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

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India Ink: A Conversation With: India's Chief Climate Change Negotiator

DOHA, Qatar – With one week left for the U.N. climate change talks to conclude, developed and developing countries remain at odds on how to solve the crisis being linked to the recent spate of extreme weather events that have claimed lives and destroyed property worth billions of dollar.

India has agreed to a take on legally binding obligations after 2020. But for the next eight years, New Delhi wants developed countries to honor their commitments under previous agreements including significantly bringing down their carbon dioxide emissions as well as providing finance and technology to developing countries. Emissions of carbon dioxide hit a record high in 2011, with decreases by developing countries more than offset by increases from China and India.

As discussions heat up here in Doha, India’s chief negotiator, Meera Mehrishi, spoke to India Ink on the contentious issues playing out in the halls of the mammoth Qatar National Convention Center, where delegates from 194 countries have gathered.

Hurricane Sandy, which hit the United States in late October, raised a global alarm about the consequences of climate change. Why don’t these talks reflect urgency for action?

After Hurricane Sandy, I thought the point of view of the Western world would change a little bit. I don’t see that happening. Climate change is becoming a reality because we are facing weather that we have never faced earlier across the world, be it a developed or developing country. And I think at conferences like this, we should have a positive outcome and not just keep postponing things till the next meeting.

A senior negotiator from the United States, Jonathan Pershing, said last week that talks in Doha must phase out obligations under older agreements. How do you react to that?

I know.  But Jonathan Pershing, I find to be a very reasonable man. And yes, I heard that he had made this very strong comment earlier. But we have spoken to the American delegation and they are quite willing to sit down and talk about issues. At least, they are not completely throwing them out of the window. So let us see, while we keep the conversation going, what we are able to keep on the table.

What are India’s stakes at these talks?

Our country is being impacted by climate change. We have had freaky weather in India. The monsoons that used to come in July have started coming in September. The farmers are finding it difficult now because they continue to plant during what they perceive to be the monsoon season. We are losing our crop. It’s going to have huge repercussions on food security in the country. It’s going to take them time to adapt.  And we don’t know what will happen after five to ten years. How often will farmers try to adapt? It will be very difficult.

Last week, you asked the developed world to take higher emission cuts. Can differences between developed and developing countries be resolved in this remaining week?

I think attempts are being made to bridge the divide. Though we are having formal meetings, but we are having a lot of informal consultations. Countries are meeting bilaterally. Very contentious issues are being discussed. And I think everyone is keen to see a Doha outcome.

I think European Union in a meeting mentioned that they were willing to raise their targets to 30 percent. There are some conditionalities that still have to be looked at.  But there is a possibility of European Union raising their targets.

Could you elaborate on the contentious issues?

Well, one that is very contentious is the intellectual property rights-related issue.  Developing countries have been pressing that technology gets transferred from developed to developing countries. We are hoping that developed countries transfer that technology without us having to pay the royalty. But that’s not working out because there are very rigid views from that side because the private sector is involved. The private sector has spent a lot on research and development and I guess they would like some return on it. But then without technology, it will be difficult for developing countries to meet their targets.

Any other particularly tough issue?

Unilateral measures are the other problem for us. Do not take decisions bilaterally that impact other countries. The EUETS [European Union Emissions Trading System] is an example. You [the European Union] impose a tax on civil aviation on airlines that are coming into the European Union. But you’re imposing taxes on flights through their own airspace — that is not European Union airspace. And it had to be discussed keeping the principles of the UNFCCC [United Nations Framework Convention on Climate Change] in view. Now that was not done. It was just announced that we are imposing this tax. They have stopped the clock now and it will be discussed in ICAO [International Civil Aviation Organization]. But we are hoping to see that the principles of the convention are kept in mind by the European Union. And we also want to see that no more unilateral actions are taken.

What about money? Is there any movement on mobilizing $100 billion by 2020?

