L.A.'s revamped teacher evaluation system getting mixed grades









Third-grade teacher Kelly Vallianos wanted to find an engaging way for her students to learn about measuring perimeters. One idea — to have students design a restaurant floor plan — was too difficult, she feared.


But with the help of colleagues, she found a way to tailor that fifth-grade idea to her younger students at Dominguez Elementary School, who excitedly sketched out an imaginary pizzeria.


Vallianos credits the Los Angeles Unified School District's new teacher evaluation system for sparking deeper and more collaborative conversations with administrators, who she said gave her ideas to make the lesson work.





The district's new performance reviews have come under fire by United Teachers Los Angeles, which opposes the controversial element of using student test scores as one factor in measuring teacher effectiveness.


But largely lost in the debate is the fact that the system's centerpiece is a new classroom observation process that, despite some drawbacks, is being praised by many as a better way to help teachers improve.


"It's a more reflective, much more well-rounded process," said Vallianos, who has been teaching for 19 years.


Teachers are ranked on a scale on instruction, lesson plans, classroom environment and dozens of other criteria. A highly effective teacher, for instance, will be able to intellectually engage all students and prompt them to lead their own discussion topics. An ineffective teacher will generate all questions and most answers, involving just a handful of students.


During observations, administrators type notes into their laptops and later rate each of 61 skills. Principals and other administrators conducting the observations must pass a test to ensure they are fairly and accurately scoring instructors. Conferences with teachers before and after the classroom visits are required.


The method is meant to make observations more useful, uniform and objective, using evidence rather than opinions. But it's an elaborate process and has provoked widespread criticism that it takes too long for principals who are already overwhelmed with increasing workloads. And those who can't type well take even longer, administrators say.


"The technology is creating great difficulty and frustration," said Judith Perez, president of the Associated Administrators of Los Angeles. "It feels like an immense amount of pressure on people without alleviating their workload."


Teachers union President Warren Fletcher agrees that a better system is needed; UTLA has designed its own. He said "the jury is still out" on the district's observation process but added that it shares some common elements with the union's proposal.


The new system also includes evidence of student achievement — which could be in the form of test scores — feedback from students and parents, and the teacher's contributions to the school community.


The new observations were tested last year on a voluntary basis with about 450 teachers and 320 administrators; this year, every principal and one volunteer teacher at each of the district's 1,200 schools are expected to be trained.


Officials have not yet announced when the system will be used for every teacher — or when the ratings will begin to count for decisions on layoffs, tenure or pay. But in a video shown at the training sessions, L.A. Supt. John Deasy made the stakes clear.


"We have perhaps no greater responsibility than assuring that every student in this district is taught by an effective teacher in a school led by an effective leader," he said.


Many educators agree that the current evaluation system — known as Stull for the state law that created it — doesn't promote that goal of top-notch teachers for every student. Criticized as a perfunctory checklist of expectations that doesn't help teachers improve, the system awarded 99.3% of L.A. Unified teachers the highest rating in 2009-10 — even though only 45% of district students that year performed at grade level for reading and 56% were proficient in math.


The new system has given teachers like Lisa Thorne a boost. Thorne, a math teacher at Hamilton High School, said the new process is "unwieldy" but far more helpful in homing in on her strengths and weaknesses.


After the self-evaluation part of the process, Thorne chose to focus on improving her work with small groups of students, prompting her to try such techniques as using a three-dimensional pegboard to teach geometry. And she started a new computer-based class to help struggling ninth-graders master algebra. Administrators had seen her use the techniques with older students during a class visit and were impressed enough to give her the green light, she said.


"I would definitely say the new system is an improvement, because it's more specific about what they're looking for," Thorne said. "It helps to get the conversation going with administrators."


Eduardo Solorzano, principal of San Fernando Middle School, agrees. In particular, he said, the focus on careful note-taking has given him specific examples to use in helping teachers improve.





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A Google-a-Day Puzzle for Nov. 25











Our good friends at Google run a daily puzzle challenge and asked us to help get them out to the geeky masses. Each day’s puzzle will task your googling skills a little more, leading you to Google mastery. Each morning at 12:01 a.m. Eastern time you’ll see a new puzzle posted here.


