Alabama's Lacy, Milliner, Fluker enter NFL draft

TUSCALOOSA, Ala. (AP) — Alabama tailback Eddie Lacy, cornerback Dee Milliner and right tackle D.J. Fluker are entering the NFL draft after helping lead the Crimson Tide to a second straight national title.

Lacy and Milliner announced their plans to skip their senior seasons Friday at a news conference. Fluker couldn't be there for the announcement because he was traveling.

It's another exodus of talented underclassmen for a team that has won three of the past four national championships. Most of the four first-round picks in each of the past two drafts that left Alabama were underclassmen.

"I appreciate what they've done for the University of Alabama but we also acknowledge the fact that from a business standpoint, these guys are making good decisions about their future and what they can do," coach Nick Saban said.

Unlike recent groups of departing juniors from Alabama, only Milliner is pegged as a sure first-round pick.

He was a Jim Thorpe Award finalist and unanimous All-American after recording two interceptions and 22 pass deflections. He and guard Chance Warmack, who was a senior, are projected as the Tide's top current prospects.

"I think while I was here, I met all the goals and team affirmations that I set for myself as a freshman by winning a championship, becoming an All-American, just being part of a team that always loved to win," Milliner said. "I think I fulfilled all my goals and am ready and prepared to go to the next level."

Lacy was MVP of the national championship game against Notre Dame after rushing for 140 yards and scoring two touchdowns. He said he wasn't 100 percent healthy all season until the title game Monday night, but Lacy still ran for 1,322 yards and 17 touchdowns while averaging 6.5 yards per carry.

"We don't have a lot of years to play this position, so you have to go while you can," Lacy said. "I would love to come back. This is a great place. We have the best fans, but I really didn't want to risk coming back and not having such a good year or maybe even risking injury. I've had my share of injuries this year. I feel like you've got to get out while you can."

Lacy thinks he "made a pretty solid statement" in the title game, when he made a spin move into the end zone on a TD catch and on another run pushed 248-pound linebacker Danny Spond away with one hand.

Lacy was recruited in the same class as Trent Richardson, last year's No. 3 pick by Cleveland, but redshirted and then spent two seasons as a backup. He's not widely projected to follow Richardson and 2009 Heisman Trophy winner Mark Ingram into the first round. Lacy said he was projected as a second- or third-round pick in feedback from the NFL, but was impressive in the finale. Ordinarily, Saban only recommends projected first-round picks leave early.

"I'm fully supportive of what Eddie's doing," Saban said. "It's a little bit of a different situation than we've had in the past, but it's a little bit unique as well. Every one of these situations is unique to that particular individual and what his situation is. "

The 6-foot-6, 335-pound Fluker started 35 games for the Tide and was a second-team Associated Press All-American.

He was one of the Tide's top-rated signees in 2009 but came in overweight at about 395 pounds and was redshirted.

"I certainly feel like this year has been his best year as a player, and I feel that he's made a good decision about what he wants to do," said Saban, adding that Fluker has improved as much as any player on the team.

The mammoth Fluker, who wears a size-22 shoe, said in a statement that leaving early "is never an easy decision when you are playing at a place like Alabama."

"''These four years in Tuscaloosa have been the best four years of my life and I appreciate everyone who helped me along the way," he said.

Quarterback AJ McCarron, All-America linebacker C.J. Moseley and guard Anthony Steen have already said they're returning for their senior seasons. Saban didn't rule out other juniors possibly declaring for the draft before Tuesday's deadline.

The Tide does have promising players who have logged plenty of playing time behind Lacy and Milliner, especially. Two freshmen — tailback T.J. Yeldon (1,108 yards, 12 touchdowns) — and cornerback Geno Smith saw significant action.

"You've got people that are going to go to the NFL each year and you've got people behind them that are going to do the same things when their time comes," Milliner said.

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The New Old Age Blog: As Flu Rages, Caregiving Suffers

The flu started in the personal care center at Masonic Village in Elizabethtown, Pa., then moved to the nursing home. Within a few days, seven older adults had taken ill.

Administrators moved quickly: they shut down two floors of the buildings and told all visitors to stay away. All social activities stopped, and residents were asked to stay in their rooms.

The phones began to ring. “How is my wife doing?” an older spouse would ask. “What’s Mom eating?” a concerned daughter would inquire.

