Chino Hills seeks to close home used by pregnant Chinese women









A Chino Hills residence allegedly housing women from China who want to give birth to U.S.-citizen children is on the verge of being shut down by the city after complaints about traffic and a sewage spill.


The home is on a hilltop at the end of a long driveway on Woodglen Drive, an area zoned for single family houses. City officials have issued a cease and desist order, alleging that the site is being used as a hotel in a rural residential zone. They plan to take the property owner to court.


"Who the customer base is, is not our concern," said city spokeswoman Denise Cattern. "Our concern is that it's a hotel."








A website that city officials believe is associated with the business describes a full range of services, from shopping trips for pregnant women to assistance obtaining American passports for newborns.


A 30-day stay at the Chino Hills facility, along with a month of prenatal care, costs $10,500 to $11,500, according to the Chinese-language website, www.asiamchild.com.


Asiam Child is based in Shanghai, with branches in Anhui province and Nanjing, the website says.


The property owner, Hai Yong Wu, did not return a call seeking comment. A man who left the hotel in a black BMW on Monday afternoon would not speak to reporters.


So-called birth tourism appears to be an active but largely under-the-radar industry in Southern California. One local Chinese phone book has five pages of listings for birthing centers, where women from China and Taiwan stay for a month or so before going home with their U.S.-citizen babies. When the children get older, they may return here to study, perhaps paving the way for the rest of the family to immigrate more easily.


In San Gabriel last year, code enforcement officials shut down a facility where about 10 mothers and seven newborns were staying.


Federal immigration officials say there is no law prohibiting pregnant women from entering the U.S. But obtaining a visa through fraud would be a crime, said Virginia Kice, a spokeswoman for U.S. Immigration and Customs Enforcement.


Chino Hills officials have notified federal authorities about the residence. Kice said she could not confirm whether ICE is investigating.


Neighbors report seeing groups of pregnant women walking along the quiet cul de sac. Cars from the residence sometimes drive down the street at unsafe speeds, they said.


In addition to the single-family zoning violation, the city has cited the owner for allegedly constructing additional rooms without a permit. A sewage spill estimated at 2,000 gallons also prompted a cease and desist order.


"It would be nice to have my neighborhood back. It was a quiet little street," said neighbor Sonya Valez.


On Saturday, a group called Not in Chino Hills staged a street-corner protest against the site.


"They go back," said Rossana Mitchell, a co-founder of the group. "They don't pay taxes, they don't assimilate."


cindy.chang@latimes.com





Read More..

Clinton Warns Syria Against Using Chemical Weapons





PRAGUE — Secretary of State Hillary Rodham Clinton on Monday warned President Bashar al-Assad of Syria not to use chemical weapons and said that the United States was prepared to act if he ignored the warning.







David W Cerny/Reuters

Secretary of State Hillary Clinton during a news conference in Prague on Monday.








Lynsey Addario for The New York Times

Syrian civilians fled from the village of Ras al-Ayn on Monday, after Syrian jets bombed the village.






“This is a red line for the United States,” Mrs. Clinton said. “I am not going to telegraph in any specifics what we would do in the event of credible evidence that the Assad regime has resorted to using chemical weapons against their own people. But suffice it to say we are certainly planning to take action if that eventuality were to occur.”


There have been signs in recent days of heightened activity at some of Syria’s chemical weapons sites, according to American and Israeli officials familiar with intelligence reports. Mrs. Clinton did not confirm the intelligence reports or say what sort of activity was occurring.


The Syrian Foreign Ministry, in a swift response, said the government “would not use chemical weapons, if it had them, against its own people under any circumstances.” The statement was reported on Syrian state television and on the Lebanese channel LBC.


Mrs. Clinton, who made her comments after meeting with Karel Schwarzenberg, the foreign minister of the Czech Republic, indicated that the two sides had discussed the situation in Syria, including the potential chemical weapons threat.


Mr. Schwarzenberg described the situation in Syria as “rather chaotic” and “highly dangerous.” He said that Czech troops who specialize in the detection of chemical weapons and decontamination were in Jordan training with forces there.


An American task force has been deployed to Jordan and has been helping the Jordanians deal with the escalating humanitarian crisis, including an exodus of more than 200,000 refugees from Syria to Jordan. The force is also planning how to respond, if necessary, to a chemical weapons threat.