SPOILER WARNING:
We leave the comments on so people can work together to find the answer. As such, if you want to figure it out all by yourself, DON’T READ THE COMMENTS!


Also, with the knowledge that because others may publish their answers before you do, if you want to be able to search for information without accidentally seeing the answer somewhere, you can use the Google-a-Day site’s search tool, which will automatically filter out published answers, to give you a spoiler-free experience.


And now, without further ado, we give you…


TODAY’S PUZZLE:



Note: Ad-blocking software may prevent display of the puzzle widget.




Ken is a husband and father from the San Francisco Bay Area, where he works as a civil engineer. He also wrote the NYT bestselling book "Geek Dad: Awesomely Geeky Projects for Dads and Kids to Share."

Read more by Ken Denmead

Follow @fitzwillie and @wiredgeekdad on Twitter.



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Review: “Liz & Dick” Is Bad, But You Knew That












NEW YORK (TheWrap.com) – Lifetime’s “Liz & Dick” is very bad, just as you knew it would be.


Let’s not pretend it ever had a shot at being decent. The decision to cast Lindsay Lohan as Oscar-winning screen legend Elizabeth Taylor told us right up front that the filmmakers were more interested in trashy publicity than quality. She isn’t good, but no one could be good with this dialogue.












On an online “Saturday Night Live” skit this week, Bobby Moynihan portrayed celebrity chef Guy Fieri responding to a New York Times review of his new Times Square restaurant, saying the paper shouldn’t have had high expectations.


“If you come in expecting Le Cirque, then you’re a le jerk,” he says.


That applies here, too. But “Liz & Dick” isn’t even good as junk food goes. It’s redundant and boring in a way no star could save.


It’s been suggested that the movie could at least be dopey fun, the stuff of drinking games. But that seems a perverse way to watch a movie about two people who, as portrayed here, were messy drunks. The only appropriate drinking game might be one where you take a shot of water every time you scream at the screen, “STOP DRINKING.”


Because the producers invested nearly all their energies in stunt casting, the only point of interest is how Lohan looks and sounds as Taylor. Though she often looks lovely – nice to see after her years of battling drugs and alcohol – Lohan doesn’t look like Taylor, just like someone wearing knockoffs of her clothes and diamonds. She also doesn’t sound like her, or seem to be making any attempt to.


Taylor and Richard Burton (Grant Bowler) meet cute while making “Cleopatra” together and quickly fall into a dull cycle of making out, breaking up, drinking too much, fleeing the paparazzi, and conniving to make movies together. This takes up the middle hour or so of the two-hour movie, and requires that the last 15 minutes be stuffed with an absurd number of events, including (spoiler alert) a cancer scare, a remarriage, and a death.


It’s impossible to feel any emotional connection with the characters, because, as portrayed here, they’re self-centered asses. It doesn’t help that the dialogue is awful, and that many scenes are less than 30 seconds long, which doesn’t allow us into the character’s heads. The scenes are strung together by sub-sitcom transitional music that at least tips us off to the disposability of the entire movie.


Lohan will probably make the case, somewhere down the line, that her flat, vacant line readings were a campy attempt to distance herself from the film’s many bad lines. One of the worst comes when Taylor’s mother notes her tendency to get married a lot.


Mom: “Not that I’m counting, but if I’m not mistaken you’ve just ended, what, you’re fourth marriage?”


Liz: “Who’s counting?”


Well, not her mother, since she just said… never mind.


Bowler is better, handling his lines with the professionalism of a good soaps actor. At one point he gets to call Liz a “harridan” in an amusing Welsh accent. But he has none of Burton’s gravity or grit. He may also be too generically handsome for the role, no surprise in a movie with no pretensions of depth.


Lohan’s costumery is especially silly near the end, when her hair has grey streaks but she still looks far too young to play a woman in her sixties. We’re also told throughout the movie how fat Liz and Dick are getting – usually by Liz and Dick themselves – but we have to pretend to see it, since the actors who play them remain trim.


Perhaps because of her own awful relationship with the press, Lohan seems unwilling to let herself appear vulnerable. It’s become a major impediment to her performances.


