Hybrid 3-D Printer Used to Create Cartilage Implants



Scientists at the Wake Forest Institute of Regenerative Medicine have pioneered an approach to replace damaged cartilage, combining two low-cost techniques.


That’s right. We have the ability to 3-D print human cartilage.


The research team’s breakthrough mixes electrospinning, a method of creating synthetic, polymer-based nanoscale-fibrous materials used for implants and wound dressing, with medical inkjet printing, also called bioprinting, currently used to create tissues and organs. Each method is a viable medical process, but with shortcomings: Electrospun materials typically don’t have the ability to promote cellular growth, nor do they have the flexibility needed for cartilage replacement. And inkjet printed materials lacks the structure and strength needed to support the loads that cartilage carries.


As detailed in the medical journal Biofabrication, the Wake Forest researchers theorized that merging the two systems together could solve these problems. Their hybrid approach alternates microscopic layers of electrospun fiber and printed, living cartilage cells cultivated from rabbit ears, generating an artificial cartilage pad that is suitable for implanting. An eight-week study in mice showed that the implanted pads developed cellular structure similar to natural cartilage, while separate mechanical strength tests demonstrated that it was equivalent to natural cartilage.


The development has a lot of potential for the medical field. Injured natural cartilage is slow and difficult to heal, and has almost no ability to regrow itself. Currently, surgeons treat cartilage damage caused from injury or disease with techniques that remove small pieces of torn tissue or create microscopic grafts (such as arthroscopic and microfracture surgeries), in hopes to minimize the pain and restriction. But as of yet, they have been unable to fully regenerate the cushioning, lubricating tissue that keeps joints moving freely and bones from wearing against each other. As a result, degenerative cartilage conditions can eventually result in joint replacement surgery.


This new procedure may effectively eradicate these invasive procedures and spell relief for countless people who suffer from cartilage conditions. The researchers even suggest the ability to use MRI scans as precise guides for printing implants tailored to the patient’s body.


Research is still in early stages, but if the initial results continue to be demonstrated, a faster, cheaper solution to joint injuries could be coming to human subjects soon.



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Grammy-winning bassist injured in Swiss bus crash












GENEVA (AP) — Grammy-winning jazz bassist Marcus Miller and several members of his band were injured when their bus overturned Sunday on a busy highway in Switzerland, killing the driver, police said.


The German-registered private bus tipped over as it drove into a bend on the A2 highway in central Switzerland and came to a rest on its side, police in the canton (state) of Uri said. The bus was carrying 13 people — two drivers and 11 members of the Marcus Miller Band, including Miller.












Over his career, the bassist has worked with jazz greats such as Miles Davis, Dizzy Gillespie and Wayne Shorter, according to his website. He won two Grammys, his first coming in 1991 for Best Rhythm & Blues Song (“Power of Love”) along with Luther Vandross and Teddy Vann, and the second came in 2001 for Best Contemporary Jazz Album (“M2″).


The band was on its way from Monte Carlo to the Dutch town of Hengelo, the next stop on the American band’s tour, where it was due to perform Monday.


The driver who was at the wheel at the time of the accident sustained fatal injuries. Police spokesman Karl Egli said the 12 passengers were injured and taken to hospitals, but none had life-threatening injuries.


Miller was discharged from the hospital later Sunday, as were fellow band members Alex Han and Kris Bowers, but some other band and crew members were being kept in hospitals overnight, according to a post on Miller’s official Facebook page.


The cause of the accident was not immediately clear. Police believe no other vehicles were involved.


Entertainment News Headlines – Yahoo! News


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M.I.T. Lab Hatches Ideas, and Companies, by the Dozens





HOW do you take particles in a test tube, or components in a tiny chip, and turn them into a $100 million company?




Dr. Robert Langer, 64, knows how. Since the 1980s, his Langer Lab at the Massachusetts Institute of Technology has spun out companies whose products treat cancer, diabetes, heart disease and schizophrenia, among other diseases, and even thicken hair.


The Langer Lab is on the front lines of turning discoveries made in the lab into a range of drugs and drug delivery systems. Without this kind of technology transfer, the thinking goes, scientific discoveries might well sit on the shelf, stifling innovation.


A chemical engineer by training, Dr. Langer has helped start 25 companies and has 811 patents, issued or pending, to his name. That’s not too far behind Thomas Edison, who had 1,093. More than 250 companies have licensed or sublicensed Langer Lab patents.


Polaris Venture Partners, a Boston venture capital firm, has invested $220 million in 18 Langer Lab-inspired businesses. Combined, these businesses have improved the health of many millions of people, says Terry McGuire, co-founder of Polaris.