As the flu sweeps across the country, all kinds of issues are arising as institutions serving the elderly cope with outbreaks and nurses, home health aides and family members fall ill and can’t attend to the older people under their care.

One of the residents of Masonic Village was the mother-in-law of Joyce Heisey, director of nursing at this continuing care retirement community. She had come to the nursing home after a nasty fall and a subsequent hospitalization for rehabilitation.

“It was hard for her because she wasn’t accustomed to being in this kind of setting, and my father-in-law couldn’t visit,” said Ms. Heisey, who talked to her in-laws about their experiences. They declined to speak directly to a reporter.

Worried about isolation, the home sent recreation therapists into residents’ rooms for a few minutes each day and directed physical therapists to continue working with those undergoing rehabilitation, again in their rooms when possible.

In Collinsville, Ill., a city of about 42,000 that is 23 miles east of St. Louis, 20 percent of the staff at Home Instead Senior Care have called in sick, either struck by the flu themselves or at home taking care of a sick child.

“We’ve never seen it as bad as it is this year,” said Skip Brown, the agency’s owner. In previous years, about 5 percent of the staff have taken ill during flu season.

“It’s really hard for our clients, most of whom are elderly,” Mr. Brown said. “All of a sudden you have another person coming in to your home that you’re not familiar with. That’s really hard for seniors, and we have to make sure they’re comfortable.”

One client, a 92-year-old woman with diabetes, was insistent that a stranger not come to help when her usual caregiver became sick and stayed home.

“The problem that we’re always concerned with is, what if an older person doesn’t eat and what if they don’t take their medication?” Mr. Brown said. Concerned, he called his client’s out-of-town daughter, who called an elderly neighbor, who agreed to accompany someone from the agency to make sure the older woman was all right.

As it turned out, she hadn’t taken insulin for a full day and was at risk of a diabetic crisis, which was averted when the agency worker intervened.

Things got bad so fast that after the second week of December, Mr. Brown required all staff members to get flu shots – and still they became ill. This year, the flu shot is effective about 62 percent of the time, the Centers for Disease Control and Prevention said on Friday.

Nationally, about 60 percent of health care workers get flu vaccines, which are voluntary in most hospitals, nursing homes and assisted-living facilities, according to Dr. Gregory Poland, director of the Mayo Clinic Vaccine Research Group. And when workers are struck by the flu, infections among residents can follow.

“The disruptions, the costs, the complications from this virus, no one should confuse it with a minor illness,” said Dr. Poland, who has advocated for mandatory immunizations for health care workers.

According to New York’s statewide influenza report for the week ended Jan. 5, 179 outbreaks have hit nursing homes this flu season — 57 of them during the week covered by the report alone. The state health department defines an outbreak as one confirmed case or two suspected cases of flu that are contracted in a nursing home.

Allison Chisholm, a nurse with Partners in Care, a home care agency operated by the Visiting Nurse Service of New York, had a flu shot on Dec. 27 and a week later took to bed with a fever and chills.

“It was so bad, my toenails were hurting. I had no appetite. I couldn’t move, I was so sore,” she said. “I knew it was the flu because I’m not a sickly person. I’ve never felt like that for 30 years.”

Ms. Chisholm had been seeing a woman in her 70s every day since October to treat a bone infection with intravenous antibiotics. “When I called her she could hear immediately that something was wrong,” Ms. Chisholm said. “She was concerned and said, ‘If you’re sick like that, don’t come – I don’t want to get what you have.’ ” A week later, the nurse said she got a phone call from the older woman checking in to see if she was better.

In this case, the client was due to end treatment the day after Ms. Chisholm fell ill, and she agreed to have a worker from the company that supplied her intravenous supplies administer her last IV therapy.

At the Martha Stewart Living Center, an outpatient center for older patients at Mount Sinai Medical Center, Dr. Audrey Chun, medical director, has been telling caregivers and other people who have any kind of upper respiratory problems — a cough, constant sniffles – to stay away from older people’s homes because of the risk of passing on an infection.

But do be sure to call in regularly to ask how your older relative or friend is feeling and whether they have unusual lethargy, breathing problems or disabling fatigue, said Jennifer Leeflang, senior director of private care services for Partners in Care. The agency has been getting about 10 requests a week for flu shots for homebound elderly ($100 for the visit and the shot). Other hospitals, like Montefiore Medical Center in the Bronx, are providing a similar service for home care agency patients.