Her idol, Marilyn Monroe, continued to study acting well into her stardom, and turned in some very good performances as a result. Lohan might want to imitate Monroe’s interest in her craft, rather than just dressing like her for magazine spreads.


It’s too late for her to do more than dress like Taylor.


TV News Headlines – Yahoo! News


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Indian Prostitutes’ New Autonomy Imperils AIDS Fight


Kuni Takahashi for The New York Times


Sex workers in Mumbai’s long-established red-light district, where brothels are dwindling.







MUMBAI, India — Millions once bought sex in the narrow alleys of Kamathipura, a vast red-light district here. But prostitutes with inexpensive mobile phones are luring customers elsewhere, and that is endangering the astonishing progress India has made against AIDS.




Indeed, the recent closings of hundreds of ancient brothels, while something of an economic victory for prostitutes, may one day cost them, and many others, their lives.


“The place where sex happens turns out to be an important H.I.V. prevention point,” said Saggurti Niranjan, program associate of the Population Council. “And when we don’t know where that is, we can’t help stop the transmission.”


Cellphones, those tiny gateways to modernity, have recently allowed prostitutes to shed the shackles of brothel madams and strike out on their own. But that independence has made prostitutes far harder for government and safe-sex counselors to trace. And without the advice and free condoms those counselors provide, prostitutes and their customers are returning to dangerous ways.


Studies show that prostitutes who rely on cellphones are more susceptible to H.I.V. because they are far less likely than their brothel-based peers to require their clients to wear condoms.


In interviews, prostitutes said they had surrendered some control in the bedroom in exchange for far more control over their incomes.


“Now, I get the full cash in my hand before we start,” said Neelan, a prostitute with four children whose side business in sex work is unknown to her husband and neighbors. (Neelan is a professional name, not her real one.)


“Earlier, if the customer got scared and didn’t go all the way, the madam might not charge the full amount,” she explained. “But if they back out now, I say that I have removed all my clothes and am going to keep the money.”


India has been the world’s most surprising AIDS success story. Though infections did not appear in India until 1986, many predicted the nation would soon become the epidemic’s focal point. In 2002, the C.I.A.’s National Intelligence Council predicted that India would have as many as 25 million AIDS cases by 2010. Instead, India now has about 1.5 million.


An important reason the disease never took extensive hold in India is that most women here have fewer sexual partners than in many other developing countries. Just as important was an intensive effort underwritten by the World Bank and the Bill and Melinda Gates Foundation to target high-risk groups like prostitutes, gay men and intravenous drug users.


But the Gates Foundation is now largely ending its oversight and support for AIDS prevention in India, just as efforts directed at prostitutes are becoming much more difficult. Experts say it is too early to identify how much H.I.V. infections might rise.


“Nowadays, the mobility of sex workers is huge, and contacting them is very difficult,” said Ashok Alexander, the former director in India of the Gates Foundation. “It’s a totally different challenge, and the strategies will also have to change.”


An example of the strategies that had been working can be found in Delhi’s red-light district on Garstin Bastion Road near the old Delhi railway station, where brothels have thrived since the 16th century. A walk through dark alleys, past blind beggars and up narrow, steep and deeply worn stone staircases brings customers into brightly lighted rooms teeming with scores of women brushing each other’s hair, trying on new dresses, eating snacks, performing the latest Bollywood dances, tending small children and disappearing into tiny bedrooms with nervous men who come out moments later buttoning their trousers.


A 2009 government survey found 2,000 prostitutes at Garstin Bastion (also known as G. B.) Road who served about 8,000 men a day. The government estimated that if it could deliver as many as 320,000 free condoms each month and train dozens of prostitutes to counsel safe-sex practices to their peers, AIDS infections could be significantly reduced. Instead of broadcasting safe-sex messages across the country — an expensive and inefficient strategy commonly employed in much of the world — it encircled Garstin Bastion with a firebreak of posters with messages like “Don’t take a risk, use a condom” and “When a condom is in, risk is out.”


Surprising many international AIDS experts, these and related tactics worked. Studies showed that condom use among clients of prostitutes soared.


