A delicate new balancing act in senior healthcare

When Claire Gordon arrived at Cedars-Sinai Medical Center, nurses knew she needed extra attention.

She was 96, had heart disease and a history of falls. Now she had pneumonia and the flu. A team of Cedars specialists converged on her case to ensure that a bad situation did not turn worse and that she didn't end up with a lengthy, costly hospital stay.

Frail seniors like Gordon account for a disproportionate share of healthcare expenditures because they are frequently hospitalized and often land in intensive care units or are readmitted soon after being released. Now the federal health reform law is driving sweeping changes in how hospitals treat a rapidly growing number of elderly patients.

The U.S. population is aging quickly: People older than 65 are expected to make up nearly 20% of it by 2030. Linda P. Fried, dean of the Columbia University Mailman School of Public Health, said now is the time to train professionals and test efforts to improve care and lower healthcare costs for elderly patients.

"It's incredibly important that we prepare for being in a society where there are a lot of older people," she said. "We have to do this type of experiment right now."

At Cedars-Sinai, where more than half the patients in the medical and surgical wards are 65 or older, one such effort is dubbed the "frailty project." Within 24 hours, nurses assess elderly patients for their risk of complications such as falls, bed sores and delirium. Then a nurse, social worker, pharmacist and physician assess the most vulnerable patients and make an action plan to help them.

The Cedars project stands out nationally because medical professionals are working together to identify high-risk patients at the front end of their hospitalizations to prevent problems at the back end, said Herb Schultz, regional director of the U.S. Department of Health and Human Services.

"For seniors, it is better care, it is high-quality care and it is peace of mind," he said.

The effort and others like it also have the potential to reduce healthcare costs by cutting preventable medical errors and readmissions, Schultz said. The federal law penalizes hospitals for both.

Gordon, an articulate woman with brightly painted fingernails and a sense of humor, arrived at Cedars-Sinai by ambulance on a Monday.

Soon, nurse Jacquelyn Maxton was at her bedside asking a series of questions to check for problems with sleep, diet and confusion. The answers led to Gordon's designation as a frail patient. The next day, the project team huddled down the hall and addressed her risks one by one. Medical staff would treat the flu and pneumonia while at the same time addressing underlying health issues that could extend Gordon's stay and slow her recovery, both in the hospital and after going home.

To reduce the chance of falls, nurses placed a yellow band on her wrist that read "fall risk" and ensured that she didn't get up on her own. To prevent bed sores, they got her up and moving as often as possible. To cut down on confusion, they reminded Gordon frequently where she was and made sure she got uninterrupted sleep. Medical staff also stopped a few unnecessary medications that Gordon had been prescribed before her admission, including a heavy narcotic and a sleeping pill.

"It is really a holistic approach to the patient, not just to the disease that they are in here for," said Glenn D. Braunstein, the hospital's vice president for clinical innovation.

Previously, nurse Ivy Dimalanta said, she and her colleagues provided similar care but on a much more random basis. Under the project, the care has become standardized.

The healthcare system has not been well designed to address the needs of seniors who may have had a lifetime of health problems, said Mary Naylor, gerontology professor at the University of Pennsylvania School of Nursing. As a result, patients sometimes fall through the cracks and return to hospitals again and again.

"That is not good for them and that is not good for society to be using resources in that way," Naylor said.

Using data from related projects, Cedars began a pilot program in 2011 and expanded it last summer. The research is continuing but early results suggest that the interventions are leading to fewer seniors being admitted to the intensive care unit and to shorter hospital stays, said Jeff Borenstein, researcher and lead clinician on the frailty project. "It definitely seems to be going in the right direction," he said.

The hospital is now working with Naylor and the University of Pennsylvania to design a program to help the patients once they go home.

"People who are frail are very vulnerable when they leave the hospital," said Harriet Udin Aronow, a researcher at Cedars. "We want to promote them being safe at home and continuing to recover."

In Gordon's case, she lives alone with the help of her children and a caregiver. The hospital didn't want her experiencing complications that would lengthen the stay, but they also didn't want to discharge her before she was ready. Under the health reform law, hospitals face penalties if patients come back too soon after being released.

Patients and their families often are unaware of the additional attention. Sitting in a chair in front of a vase of pink flowers, Gordon said she knew she would have to do her part to get out of the hospital quickly. "You have to move," she said. "I know you get bed sores if you stay in bed."