Along the way, Dr. Langer and his lab, including about 60 postdoctoral and graduate students at a time, have found a way to navigate some slippery territory: the intersection of academic research and the commercial market.


Over the last 30 years, many universities — including M.I.T. — have set up licensing offices that oversee the transfer of scientific discoveries to companies. These offices have become a major pathway for universities seeking to put their research to practical use, not to mention add to their revenue streams.


In the sciences in particular, technology transfer has become a key way to bring drugs and other treatments to market. “The model of biomedical innovation relies on research coming out of universities, often funded by public money,” says Josephine Johnston, director of research at the Hastings Center, a bioethics research organization based in Garrison, N.Y.


Just a few of the products that have emerged from the Langer Lab are a small wafer that delivers a dose of chemotherapy used to treat brain cancer; sugar-sequencing tools that can be used to create new drugs like safer and more effective blood thinners; and a miniaturized chip (a form of nanotechnology) that can test for diseases.


The chemotherapy wafer, called the Gliadel, is licensed by Eisai Inc. The company behind the sugar-sequencing tools, Momenta Pharmaceuticals, raised $28.4 million in an initial public offering in 2004. The miniaturized chip is made by T2Biosystems,  which completed a $23 million round of financing in the summer of 2011.


“It’s inconvenient to have to send things to a lab,” so the company is trying to develop more sophisticated methods, says Dr. Ralph Weissleder, a co-founder, with Dr. Langer and others, of T2Biosystems and a professor at Harvard Medical School.


FOR Dr. Langer, starting a company is not the same as it was, say, for Mark Zuckerberg with Facebook. “Bob is not consumed with any one company,” says H. Kent Bowen, an emeritus professor of business administration at Harvard Business School who wrote a case study on the Langer Lab. “His mission is to create the idea.”


Dr. Bowen observes that there are many other academic laboratories, including highly productive ones, but that the Langer Lab’s combination of people, spun-out companies and publications sets it apart. He says Dr. Langer “walks into the great unknown and then makes these discoveries.”


Dr. Langer is well known for his mentoring abilities. He is “notorious for replying to e-mail in two minutes, whether it’s a lowly graduate school student or the president of the United States,” says Paulina Hill, who worked in his lab from 2009 to 2011 and is now a senior associate at Polaris Venture Partners. (According to Dr. Langer, he has corresponded directly with President Obama about stem cell research and federal funds for the sciences.)


Dr. Langer says he looks at his students “as an extended family,” adding that “I really want them to do well.”


And they have, whether in business or in academia, or a combination of the two. One former student, Ram Sasisekharan, helped found Momenta and now runs his own lab at M.I.T. Ganesh Venkataraman Kaundinya is Momenta’s chief scientific officer and senior vice president for research.


Hongming Chen is vice president of research at Kala Pharmaceuticals. Howard Bernstein is chief scientific officer at Seventh Sense Biosystems, a blood-testing company. Still others have taken jobs in the law or in government.


Dr. Langer says he spends about eight hours a week working on companies that come out of his lab. Of the 25 that he helped start, he serves on the boards of 12 and is an informal adviser to 4. All of his entrepreneurial activity, which includes some equity stakes, has made him a millionaire. But he says he is mainly motivated by a desire to improve people’s health.


Operating from the sixth floor of the David H. Koch Institute for Integrative Cancer Research on the M.I.T. campus in Cambridge, Mass., Dr. Langer’s lab has a research budget of more than $10 million for 2012, coming mostly from federal sources.


The research in labs like Dr. Langer’s is eyed closely by pharmaceutical companies. While drug companies employ huge research and development teams, they may not be as freewheeling and nimble, Dr. Langer says. The basis for many long-range discoveries has “come out of academia, including gene therapy, gene sequencing and tissue engineering,” he says.


He has served as a consultant to pharmaceutical companies. Their large size, he says, can end up being an impediment.


“Very often when you are going for real innovation,” he says, “you have to go against prevailing wisdom, and it’s hard to go against prevailing wisdom when there are people who have been there for a long time and you have some vice president who says, ‘No, that doesn’t make sense.’ ”


Pharmaceutical companies are eager to tap into the talent at leading research universities. In 2008, for example, Washington University in St. Louis announced a $25 million pact with Pfizer to collaborate more closely on biomedical research.


But in some situations, the close — critics might say cozy — ties between business and academia have the potential to create conflicts of interest.


