Recipes for Health: Penne With Mushroom Ragout and Spinach

Andrew Scrivani for The New York Times

Penne with mushroom ragout and spinach.

​​Mushrooms and spinach together is always a match made in heaven. I use a mix of wild and regular white or cremini mushrooms for this, but don’t hesitate to make it if regular mushrooms are all that is available.

 

1/2 ounce (about 1/2 cup) dried porcini mushrooms

2 tablespoons extra virgin olive oil

1/2 medium onion or 2 shallots, chopped

2 garlic cloves, minced

1 pound mixed regular and wild mushrooms or 1 pound regular white or cremini mushrooms, trimmed and cut in thick slices (or torn into smaller pieces, depending on the type of mushroom)

Salt and freshly ground pepper

1/4 cup fruity red wine, such as a Côtes du Rhone or Côtes du Luberon

2 teaspoons chopped fresh thyme or a combination of thyme and rosemary

6 ounces baby spinach or 12 ounces bunch spinach (1 bunch), stemmed and thoroughly cleaned

3/4 pound penne

Freshly grated Parmesan to taste

 

1. Place the dried mushrooms in a Pyrex measuring cup and pour on 2 cups boiling water. Let soak 30 minutes, while you prepare the other ingredients. Place a strainer over a bowl, line it with cheesecloth or paper towels, and drain the mushrooms. Squeeze the mushrooms over the strainer to extract all the flavorful juices. Then rinse the mushrooms, away from the bowl with the soaking liquid, until they are free of sand. Squeeze dry and set aside. If very large, chop coarsely. Measure out 1 cup of the soaking liquid and set aside.

2. Heat the olive oil in a large, heavy, nonstick skillet over medium heat and add the onion or shallots. Cook, stirring often, until tender, about 5 minutes. Turn up the heat to medium-high and add the fresh mushrooms. Cook, stirring often, until they begin to soften and sweat, about 5 minutes. Add the garlic and salt to taste, stir together for about 30 seconds, then add the reconstituted dried mushrooms and the wine and turn the heat to high. Cook, stirring, until the liquid boils down and glazes the mushrooms. Add the herbs and the mushroom soaking liquid. Bring to a simmer, add salt to taste, and cook over medium-high heat, stirring often, until the mushrooms are thoroughly tender and fragrant. Turn off the heat, stir in some freshly ground pepper, taste and adjust salt.

3. Bring a large pot of water to a boil and salt generously. Fill a bowl with ice water. Add the spinach to the boiling water and blanch for 20 seconds only. Remove with a skimmer and transfer to the ice water, then drain and squeeze out water. Chop coarsely and add to the mushrooms. Reheat gently over low heat.

4. Bring the water back to a boil and cook the pasta al dente following the timing suggestions on the package. If there is not much broth in the pan with the mushrooms and spinach, add a ladleful of pasta water. Drain the pasta, toss with the mushrooms and spinach, add Parmesan to taste, and serve at once.

Yield: Serves 4

Advance preparation: The mushroom ragout will keep for 3 or 4 days in the refrigerator and tastes even better the day after you make it.

Nutritional information per serving: 437 calories; 9 grams fat; 1 gram saturated fat; 2 grams polyunsaturated fat; 5 grams monounsaturated fat; 0 milligrams cholesterol; 73 grams carbohydrates; 5 grams dietary fiber; 48 milligrams sodium (does not include salt to taste or Parmesan); 17 grams protein

​

Up Next: Spinach Gnocchi

 

Martha Rose Shulman is the author of “The Very Best of Recipes for Health.”

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Fiscal Cutoff Gradually Morphs Into a Horizon

Quick action by President Obama and Congress could still help the economy escape the full impact of hundreds of billions in tax increases and automatic spending cuts set to take effect shortly after the last minutes of 2012 tick away next week. But if the deadlock in Washington persists much longer than a few weeks, the consequences will quickly mount, economists warn.

Until late last week, most observers had expected the president and Congressional Republicans to come up with at least a short-term compromise before the year-end deadline. But the failure of Speaker John A. Boehner to win support for tax increases on the wealthiest Americans from fellow House Republicans has forced many economic observers to reconsider what might happen if political leaders remain deadlocked into 2013.

Wall Street is still betting on a quick deal, but that confidence is misplaced, said Julia Coronado, chief North American economist at BNP Paribas. “Markets have been incredibly complacent about this,” she said. If a compromise cannot be found by Jan. 1, she said, “the markets will take that hard.”

Some hits — like a two percentage point increase in payroll taxes and the end of unemployment benefits for more than two million jobless Americans — would be felt right away. But other effects, like tens of billions in automatic spending cuts, to include both military and other programs, would be spread out between now and the end of the 2013 fiscal year in September. These could quickly be reversed if a compromise is found.

Similarly, the expiration of Bush-era tax cuts on Jan. 1 would not have a major impact on consumers if Congress quickly agreed to extend them for all but the wealthiest Americans in early 2013, as is widely expected.

Other probable changes, like a jump in taxes on capital gains and dividends, would most likely be felt over a broader period rather than as an immediate blow to the economy.

In the meantime, more observers are contemplating what the impact will be if Washington ignores the year-end deadline and waits until January or February to act.