Gordon said she was comfortable at the hospital but she wanted to go back to her house as quickly as she could. "There's no place like home," she said.

Two days later, that's where she was.

anna.gorman@latimes.com

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DC Comics Turns the Occupy Movement Into a Superhero Title

Eighteen months after the phrase first entered the collective public consciousness, the plight of the 99 percent is coming to mainstream superhero comics — via a new series from the second biggest publisher in the American comic industry, which just happens to be a subsidiary of a multi-national corporation that makes around $12 billion a year. Irony, anybody?

In May, DC Comics will launch two new series taking place in their mainstream superhero universe that offer different insights into the class struggle in a world filled with superheroes, alien races and inexplicable events. The Green Team, written by Tiny Titans and Superman Family Adventures creators Art Baltazar and Franco, with art by Ig Guara, revives an obscure 1975 concept about teenage rich kids who try to make the world a better place with their outrageous wealth. In an interview promoting the series, Franco promised that it would address questions like “Can money make you happy?” and “If you had unlimited wealth, could you use that to make the lives of people better?”

Obviously, this is one of the more fanciful series DC will be publishing.

But while DC is promoting The Green Team series as the adventures of the “1%,” its companion title, The Movement, is teased as a chance for us to “Meet the 99%… They were the super-powered disenfranchised — now they’re the voice of the people!”

“It’s a book about power,” explained The Movement writer Gail Simone. “Who owns it, who uses it, who suffers from its abuse. As we increasingly move to an age where information is currency, you get these situations where a single viral video can cost a previously unassailable corporation billions, or can upset the power balance of entire governments. And because the sources of that information are so dispersed and nameless, it’s nearly impossible to shut it all down.”

“The thing I find fascinating and a little bit worrisome is, what happens when a hacktivist group whose politics you find completely repulsive has this same kind of power and influence,” she elaborated in an interview at Big Shiny Robot. “What if a racist or homophobic group rises up and organizes in the same manner?”

While the concept is ambitious, the idea that a comic capable of living up to the book’s populist inspiration could come from DC Entertainment still strikes some as unlikely. Matt Pizzolo, the editor of the Occupy Comics anthology, told Wired that “though DC Comics did help launch Alan Moore and David Lloyd’s seminal anarchist epic V For Vendetta over two decades ago, it’s unlikely they would do so today. Between dismantling Vertigo and frankensteining Watchmen, the past year has demonstrated DC isn’t a safe place for bold creators who want to tell the kinds of stories that would inspire things like Occupy, rather than just cash in on them.”

Still, Simone says that the use of the iconography and language of a real-world populist movement is deliberate, promising that the book will reflect today’s decentralized political world and offer ”a slice of rarity that we’re unlikely to see in most superhero books.”

This wouldn’t the first time that DC has attempted to offer pre-packaged populist rebellion, of course; in addition to the aforementioned publication of the anti-establishment V For Vendetta, the company’s Vertigo imprint also published Grant Morrison’s The Invisibles, a series centering around an international organization struggling against forces of authority and repression that included anti-corporate themes.

Only time will tell whether The Movement will live up to the subversive examples of these earlier books, or just end up a well-intentioned piece of topical super heroics that trades on, and commodifies, a real political movement.

The Movement #1 will be available in both print and digital formats on May 1, while The Green Team #1 will be released on May 22.

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Charlie Sheen revisits alter-ego in movie “Mind of Charles Swan”

LOS ANGELES (Reuters) – It’s a downward spiral for Charlie, a successful professional whose life slides into despair when his girlfriend breaks up with him.

This Charlie could be Charlie Sheen, but it’s actually the fictional Charles Swan, a charming, immature character played by Hollywood’s favorite bad boy actor and filmed only a few months after Sheen‘s off-screen antics got him fired in 2011 from TV comedy “Two and a Half Men.”

Sheen stars in “A Glimpse Inside the Mind of Charles Swan III,” opening in U.S. movie theaters on Friday. The film is directed and written by Roman Coppola, son of “The Godfather” director Francis Ford Coppola.

Coppola, 47, who is Oscar-nominated for his work on the screenplay of “Moonrise Kingdom,” talked with Reuters about working with Sheen on the “playful romp” about lost love and revenge fantasies set in a stylized Los Angeles.