There was a controversy earlier this year when it was revealed that the president of the University of Texas M.D. Anderson Cancer Center owned stock in Aveo Oncology, which had announced earlier that the university would be leading clinical trials of one of its cancer drugs.  Last month, the University of Texas announced that he would be allowed to keep his ties with three pharmaceutical companies, including Aveo Oncology; his holdings will be placed in a blind trust.


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Oprah Winfrey Seeks a Younger Audience to Bolster a Flagging Empire


Stephanie Diani for The New York Times


Oprah Winfrey spoke last month at a convention held by O, The Oprah Magazine, in Los Angeles.







LOS ANGELES — It’s not easy to find a fresh way to photograph Oprah Winfrey.




That’s why the editors of O, The Oprah Magazine, recently tried to create a shot that recalled the glory days of Ms. Winfrey’s syndicated talk show. They arranged to photograph her for its April 2013 issue as she stepped onstage to speak to 5,000 attendees at the magazine’s annual conference, a New Age slumber party of sorts for women held at the convention center here last month. When Ms. Winfrey confidently strode out dressed in a sea foam green V-neck dress and a pair of perilously tall ruby red stilettos, the audience collectively leapt to its feet and shrieked at the sight of her.


“I love you, Oprah,” some women shouted, while other fans brushed away tears. “I love you back,” she responded in her signature commanding voice. “It’s no small thing to get the dough to come here.”


Ms. Winfrey, who used to receive this kind of applause from fans five days a week, has had fewer such receptions since the talk show she hosted for 25 years ended 18 months ago. The cable network OWN, which she started with Discovery Communications, is emerging from low ratings and management shake-ups. And without a regular presence on daytime network television, she cannot steer traffic to her other products as easily as in the past. Her magazine, in particular, has experienced a decline in advertising revenue and newsstand sales since the talk show finished.


“She’s still Oprah. But she’s still struggling,” said Janice Peck, an associate professor of journalism and mass communication at the University of Colorado who wrote the 2008 book “The Age of Oprah.” “I think she’s scared, even though she’s very, very rich and she’s always going to be very, very rich. The possibility of failure, it’s quite scary.”


Ms. Winfrey, 58, has shown some signs of strain. She arrived at the conference with faint shadows under her eyes and announced to her best friend, Gayle King, and the audience simultaneously that she had a breast cancer scare the week before. (It was ultimately a false alarm.) When Ms. King grew visibly upset, one woman chided Ms. Winfrey for not telling her friend ahead of time and ordered her to apologize to Ms. King — all before an audience. Ms. Winfrey also did not hide her dissatisfaction with the criticism she had faced. She told the audience, “the press tried to cut me off at the knees” in its coverage of OWN, and bristled at questions about the challenges her magazine confronted.


“I don’t care what the form is,” Ms. Winfrey said with the conviction of a preacher. “I care about what the message is.”


With signs of progress at OWN, Ms. Winfrey now has more time to devote to other media platforms — her magazine, her radio channel on XM Satellite Radio, her Facebook page, which has 7.8 million subscribers, her Twitter account, which has nearly 15 million followers, and her latest content channel on The Huffington Post.


“It’s all an opportunity to speak to people,” Ms. Winfrey said as she sat for an interview during the conference, a pair of glittery gold stilettos slung in her hand and a couple of handlers in the corner quietly tapping away at smartphones. She pushed aside a bottle of sparkling water, a glass with a silver straw and a delicate orchid placed before her and spoke frankly about her plans.


“Ultimately, you have to make money because you are a business. I let other people worry about that. I worry about the message. I am always, always, always about holding true to the vision and the message, and when you are true to that, then people respond.”


When it comes to the magazine, Ms. Winfrey said her staff prepared her to expect a 25 percent decline in newsstand sales after the talk show ended. (It has been closer to 22 percent.) And while she acknowledged that she enjoyed “holding the magazine in my hand,” she was pragmatic about print’s future and said she would stop publishing a print magazine if it were not profitable.


“Obviously, the show was helping in ways that you know I hadn’t accounted for,” Ms. Winfrey said. “I’m not interested, you know, in bleeding money.”


Ms. Winfrey, who spoke in a conference room over the roars of an expectant crowd in the convention space below, said she knew that her brand’s strength stemmed from how she resonated with a breadth of viewers.


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Yasser Arafat's body to be exhumed as cause of death is sought









RAMALLAH, West Bank — The Palestinian Authority announced Saturday that it would exhume the body of Yasser Arafat within days in a bid to determine the cause of his death eight years ago. Many Palestinians believe he was poisoned by Israel.