New data released Friday by the federal Centers for Disease Control and Prevention underscores how vulnerable older adults are to flu and how many are being affected by the current outbreak. In the week ended Jan. 5, the rate of flu-related hospitalizations for people 65 and older was 53.4 per 100,000, more than twice that of another vulnerable group, newborns and children up to 4 years old. Hospitalizations are an indicator of the most serious flu cases.

That’s a big jump from the week before, when the rate of flu-related hospitalizations for people 65 and older stood at 29.3 per 100,000.

How has flu season affected your ability to provide — or get care — for your elderly relative? Share your experiences and advice here.

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DealBook: Possible Client Redemptions Weigh on SAC Capital

The hedge fund giant SAC Capital Advisors is steeling itself for a possible wave of withdrawal requests from clients amid the government’s intensifying scrutiny of its trading practices.

Investors have about a month to decide whether to pull money from SAC, the $14 billion fund owned by the billionaire investor Steven A. Cohen.

While posting one of the best investment track records on Wall Street across two decades, SAC has attracted billions of dollars from pension funds, wealthy families and other money management firms. But since late November, when federal prosecutors brought their latest criminal insider trading charge against a former SAC employee — a case they call the most lucrative insider trading scheme ever uncovered — those clients have been weighing whether continuing their relationship with the fund is worth the reputational risk.

The fund has a standard quarterly redemption deadline, and the next one will fall on Feb. 15. Already, several of SAC’s clients, including Lyxor Asset Management and Titan Advisors, have notified the fund that they intend to withdraw their money. Others, like Skybridge Capital, have told SAC they will continue to invest in the fund.

Questions remain about the intentions of several of SAC’s well-known clients, including the Blackstone Group, one of the world’s largest and most influential allocators to hedge funds. Blackstone has about $550 million invested in SAC, making it one of the fund’s largest outside investors. A Blackstone spokesman declined to comment.

The fund has told its employees that it could face at least $1 billion of withdrawals, according to a report in The Wall Street Journal on Friday. A spokesman for SAC said it was “far too early to speculate about redemptions, and we do not expect redemptions to have a significant impact on our funds.”

Any withdrawals from clients would come after a year of decent performance for SAC. In 2012 the firm returned about 13 percent net of fees, which, while slightly underperforming the Standard & Poor’s 500-stock index, was superior to the results of the average hedge fund.

While a spate of redemptions can have a crippling effect on a hedge fund by forcing it to sell its holdings at unfavorable prices, SAC is more insulated than most of its competitors from the ill effects of client withdrawals. That is because only about 40 percent of the $14 billion that SAC manages comes from outside clients. The rest — a fortune of about $8 billion — belongs to Mr. Cohen and his employees.

Also, SAC has protected itself with a stringent redemption policy. Its clients can redeem only 25 percent of their investment each quarter. So, for example, if a client had $200 million invested with SAC and asked for its money back by the Feb. 15 deadline, SAC would return $50 million every three months beginning in March. That way, SAC is protected from a forced liquidation of its investment portfolio.

Still, an investor exodus can cause a hedge fund to shut down. Last month, Diamondback Capital Management, another hedge fund that became ensnared in the government’s insider trading investigation, closed after its investors sought to pull out roughly one-quarter of the fund’s assets.

Diamondback’s management decided that the most prudent course of action was to wind down rather than to reorganize the firm to manage the reduced amount of money.

Like Diamondback, SAC has become embroiled in the government’s broad crackdown on insider trading at hedge funds. At least seven former SAC traders and analysts have been tied to illegal trading while at the fund, and the Securities and Exchange Commission has warned SAC that it might file a civil action against the fund for failing to properly supervise its employees.

Mr. Cohen has told his employees that he believes he and the fund have at all times acted appropriately, and that the fund has fully cooperated with the government’s investigation.

In recent weeks, SAC has gone on a charm offensive in an effort to hold on to clients. It has told its investors that they will not be responsible for any penalties incurred as a result of any of the government’s legal inquiries. Instead, SAC has said, Mr. Cohen and his management company will pick up any costs.

There have also been changes at the fund. SAC told its staff last week that it was closing its office in Chicago, which is home to about a dozen employees. Such a move is not unusual, as the fund has closed offices before, like one in San Francisco, where it saw limited opportunities.

A spokesman said it did not make sense to have an office in Chicago. SAC has more than 1,000 employees — portfolio managers, analysts, traders and support staff — in five offices around the globe, with its headquarters in Stamford, Conn.