“To the credit of the Indian strategists, their focus on these high-risk groups paid off,” said Dr. Peter Piot, the former executive director of U.N.AIDS and now director of the London School of Hygiene and Tropical Medicine. A number of other countries, following India’s example, have achieved impressive results over the past decade as well, according to the latest United Nations report, which was released last week.


Sruthi Gottipati contributed reporting in Mumbai and New Delhi.



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States Want to Have Say During Talks Over Budget





Their states are still recovering from the recession, and now the nation’s governors are bracing, again, for cuts in federal aid.




They have been down this road before — Congress has already missed several self-imposed deadlines to cut the deficit — but many say they fear that this time, the talks in Washington to avert the so-called fiscal cliff will actually lead to deep cuts.


So they want a say in the negotiations.


“The main message is that it’s important to remember that, on a lot of areas of governance, we’re partners — and that these issues can’t be solved simply by cost-shifting to the states, because the states aren’t really in a position to do all that,” said Gov. Jack Markell of Delaware, chairman of the National Governors Association. “We just want to make sure that we have a voice as these decisions are being made.”


But there is a long history of the federal government’s giving short shrift to the needs of states and cities — by making cuts in federal aid that forced service cuts or tax increases at the local level, or by passing laws requiring localities to take expensive actions without giving them the money to do so.


So in recent days, more than a dozen mayors with the United States Conference of Mayors have gone to Washington to lobby lawmakers. And last Monday, Mr. Markell, a Democrat, joined several governors from both parties to discuss the issue on a conference call with Vice President Joseph R. Biden Jr.


The states, whose tax collections are still below the peak levels they reached in 2008, are in something of an unusual situation. That is because the automatic tax increases and spending cuts that are scheduled to begin in January, called “the fiscal cliff” by Ben S. Bernanke, the Federal Reserve chairman, are actually better for them in some respects than many of the alternate proposals in Washington.


Half of the cuts scheduled to take effect at the beginning of next year would be to military spending, which would affect states only indirectly. The scheduled cuts to domestic programs would leave Medicaid, the single biggest source of federal aid to states, untouched. And the planned federal tax increases would increase revenues in states whose tax codes are closely linked to the federal code.


But governors said that no one was rooting for President Obama and Republicans in Congress to fail to reach a financial accord, in part because they fear that the resulting combination of spending cuts and tax increases could prompt another recession, which their states can ill afford.


Gov. Rick Snyder of Michigan, a Republican, noted that the spending cuts and tax increases were intended to be so undesirable that they would spur opposing sides in Washington to overcome their antagonism and strike a deal on taxes and spending just to avoid them.


The plan “was designed to be a terrible answer,” Mr. Snyder said, “and I think they did a fairly effective job of doing that.”


Pat McCrory, the Republican governor-elect of North Carolina and former mayor of Charlotte, said state and local officials needed a greater voice in Washington.


“I don’t think the debate should be just between the White House and Capitol Hill, but the state and local government should be at the table,” Mr. McCrory said. “Because I assume some of their answers are going to be pass-throughs to the states or to cities, as I saw as mayor in the past.”


The automatic cuts would hurt states in several areas. A recent analysis by the Pew Center on the States found that roughly 18 percent of the federal grant dollars flowing to the states would be subject to across-the-board cuts, including money for education, public housing and nutrition programs for low-income women and children.


But some governors fear that any “grand bargain” struck by Mr. Obama and Congress could lead to even deeper cuts to states, and they worry that it could include tax provisions that they believe would be harmful, like ending the tax-exempt status of municipal bonds that makes the bonds more attractive to investors.


But the needs of states and cities have often been an afterthought when Washington has talked about curbing spending.


Alice M. Rivlin, a former director of the Office of Management and Budget who served on two recent high-profile federal commissions — the National Commission on Fiscal Responsibility and Reform, better known as the Simpson-Bowles Commission, and the Bipartisan Policy Center’s Debt Reduction Task Force — acknowledged as much in an appearance this summer.


“I’ve served on not one but two commissions on the federal deficit,” Ms. Rivlin said when another group she belongs to, the State Budget Crisis Task Force, released a report warning of the fiscal problems facing states. “And I can attest that although we were certainly aware that the proposals we made would impact state and local government, we did not do a serious analysis of what would happen.”