Arafat, 75, died in a French military hospital near Paris on Nov. 11, 2004, after his health deteriorated suddenly during an Israeli military siege of his Ramallah headquarters.


French hospital reports attributed his death to a massive brain hemorrhage, but gave no details on what caused a related blood condition called disseminated intravascular coagulation, fueling Palestinian suspicion of an Israeli role.





The body will be exhumed Tuesday in Ramallah, Palestinian officials told reporters. Swiss, French and Russian forensic experts will analyze tissue samples to see whether they match July tests by the Swiss Institute for Radiation Physics. Those tests found traces of radioactive polonium on Arafat's toothbrush, fur hat and other belongings he used in his final days.


Journalists will be kept away from the concrete-encased grave in Arafat's former Ramallah compound, which has been obscured by blue industrial sheeting since digging started in mid-November. The body will be immediately reburied at a depth of 12 feet.


Testing will be done in Switzerland, France and Russia, officials said, with the results expected in a few months.


No autopsy was done at the time of Arafat's death, at the request of his wife, Suha. But she later filed a lawsuit, spurring a French investigation. French medical teams ruled out poisoning, and an eight-year Palestinian investigation found no conclusive evidence of foul play.


Many here have already made up their minds.


"Regardless of the results of the tests, whether they will be positive or negative, we are convinced and have all the evidence to prove that Israel has assassinated him," Tawfik Tirawi, head of the Palestinian committee investigating Arafat's death, said at the news conference Saturday in the Ramallah offices of the Palestine Liberation Organization.


But Mahdi Abdul Hadi, an analyst with the Palestinian Academic Society for the Study of International Affairs, said Palestinians were more concerned about the possibility that collaborators helped Israel kill Arafat.


Israeli Foreign Ministry spokesman Yigal Palmor said the Palestinians were free to take all the samples they wanted.


"We have nothing to fear," he said. "All the accusations against Israel are completely ridiculous and not based on the slightest bit of evidence."


Amir Rapaport, publisher and editor of Israel Defense magazine, said it was possible but unlikely that Israel had a role. Although Israel's prime minister at the time, Ariel Sharon, expressed "satisfaction" on learning of Arafat's death, Rapaport said he had been privy to the debate among top Israeli government and military leaders, and this idea wasn't part of the discussion.


Furthermore, he said, the way Arafat died — an initial deterioration, temporary improvement, then a final collapse — bears none of the hallmarks of Israeli assassinations, which tend to be quick and decisive. "It's too complicated," he said.


Conspiracy theories are rife in countries around Israel's periphery, said Boaz Ganor, executive director of Israel's International Institute for Counter-Terrorism.


"The fact that most Palestinians believe Israel was responsible, I'm not surprised," Ganor said. "They probably believe Israel is responsible for global warming as well."


The French team recently has sought to question Palestinian Authority President Mahmoud Abbas, said Palestinian officials, who requested anonymity, but they were rejected.


"We will not allow any action that would infringe on our sovereignty," Tirawi said, an apparent reference to the French request. Tirawi said reports that Arafat's corpse had been damaged by tons of concrete poured over the grave site at the 2004 burial were false.


mark.magnier@latimes.com


Times staff writer Magnier reported from Jerusalem and special correspondent Abukhater from Ramallah.





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How One <em>Myst</em> Fan Made Himself a Real-Life Linking Book











The classic PC game Myst was known for drawing people in to its massive, surreal world. But maker Mike Ando took a little piece of that world and drew it into ours. He made a lovingly authentic replica of the Linking Book that helps the main character — you — navigate the world.


Myst was a ground-breaking point-and-click adventure game created by Cyan Worlds, made of hundreds of beautifully rendered scenes whose combined size made the game so big that it needed a CD-ROM to play, back when many computers didn’t have them. It was the first breakout hit in PC gaming and from its release in 1993 it held the title of best-selling PC game until 2002 when The Sims surpassed it.


The game spawned four sequels, along with novels, music, and an MMO that is still online and being powered by donations from the fan base. The games have been widely ported and the game — once so huge that you needed special hardware to run it — is now available for download on iOS (among other places). In other words, it’s a pretty big deal.



At the core of Myst’s story was a mystical technology called Linking Books that pulled players into other realms, called Ages. They were these beautiful old tomes that, when opened, showed an animated preview of the Age to which you’d be linked.


“Ever since I first played the game, I always wanted my own linking book,” says Ando, “Of course, there was no way my old bulky 486 would fit within a book, but as time marched on technology advanced and computers became smaller. Eventually technology caught up and it was possible to shrink everything down to fit inside the book.”