“It’s still possible they will work something out by the end of the year, but the probability seems reasonably high that we may go into January with no agreement,” said Dean Maki, chief United States economist at Barclays Capital. “But the longer this goes on, the more nervous I get about first-quarter growth. If negotiations were to linger into March, then the first quarter could be much weaker.”

If the impasse lasted even longer and the full force of more than $500 billion in tax increases and spending cuts hit the economy, the Congressional Budget Office predicts the country would slip into recession in the first half of 2013, with unemployment rising to 9.1 percent by the fourth quarter of 2013. But for all the pessimism recently, most observers still think a compromise will be reached, even if it takes a few more weeks.

Negotiations are set to resume in the coming days, following a break for Christmas, although hopes for a so-called grand bargain have faded. Instead, President Obama is pushing for a scaled-back plan that would extend the Bush-era tax cuts on incomes below $250,000, while suspending the automatic spending cuts and extending unemployment benefits.

Michelle Meyer, senior United States economist at Bank of America Merrill Lynch, said there is a 40 percent chance of what she calls a “bungee-jump over the fiscal cliff,” with Congress failing to act until after Jan. 1 but eventually averting the full package of tax increases and spending cuts by mid-January. If that were to happen, she predicts a steep sell-off on Wall Street, which would quickly force political leaders to compromise.

Over all, Ms. Meyer estimates that the economy will grow by just 1 percent in the first quarter of 2013, well below the 3.1 percent pace recorded in the third quarter of 2012.

What’s worrisome, she added, is that consumer anxiety about the fiscal impasse has begun to mount, catching up with business leaders who have been warning of economic danger since summer. “What’s been missing in this recovery has been confidence,” she said. “We’d see a healthy recovery if it weren’t for this uncertainty and the potential shock from Washington.”

Indeed, the economy has been showing signs of life recently. Unemployment in November sank to 7.7 percent, a four-year low. Consumer spending has been picking up, and the housing market has continued to recover in many parts of the country. Overseas worries like slowing growth in China and recession in Europe have also faded.

Those trends have encouraged some observers, like Steve Blitz, chief economist at ITG Investment Research. He estimates that the economy will grow by nearly 2.5 percent in the first quarter if Washington comes up with even a modest compromise. In the absence of a deal, the pace of growth would be more like 1 percent, he said.

“I don’t think that not having a deal going into the new year is all that critical,” Mr. Blitz said. “It doesn’t mean you will immediately go into a recession.”

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India Ink: Adding Indian Spice to Christmas

For those who celebrate Christmas, the meal eaten to mark the holiday can be as important as the ritual of exchanging gifts or decorating a green tree.

South Asians, of course, make food center stage at any occasion, and many have come to embrace the tradition of Christmas dinner, whether they’re Hindu, Muslim or Christian. But just as Indians adjust Western dishes to their tastes – like adding cilantro to pasta or green chili to grilled cheese – so do they “Indianize” Christmas food classics.

NYCDesi

The Indian Scene, as Seen From New York

Saira Malhotra, a recipe developer based in New York and founder of the food site Passport Pantry, recalled how many Indians in her hometown of London would use tandoori masala and ginger to marinate the traditional British meal of turkey, fearing the traditional holiday recipes might not stand up to a palate accustomed to spice.

A plate of meat with mint jelly and roasted potatoes might sound like a nice enough meal, but for many South Asians it can be a bit bland. An Indian chef might add roasted cumin to the potatoes, chilies in the chutney and a crust of mango powder on the meat.

It’s easy to get creative with Indian-fusion renditions of Christmas dishes, and Ms. Malhotra has a few recipes she recommends to bring the two cultures together on one plate.

Habanero Savory Cheesecake
This cheesecake, served as an appetizer or side dish, combines Christmas elements, like the rosemary crust, with plenty of heat.

Ingredients

1 packet of rosemary crackers (1½ cups crushed)
1 stick softened butter
3 tablespoons cornstarch
1 teaspoon salt
5 ounces sour cream
16 ounces cream cheese (2 regular-sized packs)
5 ounces blue cheese
2 eggs
4 tablespoons habanero jelly (or any other chili jelly)
Fresh cracked pepper

Method

For the crust:
As the oven heats to 350 degrees Fahrenheit, crush the crackers with the butter and pack tightly against the base of a nine-inch springform pan. Bake for 10 minutes, remove from the oven and set aside to cool. Reduce the oven temperature to 250 degrees Fahrenheit.

For the cheese filling:

1. Beat the salt, sour cream, cream cheese and cornstarch. Add the blue cheese and combine well. Add the eggs one at a time, combining thoroughly each time. Swirl in half the habanero jelly and black pepper.

2. Pour mixture over the cooled crust and bake for one hour. Do not overcook the cheesecake or it will lose its creaminess. Once the cheesecake is set on the sides and wobbly in the middle, it is done.

3. Remove and cool completely. It will continue to stiffen as it cools. Wrap well and refrigerate for at least four hours. Spread remaining habanero jelly on top before serving.

Mango and Ginger Chutney
The sweetness of the mango works well with savory dishes, and the sharpness of the ginger and spices balances the richness of a roasted ham or a charcuterie and cheese plate.

