent annually after fees, according to industry data.

Mr. Khosla’s commitment is an outgrowth of his three decades at the cutting edge of technology.

A native of India, Mr. Khosla, 57, earned a master’s degree in biomedical engineering from Carnegie Mellon and an M.B.A. from Stanford in 1980. After starting the design automation company Daisy Systems in 1982, he co-founded Sun Microsystems, then a growing technology company.

At Sun, he supplied drive and vision. But Mr. Khosla, who is known for his blunt talk and intense manner, was replaced as chief executive two years later and left the company shortly thereafter.

In 1986, he joined the venture capital firm Kleiner Perkins Caufield & Byers. Over the next two decades, Mr. Khosla scored sizable returns betting on the growth of fiber optic networks. Two companies, Cerent and Siara Systems, were sold for a combined $15 billion-plus at the height of the late-1990s dot-com bubble.

Mr. Khosla was looking into alternative fuel technologies at Kleiner Perkins when a business plan for an ethanol start-up crossed his desk in 2003. The plan “sat on a corner of my desk for nearly 18 months while I read everything I could about petroleum and its alternatives,” he wrote in an article for Wired magazine in 2006.

When he branched out on his own in 2004, Mr. Khosla invested millions in the ethanol start-up, Celunol. He soon established himself as a top venture capitalist in clean tech, attracting prominent outside investors like Microsoft’s founder, Bill Gates. Former Prime Minister Tony Blair of Britain joined the firm as a senior adviser.

Over the years, Mr. Khosla has experienced his share of blowups.

In September 2011, Khosla-backed Range Fuels, a wood-chips-to-ethanol company, went bankrupt after receiving a $44 million grant from the Department of Energy and $33 million under a Department of Agriculture loan guarantee. When The Wall Street Journal editorial page criticized Range Fuels as an “exercise in corporate welfare,” Mr. Khosla lashed back, saying the authors inhabited an “ivory tower” that was “full of people who don’t understand technology.”

Sometimes, Mr. Khosla’s companies had to pivot from their original plans and focus on new markets. For example, Calera was founded in 2007 with plans to use power plant exhaust to make cement. Mr. Khosla called its technology “game changing” in 2008.

But the company encountered some setbacks. It postponed plans for commercial-scale production in 2010 pending further research and later cut its 145-employee work force by two-thirds. Since then, Calera has broadened its focus, developing other products like fillers for paper and plastics.

Like many venture capital investors, Mr. Khosla will risk a few strikeouts for the chance to hit home runs. “My willingness to fail is what gives me the ability to succeed,” the investor has said frequently.

The odds can be especially brutal in clean technology. The projects are often capital-intensive — like $200 million or more for a biofuels plant — and they can take years to pay out, said Sam Shelton, a research engineer at Georgia Institute of Technology. By comparison, social media start-ups often require little upfront money and few employees. “The economics are totally different,” Mr. Shelton said.

In part, Mr. Khosla aims to take stakes when the companies are still getting off the ground, rather than waiting until they’re more mature and more expensive. He first bought a stake in KiOR, which aims to convert wood chips to gas and diesel fuel, in 2007. The company is now completing the first of five planned plants in Mississippi with the help of a $75 million interest-free loan from the state.

Mr. Khosla is “always thinking at a very high level about the potential of an idea,” KiOR’s chief executive, Fred Cannon, said. “He has a very good feel for when to step on the gas.”

After jumping in early, Mr. Khosla appears willing to ride out the swings, in both directions. Over the years, public filings indicate he has plowed roughly $80 million into KiOR, amassing a 54 percent stake in the company. Although the stock is off its peak levels and I.P.O. investors are still underwater, his holdings are worth $356 million — a threefold gain.


This post has been revised to reflect the following correction:

Correction: November 30, 2012

An earlier version of this article mischaracterized Mr. Khosla's return on his investment in KiOR. He invested roughly $80 million and his holdings are worth $356 million — a threefold gain, not a fourfold gain.

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As Opposition Coalition Meets in Cairo, More Violence Kills Dozens in Syria


Francisco Leong/Agence France-Presse — Getty Images


Rebels celebrated on top of a downed Syrian jet in Daret Azzeh, 20 miles west of Aleppo, on Wednesday.







In its first major effort to show that it can be a viable political force, the newly formed Syrian opposition coalition started talks in Egypt on Wednesday aimed at forming an alternative to the government of President Bashar al-Assad and paving the way for more international acceptance and aid.