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“Lincoln” Women: How Sally Field and Gloria Reuben Stole Daniel Day-Lewis’ Show












LOS ANGELES (TheWrap.com) – Steven Spielberg‘s “Lincoln” is, on the face of it, a standard “great man” biopic. Basked in a honeydew light, overflowing with sage advice, Daniel Day-Lewis‘ Great Emancipator is depicted as constantly and self-consciously speaking to the ages well before he belongs to them.


But let us now praise the film’s not-as-famous women. For what rescues “Lincoln” from bombast are the slier and subtler performances by a trio of fantastic and often under-utilized actresses – Sally Field, Gloria Reuben and S. Epatha Merkerson.












Each one uses her limited screen time to etch a devastating portrait of the limitations that faced women in a male-dominated society. After all, if the legislators debating the merits of the 13th Amendment in the movie fret openly that abolishing slavery will begin a slippery slope to black enfranchisement, they seem even more horrified at the prospect that it one day might lead to granting women the right to vote.


Though some critics have griped about Spielberg’s penchant for speechifying in “Lincoln,” there has been near universal praise for Day-Lewis and for Tommy Lee Jones’ work as the wily Thaddeus Stevens. Field’s take on First Lady Mary Todd Lincoln – a woman Louis C.K. quipped on “Saturday Night Live” recently was “historically insane” – has been more divisive.


In TheWrap, for instance, Steve Pond wrote, “Sally Field may well be nominated for Supporting Actress for her Mary Todd Lincoln, but to me her hysteria was one of the least-successful parts of the film.”


Yet Field’s work is in many ways more revelatory than that of Day-Lewis. True, the Irish-Anglo acting god daringly gives the 16th president a historically accurate high voice and indelibly paints a picture of a great orator with an outhouse sense of humor, but his modifications are slight tweaks to the Lincoln myth. Field’s interpretation is a whole-scale reinvention.


Field’s Mary is privately unhinged, true. But she is also a smooth Washington operator, comfortable sparring with Stevens over her White House redecorating and forcibly pressuring her husband to carry the 13th Amendment to the finish line while wielding little more than a fan.


Even her mania is rooted in the death of her young son Willy; an empathetic anchor that keeps Mary from becoming simply the backwoods, social-climbing hysteric she’s been portrayed as in the past.


In screenwriter Tony Kushner, Field finds an eager co-conspirator. As Kushner confessed on NPR, the Lincolns had a turbulent relationship in part because of Abraham Lincoln’s emotional coldness.


“People always think about Mary as being difficult and she absolutely was, but Lincoln wasn’t easy either,” Kushner said. “He was remote and complicated and rather interestingly fond of telling her things that would upset her horribly, like these dreams that he kept having and he would leave her kind of in a state night after night, telling her that he was having these kind of scary dreams.


It’s an enormously complicated relationship and the family is a tragic family.”


The only false note in an otherwise galvanizing portrayal, is having Mary deliver a line that is a too historically self-aware.


“All anyone will remember about me was that I was crazy and ruined your happiness,” Mary says at one point – to which my companion let forth a large guffaw.


Field who packed 25 pounds onto her slender frame and allowed the camera to scan her creased face is a revelation – it’s a reminder that the plucky star of “Norma Rae” is good for more than Boniva ads.


But Mary Todd Lincoln isn’t the only female who elbows her way into this big screen men’s club. Gloria Reuben‘s Elizabeth Keckley is also a marvel.


Dramaturgically it’s a thankless role with Reuben’s freed slave seamstress frequently used as a stand-in for all-antebellum African American suffering. Yet Reuben grounds the performance in a simmering fury and heartbreak, using her eyes to register the peigns of hurt that greets the racist slights Keckley is exposed to on a daily basis.


Her conversation in the White House portico with Daniel Day-Lewis about the meaning of emancipation is a bravura moment – a reminder of just how long a walk to freedom 19th century blacks faced.


Likewise, S. Epatha Merkerson‘s Lydia Smith is perhaps the greatest master class in doing a lot with a little since Judi Dench captured a Best Supporting Actress Oscar in 1998 for her eight-minute cameo in “Shakespeare in Love.”


Smith, the housekeeper and (spoiler alert) common-law wife of Thaddeus Stevens, has two fleeting scenes. In one, she gently removes Jones’ coat as he enters their Washington, D.C., home after the amendment passes, in the other she reads the constitutional addition aloud in bed to her secret-paramour. It is, in the words of another Kushner play, a reminder that “the world only spins forward.”