Though Mr. Cohen has told his friends and employees that he remains committed to managing money for outside clients, he could decide to follow in the footsteps of several fellow billionaire hedge fund managers.

A number of star investors, having already amassed billions in personal wealth, have decided to get out of the business of managing other people’s money. In recent years, for example, both George Soros and his onetime protégé, Stanley Druckenmiller, returned money to clients and set up so-called family offices to manage their own fortunes.

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The Lede Blog: Winter Brings Misery to Syria Refugees

For Syrian refugees in Zaatari refugee camp in Jordan, winter has brought bitter new hardship and at least one death.

More than 50,000 people are estimated to live in Zaatari camp, roughly one third of the nearly 150,000 Syrians who have sought refuge in Jordan from the 22-month long conflict gripping their country. As my colleagues have Rick Gladstone and Nick Cumming-Bruce reported, wind and rainy weather this week wrecked scores of refugee dwellings in Zaatari, where many tents flooded or collapsed. People were left shivering in the cold, and outrage soon boiled over in an angry riot that injured 11 people, over half of them aid workers from the charity group Save the Children. It was the latest in at least four violent episodes in recent weeks between refugees, aid workers and the police.

Video of the Zaatari camp on Monday, posted online by Syrian activists, showed an area almost as large as a football field covered in shallow, muddy water. Inside a soaked tent, a young boy told the cameraman that he and his family, including his injured father, “went to a neighbor’s tent because of the water.”

Tents in Zaatari refugee camp were flooded with shallow, muddy water on Monday.

The suffering in Zaatari was given a human face on Wednesday when an activist uploaded a moving video interview with a refugee in the camp named Khaled al-Hariri, an amputee who described the difficulty of getting proper medical care in the camp. According to the activist, Abushakraa Horanee, Mr. Hariri died on Tuesday night before the video was uploaded to Facebook and then copied to a Syrian activist YouTube channel. Mr. Horanee, the filmmaker, called Mr. Hariri, “the martyr of negligence and cold.”

Video of Khaled al-Zubi, a Syrian refugee in Jordan, accusing camp doctors of negligence.

In the video, Mr. Hariri, who lost a leg in Syria before fleeing to Jordan, said he suffered from a range of respiratory problems that went untreated by camp doctors. Mr. Hariri broke down crying as he explained his health problems and alleged negligence and poor treatment on the part of doctors in the camp, which is run by the United Nations. “I don’t even want my health to improve,” he said. “I want my brothers’ health, the people all around me, to improve.”

Describing his ill-health, Mr. Hariri said, “I have hoarseness, chest pain, and mucus. With my leg pain. Here my leg, all of it, is inflamed. My chest also, my chest is inflamed.”

When asked if he was given a medical diagnosis by camp doctors, Mr. Hariri responded:

Diagnosed? No one diagnosed me. I stayed here for three months and no doctor gave me a proper drug, no doctor told me ‘there is a drug for that’, no doctor gave me anything. I just want something that will give me some relief. I just want something to give me some relief, that’s all. Pain killers. They didn’t give me that. I don’t know, what can I do?

Asked how doctors in the camp hospital responded to his visit, he responded:

Their response? I would go at night from here to the emergency room and call on them and tell them ‘my brother, for God’s sake….’ I would tell the ambulance driver, ‘my brother, for God’s sake, I swear I can’t breathe. I need oxygen, I need oxygen.’ So the ambulance would arrive and they wouldn’t even pick me up themselves. My brother, the broken one, would pick me and my uncle. They would pick me up and put me in the ambulance. Is that okay?

I would go and sit there. I’d be wearing this track suit while it’s cold outside. I would ask ‘Where is the doctor for him to put me in a bed?’ And the doctor would say ‘there is no bed. You’re going to have to wait a bit for the patient to leave.’ ‘Doctor, I swear I’m very tired. At least give me oxygen, I want to breathe. I can’t breathe.’ I could not breath at all.

U.N. officials said that most dwellings in the camp withstood the recent rainfall and attributed tensions in Zaatari to a range of factors, including fear of worsening weather conditions and a surge of as many as 9,000 new residents in the last week. On Twitter, Unicef, the United Nations children’s agency, said the organization was fully focused on improving conditions in the camp.