Ingredients

3 pounds ripe Mexican mangoes, peeled and cut into small pieces
1 medium-sized onion, diced
2 fresh red or green chilies, chopped into ¼-inch pieces
14 ounces rice wine vinegar
14 ounces jaggery, broken into small pieces (if you can’t find jaggery at your ethnic specialty store, substitute brown sugar)
2 tablespoons cooking oil
1 teaspoon each of cumin seeds, coriander powder (or crushed coriander seeds), fenugreek seeds, nigella seeds
4-6 cloves
6 whole peppercorns

Method

1. Sterilize the pickling jars in boiling water.

2. Heat the cooking oil in a pan. Add the cumin, fenugreek and nigella seeds, coriander, cloves and whole peppercorns. Allow the spices to turn a couple of shades darker.

3. Sauté the onions and fresh chilies in the same pan until the onions are translucent. Add the jaggery/sugar and vinegar and allow the sweetening agent to fully dissolve.

4. Add the mangoes, bring to a boil and turn down the heat to a simmer. Cook for approximately 1 hour or until the chutney has thickened. The mango will have become translucent at this point and will have a sheen to it.

5. Fill the sterilized jars while the chutney is still hot and seal them.

Roasted Yams with Spice Crust
The spices provide complexity to this typically one-toned side dish, thanks to the contrasting components of flavor.

Ingredients

3 pounds yams
1 teaspoon coriander seeds
1 teaspoon cumin seeds
2 whole dried red chilies or ½ teaspoon chili flakes
1 teaspoon salt
1 teaspoon pepper
¼ cup of olive oil

Method

1. Heat oven to 400 degrees Fahrenheit. In the meantime, boil water in a large pot and add the whole yams with the skin. Boil yams until halfway tender (approximately 10 minutes). (Be careful not to overcook the yams as they will swell with water and not hold their shape.) Cut into wedges with the skin on and cool.

2. To toast the spices, heat a pan and add the coriander, cumin seeds and red chilies. Toast until the essential oils release and an aroma emerges. Break down the spices and chilies with a mortar and pestle.

3. Coat yam wedges with the oil and spices. Fully cook the yams in the oven, approximately 15 minutes, until golden brown with a nice crust.

Warm Potato and Bacon Salad
This spin on classic potato salad benefits from the zing from smoked paprika. It works well as a side dish but also is a nice accompaniment to cold cuts.

Ingredients

1½ pounds new potatoes
½-pound slab of bacon, cut into ¼-inch pieces
2 shallots, finely diced
1 teaspoon smoked paprika
4 tablespoon red wine vinegar
Zest and juice of 1 lemon
¼ cup olive oil
½ teaspoon mustard
Salt and pepper
1 tablespoon crème fraîche or sour cream
1 tablespoon chopped chives

Method

1. Bring the potatoes to a boil, starting them off in cold water. Sauté the bacon, then remove with slotted spoon. In the bacon fat, sauté shallots until translucent.

2. For the dressing: Shake the vinegar, lemon zest and juice, olive oil, mustard, salt and pepper and paprika in a bottle. (The bacon can be quite salty so use a light hand with the salt.)

3. Once potatoes are tender (10-15 minutes), cut them in half and toss the potatoes with the dressing while they are still warm. Combine the crème fraîche, shallots, bacon and 1 tablespoon of the bacon fat with the warm potatoes. Sprinkle chives before serving.

Sticky Toffee and Cardamom Pudding
Cardamom adds a floral note to a British classic.

Ingredients

For sticky toffee and pecan sauce:
1 ounce chopped pecans
6 ounces soft brown sugar
6 tablespoons double cream
4 ounces margarine

For date and cardamom cake:
3 ounces margarine, room temperature
5 ounces sugar
6 ounces self-raising flour
2 eggs
2 ounces finely sliced dates
½ teaspoon vanilla essence
½ teaspoon cardamom powder
2 teaspoons coffee essence, like Camp Coffee
¼ teaspoon bicarbonate of soda
9 cupcake cups

Method

For the sauce:
Combine sugar, margarine, double cream and pecans in a saucepan over medium-low heat until the margarine has completely melted.

For date and cardamom cake:

1. As the oven warms to 350 Fahrenheit, beat margarine and sugar in a bowl, until fluffy.

2. In a separate bowl, add eggs and slowly whisk in the creamed margarine and sugar. Then fold in the flour (to incorporate air).

3. In a separate bowl, mix 6 fluid ounces of boiling water with vanilla essence, cardamom powder, bicarbonate of soda and coffee essence. Don’t be alarmed if the liquid becomes fizzy.

4. Stir the liquid into the butter, sugar, egg and flour mixture so that it forms a batter. Pour the batter into cupcake cups to about three-fourths full.

5. Sprinkle 4 slivers of dates on each pudding, then bake for approximately 15 minutes. Insert a skewer in the center, and if it comes out clean, your pudding is ready. Pour the toffee and pecan sauce over the pudding just before serving.

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Dozens of Android Games, Apps Discounted for Google Holiday Sale

The Google Play store — that’s the name of the Android “app store,” or the “Android Market” for those of you new to the change — is featuring dozens of game and app sales for Android smartphones and tablets. Well, actually, it’s not; you can see some of the discounted apps on the front page, but there’s no special section of the website or on-device market that says where the ones on sale are, or even how to find them. And the “Holiday Surprise” feature is only a handful of deals picked by Google itself.