Although Mrs. Clinton’s reference to a “red line” echoed a warning issued by President Obama in August, it was the most explicit warning from a ranking American official since reports of renewed chemical weapons activity began to surface in recent days.


Mrs. Clinton stopped in Prague on her way to Brussels for a meeting of NATO foreign ministers. A major topic of the NATO meeting is a Turkish request that the alliance deploy Patriot antimissile batteries in Turkey. The Turkish government is concerned about Syria’s ballistic missiles, which could carry chemical weapons, and it wants NATO to guard as many as 10 sites inside Turkey.


What exactly is happening at Syria’s chemical sites is unclear. One American official said Sunday that “the activity we are seeing suggests some potential chemical weapon preparation,” which goes beyond the mere movement of stockpiles among Syria’s several dozen known sites. But the official declined to offer more specifics.


Over the weekend, the activity in Syria prompted a series of urgent consultations among the Western nations, which have long been developing contingency plans to neutralize the chemical weapons, a task that the Pentagon estimates would require more than 75,000 troops. But there were no signs that any American action was imminent.


So far, Mr. Obama has been very cautious about intervening in Syria, declining to arm the opposition groups directly.


Anne Barnard contributed reporting from Beirut, Lebanon.



Read More..

Hands-On With the World-Changing $40 Tablet












Aakash2


The Aakash2 is available for $ 40.41 (2,263 rupees), but the government of India will subsidize half the cost for schoolchildren. The tablet is conceived as a tool to help end India‘s rampant illiteracy. Aakash2 will bring school-age children connectivity and unprecidented access to books.


Click here to view this gallery.












[More from Mashable: Zynga Holiday Campaign Turns Virtual Goods Into Real-World Donations]


The Aakash2, the second generation of the monumental, ultra-cheap tablet from Indian manufacturer DataWind, arrived in the U.S. Wednesday, with a welcome at the U.N. Headquarters in New York.


DataWind is hoping to prove to the tech and development communities that the $ 40 Aakash2 is faster than its predecessor, the original Aakash, which was much-criticized for its glacial processor.


[More from Mashable: The Top 5 Gadget Innovations of 2012]


You may be wondering what exactly you can put in a tablet that sells for just $ 40.41. The 7-inch Android-powered device has 512 MB of RAM, a 1 Ghz processor, 4 GB of flash memory, a multi-touch capacitative screen, front-facing camera, an internal microphone and speakers. The Aakash2 includes a USB hub, an adapter cable, a wall charger and a 12-month warranty.


Sunseet Singh Tuli, DataWind’s CEO and the visionary behind the tablet, points out that Aakash2 wasn’t conceived for the same demographic as the iPad. It’s developed out of the requisite “frugal innovation” that guides India and the developing world.


“Frugal innovation isn’t about creating an iPad killer, it’s about creating an iPad for him,” said Tuli, pointing to a presentation slide of a lower-class man who’s primary motivation is to receive an education. “This is not a straight commerce effort — it’s an educational effort.”


Even the tablet’s name — Aakash, which means sky in Hindi — references that it was created to awaken students’ potential. The government of India has committed to subsidize 50% of the cost of the device for students, making it available for roughly $ 20.


According to DataWind, the technological breakthrough of the Aakash2, which is why the device can be made so inexpensively, is twofold. First, much of its memory and processing power is transfered to backend servers. Second, the parallel processing environment speeds the user experience in remote areas and congested networks.


The Aakash2 also eliminates hardware features deemed unnecessary for the target audience, such as bluetooth and the HDMI interface. It uses open source software to cut costs, as well.


“This tablet seeks to empower the world’s neediest and bridges the digital divide within our society,” said Hardeep Singh Puri, India’s permanent representative to the U.N. at the launch event. “To us, Aakash2 is the epitome of such high end innovation and excellence.”


The Aakash to was designed and developed in Canada, though it was conceived, assembled and programmed in India. DataWind and the Indian government have received criticism because the process is not entirely domestic, though both said they are committed to moving more of the production process to India when cost allows.