Q: Did you write the film specifically for Charlie Sheen to star in?

A: “I didn’t write it for him in mind. I was excited to write a piece about a very outlandish lead character, someone charming, immature, struggling and full of imagination. As I was finishing it, I kind of realized Charlie Sheen would be perfect. Both are larger than life. They use their wit and charm to smooth over problems in their life to not deal with things. But it’s a coincidence that it’s the same first name.”

Q: Both of you are part of Hollywood dynasties. Your father is Francis Ford Coppola and his dad is Martin Sheen. When did you and Charlie first meet?

A: “We met as boys when we were around 11 years old on the set of (the 1979 film) ‘Apocalypse Now’ (which Francis Ford Coppola directed and Martin Sheen starred in). Our families were in the Philippines (for the shoot) for many months so Charlie and I became pals. We have a lot of fond memories hanging out together in that exotic location.”

Q: What type of memories?

A: “I remember being with him when they built the (fictional) Kurtz Compound. Charlie and I would cruise around (the set) and there would be all sorts of skulls and weapons and things that are interesting to 11-year old boys. I was also interested in theatrical makeup, so I introduced Charlie to the hobby of making scars.”

Q: Did you get any pushback from family, friends or financiers when you decided to cast Sheen in “Charles Swan“?

A: “Basically there was no film company willing to finance the movie with Charlie. Insurance companies didn’t want my business, nor did any bond company. There was very little support in the film community to finance that picture. So I had to be very crafty about getting the financing.”

Q: Were you surprised at that?

A: “I was surprised to some degree because I had other talent attached to it like Jason Schwartzman and Bill Murray. You’d think that would tip people’s curiosity. When people say ‘No’ or ‘Why would you want to cast Charlie Sheen?’ it makes me feel like everyone else is crazy.”

Q: But it’s Charlie who conjures up the images of crazy – public battles with “Two and Half Men” creator Chuck Lorre and his ex-wives, Denise Richards and Brook Mueller. He is the one who was in rehab for drugs, who damaged hotel rooms, lived with porn stars, and called himself a warlock with “tiger blood” and “Adonis DNA.”

A: “But that’s very comic book, that’s not a real person. That’s a portrayal that comes from wanting to make stories. He’s an individual. He’s obviously a talented guy and talent doesn’t go away. Ten years ago we’d be having this exact same conversation about Robert Downey Jr. and how crazy and irresponsible he is. Now we know he’s at the top of his game. So to me it’s kind of immature to cotton to that kind of stuff. It’s gossipy and phony.”

Q: So none of that was prevalent during the shooting of your film?

A: “Charlie was totally committed throughout the entire shooting. He showed up every day, he knew his lines, he learned Spanish and he learned to dance. I had a professional, fantastic experience with a highly skilled and dedicated performer.”

Q: How would you describe Charlie’s acting?

A: “He’s very intuitive. On a technical level, he’s very experienced and capable. He knows where to stand, where the light is. Then there is the magical aspect of acting where you’re able to create a see-through veil in which your feelings come out and they’re captured by the camera.

“No one knows how it works. Some people can do it and Charlie certainly has it. So despite all the chitter chatter of Charlie this and breakdown that, he’s a fine actor and he shines in this performance.”

(Reporting By Zorianna Kit, editing by Jill Serjeant and Doina Chiacu)

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In Nigeria, Polio Vaccine Workers Are Killed by Gunmen

At least nine polio immunization workers were shot to death in northern Nigeria on Friday by gunmen who attacked two clinics, officials said.

The killings, with eerie echoes of attacks that killed nine female polio workers in Pakistan in December, represented another serious setback for the global effort to eradicate polio.

Most of the victims were women and were shot in the back of the head, local reports said.

A four-day vaccination drive had just ended in Kano State, where the killings took place, and the vaccinators were in a “mop-up” phase, looking for children who had been missed, said Sarah Crowe, a spokeswoman for the United Nations Children’s Fund, one of the agencies running the eradication campaign.

Dr. Mohammad Ali Pate, Nigeria’s minister of state for health, said in a telephone interview that it was not entirely clear whether the gunmen were specifically targeting polio workers or just attacking the health centers where vaccinators happened to be gathering early in the morning. “Health workers are soft targets,” he said.