Here’s a look at some of the major game publishers’ Android sales, along with discounted creativity apps and where to find more details.

Gameloft‘s “Android Christmas” sale

It may be too late for Hanukkah this year, but top-tier Android publisher Gameloft has put a dozen of its titles up for sale for Christmas just $ 0.99 . These games are normally in the $ 5-7 range, making them among Android’s priciest.

Besides its licensed games based on movies — like superhero films “The Dark Knight Rises” and “The Amazing Spider-Man,” and (inexplicably) “The Adventures of Tintin” — Gameloft is best known for creating mobile versions of popular PC and console games. Not in the sense that they are official ports, so much as that they’re remarkably similar, to the extent that they arguably could be official ports if the serial numbers were filed off. With that in mind, several of its Modern Combat (which are totally not Modern Warfare) and N.O.V.A. first-person shooters (which are totally not Halo) are included in the sale, although the most recent installment of the former — Modern Combat 4 — is not.

Superhero fans may also want to check out Marvel Games’ Avengers Initiative, which isn’t a Gameloft title but is also on sale for $ 0.99 .

Square-Enix’s “Winter of Mobile” sale

Best known for having invented the jRPG genre, Square-Enix has brought several of its most popular titles to Android, and most of them are discounted (from their extremely high launch prices) for the holidays.

Crystal Defender, Chrono Trigger, and Final Fantasy have all received numerous 1-star reviews on Google Play for technical issues, and reviewers complain that the titles haven’t been optimized for Android hardware. The Chaos Rings titles, however, fare much better with reviewers, and are much more steeply discounted as well, at $ 3.99 each compared to their usual price of $ 12.99. They’re ports of the iOS originals, which were Square-Enix’s first attempts at making “real” jRPGs for mobile devices.

SEGA’s Holiday Sale

SEGA’s games are on sale for the holidays across the board, on pretty much every platform. On Android, that mostly amounts to Sonic 4 (episodes 1 and 2) and Sonic CD, all of which are on sale for $ 0.99 . Strategy title Total War Battles and rollerblade platformer Jet Set Radio, meanwhile, are on sale for $ 1.99.

Creativity / productivity apps on sale

Android phones and tablets aren’t just for gaming. If you didn’t pick up Microsoft Office-compatible OfficeSuite Pro 6+ during Google‘s earlier $ 0.25 sale, it’s discounted to $ 0.99 now from its regular price of $ 14.99. Autodesk’s professional drawing apps, SketchBook Mobile and SketchBook Pro for Tablets, are $ 0.99 and $ 2.99 compared to $ 1.99 and $ 4.99 regularly, and the Jotter handwriting app — which requires a Samsung Galaxy Note — is half-off at $ 1.99.

Stay up to date

Many more Android games and apps are being discounted for the holidays. Apps such as (the aptly-named) AppSales can help keep you apprised of the latest additions. Meanwhile, the Android Police blog is maintaining an up-to-date “Enormous List” of all holiday sales.

Jared Spurbeck is an open-source software enthusiast, who uses an Android phone and an Ubuntu laptop PC. He has been writing about technology and electronics since 2008.

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Pagano back to coach Colts after cancer treatment

INDIANAPOLIS (AP) — Chuck Pagano stepped to the podium Monday, hugged his team owner, thanked his family for its support and wiped a tear from his eye.

He might, finally, turn out the lights in his office, too.

Nearly three months to the day after being diagnosed with leukemia, the Colts' first-year coach returned to a team eager to reunite with a boss healthy enough to go back to work.

"I told you my best day of my life was July 1, 1989," Pagano said, referring to his wedding date. "Today was No. 2. Getting to pull up, drive in, get out of my car, the key fob still worked. I was beginning to question whether it would or not. When I asked for Bruce to take over, I asked for him to kick some you-know-what and to do great. Damn Bruce, you had to go and win nine games? Tough act to follow. Tough act to follow. Best in the history of the NFL. That's what I have to come back to."

The comment turned tears into the laughter everyone expected on such a festive occasion.

For Pagano and the Colts, Monday morning was as precious as anyone could have imagined when Pagano took an indefinite leave to face the biggest opponent of his life, cancer.

In his absence, all the Colts was win nine of 12 games, make a historic turnaround and clinch a playoff spot all before Sunday's regular-season finale against Houston, which they pegged as the day they hoped to have Pagano back. If all goes well at practice this week, Pagano will be on the sideline for the first time since a Week 3 loss to Jacksonville.

Pagano endured three rounds of chemotherapy to put his cancer in remission.

That Pagano's return came less than 24 hours after Indy (10-5) locked up the No. 5 seed in the AFC and the day before Christmas seemed fitting, too.

"I know Chuck is ready for this challenge. In speaking to his doctor multiple times, I know that the time is right for him to grab the reins, get the head coaching cap on and begin the journey," owner Jim Irsay said. "It's been a miraculous story. It really is a book. It's a fairytale. It's a Hollywood script. It's all those things but it's real."

The reality is that he's returning to a vastly different team than the one he turned over to Arians, his long-time friend and first assistant coaching hire.

Back then, the Colts were 1-2 and most of the so-called experts had written them off as one of the league's worst teams. Now, they're ready to show the football world that they can be just as successful under Pagano as they were under Arians, who tied the NFL record for wins after a midseason coaching change.