We’re working around clock to tackle flooding in #Zaatari camp and ensure all refugees have shelter & sanitation http://t.co/8SYmLRUi #Syria

— UNICEF (@UNICEF) 10 Jan 13

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A Tale of 2 Strategies: The Twitter Genius of Chuck Grassley and Cory Booker

If you’re on Twitter and not following Sen. Chuck Grassley, you’re not using Twitter correctly.

The Iowa Republican is known for his colorful and personal Twitter feed. Take a gander: He personally tweets about everything from the History Channel to “Obamacare” to an incident in which he hit a deer with his car  (“assume dead”). Grassley’s tweets take us along for a ride, one that’s often riddled with spelling errors (which he has said is due to his distaste for typing and the iPhone’s auto-correct function).

Pres/Cong need 2work on Wash spending prob. No time 2waste b/4 Mar. Pres promised tax hike is done. Now he needs 2keep promise 4 less spend

— ChuckGrassley (@ChuckGrassley) January 4, 2013

Rained inIowa this weekend. Still 8 inches shortIowa still still listed dangerous drought pray For rain

— ChuckGrassley (@ChuckGrassley) December 17, 2012

Fred and I hit a deer on hiway 136 south of Dyersville. After I pulled fender rubbing on tire we continued to farm. Assume deer dead

— ChuckGrassley (@ChuckGrassley) October 26, 2012

Contrast Grassley’s tweets to another lawmaker known for his active and personal feed: Newark, N.J., Mayor Cory Booker. On Twitter, he’s part mayor, part celebrity. Booker tweets about city services and was widely praised for how he utilized the platform in the aftermath of superstorm Sandy to connect directly with residents. But then he’ll retweet someone who says she’s going to get a Cory Booker quote tattoo or someone who has a “political crush” on him. Sometimes, Booker tweets like a Kardashian.

Think so, call 9737334311. My people will tell u RT @hennybottle: Is the number to get downed wires removed same for all of essex county?

— Cory Booker (@CoryBooker) January 8, 2013

“Hey, Never Met U, Your tweet’s Crazy, I’ll DM My Number, So Call Me Maybe?” MT @ann_ralston: I have a non-sexual, political crush on you!

— Cory Booker (@CoryBooker) January 8, 2013

Wow. An honor I never quite imagined RT @rachelanncohen: deliberating between several Cory Booker quotes for my next tattoo.

— Cory Booker (@CoryBooker) January 8, 2013

I love you too! RT @alwoldegorgeous: I can actually say I am in love with @kimkardashian#girlcrush

— Kim Kardashian (@KimKardashian) December 12, 2012

Obviously, Booker is savvier with Twitter than Grassley, and he’s utilized the platform effectively, as he vies for statewide office. Booker’s a PR genius with social media. Grassley’s himself–typos, rants, and all. So while Booker probably doesn’t need to take Twitter lessons from the six-term senator, there’s something decidedly old school and earnest that’s kind of appealing about Grassley’s feed, something that would be nice to see in Booker’s feed, too.

Welcome to Twitter Pope Benedict. U will find it useful and interesting

— ChuckGrassley (@ChuckGrassley) December 3, 2012

CORRECTION: Grassley has served in the Senate for six terms.  An earlier version of the story incorrectly listed his tenure.

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Researchers: NFL's Seau had brain disease

When he ended his life last year by shooting himself in the chest, Junior Seau had a degenerative brain disease often linked with repeated blows to the head.

Researchers from the National Institutes of Health said Thursday the former NFL star's abnormalities are consistent with chronic traumatic encephalopathy, or CTE.

The hard-hitting linebacker played for 20 NFL seasons with San Diego, Miami and New England before retiring in 2009. He died at age 43 of a self-inflicted gunshot in May, and his family requested the analysis of his brain.

"We saw changes in his behavior and things that didn't add up with him," his ex-wife, Gina, told The Associated Press. "But (CTE) was not something we considered or even were aware of. But pretty immediately (after the suicide) doctors were trying to get their hands on Junior's brain to examine it."

The NIH, based in Bethesda, Md., studied three unidentified brains, one of which was Seau's, and said the findings on Seau were similar to autopsies of people "with exposure to repetitive head injuries."

"It was important to us to get to the bottom of this, the truth," Gina Seau added, "and now that it has been conclusively determined from every expert that he had obviously had CTE, we just hope it is taken more seriously. You can't deny it exists, and it is hard to deny there is a link between head trauma and CTE. There's such strong evidence correlating head trauma and collisions and CTE."