No one immediately took responsibility, but suspicion fell on Boko Haram, a militant Islamist group that has attacked police stations, government offices and even a religious leader’s convoy.

Polio, which once paralyzed millions of children, is now down to fewer than 1,000 known cases around the world, and is endemic in only three countries: Nigeria, Pakistan and Afghanistan.

Since September — when a new polio operations center was opened in the capital and Nigeria’s president, Goodluck Jonathan, appointed a special adviser for polio — the country had been improving, said Dr. Bruce Aylward, chief of polio eradication for the World Health Organization. There have been no new cases since Dec. 3.

While vaccinators have not previously been killed in the country, there is a long history of Nigerian Muslims shunning the vaccine.

Ten years ago, immunization was suspended for 11 months as local governors waited for local scientists to investigate rumors that it caused AIDS or was a Western plot to sterilize Muslim girls. That hiatus let cases spread across Africa. The Nigerian strain of the virus even reached Saudi Arabia when a Nigerian child living in hills outside Mecca was paralyzed.

Heidi Larson, an anthropologist at the London School of Hygiene and Tropical Medicine who tracks vaccine issues, said the newest killings “are kind of mimicking what’s going on in Pakistan, and I feel it’s very much prompted by that.”

In a roundabout way, the C.I.A. has been blamed for the Pakistan killings. In its effort to track Osama bin Laden, the agency paid a Pakistani doctor to seek entry to Bin Laden’s compound on the pretext of vaccinating the children — presumably to get DNA samples as evidence that it was the right family. That enraged some Taliban factions in Pakistan, which outlawed vaccination in their areas and threatened vaccinators.

Nigerian police officials said the first shootings were of eight workers early in the morning at a clinic in the Tarauni neighborhood of Kano, the state capital; two or three died. A survivor said the two gunmen then set fire to a curtain, locked the doors and left.

“We summoned our courage and broke the door because we realized they wanted to burn us alive,” the survivor said from her bed at Aminu Kano Teaching Hospital.

About an hour later, six men on three-wheeled motorcycles stormed a clinic in the Haye neighborhood, a few miles away. They killed seven women waiting to collect vaccine.

Ten years ago, Dr. Larson said, she joined a door-to-door vaccination drive in northern Nigeria as a Unicef communications officer, “and even then we were trying to calm rumors that the C.I.A. was involved,” she said. The Iraq and Afghanistan wars had convinced poor Muslims in many countries that Americans hated them, and some believed the American-made vaccine was a plot by Western drug companies and intelligence agencies.

Since the vaccine ruse in Pakistan, she said, “Frankly, now, I can’t go to them and say, ‘The C.I.A. isn’t involved.’ ”

Dr. Pate said the attack would not stop the newly reinvigorated eradication drive, adding, “This isn’t going to deter us from getting everyone vaccinated to save the lives of our children.”

Aminu Abubakar contributed reported from Kano, Nigeria.

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U.S. Use of Mexican Battery Recyclers Is Faulted

United States companies are sending spent lead batteries to recycling plants in Mexico that do not meet American environmental standards, according to an environmental agency created under the North American Free Trade Agreement, putting Mexican communities at risk.

In a blistering report submitted this week, the agency, the Commission for Environmental Cooperation, notes that the United States does not fully follow procedures common among developed nations that treat international battery shipments as hazardous waste. It faults environmental agencies on both sides of the border for lapses in regulation and enforcement. Cross-border trade in lead batteries increased by up to 525 percent from 2004 to 2011, the report said.

The report, which has been circulating in draft form, has been forwarded to the governments of the United States, Canada and Mexico, which have 60 days to object to its publication. An estimated 20 percent of lead acid batteries from the United States now go to Mexico for recycling, according to trade statistics.

“There needs to be better coordination between government agencies and better cross-border tracking,” said Evan Lloyd, who was the agency’s executive director until late last year and oversaw the yearlong study.

The report highlighted a number of shortcomings: Customs data on the number of batteries crossing the border did not mesh with counts by the United States Environmental Protection Agency. Though the E.P.A. requires notice of batteries leaving the United States, there was no effort to make sure that they had arrived at qualified recyclers in Mexico. The data that battery companies sent to the E.P.A. about exports consisted of “piles of paper,” Mr. Lloyd said, and it was never amassed into an electronic database that would be “useful to regulators.”