We have set up institutions. We have a Green Climate Fund but how much money is going to come into that and from where … nobody is willing to make that commitment. That is a major problem for us.

On the finance problem, India and China are proud of their growth stories but they still want a slice of the funds. Does India really need this money?

But our growth story has stopped.  The growth is now 5.5 percent. I won’t say that we are desperate for money but it is always welcome. And in these multilateral forums, we are part of the larger group, G77 + China, we all speak with one voice.

Speaking of groups, how united is the BASIC [Brazil, South Africa, India and China] group now? There have been rumors of divisions inside, especially South Africa having its own agenda.

I don’t think the rumors are true. Because as BASIC, we have been meeting regularly for the last one year. And there are a lot of commonalities among the four countries. Yes, South Africa may have its own agenda. We may have our own agenda. Discussions maybe a little strong sometimes but we come to a consensus. I don’t think the unity of BASIC is going to break. Not now at all.

What commonalities keep BASIC together?

All four countries are developing rapidly. Growth of all four countries has slowed down. We also know that post-2020 to take on any kind of targets, we need to allow our countries to develop now. To develop we need finance and technology … that is where we come together. The idea is that we have to have a good sort of life for people in our countries. China’s growth has slowed down. Brazil is doing very well. But Brazil again has pockets in their country that like us have to develop rapidly.

This interview has been lightly edited and condensed.

Read More..

Kellan Lutz, Hugh Jackman Take Bites and Swipes & More Casting News

By Julia Haskins

12/02/2012 at 07:00 PM EST

Kellan Lutz (left) and Hugh Jackman

Christopher Polk/Getty, Han Myung-Gu/WireImage

It's comeback time. Whether seeking revenge or reprising beloved roles, a fresh crop of movies shows that the best characters always come back for more.

Twilight's Kellan Lutz feasts on others as a vampire, but this time, he's utilizing his own body for powers, Zimbio reports.

The actor will star in Tatua as a tattooed assassin whose weapons are extracted from the ink on his body. The process is a strain on the hit man, but he must put that aside when his son is kidnapped by a dangerous foe.

Hugh Jackman is set to reprise his role as Wolverine in
X-Men: Days of Future Past, the Hollywood Reporter. Ian McKellen (Magneto) and Patrick Stewart (Professor Xavier), will also be joining Jennifer Lawrence, James McAvoy, Michael Fassbender and Nicholas Hoult.

Charlize Theron will star in an adaptation of the final installment of a South Korean revenge trilogy, the Hollywood Reporter also says. The original movie revolves around a woman wrongfully imprisoned for 13 years who then sets out to seek her long-awaited revenge. Writer William Monahan says the English-language remake will be "very American – and very unexpected."

The made-for-TV Disney channel movie Life-Size is getting a sequel, Variety reports. Tyra Banks will reprise her role as Eve, the doll who comes to life, and also executive produce the movie. No word yet on whether Lindsay Lohan, who played Eve's owner, will be making a return.

Also coming soon:

Beyoncé won't be slowing down after her Super Bowl performance in February. Just a couple weeks later, she'll introduce her still untitled, feature-length documentary on HBO, Deadline reports. The documentary airs Feb. 16.

Bridesmaids' Rose Byrne will be going through the motions as a newlywed in I Give it a Year, Zimbio reports. As if being newly married wasn't tough enough, the "too perfect" ex Anna Faris will be shaking up an already teetering balance.

Cate Blanchett will be stirring up her wicked ways as the evil stepmother in a live-action adaptation of Disney's Cinderella, also according to Zimbio.

And George Clooney is sticking to his winning formula by joining forces with his Argo team to produce an untitled crime drama, Variety reports.

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..

Healthcare law will have new California Legislature scrambling

SACRAMENTO — When state lawmakers are sworn in Monday for the new legislative session, they will have little time to enjoy the pomp and circumstance.

Facing a federal deadline, the Legislature must move quickly to pass measures to implement President Obama's healthcare law and revamp the state's insurance market. New legislation will help extend coverage to millions of uninsured Californians and solidify the state's reputation as a key laboratory for the federal law.