Gov. John R. Kasich of Ohio, a Republican, has been on both sides of the federal-state divide: trying to cut the federal budget as a chairman of the House Budget Committee, and now seeking to preserve services, especially for the poor, as a governor.


“I’m just saying that if you’re going to affect us, you’d better realize there’s a bottom line that affects flesh and blood and real people,” he said this month at a meeting of the Republican Governors Association. “And you can easily throw every one of these budgets into the red by just trying to get a nice number.”


The absence of a formal dialogue between the federal government and the states was cited as a danger by the State Budget Crisis Task Force, a private group led by Richard Ravitch, a former lieutenant governor of New York, and Paul A. Volcker, a former chairman of the Federal Reserve.


“There are no standing structures and procedures within the federal government for analyzing the impacts on states and localities of reduced federal spending or federal tax changes, and there is little dialogue about these issues between the federal government and state and local governments,” its report said last summer. It recommended creating something like the Advisory Commission on Intergovernmental Relations, which lasted from 1959 to 1996.


John Kincaid, a former executive director of the advisory commission, which included federal and state officials, said it grew less effective as political polarization increased.


“No matter what happens in Washington, it’s going to hit state and local governments very hard,” said Mr. Kincaid, who is now a professor of government and public service at Lafayette College in Easton, Pa. “I think, by and large, states have become accustomed to this pattern of decision-making, so they’re going to brace themselves for whatever comes. State and local officials will lobby very hard to get what they can out of this bargain, but they won’t be all that significant as players.”


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Dave Roberts brings diversity to the San Diego County supervisors









DEL MAR — In January, when he joins the San Diego County Board of Supervisors, Dave Roberts will be the only Democrat among four Republicans, the first Democrat on the board in more than two decades.


He will also be the first new supervisor in 18 years. And he will be the only one who is not a graduate of San Diego State. He has three degrees from American University in Washington, D.C.


He's also gay and married to a retired Air Force master sergeant. The two are adoptive parents to five former foster children, ages 4 to 17, who call them Daddy Dave and Daddy Wally.





With Roberts' election to a district representing a portion of San Diego and several seaside communities north of the city, diversity has arrived for the Board of Supervisors, long one of the region's most homogenous governing bodies.


"I'm going to bring some unique characteristics," Roberts, 51, said with a laugh during a family outing on the beach here.


Roberts hopes to concentrate on the same issues he focused on while serving on the Solana Beach City Council, where he is currently deputy mayor: regional fire protection, expansion of the San Dieguito River Park and "sensible" growth.


Roberts is a Democrat in the style of Republican-leaning northern San Diego County: fiscally conservative. He worked as a budget analyst for the Department of Defense and as a corporate vice president for the La Jolla-based defense contractor SAIC. He was a Republican until some in the GOP took exception to a gay man working in the Pentagon.


"The Republicans wanted me to be fired," Roberts said. "That's when I changed political parties."


Some of his first experience in government came from working as a staffer to Sen. Lowell Weicker, a Republican from Connecticut. "I learned from working for Sen. Weicker that you can make change if you're in the right place," Roberts said.


In 2009, Democratic party officials encouraged Roberts to seek the party's nomination to face incumbent Brian Bilbray (R-Carlsbad) in the 50th Congressional District.


On the verge of declaring his candidacy, Roberts was alerted by social workers about two children who needed a "forever" home. He decided that the adoption process took precedence over his political career.


Now there are five children in the two-story home in Solana Beach once owned by singer Patti Page: Robert, 17; Alex, 12; Julian, 8; Joe, 5; and Natalee, 4. Three of the children have taken the last name Roberts, and two took his spouse's last name, Oliver.


"We don't like double names," Roberts said.


Roberts and Wally Oliver, 55, have been together for 14 years. They had a commitment ceremony in 1998 and married in July 2008 in the brief period when county clerks in California were allowed to issue same-sex marriage licenses.


The family may soon expand.


"Wally would like a baby," Roberts said. "We're not Jewish, but we believe in the Jewish proverb: 'If you can save one soul, you can save the world.'"