Indeed, the entire film represents a major step forward for Spielberg whose earlier boy’s adventures were largely all-male affairs. Aside from Embeth Davidtz’s frightened maid in “Schindler’s List,” Whoopi Goldberg’s martyr-like Celie in “The Color Purple” and Karen Allen’s fiery adventurer in “Raiders of the Lost Ark,” the Spielberg women are a weightless bunch. Even great actresses like Julianne Moore in “The Lost World” are given gossamer thin screen time.


Here, transported by Kushner’s words, he allows these women to step forward out of the shadows and into history. Next time maybe he’ll let them take center stage.


Movies News Headlines – Yahoo! News


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Psychotherapy’s Image Problem Pushes Some Therapists to Become ‘Brands’


Illustration by Matt Dorfman. Photograph by Jens Mortensen for The New York Times.







In the summer of 2011, after I completed six years of graduate school and internship training and was about to start my psychotherapy practice, I sat down with my clinical supervisor in the Los Angeles office we’d be sharing. It had been a rigorous six years, transitioning from my role as a full-time journalist always on tight deadlines to that of a therapist whose world was broken into slow, thoughtful hours listening and trying to help people come to a deeper understanding of their lives. My supervisor went over the filing systems, billing procedures and ethical quandaries like whether to take referrals from current clients, but we never discussed how I would get these clients. I fully assumed, in what now seems like an astounding fit of naïveté, that I’d send out an e-mail announcement and network with doctors, and to paraphrase “Field of Dreams,” if I built it, they would come.




Except that they didn’t. What nobody taught me in grad school was that psychotherapy, a practice that had sustained itself for more than a century, is losing its customers. If this came as a shock to me, the American Psychological Association tried to send out warnings in a 2010 paper titled, “Where Has all the Psychotherapy Gone?” According to the author, 30 percent fewer patients received psychological interventions in 2008 than they did 11 years earlier; since the 1990s, managed care has increasingly limited visits and reimbursements for talk therapy but not for drug treatment; and in 2005 alone, pharmaceutical companies spent $4.2 billion on direct-to-consumer advertising and $7.2 billion on promotion to physicians, nearly twice what they spent on research and development.


According to the A.P.A., therapists had to start paying attention to what the marketplace demanded or we risked our livelihoods. It wasn’t long before I learned that an entirely new specialized industry had cropped up: branding consultants for therapists.


I couldn’t imagine hiring a branding consultant to lure people to the couch. Psychotherapy is perhaps one of the few commercial businesses that doesn’t see itself as one, that views financial gain as unseemly when connected to the delicate work of emotional insight. Moreover, the field is predicated on strict concepts of authenticity, privacy and therapist-patient boundaries. Branding was the antithesis of what we did.


But a couple of months after setting up my office and waiting for people to call, I found myself wondering — first idly, then deliberately, and always guiltily — about those branding consultants and how exactly they helped therapists like me. Sitting at my desk one morning when my appointment book looked particularly dismal, a combination of curiosity and desperation got the best of me. On Google, I came across a branding consultant named Casey Truffo. Her Web site’s home page spoke directly to my situation: “You are called to be a therapist. Are you also called to poverty?” I immediately dialed her number.


The first thing Truffo told me when I reached her in her Orange County office was that I shouldn’t feel bad about my empty hours; nowadays, she said, even established veterans were struggling. Yes, the economy was bad, but the real issue was that psychotherapy had an image problem.


She told me about a therapist named Sandra Bryson. In 2009, Bryson called for help after her successful Oakland-based practice of 25 years lost patients when she stopped taking insurance. According to Truffo, Bryson shared a problem common to therapists: “a blah-sounding message and no angle.” Bryson had always done well as a generalist — treating anything from depression to grief to marital issues — but Truffo urged her to find a specialty, one that “captured the zeitgeist but didn’t feel played out.” Bryson mentioned that she liked helping parents and had an affinity for technology, and voilà — suddenly she had a brand. Not as a clinician addressing typical parenting issues like boundary-setting, which Truffo called “generic and old-school,” but as an expert who helps modern families navigate digital media. She also became a sought-after speaker on so-called hot issues like screen time, cyberbullying and sexting, and Bryson told me her practice, which is based on “mostly deep work,” had become “more advice-driven.” Now her schedule is full, and her income has increased about 15 percent a year.