The Indian government has committed to equipping all 220 million students in the country with low-cost computing devices and Internet access over the next five years. To put that number in perspective, just 250,000 tablets were sold in India in 2011. It will cost $ 1.6 billion per year at the rate of equipping 40 million students for each of the next five years. The national government has committed to covering half the cost — $ 800 million per year — and will count on state governments and institutions to cover the remaining 50% of costs. Though it sounds like a daunting figure, $ 800 million is only 5% of India’s annual education budget.


“More and more schools in some of the most impoverished areas are using technology, text messaging and mobile applications to enhance the quality of education and open new doors,” said U.N. Secretary General Ban Ki-moon on Wednesday. “Our challenge is to leverage the power of technology and bridge the digital divide.”


During Wednesday’s event at the U.N., Tuli presented Ki-moon with an Aakash2 tablet for each of the U.N. ambassadors.


Not surprisingly, other countries throughout the developing world have noticed the Aakash tablet’s potential. Thailand, Turkey, Sri Lanka, Bolivia, Honduras, Nicaragua, Brazil and Panama have all expressed interest in bringing the low-cost tablet to their students.


“The next arms race is to equip our children with knowledge and information,” Tuli said.


If you’re wondering when you can get your hands on an Aakash2 in the U.S., DataWind plans to begin selling the device in the U.S. in early 2013.


Do you think this low-cost tablet has the power to bridge the digital divide and combat illiteracy? Let us know in the comments.


This story originally published on Mashable here.


Linux/Open Source News Headlines – Yahoo! News


Read More..

Johnny Depp Performs with Alice Cooper in L.A.















12/03/2012 at 07:15 AM EST







Johnny Depp and Alice Cooper


Todd Nakamine


Johnny Depp rocks!

The Lone Ranger actor joined Alice Cooper on stage at the Orpheum Theatre in Los Angeles on Thursday.

"Johnny was in great spirits," a fellow concertgoer tells PEOPLE. "He was really happy and at ease, especially on stage with the rest of the band."

During their performance, Depp and Cooper played several cover songs including The Doors' "Break On Through (To the Other Side)," The Beatles' "Revolution" and Jimi Hendrix's "Foxy Lady."

Depp – who stepped out solo – was enjoying a "guys night" and wasn't "with any ladies," the source adds.

– Jessica Herndon


Read More..

Asperger's dropped from revised diagnosis manual

CHICAGO (AP) — The now familiar term "Asperger's disorder" is being dropped. And abnormally bad and frequent temper tantrums will be given a scientific-sounding diagnosis called DMDD. But "dyslexia" and other learning disorders remain.

The revisions come in the first major rewrite in nearly 20 years of the diagnostic guide used by the nation's psychiatrists. Changes were approved Saturday.

Full details of all the revisions will come next May when the American Psychiatric Association's new diagnostic manual is published, but the impact will be huge, affecting millions of children and adults worldwide. The manual also is important for the insurance industry in deciding what treatment to pay for, and it helps schools decide how to allot special education.

This diagnostic guide "defines what constellations of symptoms" doctors recognize as mental disorders, said Dr. Mark Olfson, a Columbia University psychiatry professor. More important, he said, it "shapes who will receive what treatment. Even seemingly subtle changes to the criteria can have substantial effects on patterns of care."

Olfson was not involved in the revision process. The changes were approved Saturday in suburban Washington, D.C., by the psychiatric association's board of trustees.

The aim is not to expand the number of people diagnosed with mental illness, but to ensure that affected children and adults are more accurately diagnosed so they can get the most appropriate treatment, said Dr. David Kupfer. He chaired the task force in charge of revising the manual and is a psychiatry professor at the University of Pittsburgh.

One of the most hotly argued changes was how to define the various ranges of autism. Some advocates opposed the idea of dropping the specific diagnosis for Asperger's disorder. People with that disorder often have high intelligence and vast knowledge on narrow subjects but lack social skills. Some who have the condition embrace their quirkiness and vow to continue to use the label.

And some Asperger's families opposed any change, fearing their kids would lose a diagnosis and no longer be eligible for special services.

But the revision will not affect their education services, experts say.

The new manual adds the term "autism spectrum disorder," which already is used by many experts in the field. Asperger's disorder will be dropped and incorporated under that umbrella diagnosis. The new category will include kids with severe autism, who often don't talk or interact, as well as those with milder forms.