During his race against a Republican opponent, Roberts was endorsed by the retiring incumbent, Pam Slater-Price. He has also begun discussions with Supervisor Dianne Jacob, possibly the most fiscally conservative member of the board.


He also looks forward to working with Supervisor Bill Horn, an ex-Marine who supported Proposition 8, the measure to ban same-sex marriage, and has said he opposes gays in the military. "He says things from time to time that remind me of my father," Roberts said.


For all of their fiscal conservatism, the supervisors have not dabbled much in social issues in a way that might satisfy some elements in the GOP. The board took no position on Proposition 8. Health clinics in gay neighborhoods and AIDS prevention programs are funded without controversy.


Roberts may be different in another respect from his colleagues: He will not be assigning a staff member to send out his Twitter messages. He sends out his own tweets — lots of them, on topics political and personal.


Last week, among many tweets, was one announcing that he has hired his predecessor's chief-of-staff, praising him for his "broad experience, management style and network of contacts."


And the next tweet: "Took the kids out for frozen yogurt at Seaside Yogurt in Del Mar for a treat."


tony.perry@latimes.com





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A Google-a-Day Puzzle for Nov. 24











Our good friends at Google run a daily puzzle challenge and asked us to help get them out to the geeky masses. Each day’s puzzle will task your googling skills a little more, leading you to Google mastery. Each morning at 12:01 a.m. Eastern time you’ll see a new puzzle posted here.


SPOILER WARNING:
We leave the comments on so people can work together to find the answer. As such, if you want to figure it out all by yourself, DON’T READ THE COMMENTS!


Also, with the knowledge that because others may publish their answers before you do, if you want to be able to search for information without accidentally seeing the answer somewhere, you can use the Google-a-Day site’s search tool, which will automatically filter out published answers, to give you a spoiler-free experience.


And now, without further ado, we give you…


TODAY’S PUZZLE:



Note: Ad-blocking software may prevent display of the puzzle widget.




Ken is a husband and father from the San Francisco Bay Area, where he works as a civil engineer. He also wrote the NYT bestselling book "Geek Dad: Awesomely Geeky Projects for Dads and Kids to Share."

Read more by Ken Denmead

Follow @fitzwillie and @wiredgeekdad on Twitter.



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One Direction makes Billboard history, holds off Aguilera, Del Rey












LOS ANGELES (Reuters) – British boyband One Direction made Billboard chart history on Wednesday after storming to the top of the 200 album chart with their second album “Take Me Home,” holding off competition from Christina Aguilera, Soundgarden and Lana Del Rey.


“Take Me Home” notched the third-biggest opening week sales of the year with 540,000 units sold according to figures from Nielsen SoundScan, placing it behind only Mumford & Son’s “Babel” and Taylor Swift‘s “Red,” which had the year’s biggest opening with 1.2 million copies sold.












This is also the first time a British band have seen their first two albums debut at the top of the U.S. Billboard 200 chart. Their first album “Up All Night” shot to the top of the chart with 176,000 copies in March this year.


The lead single from “Take Me Home,” “Live While We’re Young” also made Billboard chart history after selling 341,000 copies in its first week, becoming the biggest opening week single sales for a non-U.S. artist.


One Direction were able to trump a new release from pop star and “The Voice” judge Aguilera, who debuted at No. 7 with her fifth studio album “Lotus,” selling 73,000 copies.


She was unable to replicate the success of fellow “Voice” judge Adam Levine, whose band Maroon 5 shot to No. 2 on the album chart in July with “Overexposed,” selling 222,000 copies.


The members of the British-Irish quintet One Direction, aged between 18 and 20, are Harry Styles, Niall Horan, Zayn Malik, Louis Tomlinson and Liam Payne. They have come a long way since forming on Britain’s “The X Factor,” coming in third place and going on to conquer the U.S. and build a devoted following of fans.


Their success has also piqued the curiosity of interviewer Barbara Walters, who will be speaking to the band for her annual “The 10 Most Fascinating People,” airing on ABC on December 12.


The band will face stiff competition from R&B star Rihanna for the top spot on the Billboard 200 chart next week, as her new album “Unapologetic” is set for a big debut.


Elsewhere on the album chart, seven new debuts entered the top 10 this week.