“Nobody wants to buy therapy anymore,” Truffo told me. “They want to buy a solution to a problem.” This is something Truffo discovered in her own former private practice of 18 years, during which she saw a shift from people who were unhappy and wanted to understand themselves better to people who would come in “because they wanted someone else or something else to change,” she said. “I’d see fewer and fewer people coming in and saying, ‘I want to change.’ ”



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It’s the Economy: Skills Don’t Pay the Bills


Illustration by Peter Oumanski







Earlier this month, hoping to understand the future of the moribund manufacturing job market, I visited the engineering technology program at Queensborough Community College in New York City. I knew that advanced manufacturing had become reliant on computers, yet the classroom I visited had nothing but computers. As the instructor Joseph Goldenberg explained, today’s skilled factory worker is really a hybrid of an old-school machinist and a computer programmer. Goldenberg’s intro class starts with the basics of how to use cutting tools to shape a raw piece of metal. Then the real work begins: students learn to write the computer code that tells a machine how to do it much faster.






Deep thoughts this week:

1. There is no skills gap.

2. Who will operate a highly sophisticated machine for $10 an hour?

3. Not a lot of people.

4. As a result, there is going to be a skills gap.





It’s the Economy




Adam Davidson translates often confusing and sometimes terrifying economic and financial news.







Nearly six million factory jobs, almost a third of the entire manufacturing industry, have disappeared since 2000. And while many of these jobs were lost to competition with low-wage countries, even more vanished because of computer-driven machinery that can do the work of 10, or in some cases, 100 workers. Those jobs are not coming back, but many believe that the industry’s future (and, to some extent, the future of the American economy) lies in training a new generation for highly skilled manufacturing jobs — the ones that require people who know how to run the computer that runs the machine.


This is partly because advanced manufacturing is really complicated. Running these machines requires a basic understanding of metallurgy, physics, chemistry, pneumatics, electrical wiring and computer code. It also requires a worker with the ability to figure out what’s going on when the machine isn’t working properly. And aspiring workers often need to spend a considerable amount of time and money taking classes like Goldenberg’s to even be considered. Every one of Goldenberg’s students, he says, will probably have a job for as long as he or she wants one.


And yet, even as classes like Goldenberg’s are filled to capacity all over America, hundreds of thousands of U.S. factories are starving for skilled workers. Throughout the campaign, President Obama lamented the so-called skills gap and referenced a study claiming that nearly 80 percent of manufacturers have jobs they can’t fill. Mitt Romney made similar claims. The National Association of Manufacturers estimates that there are roughly 600,000 jobs available for whoever has the right set of advanced skills.


Eric Isbister, the C.E.O. of GenMet, a metal-fabricating manufacturer outside Milwaukee, told me that he would hire as many skilled workers as show up at his door. Last year, he received 1,051 applications and found only 25 people who were qualified. He hired all of them, but soon had to fire 15. Part of Isbister’s pickiness, he says, comes from an avoidance of workers with experience in a “union-type job.” Isbister, after all, doesn’t abide by strict work rules and $30-an-hour salaries. At GenMet, the starting pay is $10 an hour. Those with an associate degree can make $15, which can rise to $18 an hour after several years of good performance. From what I understand, a new shift manager at a nearby McDonald’s can earn around $14 an hour.


The secret behind this skills gap is that it’s not a skills gap at all. I spoke to several other factory managers who also confessed that they had a hard time recruiting in-demand workers for $10-an-hour jobs. “It’s hard not to break out laughing,” says Mark Price, a labor economist at the Keystone Research Center, referring to manufacturers complaining about the shortage of skilled workers. “If there’s a skill shortage, there has to be rises in wages,” he says. “It’s basic economics.” After all, according to supply and demand, a shortage of workers with valuable skills should push wages up. Yet according to the Bureau of Labor Statistics, the number of skilled jobs has fallen and so have their wages.


In a recent study, the Boston Consulting Group noted that, outside a few small cities that rely on the oil industry, there weren’t many places where manufacturing wages were going up and employers still couldn’t find enough workers. “Trying to hire high-skilled workers at rock-bottom rates,” the Boston Group study asserted, “is not a skills gap.” The study’s conclusion, however, was scarier. Many skilled workers have simply chosen to apply their skills elsewhere rather than work for less, and few young people choose to invest in training for jobs that pay fast-food wages. As a result, the United States may soon have a hard time competing in the global economy. The average age of a highly skilled factory worker in the U.S. is now 56. “That’s average,” says Hal Sirkin, the lead author of the study. “That means there’s a lot who are in their 60s. They’re going to retire soon.” And there are not enough trainees in the pipeline, he said, to replace them.


Adam Davidson is co-founder of NPR’s “Planet Money,” a podcast and blog.