Almost all lead acid batteries used in the United States are recycled to extract the lead for reuse because lead is a dangerous pollutant and because it is a valuable commodity. Lead batteries are used in vehicles, cellphone towers and wind turbines.

Since 2008, new United States limits on lead pollution have made domestic recycling complicated and costly. That has helped propel the recycling trade to Mexico, both legally and illegally, environmental groups say, because that country has less stringent limits for lead pollution, and far less vigorous enforcement.

“There’s a pretty consistent pattern suggesting that exports are the direct result of U.S. emissions standards,” said Perry Gottesfeld, executive director of Occupational Knowledge International, which has led the campaign against lead poisoning internationally. Mr. Gottesfeld noted that a Mexican plant owned by a major American recycler, Johnson Controls Inc., puts out more than 30 times as much lead emissions as its newest plant in the United States.

“What Mexico needs to do is to get its recycling up to U.S. standards, and the U.S. needs to do a much better job of tracking batteries overseas,” he said. In an e-mail, Johnson Controls, based in Milwaukee, said it was “modernizing and reinvesting” in the Mexican facility, acquired in 2005, “to reduce its environmental footprint.”

The report was initiated in response to a report by Occupational Knowledge International and Fronteras Comunes, a Mexican environmental group, as well as to an investigative article in The New York Times, Mr. Lloyd said. Soil collected by The Times in a school playground near a recycling plant outside Mexico City was found to have lead levels five times those allowed in the United States.

Lead poisoning causes high blood pressure, kidney damage and abdominal pain in adults, and serious developmental delays and behavioral problems in young children. When batteries are broken for recycling, the lead is released as dust and, during melting, as lead-laced emissions.

In the United States, recyclers operate in highly mechanized, tightly sealed plants, with smokestack scrubbers and extensive monitors to detect lead release. Plants in Mexico vary greatly in safety standards, and in some, the recycling process is little more than men with hammers smashing batteries and melting down their contents in furnaces.

In recent months, there have been new efforts to curb the flow of batteries south of the border, though many battery makers have fought that. In response to a draft of the report released late last year, Battery Council International, an industry group, said it opposed “the creation of additional burdensome certification programs.”

Last year, the United States General Services Administration, which is responsible for federal vehicles, asked ASTM International, an independent standards agency, to explore a voluntary standard for battery recycling.

But that effort came to naught after the proposal was voted down at an open meeting attended by representatives from industry, government and environmental groups in December. Of the 103 people at the meeting, 49 worked for Johnson Controls.

This article has been revised to reflect the following correction:

Correction: February 9, 2013

An earlier version of this article misstated part of the name of an American recycler cited by Perry Gottesfeld, executive director of Occupational Knowledge International, as the owner of a Mexican plant that puts out more than 30 times as much lead emissions as the company’s newest plant in the United States. The American recycling company is Johnson Controls Inc., not Johnson Controls International.

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Big Bear locked down amid manhunt

The bustling winter resort of Big Bear took on the appearance of a ghost town Thursday as surveillance aircraft buzzed overhead and police in tactical gear and carrying rifles patrolled mountain roads in convoys of SUVs, while others stood guard along major intersections.

Even before authorities had confirmed that the torched pickup truck discovered on a quiet forest road belonged to suspected gunman Christopher Dorner, 33, officials had ordered an emergency lockdown of local businesses, homes and the town's popular ski resorts. Parents were told to pick up their children from school, as rolling yellow buses might pose a target to an unpredictable fugitive on the run.

By nightfall, many residents had barricaded their doors as they prepared for a long, anxious evening.

PHOTOS: A tense manhunt amid tragic deaths

"We're all just stressed," said Andrea Burtons as she stocked up on provisions at a convenience store. "I have to go pick up my brother and get him home where we're safe."

Police ordered the lockdown about 9:30 a.m. as authorities throughout Southern California launched an immense manhunt for the former lawman, who is accused of killing three people as part of a long-standing grudge against the LAPD. Dorner is believed to have penned a long, angry manifesto on Facebook saying that he was unfairly fired from the force and was now seeking vengeance.

Forest lands surrounding Big Bear Lake are cross-hatched with fire roads and trails leading in all directions, and the snow-capped mountains can provide both cover and extreme challenges to a fugitive on foot. It was unclear whether Dorner was prepared for such rugged terrain.