Taylor Swift‘s “Red” was knocked down to No. 2 by One Direction‘s debut, while the soundtrack for the final “Twilight” film, “Breaking Dawn – Part 2,” debuted at No. 3 with sales of 93,000 after the film hit theaters last week.


The soundtrack features lead single “The Forgotten” by Green Day and songs by Passion Pit, Ellie Goulding, Fiest and a duet between “Twilight” cast member Nikki Reed and husband Paul McDonald, a former “American Idol” finalist.


Canadian R&B star The Weeknd landed at No. 4 this week with his hotly anticipated debut, “Trilogy,” while 1990s grunge rock band Soundgarden rounded out the top five with “King Animal,” their first album in 16 years.


Green Day’s “Dos!,” the second installment of their trilogy of new albums this year, came in at No. 9 on the chart with 69,000 copies, a big drop from their first album “Uno!,” which debuted at No. 2 in October with sales of 139,000 copies. The third installment, “Tre!,” is due out on December 11.


Indie-pop songstress Del Rey rounded out the top ten with her latest studio set “Paradise,” an eight-song record which was also offered as part of a deluxe edition of her debut album “Born To Die,” which notched No. 2 on the chart in February.


(Reporting By Piya Sinha-Roy; editing by Patricia Reaney and Marguerita Choy)


Music News Headlines – Yahoo! News


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Wealth Matters: Dealing With Doctors Who Accept Only Cash





A FEW weeks ago, my wife and I were at our wits’ end: our 4-month-old daughter wouldn’t sleep for more than an hour at a time at night. We had consulted books and seen our pediatrician, but nothing was working. So my wife called a pediatrician who specializes in babies who struggle with sleep problems.




The next day, he drove an hour from Brooklyn to our house. He then spent an hour and a half talking to us and examining our daughter in her nursery. He prescribed some medicine for her and suggested some changes to my wife’s diet. Within two days, our baby was sleeping through the night and we were all feeling better.


The only catch was this pediatrician did not accept insurance. He had taken our credit card information before his visit and given us a form to submit to our insurance company as he left, saying insurance usually paid a portion of his fee, which was $650.


A couple of weeks later, our insurance company said it wouldn’t pay anything. Here’s how the company figured it: First, it said a fair price for our doctor’s fee was $285, about 60 percent less, because that was the going rate for our town. Then, it said the lower fee was not enough to meet our out-of-network deductible.


While we were none too happy with the insurance company, we remained impressed by the doctor: he had made our baby better and was compensated for it, all the while avoiding the hassle of dealing with insurance.


Last year, I wrote about doctors who catered only to the richest of the rich and charged accordingly. But after my experience, I became interested in doctors for the average person who take only cash. What pushes a doctor to go this route, often called concierge medicine? And how hard is it to make a living?


As to why doctors decide to switch to a concierge practice, the answer is almost always frustration.


“About four years ago, one insurance company was driving me crazy saying I had to fax documents to show I had done a visit,” said Stanford Owen, an internal medical doctor in Gulfport, Miss. “At 2 a.m., I woke up and said, ‘This is it.’ ”


Dr. Owen stopped accepting all insurance and now charges his 1,000 patients $38 a month.


“When I decided to abandon insurance, I didn’t want to lose my patient base and make it unaffordable,” he said. “I have everything from waitresses and shrimpers to international businessmen. It’s a concierge model, but it’s also the personal doctor model.”


Dr. Owen, who once had three nurses and 10 examining rooms, said it was now just him and a receptionist. He has become obsessed with keeping overhead low, but he said that, for the first time since the 1990s, his income was going up.


At the other end of the spectrum is David Edelson, who runs a practice called HealthBridge in Great Neck, N.Y. In addition to five doctors, the practice has a full fitness center and provides the services of a personal trainer, nutritionist, acupuncturist, sleep expert and stress-management consultant.


“The current model for primary care is broken,” Dr. Edelson told me. “Either I can go down with the ship, sell my practice to a hospital or take my practice in the wrong direction. Or I can develop a better mousetrap, which is more time dealing with patients and their care.”