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Survey finds many MTA employees have safety concerns









Hundreds of Metro transit workers — many of whom operate the trains and buses that carry 1.5 million riders daily — say they have concerns about their on-the-job safety.


Of 745 employees who responded to a workplace survey at the Los Angeles County Metropolitan Transportation Authority, a large majority of mechanics, track workers, bus drivers, train operators and others described their workplace as somewhat safe, not very safe or not safe at all.


A significant number of employees, particularly those who operate and repair transit systems, also believe their supervisors are only concerned about safety when there is a serious accident.





Most of the Metro workers who were questioned, however, gave the agency high marks for safety overall. Yet almost half said they have encountered close calls on the job that could have killed or seriously injured someone.


Metro Chief Executive Art Leahy said he was pleased that the survey was "generally positive" and pointed out that many of its recommendations already have been addressed. He noted, for example, that the management of the department that maintains rail systems has been changed, more workers have been hired and trackside safety measures improved.


But Leahy said the study by Sam Schwartz Engineering, a national consulting firm, was not as comprehensive as he would have liked. And he questioned whether the employees who responded to the detailed questionnaire were really representative.


"I take deep offense to anyone who says I don't care about safety," Leahy said. "This is no joke."


Metro operates about 2,000 buses and 87 miles of subway and light-rail lines. It has about 9,000 employees and a $4.5 billion-annual budget.


The report, obtained by The Times under the state Public Records Act, is scheduled to be discussed at the authority's December board meeting. It comes at a time when agency leaders have been debating several safety issues.


During the last year, the authority has been dealing with a faulty rail junction on the recently opened Expo light-rail line to the Westside and a surge in accidents on the Blue Line, the light-rail link between Los Angeles and Long Beach.


In the survey, solid majorities of Metro employees said that accidents were thoroughly investigated, education and training programs were effective, management addressed safety-related complaints and changes in safety rules were adequately communicated.


"There is clearly a positive safety culture at Metro," researchers said, adding that such a distinction is only enjoyed by "a handful of transit agencies."


Metro's board of directors ordered the safety study in October 2011, at the request of Supervisor Michael D. Antonovich, the current board chairman. The consultants reviewed written safety procedures, interviewed key managers and held group discussions with workers. Questionnaires were sent to 6,000 of Metro's 9,000 employees, of whom 745 responded.


Though the survey was not a scientifically based opinion poll, about 8% of the authority's workforce participated, considered to be a significant sample.


Howard Roberts, the author of the report, said the survey was designed to identify strengths as well as suspected problems that Metro should look into and correct if necessary.


The authority is "working on all the report's recommendations," said Roberts, a veteran transit executive who is now a consultant. "Metro ought to be commended for the survey. Not a lot of people do this. Some agencies don't want to recognize that they might have serious problems."


Roberts cautioned that some of the survey's findings were not always a reflection of the quality of Metro's safety policies. Track workers, train operators and bus drivers, he said, can feel vulnerable in the field and face inherent dangers that are difficult to eliminate, such as crime and accidents caused by the public.


The report found that significant numbers of bus drivers, train operators and those who work on Metro's rail network were more critical of their safety and agency practices than workers who are less connected to the direct operation and maintenance of rail and bus systems.


They said that many close calls or near misses are never reported to supervisors and that Metro is more interested in disciplining individuals for mishaps or safety violations instead of preventing recurrences.


Many other employees who work on tracks and related equipment said they were seriously concerned about pressure from supervisors to ignore some safety rules and procedures to get assignments done.


Majorities of all workers, however, said that Metro's management takes a "no blame" approach if near-misses are reported and that supervisors maintain an open-door policy and act quickly to correct safety problems.


In other findings, the report states that some bus drivers in group discussions complained that they now have to go faster than usual, turning their lines into "racetrack routes." Deep service cuts, they say, have increased the number of passengers, which makes it harder to stay on schedule because loading and unloading takes more time.


"I'd like to know where they exist," Leahy said, adding that he thought the complaints might have involved scheduling issues on the Orange Line bus rapid transit route in the San Fernando Valley, which have been looked into.


The report further stated that other drivers were concerned that there is not enough law enforcement presence on buses. They complained that Los Angeles County sheriff's deputies are seldom seen or only ride a few blocks before getting off.


Agency officials counter that deputies conducted more than 3,000 boardings from September through the first week of November and took about 900 bus rides of two hours each. Statistics show that deputies checked the fares of more than 100,000 riders and made 130 misdemeanor and felony arrests.


dan.weikel@latimes.com





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