The coalition, whose official name is the National Coalition of Syrian Revolutionary and Opposition Forces, was formed at a meeting in Qatar this month and has been recognized by Britain, France, Turkey and the Gulf Cooperation Council. To win further support from foreign capitals, it must tackle the broader problems of uniting the many opposition groups in exile and the rebels on the ground in Syria.


Delegates were expected to hold their second day of talks in a Cairo hotel on Thursday against the backdrop of a 20-month civil war in which about 40,000 people have been killed in clashes between armed rebels and jihadist fighters on one side and Mr. Assad’s forces on the other. The rebels appear to be gaining in their strategy to challenge the air supremacy of Mr. Assad’s military.


There were reports on Wednesday that for the second successive day, insurgents had shot down a government aircraft. Video posted on the Internet by rebels showed an airplane tail assembly jutting out of debris. Such videos are difficult to verify, but the episode on Wednesday seemed to be confirmed by other witnesses.


“We watched a Syrian plane being shot down as it was flying low to drop bombs” on the town of Daret Azzeh, 20 miles west of Aleppo and close to the Turkish border, said Ugur Cuneydioglu, who said he saw the aircraft being downed from a Turkish border village in southern Hatay Province. “It slowly went down in flames before it hit the ground. It was quite a scene,” Mr. Cuneydioglu said.


The video said the plane had been brought down by “the free men of Daret Azzeh soldiers of God brigade.”


On Tuesday, Syrian rebels said they shot down a military helicopter with a surface-to-air missile outside Aleppo.


The violence on Wednesday also included car bombs in a Damascus suburb that killed dozens of people.


In their first meeting since their umbrella organization was created in Doha, Qatar, on Nov. 11, coalition delegates confronted the realities of the political terrain. Disagreements emerged over the coalition’s composition when one member, the Syrian National Council, tried to increase the number of its representatives.


“Nothing will proceed until we work this out,” said one council member who spoke on condition of anonymity, according to Reuters.


The focus also seemed to be more on deciding how leadership candidates should be chosen rather than on who they might be. “I don’t think we’ll be discussing the election of a transitional government during the meeting today,” said Khaled Khoja, a coalition member. “We’re still discussing whether to have a government or to have committees instead.”


While the group, and the talks, are in their infancy, members appeared to recognize that world supporters were watching for results. Mr. Khoja said that while the group was discussing the coalition’s structure, it wanted to “see the outcome of the meeting in Morocco before deciding on the government.”


He was referring to a meeting planned for next month in Morocco of the so-called Friends of Syria group of nations, which includes the United States. At a meeting in New York City in September that included foreign ministers and Syrian opposition leaders, the group offered modest pledges of support for opponents of the Assad government. The opposition had unified under international pressure to give provinces better representation, and ideally, to oversee the disparate rebel factions while also providing a counterweight to the well-armed jihadist groups in the country.


The conflict has also flared along Syria’s borders with Lebanon, Israel, Turkey and Jordan.


In Turkey, which was once an ally of the Assad government, a team of NATO inspectors visited sites on Wednesday where the alliance might install batteries of Patriot antiaircraft missiles.


Another video on Wednesday showed a rebel fighter holding what appeared to be a complete SA-16 heat-seeking, shoulder-fired missile.


The man claimed to have shot down both the airplane and the helicopter, and said the missiles had been captured by rebels when they overran Base 46 outside Aleppo earlier this month.


High-profile tactical successes in the war have often been followed by videotaped claims of responsibility, and in part are seen as fund-raising opportunities for the fighters. Many claims, including those by the rebel fighters, are impossible to verify immediately.


But it was significant. The SA-16 is more modern and capable than the more commonly seen SA-7. It flies at a faster speed, can be used against aircraft at much wider range of attack angles, has a longer range and is promoted by its Russian exporters as being more resistant to an aircraft’s efforts to thwart it.


Its presence suggested that the rebels have been acquiring more weapons and could be mounting a more meaningful challenge to the Syrian Air Force.


State news media said on Wednesday that two car bombings struck Jaramana, a suburb of Damascus that is populated by members of the Christian and Druse minorities.


The SANA news agency said the death toll was at least 34. An activist group based in Britain, the Syrian Observatory for Human Rights, said 47 people were killed.


Christine Hauser reported from New York, and Hala Droubi from Dubai, United Arab Emirates. Reporting was contributed by Alan Cowell from London; Sebnem Arsu from Istanbul; Hania Mourtada from Beirut, Lebanon; and C. J. Chivers from the United States.



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