Kelli Gibson of Battle Creek, Mich., who has four sons with various forms of autism, said Saturday she welcomes the change. Her boys all had different labels in the old diagnostic manual, including a 14-year-old with Asperger's.

"To give it separate names never made sense to me," Gibson said. "To me, my children all had autism."

Three of her boys receive special education services in public school; the fourth is enrolled in a school for disabled children. The new autism diagnosis won't affect those services, Gibson said. She also has a 3-year-old daughter without autism.

People with dyslexia also were closely watching for the new updated doctors' guide. Many with the reading disorder did not want their diagnosis to be dropped. And it won't be. Instead, the new manual will have a broader learning disorder category to cover several conditions including dyslexia, which causes difficulty understanding letters and recognizing written words.

The trustees on Saturday made the final decision on what proposals made the cut; recommendations came from experts in several work groups assigned to evaluate different mental illnesses.

The revised guidebook "represents a significant step forward for the field. It will improve our ability to accurately diagnose psychiatric disorders," Dr. David Fassler, the group's treasurer and a University of Vermont psychiatry professor, said after the vote.

The shorthand name for the new edition, the organization's fifth revision of the Diagnostic and Statistical Manual, is DSM-5. Group leaders said specifics won't be disclosed until the manual is published but they confirmed some changes. A 2000 edition of the manual made minor changes but the last major edition was published in 1994.

Olfson said the manual "seeks to capture the current state of knowledge of psychiatric disorders. Since 2000 ... there have been important advances in our understanding of the nature of psychiatric disorders."

Catherine Lord, an autism expert at Weill Cornell Medical College in New York who was on the psychiatric group's autism task force, said anyone who met criteria for Asperger's in the old manual would be included in the new diagnosis.

One reason for the change is that some states and school systems don't provide services for children and adults with Asperger's, or provide fewer services than those given an autism diagnosis, she said.

Autism researcher Geraldine Dawson, chief science officer for the advocacy group Autism Speaks, said small studies have suggested the new criteria will be effective. But she said it will be crucial to monitor so that children don't lose services.

Other changes include:

—A new diagnosis for severe recurrent temper tantrums — disruptive mood dysregulation disorder. Critics say it will medicalize kids' who have normal tantrums. Supporters say it will address concerns about too many kids being misdiagnosed with bipolar disorder and treated with powerful psychiatric drugs. Bipolar disorder involves sharp mood swings and affected children are sometimes very irritable or have explosive tantrums.

—Eliminating the term "gender identity disorder." It has been used for children or adults who strongly believe that they were born the wrong gender. But many activists believe the condition isn't a disorder and say calling it one is stigmatizing. The term would be replaced with "gender dysphoria," which means emotional distress over one's gender. Supporters equated the change with removing homosexuality as a mental illness in the diagnostic manual, which happened decades ago.

___

AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com/LindseyTanner .

Read More..

For dropouts, a way to drop back in









The corner of 4th and Gless streets in East Los Angeles, once a center of prostitution and drugs, now houses a place of soaring dreams.


Inside the gleaming Boyle Heights Technology Youth Center, a classroom of young people battered by hard luck or bad choices is filled with quiet, focused energy.


Marcos Avila, a 19-year-old who was kicked out of high school for fighting, is learning to compare and contrast two essays. Vincent Guzman, 18, who left school after his brother was killed in a drive-by shooting, is puzzling over two-step algebraic problems.





Until recently, the two men were part of a growing epidemic of young people who have dropped out of school, can't find steady work and are disconnected from any path to better lives. According to a study released Monday, the number of Californians ages 16 to 24 who neither work nor attend school has grown to 868,000, an increase of 35% since 2000.


The study by two children's advocacy organizations, the Annie E. Casey Foundation and Children Now, found that the recession had boosted the rates of these young people — particularly in African American, Latino and low-income communities. Many of them were caught in a squeeze between fewer jobs and a demand for higher skills, the report said.


Among African Americans, 45% of young people don't work or attend school; the figure is 39% for Latinos, 28% for whites and 26% for Asians. Young people whose families earn less than $20,000 a year are three times more likely to be out of work or school than those in higher-income families.


"These numbers are eye-opening and unacceptable," said Ted Lempert, president of Children Now, an Oakland-based nonpartisan policy and advocacy organization. "California's next generation is getting off on the wrong start and it's a real precarious situation for their future and ours."