Footprints were found leading from Dorner's burned pickup truck into the snow off Forest Road 2N10 and Club View Drive in Big Bear Lake.

San Bernardino County Sheriff John McMahon said that although authorities had deployed 125 officers for tracking and door-to-door searches, officers had to be mindful that the suspect may have set a trap.

"Certainly. There's always that concern and we're extremely careful and we're worried about this individual," McMahon said. "We're taking every precaution we can."

PHOTOS: A fugitive's life on Facebook

Big Bear has roughly 400 homes, but authorities guessed that only 40% are occupied year-round.

The search will probably play out with the backdrop of a winter storm that is expected to hit the area after midnight.

Up to 6 inches of snow could blanket local mountains, the National Weather Service said.

FULL COVERAGE: Sweeping manhunt for rampaging ex-cop

Gusts up to 50 mph could hit the region, said National Weather Service meteorologist Mark Moede, creating a wind-chill factor of 15 to 20 degrees.

Extra patrols were brought in to check vehicles coming and going from Big Bear, McMahon said, but no vehicles had been reported stolen.

"He could be anywhere at this point," McMahon said. When asked if the burned truck was a possible diversion, McMahon replied: "Anything's possible."

Dorner had no known connection to the area, authorities said.

Craig and Christine Winnegar, of Murrieta, found themselves caught up in the lockdown by accident. Craig brought his wife to Big Bear as a surprise to celebrate their 28th wedding anniversary. Their prearranged dinner was canceled when restaurant owners closed their doors out of fear.

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Sandboxr's Animation Interface Offers Completely Customizable 3-D Printed Figurines

Walt Disney invented feature animation by painting on plastic cels, Pixar reinvented the artform with computer graphics, and now Sandboxr is bringing animation to life with 3-D printers.

Animation fans, using Sandboxr’s web-based software via laptop or tablet, can digitally pose character models, change their scale, give them accessories, create scenes, and then 3-D print their custom-built result for less than the cost of a movie ticket.

3-D printed figurines already exist — MyRobotNation and FigurePrints offer similar services, allowing gamers to print models from World of Warcraft and Minecraft. But the interfaces for those sites have limited character flexibility, usually just a set of predefined poses and options. “Services like that are the tip of the iceberg,” says founder Berk Frei. “We’re trying to be the rest of the iceberg.”

What makes Sandboxr unique is how users experience some of the creative flexibility a professional animator does. All of the Sandboxr models are “rigged” — each model has a skeleton that a customer can pose like a doll, then print a souvenir of the experience. And, unlike the animators at movie studios, Sandboxr customers don’t have to learn complicated modeling software. The company has built an engine that lets people experiment with character poses using sliders to create sophisticated, animated poses, simply.

Frei is also passionate about taking the grunt work out of the process. “When I’m getting something ready for 3-D printing it’s not an easy process,” he says. “The printers choke on models with holes, multiple meshes, all these things that look visually impressive. Shelling models to reduce waste materials and adding drain holes takes a lot of time, but we’ve automated all of that. You’re going to save a lot of time using Sandboxr to post-process models.”

These automated features will do a lot to keep costs competitive with services like Shapeways. According to Frei, a 3.5-inch figure will cost approximately $20 to $25 and a 2.5-inch model will cost around $12, but final pricing is still to be determined.

To ensure that there are plenty of options for customers, the platform will be open to 3-D artists. Independent animators and toy designers will be able to post their characters and let fans interact with them in new and exciting ways. Frei says they’re also getting an “overwhelming” response from established videogame companies. “Game companies are excited for us to exist. They’ve made a game and the content already exists. We use the same model files and textures as they do to build the game so it’s an easy transition. Ultimately, we provide a store front that doesn’t cost anything to create and an infinite amount of inventory.”

The response has been so potent, Frei is looking into purchasing 40 ZCorp 3-D printers to keep up with initial demand. “We’ve decided we’re going to get capital equipment and build out our infrastructure, which is a bigger risk, but also gives us the ability to provide lower cost prints.”

For now, the site is in private beta, a Kickstarter campaign is imminent, but for those in the Salt Lake City area, the first Sandboxer project is on view at The Leonardo, a contemporary science museum.