Dr. Edelson has reduced his own practice to 300 patients, from more than 3,000. Of those, 250 pay $1,800 a year for concierge services and 50 others receive scholarships. He estimated that from the combination of the membership fee for the extra services and what gets billed to insurance for typical care, he will make $600,000, and more of that will end up in his pocket.


“We’re bringing in the same fees but we’re reducing our overhead,” he said. Fewer patients means fewer medical assistants, receptionists and staff members to deal with insurance.


But of the five doctors in the practice, he is the only one to go fully concierge. Another, William Klein, is testing the model, with 15 percent of his patients in the concierge program. Dr. Klein said he was hedging his bets because he was not sure what the new federal health care law would mean for primary care physicians.


Weren’t some patients getting shortchanged by this hybrid model? He said he saw no difference in care.


“It’s like paying for first class and not coach,” Dr. Klein said. “Everyone is getting to the same destination, but some people have a better seat.”


This approach to medicine is not without risks for the doctors and downsides for patients.


This article has been revised to reflect the following correction:

Correction: November 23, 2012

An earlier version of this column gave an incorrect middle initial for Mr. Harris. It is M., not V.



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A Black Friday Rally


The stock market enjoyed some Black Friday cheer in a holiday-shortened trading session, rising solidly as shoppers braved the annual post-Thanksgiving retail rush. Major stock indexes closed one of their best weeks of the year.


Technology stocks surged after a few weeks of selling. Early reports from retailers suggested strong consumer spending.


“Foot traffic appears heavier than we’ve seen in recent years, there are a lot of positive statements out of the companies themselves and momentum appears to be strong,” said Joe Kinahan, chief derivatives strategist at the brokerage firm TD Ameritrade.


Many stores opened earlier than ever this year, Mr. Kinahan said, allowing for earlier informal reports about their performance.


The Nasdaq composite index rose 40.30 points, or 1.38 percent, to 2,966.85. The Dow Jones industrial average gained 172.79 points, or 1.35 percent, to 13,009.68, the first time since Election Day that the Dow closed above 13,000.


The Standard & Poor’s 500-stock index added 18.12 points, or 1.3 percent, to 1,409.15. The rally gave the S.& P. 500 its biggest weekly point gain since last December — 49 points, or 3.6 percent. The Dow industrials gained 3.3 percent and the Nasdaq 4 percent for the week.


Technology stocks jumped sharply. Dell, Advanced Micro Devices and Hewlett-Packard were the top three gainers in the S.& P. Technology rose the most among the index’s 10 industry groups.


The stocks were bouncing back after a broad decline in confidence in tech stocks, Mr. Kinahan said.


Dell rose 49 cents, or 5.41 percent, to $9.55.


A.M.D. jumped 8 cents, or 4.28 percent, to $1.95. The shares dropped sharply in recent weeks as investors fretted about its solvency.


Shares of H.P. plunged 12 percent on Tuesday after executives said a company that H.P. bought for $10 billion last year lied about its finances. H.P. added 50 cents, or 4.19 percent, to $12.44.


Research in Motion jumped $1.40, or 13.65 percent, to $11.66 on growing optimism for an earlier-than-expected introduction of its delayed BlackBerry 10 smartphone. A senior RIM executive said earlier this month that the company would release the new smartphone “not long after” a Jan. 30 event. One analyst saw that as an indication that the products were to be unveiled in February.


Stocks started strong after news that German business confidence rose in November after six consecutive declines.


In the United States, shares of retailers showed strength as shoppers flocked to malls for Black Friday sales, beginning the period in which many retailers turn profitable for the year. Wal-Mart rose $1.31, or 1.9 percent, to $70.20. Macy’s gained 72 cents, or 1.76 percent, to $41.73.


MAP Pharmaceuticals rose $2.60, or 20.28 percent, to $15.42, after the company announced that the Food and Drug Administration would review its experimental migraine drug Levadex.


KIT Digital fell $1.33, or 64.3 percent, to 74 cents, after the video software and technology company’s former chief executive accused it of blaming previous management for its financial problems. Two days earlier, KIT said it would restate its financial results because of accounting errors.


In the bond market, the price of the 10-year note slipped 4/32, to 99 12/32, while its yield edged up to 1.69 percent from 1.68 percent late Wednesday.


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