The report calls for more funding for young people, saying federal money is primarily aimed at adult employment programs. The report also promotes a shift from piecemeal programs to a comprehensive effort to get young people back on track through integrated education, training and support services across city, county and school systems. Strong relationships with caring adults are also key, the report said.


That's exactly the approach the city is taking in its new program in Boyle Heights and elsewhere, said Robert Sainz, assistant general manager of the Los Angeles Community Development Department.


The $13-million federally funded program features an unusual partnership between the city and Los Angeles Unified School District. The city has long offered job training programs for dropouts, commissioning a study seven years ago that found nearly 20% of 492,000 Los Angeles residents ages 16 to 24 had left school and weren't working. A follow-up study in 2009 found the problem had not diminished.


"You had basically a small city of people neither at school or work," Sainz said. "When you have a group not progressing socially or academically, you're not going to be developing a work pool of the future."


The new program expects to reach 10,000 young people in a year.


As national attention honed in on the dropout problem, Sainz and his team visited several cities in search of effective programs and decided to shift the majority of their federal workforce development money to this group. But a key issue was trying to find the dropouts, since their names, addresses and phone numbers are confidential school records.


That's when the city and Los Angeles Unified agreed to team up and share the $120,000 annual cost of placing a school counselor in each of the city's 13 youth centers that are hosting the program. With access to school records, the pupil services and attendance counselors can hunt down dropouts and give them an academic assessment on how many credits they need to earn a high school diploma or equivalent credential known as a GED.


That's how Maria Ocampo, 18, ended up at the Boyle Heights tech center. The bright, articulate student hails from a Mexican immigrant family of teachers and nurses, but dropped out of Roosevelt High School in May to take care of her ill mother.


In August, Los Angeles Unified counselor Sara Puma tracked her down — just in time to join the program's first class in September. A strength of the program, students said, is the supportive staff, including a social worker who gives them a mental health assessment and case workers who keep them on track.


Case worker Marie Landeros, for instance, found one young charge who missed class and sternly told him that sleeping in "isn't going to work for me" because the center is paying for his education; he now attends and calls if he's going to be late.


Landeros, who grew up in Boyle Heights, keeps her door open and candy jar filled to develop the trusting relationships that she and others say are important to their success with students.


Ocampo is completing course work for her English composition class and expects to earn her diploma in June after finishing health, algebra and history classes. She said it was easier to focus at the center, where the curriculum is self-paced and there is no peer pressure to ditch class.


But academics are not the program's only benefit. The center also helps students find internships and jobs. Ocampo, for instance, found an internship with the California Democratic Party, where she worked on the successful Proposition 30 school tax initiative. Along the way she met a bevy of elected officials, including former President Clinton, Los Angeles Mayor Antonio Villaraigosa and Los Angeles school board President Monica Garcia.


The experience has given her a new dream: attend Mills College in Oakland and eventually run for elective office.


"This program helps you achieve what you really want," she said.


Avila, who was kicked out of two high schools and left a third, has traded aimless days of video games, basketball and TV for a path to a diploma and what he hopes will be a career as a video game designer. He said his brother told him about the program after hearing about it in a firefighting training class.


He said he was known for his "fists of fury" in high school, but not anymore. "I've cooled down and realize what's more important is school," he said.


Guzman hopes to earn his GED and dreams of feeding his passion for cars as a Mercedes-Benz technician.


Other former dropouts say they want to become electricians, filmmakers, artists.


"A lot of people look at dropout kids as throwaways, but we have the fundamental belief that they can succeed," Sainz said.


teresa.watanabe@latimes.com





Read More..

IHT Rendezvous: Christmas Tree Controversy Fires Multicultural Belgium

LONDON — It’s that time of year again. As November turned to December, a work gang just arrived outside the front window to set up the neighbourhood Christmas tree and mark the approach of the annual season of peace and good will.

Meanwhile, across the Channel in Brussels, there is a distinct lack of good will this year as locals in the Belgium capital tangle over a controversial decision by the city fathers to replace the traditional pine tree with an abstract structure of illuminated cubes.