Beyond the lively product, Sandboxr marks an important change in the industry. Most first-generation companies focused on 3-D printing were founded by engineers and focused on developing new, better hardware.

Frei and Sandboxr represent a new wave where designers are driving the technology in new directions increasingly through software. “Working with 3-D printing companies wasn’t that cool of an experience,” he says. “You’re just dropping your file off.”

Frei was introduced to 3-D printing while working as a CG animator in an arts-focused coworking space. He immediately understood the implications of the technology and had a vast library of digital content that could be printed. He also saw a huge problem. “You need to be a sophisticated designer to do anything cool with a 3-D printer,” says Frei. “My idea was to bridge the gap between an everyday person and 3-D printers.”

After evaluating systems from all the major manufacturers Frei found them lacking. He immediately got to work pitching investors on his software concept and recruited a team of engineers and 3-D artists to build the service. ”First and foremost I was thinking what a designer toy artist could do with Sandboxr,” says Frei. “Artists can collaborate with their fans.”

Frei also sees a big future for the product beyond games.

“We’re 3-D artists and game designers, but we built the system with customization in mind so that it can be interacted with in interesting ways,” he says. “I’ll be surprised what they’ll use it for — maybe cool jewelry, wedding cake toppers, who knows. I just want people to feel like they can be Tony Stark from Iron Man. They can design something in their computer and build it.”

All images: Courtesy of Sandboxr

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Katie Holmes takes fashion line crosstown

NEW YORK (AP) — Katie Holmes and her business partner and stylist Jeanne Yang joined the New York Fashion Week frenzy last season with a show at Lincoln Center, only to leave it behind this time around.

It wasn’t all the people, or even the paparazzi, that drove them away. It was their own clothes. Their look, which they describe as one of careful artistry and potential heritage pieces that women will keep a lifetime, is a little too quiet for all the splash, they said.

“We wanted to tell the full story behind the frivolity,” said Yang, adding: “It’s a quiet approach.”

Holmes and Yang sat down at a hotel on the opposite side of Manhattan with a handful of fashion journalists on Thursday, the opening day of fashion week, to walk them personally through 15 looks Holmes called their favorites.

Katharine Hepburn‘s practical-yet-chic look of the 1940s, Donna Karan‘s use of the shoulders and back as erogenous zones, Halston’s glamorous sportswear and Chanel’s mastery of seaming and studs were all in their minds as they built the pieces and outfits.

“We’re not trying to be trendy … but we’re trying to make high-quality pieces you’ll wear over and over again,” Holmes said.

Holmes was wearing an A-line shirtdress in the blue-and-black plaid that was dominant in the collection, while Yang wore one of the slouchy blazers that has become a key piece for the label, founded in 2009.

For fall, they’ll offer a peplum top with a suede waist band and maxi skirt in the same plaid. Holmes suggested that outfit for a dinner out. Swap the shirt for a tank top for brunch and a blouse to go to the theater. Yang said she hoped a customer would “feel smart” in a white cashmere-silk boucle sweaterdress with a strip of white silk at the hem.

Holmes, meanwhile, was partial to the baggy suede caramel-colored pants that hit just above the ankle, worn with a bow-neck blouse in a deep shade of lipstick pink.

The duo made a point of noting that 70 percent of production of Holmes & Yang happens in New York and the other 30 percent in Los Angeles.

___

Follow Samantha Critchell on Twitter at http://twitter.com/AP_Fashion

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The New Old Age: The Executor's Assistant

I’m serving as executor for my father’s estate, a role few of us are prepared for until we’re playing it, so I was grateful when the mail brought “The American Bar Association Guide to Wills and Estates” — the fourth edition of a handbook the A.B.A. began publishing in 1995.

This is a legal universe, I’m learning, in which every step — even with a small, simple estate that owes no taxes and includes no real estate or trusts — turns out to be at least 30 percent more complicated than expected.

If my dad had been wealthy or owned a business, or if we faced a challenge to his will, I would have turned the whole matter over to an estate lawyer by now. But even then, it would be helpful to know what the lawyer was talking about. The A.B.A. guide would help.

Written with surprising clarity (hey, they’re lawyers), it maps out all kinds of questions and decisions to consider and explains the many ways to leave property to one’s heirs. Updated from the third edition in 2009, the guide not only talks taxes and trusts, but also offers counsel for same-sex couples and unconventional families.