Pagano also has changed.

The neatly-trimmed salt-and-pepper hair and trademark goatee that were missing in November have slowly returned, and the thinner man who appeared to be catching his breath during a postgame speech in early November, looked and sounded as good as ever Monday.

He repeatedly thanked fans for their prayers and letters, the organization and his family for their unwavering help and promised to provide comfort and support to other people who are facing similar fights. During one poignant moment that nearly brought out tears again, Pagano even recounted a letter sent to him by a 9-year-old child who suggested he suck on ice chips and strawberry Popsicles in the hospital and advised him to be nice to the nurses regardless of how he felt — and he never even paused.

"I feel great, my weight is back, my energy is back and again, it's just a blessing to be back here," Pagano said.

In the minds of Colts players and coaches, Pagano never really left.

He continually watched practice tape and game film on his computer, used phone calls and text messages to regularly communicate with players and occasionally delivered a pregame or postgame speech to his team.

"He texted me and called me so much, it was like he was standing there in my face every day," said receiver Reggie Wayne, who has been friends with Pagano since the two were working together at the University of Miami.

But the Colts found plenty of other ways to keep Pagano's battle in the forefront.

They began a fundraising campaign for leukemia research, calling it Chuckstrong. Players had stickers with the initials CP on their locker room nameplates, and Arians wore an orange ribbon on his baseball cap during games. Orange is the symbolic color for leukemia. At one point, nearly three dozen players shaved their heads to show their ailing coach they were with him.

That's not all.

Arians and first-year general manager Ryan Grigson decided to leave the lights on in Pagano's office until he returned. Pagano noted the team even installed plastic clips to make sure those lights were not mistakenly turned off while he was gone. Those clips were removed when Pagano arrived Monday morning.

And Arians said nobody sat in the front seat of the team bus.

"He's always been our head coach," Arians said.

So after getting medical clearance from his oncologist, Dr. Larry Cripe, to return with no restrictions, Pagano couldn't wait to get to the office Monday morning.

Arians arrived at 7 a.m., three hours early for the scheduled team meeting. By then, Pagano had already driven past the inflatable Colts player with the words "Welcome Back Chuck" printed on its chest and was back in his office preparing for the Texans.

Players showed up a couple of hours later, and when the torch was passed from Arians back to Pagano, players gave their returning coach a standing ovation that Wayne said was well-deserved.

All Pagano wants to do now is emulate the success Arians and his players have had this season.

"I asked him (Arians) if he would lead this team and this ballclub and this organization and take over the reins," Pagano said. "What a masterful, masterful job you did Bruce. You carried the torch and all you went out and did was win nine ballgames. You got us our 10th win yesterday and you got us into the playoffs. You did it with dignity and you did it with class. You're everything that I always knew you were and more."

___

Online: http://pro32.ap.org/poll and http://twitter.com/AP_NFL

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News Analysis: Getting Polio Campaigns Back on Track

How in the world did something as innocuous as the sugary pink polio vaccine turn into a flash point between Islamic militants and Western “crusaders,” flaring into a confrontation so ugly that teenage girls — whose only “offense” is that they are protecting children — are gunned down in the streets?

Nine vaccine workers were killed in Pakistan last week in a terrorist campaign that brought the work of 225,000 vaccinators to a standstill. Suspicion fell immediately on factions of the Pakistani Taliban that have threatened vaccinators in the past, accusing them of being American spies.

Polio eradication officials have promised to regroup and try again. But first they must persuade the killers to stop shooting workers and even guarantee safe passage.

That has been done before, notably in Afghanistan in 2007, when Mullah Muhammad Omar, spiritual head of the Afghan Taliban, signed a letter of protection for vaccination teams. But in Pakistan, the killers may be breakaway groups following no one’s rules.

Vaccination efforts are also under threat in other Muslim regions, although not this violently yet.

In Nigeria, another polio-endemic country, the new Islamic militant group Boko Haram has publicly opposed it, although the only killings that the news media have linked to polio were those of two police officers escorting vaccine workers. Boko Haram has killed police officers on other missions, unrelated to polio vaccinations.

In Mali, extremists took over half of the country in May, declaring an Islamic state. Vaccination is not an issue yet, but Mali had polio cases as recently as mid-2011, and the virus sometimes circulates undetected.

Resistance to polio vaccine springs from a combination of fear, often in marginalized ethnic groups, and brutal historical facts that make that fear seem justified. Unless it is countered, and quickly, the backlash threatens the effort to eradicate polio in the three countries where it remains endemic: Pakistan, Afghanistan and Nigeria.

In 1988, long before donors began delivering mosquito nets, measles shots, AIDS pills, condoms, deworming drugs and other Western medical goods to the world’s most remote villages, Rotary International dedicated itself to wiping out polio, and trained teams to deliver the vaccine.

But remote villages are often ruled by chiefs or warlords who are suspicious not only of Western modernity, but of their own governments.

The Nigerian government is currently dominated by Christian Yorubas. More than a decade ago, when word came from the capital that all children must swallow pink drops to protect them against paralysis, Muslim Hausas in the far-off north could be forgiven for reacting the way the fundamentalist Americans of the John Birch Society did in the 1960s when the government in far-off Washington decreed that, for the sake of children’s teeth, all drinking water should have fluoride.