The 25-meter, or 82-foot, tree of light installed this year on the Grand Place, the main square in Brussels, has sparked a protest movement and an online petition, demanding respect for “values and traditions”, which has so far attracted 25,000 signatures.

Some are claiming, however, that the campaign amounts to a thinly veiled attack on multiculturalism in the capital of the European Union, with undertones of Islamophobia.

The controversy was sparked by remarks by Bianca Debaets, a city councilor from the Christian Democrat and Flemish Party, who claimed the Socialist-run municipality was pandering to the sensitivities of non-Christians by scrapping the traditional tree.

“What next?” she asked. “Will Easter eggs be banned from the city because they make us think of Easter?”

The municipality has defended its choice, saying it wanted to blend the modern and the traditional to show off the city’s annual winter fair. More traditional Christmas symbols would also be on display in the Grand Place, including a Nativity scene, officials said.

Ms. Debaets has since distanced herself from openly racist comments that have attached themselves to an otherwise innocent online protest movement, some of which claimed the city was bowing to pressure from its estimated one-in-five Muslim minority.

In online comments, Muslims ridiculed the claims and Semsettin Ugurlu, chairman of the Belgian Muslim Executive that represents the Muslim community, said his organization did not object to any kind of Christmas tree.

“We know we are living in a country with a Christian culture, we take no offense over a traditional Christmas tree,” the BBC quoted him as saying.

The organizer of the online protest petition, identified as Olivier, told Belgian television he was not a racist and merely wanted his children to enjoy the pleasure of seeing the traditional tree.

The wording of the petition, and some of the comments attached by signatories, nevertheless revealed a wider agenda. It said the scrapping of the traditional tree at the Grand Place followed a ban on Christmas trees at law courts, the suppression of religious symbols at school and a ban on pork at school canteens.

The Christmas tree controversy comes after two members of an Islamic list, who said they might one day seek a referendum on establishing Sharia law in Belgium, were elected last month as councilors in Flemish-speaking districts of the Brussels region.

That prompted its own online petition, sponsored by a far-right party, to have their grouping banned.

Their election embarrassed moderate Muslim organisations, one of which started its own petition rejecting Sharia law. The Belgian Muslim Executive also said it was inconceivable to most Muslims that Belgium would ever become a Muslim state.

Olivier Mangain, a center-right Francophone politician, meanwhile called for secularism to be written into the Belgian Constitution in order to prevent any religious or other group from undermining fundamental rights such as gender equality.

La Vie, a Christian weekly in neighboring France, commented: “In a country hit by economic crisis, in the grip of regional tensions, and now starting an annual battle over how to mark Christmas, this affair has once more sparked a debate over the identity of Belgium.”

Read More..

Ashley Hebert and J.P. Rosenbaum Are Married






People Exclusive








12/01/2012 at 06:15 PM EST







J.P. Rosenbaum and Ashley Hebert


Victor Chavez/Getty


It’s official: Bachelorette star Ashley Hebert and her fiancĂ© J.P. Rosenbaum tied the knot Saturday afternoon in Pasadena, Calif.

Surrounded by family, friends and fellow Bachelor and Bachelorette alumni like Ali Fedotowsky, Emily Maynard, and Jason and Molly Mesnick, the couple said "I do" in an outdoor ceremony officiated by franchise host Chris Harrison.

"Today is all about our friends and family," Hebert, whose nuptials will air Dec. 16 on a two-hour special on ABC, tells PEOPLE. "It's about standing with J.P., looking around at all the people we love in the same room there to celebrate our love."

The 28-year-old dentist from Madawaska, Maine, met New York construction manager Rosenbaum, 35, on season 7 of The Bachelorette. The couple became engaged on the season finale.

Hebert and Rosenbaum are the second couple in the franchise's 24 seasons to make it from their show finale to the altar, following in the footsteps of Bachelorette Trista Rehn, who married Vail, Colo., firefighter Ryan Sutter in 2003.

Read More..

Asperger's dropped from revised diagnosis manual

CHICAGO (AP) — The now familiar term "Asperger's disorder" is being dropped. And abnormally bad and frequent temper tantrums will be given a scientific-sounding diagnosis called DMDD. But "dyslexia" and other learning disorders remain.

The revisions come in the first major rewrite in nearly 20 years of the diagnostic guide used by the nation's psychiatrists. Changes were approved Saturday.