Legislative leaders have said they also want to overhaul environmental regulations, curb soaring tuition at public colleges, and tweak the state's tax structure and ballot-initiative system.

But healthcare remains one of the largest and most immediate challenges.

The federal Affordable Care Act takes effect in January 2014, when most Americans face the requirement to buy health insurance or pay a penalty. State lawmakers must pass a series of rules to clear the way for enrollment in a new state-run insurance market next fall, including a requirement for insurers to cover consumers who have preexisting medical conditions and limits on how much they can charge based on age.

Gov. Jerry Brown is expected to call a special session of the Legislature next month — concurrent with the regular session — so healthcare bills that he signs can take effect within 90 days rather than the next year.

"It's a very, very big undertaking to make the promise of the Affordable Care Act a reality," said state Health and Human Services Secretary Diana Dooley. "We are working as hard and as fast as we can in a very complex area with a lot of conflicting information."

As an early adopter of the Affordable Care Act, California has already laid much of the groundwork.

It was the first state to establish an insurance exchange after Congress passed the legislation in 2010. More than 30 other states have since sought federal help in enacting their own. Millions of Californians will be able to purchase coverage, with federal subsidies earmarked for families earning about $92,000 or less annually.

One of the most significant proposals will be an expansion of Medi-Cal, the state's health insurance program for the poor. About 2 million low-income Californians would be newly eligible under the expansion, with the federal government subsidizing costs for the first three years. The state would then shoulder a portion of the bill.

According to a Kaiser Family Foundation study, the expansion could cost the state $6.3 billion over a decade, meaning a 1.7% increase in the amount California spends on Medi-Cal.

California got a head start on the effort by signing up more than 550,000 low-income people in a temporary program. They are expected to automatically move into Medi-Cal in 2014.

Lawmakers will also consider legislation that would create a health plan for people who cannot afford insurance on the open market but make too much money to qualify for Medi-Cal. The option, known as the Basic Health Plan, would provide coverage for individuals with incomes between 133% and 200% of the federal poverty level, or between $15,000 and $21,800 a year.

State Sen. Ed Hernandez (D-West Covina), chairman of the Senate Health Committee and author of the proposal, said the plan was needed to help California's working poor. "I don't think they should be choosing between putting food on the table and buying health insurance," he said.

Insurers urged lawmakers to resist requirements that could make policies offered through the exchange unaffordable.

"We think the Affordable Care Act does much to get millions of people coverage, but new insurance taxes, costly benefit requirements and age pricing restrictions all have the potential of driving up costs," said Nicole Evans, a spokeswoman for the California Assn. of Health Plans.

Healthcare advocates said it was critical for the Legislature to promote policies that would ensure a mix of healthy and sick policyholders to keep premiums affordable.

"It should be a goal of the state to have millions of people enrolled on Day 1," said Anthony Wright, executive director of the consumer group Health Access California, "to bring in those federal dollars and make healthcare cheaper for everybody."

michael.mishak@latimes.com

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Amid Egypt’s Duel on Democracy, Morsi Calls for Vote

Tara Todras-Whitehill for The New York Times

A Cairo rally for President Mohamed Morsi, who wants expanded powers, drew a crowd of hundreds of thousands on Saturday.

CAIRO — President Mohamed Morsi speaks darkly of imminent threats from a conspiracy of unnamed foreign enemies and corrupt businessmen. He vows to uncover counterrevolutionaries hiding under judicial robes. His advisers charge that loyalists of the former dictator have infiltrated the opposition, saying it would gladly sacrifice democracy to defeat the Islamists.

Amr Abdallah Dalsh/Reuters

A large Cairo rally on Saturday added to a debate over President Mohamed Morsi’s commitment to democracy.