The northerners already had grievances. In 1996, the drug company Pfizer tested its new antibiotic, Trovan, during a meningitis outbreak there. Eleven children died. Although Pfizer still says it was not to blame, the trial had irregularities, and last year the company began making payments to victims.

Other rumors also spring from real events.

In Pakistan, resistance to vaccination, low over all, is concentrated in Pashtun territory along the Afghan border and in Pashtun slums in large cities. Pashtuns are the dominant tribe in Afghanistan but a minority in Pakistan among Punjabis, Sindhis, Baluchis and other ethnic groups. Many are Afghan refugees and are often poor and dismissed as medieval and lawless.

Pakistan’s government is friendly with the United States while the Pashtuns’ territory in border areas has been heavily hit by American Taliban-hunting drones, which sometimes kill whole families.

So, when the Central Intelligence Agency admitted sponsoring a hepatitis vaccination campaign as a ruse to get into a compound in Pakistan to confirm that Osama bin Laden was there, and the White House said it had contemplated wiping out the residence with a drone missile, it was not far-fetched for Taliban leaders to assume that other vaccinators worked for the drone pilots.

Even in friendly areas, the vaccine teams have protocols that look plenty suspicious. If a stranger knocked on a door in Brooklyn, asked how many children under age 5 were at home, offered to medicate them, and then scribbled in chalk on the door how many had accepted and how many refused — well, a parent might worry.

In modern medical surveys — though not necessarily on polio campaigns — teams carry GPS devices so they can find houses again. Drones use GPS coordinates.

The warlords of Waziristan made the connection specific, barring all vaccination there until Predator drones disappeared from the skies.

Dr. Bruce Aylward, a Canadian who is chief of polio eradication for the World Health Organization, expressed his frustration at the time, saying, “They know we don’t have any control over drone strikes.”

The campaign went on elsewhere in Pakistan — until last week.

The fight against polio has been hampered by rumors that the vaccine contains pork or the virus that causes AIDS, or is a plot to sterilize Muslim girls. Even the craziest-sounding rumors have roots in reality.

The AIDS rumor is a direct descendant of Edward Hooper’s 1999 book, “The River,” which posited the theory — since discredited — that H.I.V. emerged when an early polio vaccine supposedly grown in chimpanzee kidney cells contaminated with the simian immunodeficiency virus was tested in the Belgian Congo.

The sterilization claim was allegedly first made on a Nigerian radio station by a Muslim doctor upset that he had been passed over for a government job. The “proof” was supposed to be lab tests showing it contained estrogen, a birth control hormone.

The vaccine virus is grown in a broth of live cells; fetal calf cells are typical. They may be treated with a minute amount of a digestive enzyme, trypsin — one source of which is pig pancreas, which could account for the pork rumor.

In theory, a polio eradicator explained, if a good enough lab tested the vaccine used at the time the rumor started, it might have detected estrogen from the calf’s mother, but it would have been far less estrogen than is in mother’s milk, which is not accused of sterilizing anyone. The trypsin is supposed to be washed out.

In any case, polio vaccine is now bought only from Muslim countries like Indonesia, and Muslim scholars have ruled it halal — the Islamic equivalent of kosher.

Reviving the campaign will mean quelling many rumors. It may also require adding other medical “inducements,” like deworming medicine, mosquito nets or vitamin A, whose immediate benefits are usually more obvious.

But changing mind-sets will be a crucial step, said Dr. Aylward, who likened the shootings of the girls to those of the schoolchildren in Newtown, Conn.

More police involvement — what he called a “bunkerized approach” — would not solve either America’s problem or Pakistan’s, he argued. Instead, average citizens in both countries needed to rise up, reject the twisted thinking of the killers and “generate an understanding in the community that this kind of behavior is not acceptable.”

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IHT Rendezvous: IHT Quick Read: Dec. 24

NEWS An Islamist-backed constitution was approved by voters in Egypt, propelling deeply split political factions into a new phase in the battle over the country’s future. David Kirkpatrick and Mayy El Sheikh report from Cairo.

Angry protests escalated into violence in India’s capital Sunday, after thousands of people gathered to demand justice for the victim of a recent gang rape in New Delhi. Heather Timmons and Gardiner Harris report.

The latest chapter in the Greek fiscal drama is a new reminder of how private investors have managed to outmaneuver Europe’s officials at various stages of the debt crisis. And, some experts caution, each time it happens, future debt workouts in the euro zone will become even more costly. Landon Thomas Jr. reports from London.

Alongside Christmas markets peddling sweets, candles, holiday decorations and crafts another kind of market has sprung up in response to Spain’s hard times: “mercadillos,” or little markets, where the entrepreneurial-minded have found a niche by gathering and selling the unsold stock of retailers whose sales have plummeted, or unwanted clothing and other items from people in need of cash. Raphael Minder reports from Madrid.

Owners of dozens of buildings across Hong Kong drape the exteriors with enormous displays for Christmas, New Year and the Lunar New Year — an expense that appears to be downturn-proof. Bettina Wassener reports.