Full details of all the revisions will come next May when the American Psychiatric Association's new diagnostic manual is published, but the impact will be huge, affecting millions of children and adults worldwide. The manual also is important for the insurance industry in deciding what treatment to pay for, and it helps schools decide how to allot special education.

This diagnostic guide "defines what constellations of symptoms" doctors recognize as mental disorders, said Dr. Mark Olfson, a Columbia University psychiatry professor. More important, he said, it "shapes who will receive what treatment. Even seemingly subtle changes to the criteria can have substantial effects on patterns of care."

Olfson was not involved in the revision process. The changes were approved Saturday in suburban Washington, D.C., by the psychiatric association's board of trustees.

The aim is not to expand the number of people diagnosed with mental illness, but to ensure that affected children and adults are more accurately diagnosed so they can get the most appropriate treatment, said Dr. David Kupfer. He chaired the task force in charge of revising the manual and is a psychiatry professor at the University of Pittsburgh.

One of the most hotly argued changes was how to define the various ranges of autism. Some advocates opposed the idea of dropping the specific diagnosis for Asperger's disorder. People with that disorder often have high intelligence and vast knowledge on narrow subjects but lack social skills. Some who have the condition embrace their quirkiness and vow to continue to use the label.

And some Asperger's families opposed any change, fearing their kids would lose a diagnosis and no longer be eligible for special services.

But the revision will not affect their education services, experts say.

The new manual adds the term "autism spectrum disorder," which already is used by many experts in the field. Asperger's disorder will be dropped and incorporated under that umbrella diagnosis. The new category will include kids with severe autism, who often don't talk or interact, as well as those with milder forms.

Kelli Gibson of Battle Creek, Mich., who has four sons with various forms of autism, said Saturday she welcomes the change. Her boys all had different labels in the old diagnostic manual, including a 14-year-old with Asperger's.

"To give it separate names never made sense to me," Gibson said. "To me, my children all had autism."

Three of her boys receive special education services in public school; the fourth is enrolled in a school for disabled children. The new autism diagnosis won't affect those services, Gibson said. She also has a 3-year-old daughter without autism.

People with dyslexia also were closely watching for the new updated doctors' guide. Many with the reading disorder did not want their diagnosis to be dropped. And it won't be. Instead, the new manual will have a broader learning disorder category to cover several conditions including dyslexia, which causes difficulty understanding letters and recognizing written words.

The trustees on Saturday made the final decision on what proposals made the cut; recommendations came from experts in several work groups assigned to evaluate different mental illnesses.

The revised guidebook "represents a significant step forward for the field. It will improve our ability to accurately diagnose psychiatric disorders," Dr. David Fassler, the group's treasurer and a University of Vermont psychiatry professor, said after the vote.

The shorthand name for the new edition, the organization's fifth revision of the Diagnostic and Statistical Manual, is DSM-5. Group leaders said specifics won't be disclosed until the manual is published but they confirmed some changes. A 2000 edition of the manual made minor changes but the last major edition was published in 1994.

Olfson said the manual "seeks to capture the current state of knowledge of psychiatric disorders. Since 2000 ... there have been important advances in our understanding of the nature of psychiatric disorders."

Catherine Lord, an autism expert at Weill Cornell Medical College in New York who was on the psychiatric group's autism task force, said anyone who met criteria for Asperger's in the old manual would be included in the new diagnosis.

One reason for the change is that some states and school systems don't provide services for children and adults with Asperger's, or provide fewer services than those given an autism diagnosis, she said.

Autism researcher Geraldine Dawson, chief science officer for the advocacy group Autism Speaks, said small studies have suggested the new criteria will be effective. But she said it will be crucial to monitor so that children don't lose services.

Other changes include:

—A new diagnosis for severe recurrent temper tantrums — disruptive mood dysregulation disorder. Critics say it will medicalize kids' who have normal tantrums. Supporters say it will address concerns about too many kids being misdiagnosed with bipolar disorder and treated with powerful psychiatric drugs. Bipolar disorder involves sharp mood swings and affected children are sometimes very irritable or have explosive tantrums.