In the final years of his life, Seau had wild behavioral swings, according to Gina and to 23-year-old son, Tyler, along with signs of irrationality, forgetfulness, insomnia and depression.

"He emotionally detached himself and would kind of 'go away' for a little bit," Tyler Seau said. "And then the depression and things like that. It started to progressively get worse."

He hid it well in public, they said, but not when he was with family or close friends.

Seau joins a list of several dozen football players who were found to have CTE. Boston University's center for study of the disease reported last month that 34 former pro players and nine who played only college football suffered from CTE.

The NFL faces lawsuits by thousands of former players who say the league withheld information on the harmful effects of concussions. According to an AP review of 175 lawsuits, 3,818 players have sued. At least 26 Hall of Famer members are among the players who have done so.

The National Football League, in an email to the AP, said: "We appreciate the Seau family's cooperation with the National Institutes of Health. The finding underscores the recognized need for additional research to accelerate a fuller understanding of CTE.

"The NFL, both directly and in partnership with the NIH, Centers for Disease Control and other leading organizations, is committed to supporting a wide range of independent medical and scientific research that will both address CTE and promote the long-term health and safety of athletes at all levels."

NFL teams have given a $30 million research grant to the NIH.

The players' union called the NIH report on Seau "tragic."

"The only way we can improve the safety of players, restore the confidence of our fans and secure the future of our game is to insist on the same quality of medical care, informed consent and ethical standards that we expect for ourselves and for our family members," the NFLPA said in a statement.

"This is why the players have asked for things like independent sideline concussion experts, the certification and credentialing of all professional football medical staff and a fairer workers compensation system in professional football," it said.

Seau is not the first former NFL player who killed himself and later was found to have had CTE. Dave Duerson and Ray Easterling are the others.

Before shooting himself, Duerson, a former Chicago Bears defensive back, left a note asking that his brain be studied for signs of trauma. His family filed a wrongful-death suit against the NFL, claiming the league didn't do enough to prevent or treat the concussions that severely damaged his brain.

Easterling played safety for the Falcons in the 1970s. After his career, he suffered from dementia, depression and insomnia, according to his wife, Mary Ann. He committed suicide last April.

Mary Ann Easterling is among the plaintiffs who have sued the NFL.

Tyler Seau played football through high school and for two years in college. He says he has no symptoms of brain trauma.

"I was not surprised after learning a little about CTE that he had it," Tyler said. "He did play so many years at that level. I was more just kind of angry I didn't do something more and have the awareness to help him more, and now it is too late."

Gina Seau's son Jake, now a high school junior, played football for two seasons but has switched to lacrosse and has been recruited to play at Duke.

"Lacrosse is really his sport and what he is passionate about," she said. "He is a good football player and probably could continue. But especially now watching what his dad went through, he says, 'Why would I risk lacrosse for football?'

"I didn't have to have a discussion with him after we saw what Junior went through."

Her 12-year-old son Hunter has shown no interest in playing football.

"That's fine with me," she said.

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Children’s Flu Medicine in Short Supply

As influenza cases surge around the country, health officials say they are trying to stem a shortage of treatments for children.

Pharmacies around the country have reported dwindling supplies of liquid Tamiflu, a prescription flu medicine that can ease symptoms if taken within 48 hours of their onset. The drug is available in capsules for adults and a liquid suspension for children and infants.

“There are intermittent shortages of the liquid version (but not the capsule version) due to the supplier’s challenges to meet the current demand,” Carolyn Castel, a spokeswomen for CVS Caremark, said in an e-mail.

Pharmacies around the country are experiencing shortages of the liquid suspension “due to recent increased demand,” Sarah Clark-Lynn, a spokeswoman for the Food and Drug Administration, said on Thursday.

Ms. Clark-Lynn said the F.D.A. was working with the company that markets Tamiflu, Genentech, to increase supplies. The agency is also letting pharmacists know that in emergencies they can compound the adult Tamiflu capsules to make liquid versions for children.

A similar shortage of Tamiflu has hit Canada, which has also been gripped by widespread flu outbreaks, prompting the government there to tap into a national stockpile of the drug.

“That really unexpected increase in demand — far above other influenza seasons — has really depleted the usual stocks which in any other season would have been more than sufficient,” Dr. Barbara Raymond, director of pandemic preparedness for the Public Health Agency of Canada, told The Ottawa Citizen.