EDUCATION Elite Western boarding schools, including Marlborough College, the Harrow School and Branksome Hall, are establishing campuses in Asia. The schools are tapping into the demands of Asian parents who want their children to get a high-quality foreign-style education while staying close to home. There is also the desire to escape local school systems, which focus more on exams and rote learning. Kristiano Ang and Yenni Kwok report.

Malaysia is trying to upgrade a hodgepodge of gritty industrial towns and rural villages with Iskandar Malaysia, a planned eco-city and trading zone with districts for tourism, health care and education. EduCity, a 240-hectare, or 600-acre, plot of land is being developed in Nusajaya, with the hope that the city’s lush green fields, neatly paved roads and two theme parks will eventually become a second home to more than 16,000 students. Kristiano Ang reports from Nusajaya, Malaysia.

ARTS The austerity measures that have hurt the arts across Europe have been particularly unsettling in France, where cultural spending had been sacrosanct. Now the directors of grand cultural institutions here are resorting to public appeals to pay for the things they want, cobbling together the money not by courting millionaires but just the average Jules. Doreen Carvajal reports from Paris.

Many of the year’s design coups belonged to small entrepreneurs. Alice Rawsthorn writes from London.

SPORTS The Indian batting legend Sachin Tendulkar announced that he is retiring from one-day cricket events, implying that he intends to continue in five-day tests, taking a career that began when he was 16 up to and beyond his 40th birthday next March. Huw Richards reports.

With the goalkeeper and club captain Iker Casillas sitting on the bench for the first time since May 2002, Real Madrid suffered its first loss to Málaga since 1983. Rob Hughes on soccer.

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RIM shares fall at the open after earnings

TORONTO (Reuters) – Research In Motion Ltd fell in early trading on Friday following the BlackBerry maker’s Thursday earnings announcement, when the company outlined plans to change the way it charges for services.

RIM, pushing to revive its fortunes with the launch of its new BlackBerry 10 devices next month, surprised investors when it said it plans to alter its service revenue model, a move that could put the high-margin business under pressure.

Shares fell 16.0 percent to $ 11.86 in early trading on the Nasdaq. Toronto-listed shares fell 15.8 percent to C$ 11.74.

(Reporting by Allison Martell; Editing by Gerald E. McCormick)

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Seahawks roll past 49ers in noisy Seattle 42-13

SEATTLE (AP) — Red Bryant remembers the early years of his career, when the Seattle Seahawks struggled to win only four and five games in his first two seasons.

Getting a 10th win on Sunday night and a trip to the postseason was special to the Seahawks' big defensive end.

"Who has been playing better than us the last few weeks?" Bryant questioned. "This is the National Football League and you don't get any gimmies. We work hard to win. ... It's hard to win in this league."

Russell Wilson threw a career-high four touchdown passes to move into second place for most TD passes by a rookie, Marshawn Lynch scored two first-quarter TDs, and the Seahawks routed the San Francisco 49ers 42-13.

Richard Sherman returned Bryant's blocked field goal 90 yards for another touchdown as the Seahawks (10-5) jumped to a 21-0 lead. That only added to an already hyped crowd on a typically cold and rainy December night, with noise echoing off the walls and overhanging roof of CenturyLink Field that might have been heard all the way across Puget Sound.

No one appeared to care about the weather, not with the performance they were seeing on the field. And not with a ticket to the postseason guaranteed thanks to Seattle's first 10-win season since 2007.

"We knew we were capable of doing this. We had no doubt. Even in Week 1, we knew that we had the talent to do what we're doing now," said wide receiver Doug Baldwin, who had two touchdown receptions. "It took time because we're a young team. We had to mature. We had to grow together, build that chemistry, build that trust out there on the field. That's the most important thing."

Seattle surged into the playoffs on the strength of its sixth win in seven games, putting up dizzying offensive numbers that no one thought would continue against the top scoring defense in the NFL but did.

Seattle has outscored its last three opponents 150-30. The 42 points were the most allowed since Jim Harbaugh took over the 49ers, and the most San Francisco yielded since giving up 45 to Atlanta in 2009. It was the perfect way for Seattle coach Pete Carroll to snap a three-game losing streak against his rival.

"We just try to play really good football and see what happens at the end," Carroll said. "We have been scoring and doing a nice job of it and it would be great If we can keep it rolling."

Seattle will likely be the No. 5 seed in the NFC. There remains a slight chance of winning the NFC West, if the Seahawks beat St. Louis in the season finale and Arizona can upset the 49ers in San Francisco.

The Seahawks, 7-0 at home, delayed San Francisco (10-4-1) from celebrating a division title. They turned Harbaugh's 49th birthday into a miserable evening.

"If you had told me this would be the outcome I wouldn't have believed it," Sherman said. "I would say you're making this up."

Wilson hit Lynch on a 9-yard TD in the first quarter, Anthony McCoy for a 6-yarder late in the first half, and Doug Baldwin on 4 and 6 yard TDs in the second half.

Wilson has 25 TD passes, one behind Peyton Manning's NFL rookie record of 26. He finished 15 of 21 for 171 yards. His only incompletion in the first half was a deflected pass that Patrick Willis intercepted.

Wilson's counterpart, San Francisco's Colin Kaepernick, had already proven himself capable of winning on the road with victories in New Orleans and last week in New England. But Seattle is a different beast, widely regarded by players as the loudest venue in the NFL. His inexperience playing in such an environment showed. He was flustered and disorganized at the line of scrimmage, letting the noise from Seattle's fans affect him.