—Eliminating the term "gender identity disorder." It has been used for children or adults who strongly believe that they were born the wrong gender. But many activists believe the condition isn't a disorder and say calling it one is stigmatizing. The term would be replaced with "gender dysphoria," which means emotional distress over one's gender. Supporters equated the change with removing homosexuality as a mental illness in the diagnostic manual, which happened decades ago.

___

AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com/LindseyTanner .

Read More..

Army sergeant killed in Afghanistan









A self-described "meat and potatoes" conservative, Tony Ruiz often argued politics with his son.


They clashed over perceptions of Islam after the U.S. Embassy in Benghazi was overrun. But Tony said his son, Clinton, made some good points.


"He drew a very clear distinction between Muslim radicals and the Islam religion," Tony said. "It actually did convince me."





He is still convinced, a month after his son, Sgt. Clinton K. Ruiz, was killed by small-arms fire in Afghanistan, serving a tour as a psychological operations specialist with the 9th Military Information Support Battalion, 8th Military Information Support Group.


"It was one man pulling the trigger," the elder Ruiz said firmly. "Harboring ill will is not going to serve my son's memory."


Born in Poway and raised in Murrieta, Clinton was the type of kid who could always find a reason to be in a good mood, Ruiz said. In junior soccer leagues he defended the ball like a "bulldog with a pork chop," but he always had a kind word for anyone who scored a goal, said his mother, Carla Trease.


When he lost at board games, he'd heap accolades on the victor until they started to laugh. He lavished praise on his mother's cooking, sang along to the radio in the car and never minded if his younger siblings followed him around.


"I don't know how he did it." Trease said. "I was never a good cook. but he just made you feel good just by being in the room."


At school, Clinton was confident and athletic, but never a prom king candidate. He was quiet, but his smile won him friends. He tested well, but homework bored him, said Trease, an elementary school teacher. He felt most at home on a four-wheeler, conquering the hills near their Riverside County home at top speed.


"He just always wanted to be going somewhere and doing something," Trease said.


After graduating in 2008, Ruiz enrolled in summer college classes because he knew Trease wanted him to try. But even then, the only class that excited him was a course on emergency medical triage, Trease said. Before the summer was out, he had joined the Army.


Kira Ruiz, Clinton's wife, first met him in training camp as they stood shoulder to shoulder in formation for morning drills. Clinton was wearing Rayban glasses with the logo blacked out in Sharpie because regulations prohibited recruits to wear brand names.


"I looked up at him and said 'nice glasses,' and he started laughing," said Kira, who was also a psychological operations specialist.


When Kira became a squad leader during drills, Clinton took a position at road guard to be a few paces closer. Soon, he asked her out. She refused. He asked again, every day, for three weeks.


"I wasn't sure I liked him as more than a friend," Kira said. "But he was pretty sure."


Won over by Clinton's persistence, she started dating him, sneaking moments between language classes at their base, Ft. Bragg. One morning Clinton appeared in Kira's bedroom and shook her awake. In his right hand, he was carrying a caramel macchiato; in his left hand, a ring.


They got married in the county courthouse, after Kira's deployment was moved up. Clinton's father got a text the day of the wedding.


"It said, 'I got married lol,'" Tony Ruiz said. "Not a big planner, that one."


Late last year, soon after Kira gave birth to their son, Caleb, Clinton reenlisted with the Army. The decision sent him to Afghanistan and put him face to face with the small-arms fire that claimed his life.


Trease fought his decision and recalls a strong sense of foreboding. She called, texted and emailed until she feared she was "sounding like a broken record," Trease said.


"But he would always call back. He'd always say, 'I know, Mom, I know,' " Trease said.


Clinton was killed in the Oruzgan province in mountainous central Afghanistan. His awards include the Bronze Star Medal, Purple Heart and the National Defense Service Medal. He was buried at the Fort Rosecrans National Cemetery in San Diego.


One of the last times Trease saw her son, they were driving home from a dinner with her two sons.


She remembers it because the Ruizes are a family that sings in the car during road trips, Trease said. The song doesn't matter as much as singing loudly and remembering as many words as you can. The singer Adele came on the radio and someone turned up the volume. They all belted the song at the top of their lungs until the car pulled into the driveway.


"I just remember thinking, oh, I hope this song never ends," Trease said. "It was a good, long one."


frank.shyong@latimes.com





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