If you want to permit your second husband to live in the family home until he dies, but then guarantee that the house reverts to the children of your first marriage, the guide tells you how a “life estate” works. It explains what is taxable and what isn’t, and discusses how to choose executors and trustees. It lists lots of resources and concludes with an estate-planning checklist.

In general, the A.B.A. intends its guide for the person trying to put his or her affairs in order, more than for family members trying to figure out how to proceed after someone has died. But many of us will play both these parts at some point (and if you are already an executor, or have been, please tell us how that has gone, and mention your state). We’ll need this information.

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Paula Span is the author of “When the Time Comes: Families With Aging Parents Share Their Struggles and Solutions.”

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Postal Service Posts Loss of $1.3 Billion in First Quarter

WASHINGTON — Holiday shipping and the 2012 election helped the Postal Service stems its losses, but the agency’s financial woes continued in the first quarter, which ended Dec 31.

The Postal Service posted a $1.3 billion loss in the first quarter, compared with a $3.1 billion loss over the same period last year. The agency said the first quarter has traditionally been one of its strongest periods.

Total mail volume continued to decline, however. Mail volume was 43.5 billion pieces for the quarter, down from 43.6 billion in earlier year, according to agency officials.

Revenue from first-class mail, which provides the bulk of the revenue for the Postal Service, declined $237 million, or 3.1 percent, from the same period last year, with a decrease in volume of 834 million pieces, or 4.5 percent. Revenue from advertising mail increased $141 million, or 3.1 percent, in the first quarter compared with the same period last year on a volume increase of 783 million pieces, or 3.6 percent. The increase is largely attributable to official election mail and political campaign advertising related to the presidential and Congressional elections mailed during the quarter, which began Oct. 31.

The agency’s shipping and packaging business increased by $154 million, or 4.7 percent, over 2012 first-quarter results, fueled by the growth of online shopping and the continuing success of Postal Service marketing campaigns to promote shipping services.

The agency also said that it cut its operating costs to $18.9 billion from $20.9 billion over the same period last year, a decrease of 9.8 percent. The agency attributed the savings to a number of cost-cutting measures it has undertaken, including staff reductions and the consolidation of some of its mail processing centers.

But postal officials said the agency’s actions alone are not enough.

“The encouraging results from our holiday mailing season cannot sustain us as we move deeper into the current fiscal year and face continuing financial challenges,” said Patrick R. Donahoe, the postmaster general. “We urgently need Congress to do its part and pass legislation that allows us to better manage our costs and gives us the commercial flexibility needed to operate more like a business does. This will help ensure the future success of the Postal Service and the mailing industry it supports.”

The agency announced earlier this week that it would seek to move to a new delivery schedule beginning the week of Aug. 5. The post office would stop delivering or picking up mail on Saturdays, ending a practice that goes back to the 1890s. Packages would continue to be delivered Monday through Saturday. The Postal Service said the change would result in an annual cost savings of approximately $2 billion if the new delivery plan is fully implemented.

Members of Congress, postal unions and some businesses strongly oppose the move. But Mr. Donahoe said the Postal Service's dire financial situation calls for drastic measures.

Current projections show the Postal Service will have less than five days of operating cash reserves by the end of the 2013 fiscal year, which the post office said would leave it unable to react to possible economic downturns or other issues.

The Postal Service wants Congress to remove a 2006 requirement that it pay nearly $5.5 billion a year for health benefits to future retirees, a mandate imposed on no other government agency, that officials have said has crippled the post office. The agency defaulted on two payments last year for the first time and said it would not be able to pay them this year. The agency also wants to be able to enter into new areas, like shipping beer and wine through the mail, which is currently prohibited.

Last April, the Senate passed a bill that would have allowed the Postal Service to ship beer and wine, reduced its work force, and allowed the agency to recoup more than $11 billion it overpaid into an employee pension fund. The Senate refused to stop Saturday deliveries. The House has taken no action on its own postal overhaul.

“Our liquidity concerns can only be fully resolved if Congress takes action to address our unsustainable business model, including resolving the overly aggressive payment schedule to prefund retiree health benefits,” said Joseph Corbett, the agency’s chief financial officer. “The Postal Service will continue to prioritize payments to our employees and suppliers ahead of those to the federal government to ensure that we maintain high-quality customer service.”

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