Kaepernick's forgettable night was capped when Sherman stepped in front of his pass intended for Randy Moss at the back of the end zone on the first play of the fourth quarter for his seventh interception of the season.

Kaepernick was 19 of 36 for 244 yards with an 18-yard TD pass to Delanie Walker with 1:40 left. Frank Gore had just 28 yards on six carries after rushing for a season-high 131 when the teams met in Week 7.

"Every time you are on the field you are learning something," Kaepernick said. "We just have to take what we can from this game and move on to next week."

San Francisco played without defensive tackle Justin Smith due to an elbow injury that ended a streak of 185 starts. The 49ers lost tight end Vernon Davis in the first quarter with a concussion sustained when he was knocked off his feet on a huge hit along the sideline from Seattle safety Kam Chancellor that looked legal but drew a penalty for hitting a defenseless receiver.

San Francisco wide receiver Mario Manningham went down with a left leg injury early in the third quarter when he was tackled low by Leroy Hill and fumbled.

The loss of Smith affected the entire defense. Aldon Smith was left stuck on 19 1-2 sacks after being locked up by Seattle offensive tackle Russell Okung.

"We can't make excuses," 49ers' safety Donte Whitner said. "We understand: We lost the football game; we lost an ugly football game."

NOTES: Lynch finished with 111 yards on 26 carries, his third straight game over 100 yards vs. the 49ers. ... Seattle was 11 of 13 on third-down conversions, a season-high. ... The 49ers were held to 82 yards rushing, just the third time this season he was held under 100 yards.

___

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N.Y.U. and Others Offer Shorter Courses Through Medical School

Training to become a doctor takes so long that just the time invested has become, to many, emblematic of the gravity and prestige of the profession.

But now one of the nation’s premier medical schools, New York University, and a few others around the United States are challenging that equation by offering a small percentage of students the chance to finish early, in three years instead of the traditional four.

Administrators at N.Y.U. say they can make the change without compromising quality, by eliminating redundancies in their science curriculum, getting students into clinical training more quickly and adding some extra class time in the summer.

Not only, they say, will those doctors be able to hang out their shingles to practice earlier, but they will save a quarter of the cost of medical school — $49,560 a year in tuition and fees at N.Y.U., and even more when room, board, books, supplies and other expenses are added in.

“We’re confident that our three-year students are going to get the same depth and core knowledge, that we’re not going to turn it into a trade school,” said Dr. Steven Abramson, vice dean for education, faculty and academic affairs at N.Y.U. School of Medicine.

At this point, the effort involves a small number of students at three medical schools: about 16 incoming students at N.Y.U., or about 10 percent of next year’s entering class; 9 at Texas Tech Health Science Center School of Medicine; and even fewer, for now, at Mercer University School of Medicine’s campus in Savannah, Ga. A similar trial at Louisiana State University has been delayed because of budget constraints.

But Dr. Steven Berk, the dean at Texas Tech, said that 10 or 15 other schools across the country had expressed interest in what his university was doing, and the deans of all three schools say that if the approach works, they will extend the option to larger numbers of students.

“You’re going to see this kind of three-year pathway become very prominent across the country,” Dr. Abramson predicted.

The deans say that getting students out the door more quickly will accomplish several goals. By speeding up production of physicians, they say, it could eventually dampen a looming doctor shortage, although the number of doctors would not increase unless the schools enrolled more students in the future.

The three-year program would also curtail student debt, which now averages $150,000 by graduation, and by doing so, persuade more students to go into shortage areas like pediatrics and internal medicine, rather than more lucrative specialties like dermatology.

The idea was supported by Dr. Ezekiel J. Emanuel, a former health adviser to President Obama, and a colleague, Victor R. Fuchs. In an editorial in the Journal of the American Medical Association in March, they said there was “substantial waste” in the nation’s medical education. “Years of training have been added without evidence that they enhance clinical skills or the quality of care,” they wrote. They suggested that the 14 years of college, medical school, residency and fellowship that it now takes to train a subspecialty physician could be reduced by 30 percent, to 10 years.

That opinion, however, is not universally held. Other experts say that a three-year medical program would deprive students of the time they need to delve deeply into their subjects, to consolidate their learning and to reach the level of maturity they need to begin practicing, while adding even more pressure to a stressful academic environment.

“The downside is that you are really tired,” said Dr. Dan Hunt, co-secretary of the Liaison Committee on Medical Education, the accrediting agency for medical schools in the United States and Canada. But because accreditation standards do not dictate the fine points of curriculum, the committee has approved N.Y.U.’s proposal, which exceeds by five weeks its requirement that schools provide at least 130 weeks of medical education.

The medical school is going ahead with its three-year program despite the damage from Hurricane Sandy, which forced NYU Langone Medical Center to evacuate more than 300 patients at the height of the storm and temporarily shut down three of its four main teaching hospitals.

Dr. Abramson of N.Y.U. said that postgraduate training, which typically includes three years in a hospital residency, and often fellowships after that, made it unnecessary to try to cram everything into the medical school years. Students in the three-year program will have to take eight weeks of class before entering medical school, and stay in the top half of their class academically. Those who do not meet the standards will revert to the four-year program.

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