In a one-week blitz, Mr. Morsi and his allies in the Muslim Brotherhood cast aside two years of cautious pragmatism in an effort to seize full control of Egypt’s political transition. Mr. Morsi decreed himself above the reach of the courts until completion of a new constitution. He went around the laws to install his own public prosecutor in a stated drive to go after those who abused power or reaped profits under the old government. And his Islamist allies in the constitutional assembly rammed through a charter over the objections of their secular opposition and the Coptic Christian Church.

On Saturday, Mr. Morsi pushed forward with plans for the new constitution, setting a national referendum on it for Dec. 15.

“I pray to God and hope that it will be a new day of democracy in Egypt,” he said in a nationally televised speech, calling for a “national dialogue.”

But his recent tone and actions reminded critics of the autocratic ways of his predecessor, and have aroused a new debate here about his commitment to democracy and pluralism at a time when he and his Islamist allies dominate political life.

Mr. Morsi’s advisers call the tactics a regrettable but necessary response to genuine threats to the political transition from what they call the deep state — the vestiges of the autocracy of former President Hosni Mubarak, especially in the news media and the judiciary.

But his critics say they hear a familiar paranoia in Mr. Morsi’s new tone that reminds them of talk of the “hidden hands” and foreign plots that Mr. Mubarak once used to justify his authoritarianism.

“I have sent warnings to many people who know who they are, who may be committing crimes against the homeland,” Mr. Morsi declared in an interview with state television on Thursday night, referring repeatedly to secret information about a “conspiracy” and “real and imminent threats” that he would not disclose. “If anybody tries to derail the transition, I will not allow them.”

In a speech to supporters that unveiled his new push to seize control of the transition’s end, Mr. Morsi was even more zealous. “To the corrupters who hide under respectable cover, I say, ‘Never imagine that I can’t see you,”’ he declared. “I’m on the lookout for them and will never let them go.”

The Muslim Brotherhood mobilized hundreds of thousands of supporters to rally on his behalf on Saturday at Cairo University. They chanted for legal action against the Mubarak-appointed judge who led the call for a judicial strike to protest Mr. Morsi’s attempts to limit judicial power over the transition, and against the Mubarak-appointed public prosecutor Mr. Morsi sought to remove.

The demonstrators denounced both men as remnants of the old government in disguise.

Across town, several thousand of Mr. Morsi’s opponents rallied in Tahrir Square to oppose the draft constitution and what they describe as Mr. Morsi’s power grab. In response to the referendum announcement, Mohamed ElBaradei, an opposition leader and former United Nations diplomat, sent a Twitter message that the draft constitution “undermines basic freedoms and violates universal values.”

“The struggle will continue,” he added.

The Brotherhood has adopted a tone of “open threats and intimidation,” said Hossam Bahgat, executive director of the Egyptian Initiative for Personal Rights. Liberal critics note that the Brotherhood has already broken its pledges not to take more than a third of the parliamentary seats, run a presidential candidate or monopolize power.

Mayy El Sheikh contributed reporting.

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6 Futuristic Fireplaces to Keep You Warm This Winter

Who would have guessed — the futuristic-looking luxury fireplace industry is booming. Surprisingly, if you can dream it, it can be built. But, most of the time, it’ll cost you.

It seems we’re no longer just content to view the crackling Yule Log on our TVs. These fireplaces even move past the traditional stone and brick models commonly seen today. They run on gas and have controllers to turn them on or off. Some can even be operated from smartphone apps.

[More from Mashable: For Sale: Space Shuttle Xing Sign]

Check out the gallery and tell us which one is most appealing to you.

Uni Flame

The Uni Flame indoor or outdoor fireplace comes from modern home goods company Radius.

[More from Mashable: Portland Toymakers Create Ten-Legged Bamboo Companion [VIDEO]]

Click here to view this gallery.

Photo courtesy of iStockphoto, dszc

This story originally published on Mashable here.

Tech News Headlines – Yahoo! News

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Ashley Hebert and J.P. Rosenbaum Are Married

People Exclusive

By Monica Rizzo

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 fiancé 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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