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American Express to Cut 5,400 Jobs

LOS ANGELES (AP) — American Express Co. said Thursday that it will slash about 5,400 jobs, mainly in its travel business, as it seeks to cut costs and transform its operations as more of its customers shift to online portals for booking travel plans and other needs.

The job cuts will be partly offset by jobs that the company expects to add this year.

American Express said the jobs eliminated will span employee seniority levels and divisions worldwide, but will primarily involve positions that do not directly generate revenue for the company.

All told, the company anticipates that staffing levels will end up between 4 and 6 percent lower this year than in 2012. The company currently has 63,500 employees.

"Against the backdrop of an uneven economic recovery, these restructuring initiatives are designed to make American Express more nimble, more efficient and more effective in using our resources to drive growth," said CEO Kenneth Chenault.

Shares slipped 29 cents to $60.50 in after-hours trading. They ended regular trading up 53 cents at $60.79.

American Express said it will book an after-tax charge of $287 million due to the restructuring. It's also recording $212 million in expenses related to reward points for its cardholders and roughly $95 million in customer reimbursements and other costs.

The combined charges will reduce American Express' fourth-quarter net income by 46 percent from a year earlier.

The company projects net income of $637 million, or 56 cents per share, compared with net income of $1.2 billion, or $1.01 per share, in the same quarter of 2011.

Excluding one-time items, fourth-quarter 2012 earnings amount to $1.2 billion, or $1.09 per share, ahead of analysts' consensus forecast of $1.06 per share, according to FactSet.

Revenue rose 5 percent to $8.1 billion. Analysts expected $8.01 billion.

The company is scheduled to report full results next Thursday.

Overall American Express has done well after the recession, as upscale shoppers have spent freely. That's because Amex cardholders are in general about a third more affluent than other credit card holders.

Through the first nine months of 2012, revenue grew 5 percent, while net income rose 3 percent.

Spending by cardholders jumped 8 percent in the fourth quarter, despite some softening early in the period due to Superstorm Sandy, the company said.

Chenault noted that, since the recession, American Express has been consistently gaining market share.

Despite that success, he said the company must embrace new technologies, become more efficient and position itself to invest in growth opportunities in a marketplace that's increasingly becoming defined by consumers' use of the Internet and mobile technology.

To that end, American Express' restructuring plan calls for overhauling its travel business to cut costs and invest in ways to cater to a growing volume of customers turning to online and automated tools to make their travel arrangements.

"One outcome of this ongoing shift to online is that we can serve a growing customer base with lower staffing levels," Chenault said during a call with analysts.

The company also will reconfigure its cardholder servicing and collections operations to focus more on online and mobile, rather than telephone and mail.

"The overall restructuring program will put us in a better position as we seek to deliver strong results for shareholders and to maintain marketing and promotion investments at about 9 percent of revenues," Chenault said.

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Venezuelan Court: Chávez Swearing-In Can Be Postponed

CARACAS, Venezuela (AP) — Venezuela's foreign minister is hosting a meeting with leaders from 19 Latin American and Caribbean nations.

Nicolas Maduro plans to discuss issues related to Petrocaribe, a pact that has boosted the South American nation's influence in the region.

Venezuela created Petrocaribe in 2005 to sell fuel to member countries at preferential terms and help finance oil infrastructure projects.

Visiting leaders and foreign ministers are expected to attend an event Thursday to show their support for President Hugo Chavez.

Chavez is currently in Cuba recovering from cancer-related surgery.

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Go Ahead, Keep Being Mean to Celebrities on Twitter

We realize there’s only so much time one can spend in a day watching new trailers, viral video clips, and shaky cell phone footage of people arguing on live television. This is why every day The Atlantic Wire highlights the videos that truly earn your five minutes (or less) of attention. Today:  

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We usually don’t condone being an impolite jerk to anyone, especially on social media. But we kind of make an exception because, well, if everyone was nice to everyone all of a sudden, we’d run out of fun Jimmy Kimmel segments where celebrities read their tweets:

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Oh man, this giant squid is like the most famous sea creature celebrity of the moment. And yes, it’s way freakier in motion:

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So fine, this is sort of bending the rules per se because this isn’t really a video-video. It’s the Game of Thrones introduction with beatboxing by the Stark children. 

And finally, here is one minute of a man singing all the songs involving the word “baby.” And in case you were wondering, yes, Justin Bieber is officially in the Baby Pantheon of Music. 

Social Media News Headlines – Yahoo! News

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