Butler upsets No. 1 Indiana 88-86 in OT

INDIANAPOLIS (AP) — All Butler guard Alex Barlow saw Saturday was space and an opportunity to make a play.

So the unlikeliest player on the floor took a chance and made the biggest shot of the game.

When Indiana's defenders failed to converge on the 5-foot-11 walk-on, Barlow kept right on going through the lane, drove to the basket and hit a spinning 6-foot jumper with 2.4 seconds left in overtime Saturday to give the Bulldogs another stunning upset — 88-86 over No. 1 Indiana in the Crossroads Classic.

"The floater is a shot I work on a lot and I happened to get a lucky bounce," Barlow said. "It was a good feeling."

Luckily for the Bulldogs (8-2), Barlow was on the floor.

The kid who spurned college scholarship offers to play his best sport, baseball, and opted to come to Butler for only one reason — to learn how to coach basketball from Brad Stevens — showed everyone he can hoop it up, too.

Stevens didn't hesitate to constantly keep the ball in Barlow's hands after three key Butler players had already fouled out. The sophomore who had scored only 12 points in nine games this season and 18 in his college career delivered with a series of key plays.

Barlow finished with a career-high six points, came up with a big steal that led to a go-ahead 3-pointer late in overtime and finally won it with a shot that bounced off the back of the rim, straight into the air and finally through the net.

Indiana (9-1) immediately called timeout to set up a play but could only muster Jordan Hulls' heave from near half-court, a shot that faded to the left of the basket and suddenly the first college in Indiana to go to back-to-back Final Fours had another school first — its first win in five tries over a No. 1 ranked team.

The sold-out arena roared as the game ended, and the Bulldogs rushed to midcourt where they celebrated with Barlow.

"I thought he just rose up over Hulls and it looked good," Stevens said. "Don't use this as an excuse to get down on Indiana. I still think they're the team to beat in April. Our guys just played really hard and when it really mattered, they figured out a way."

Butler (8-2) has now won six straight at Bankers Life Fieldhouse, better known as the home to the NBA's Pacers, and four of the last five when this series been played in Indianapolis. The Bulldogs have wins over Marquette of the Big East, North Carolina of the ACC and back-to-back victories over Northwestern and Indiana of the Big Ten.

And Barlow, the surprising star, overshadowed a supporting cast that had strong games, too.

Roosevelt Jones scored 16 points and matched his career-highs with 12 rebounds and six assists before fouling out with 2:03 left in regulation.

Andrew Smith finished with 12 points and nine rebounds and held national player of the year candidate Cody Zeller in check until fouling out just 17 seconds after Jones.

Rotnei Clarke, who transferred to Butler from Arkansas, scored 13 of his 19 points and made three of his five 3-pointers in the second half.

In all, five Bulldogs players finished in double figures while the defense held one of America's most proficient offenses to just 42.9 percent shooting from the field.

"We cost ourselves at the end of the game defensively," coach Tom Crean said after waiting more than an hour to take questions. "They made the plays, there's no question about that. But we made the mistakes on how we guarded them."

The Hoosiers were led by Cody Zeller, who had 18 points, including a layup to tie the score at 86 with 19.3 seconds left in overtime. Victor Oladipo also had 18 points and Will Sheehey scored 13 points off the bench.

But the Bulldogs grabbed 19 offensive rebounds and outrebounded Indiana — the first team to do that this season.

Clearly, this was not the same Indiana team that won its first nine games by an average of nearly 32 points while shooting 51.5 percent from the field.

"There's a lot of things," said Zeller, who had only five rebounds and four baskets. "We got outrebounded. There's a lot of little things that we have to figure, but we'll get back to work and figure them out."

The difference Saturday was that Butler never let the Hoosiers get away from them — even when Smith and Jones went to the bench with four fouls midway through the second half.

Stevens reinserted both players with 9 minutes to go in regulation, trailing 57-50, and the Bulldogs responded with a 12-0 run that gave them a 66-59 lead with 4:31 left in regulation.

Butler still led 71-64 when Jones fouled out, and the Hoosiers answered with five straight points from the free-throw line. They finally tied the score on Yogi Ferrell's 3-pointer from the right wing with 6.1 seconds to go, and Butler's Chase Stigall missed a 3-pointer off the front of the rim as time expired.

In overtime, Indiana looked like it would take control when Zeller's layup made it 84-80 with 2:12 to play.

But the Bulldogs again rallied, getting a 3 from Clarke, a steal from Barlow that led Stigall's 3-pointer, and Barlow's improbable winning shot.

"I just figured I would throw it up to the rim," Barlow said. "If I missed it, I knew they wouldn't get a shot off. Luckily, it bounced in."

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Dr. William F. House, Inventor of Cochlear Implant, Dies

Dr. William F. House, a medical researcher who braved skepticism to invent the cochlear implant, an electronic device considered to be the first to restore a human sense, died on Dec. 7 at his home in Aurora, Ore. He was 89.

The cause was metastatic melanoma, his daughter, Karen House, said.

Dr. House pushed against conventional thinking throughout his career. Over the objections of some, he introduced the surgical microscope to ear surgery. Tackling a form of vertigo that doctors had believed was psychosomatic, he developed a surgical procedure that enabled the first American in space to travel to the moon. Peering at the bones of the inner ear, he found enrapturing beauty.

Even after his ear-implant device had largely been supplanted by more sophisticated, and more expensive, devices, Dr. House remained convinced of his own version’s utility and advocated that it be used to help the world’s poor.

Today, more than 200,000 people in the world have inner-ear implants, a third of them in the United States. A majority of young deaf children receive them, and most people with the implants learn to understand speech with no visual help.

Hearing aids amplify sound to help the hearing-impaired. But many deaf people cannot hear at all because sound cannot be transmitted to their brains, however much it is amplified. This is because the delicate hair cells that line the cochlea, the liquid-filled spiral cavity of the inner ear, are damaged. When healthy, these hairs — more than 15,000 altogether — translate mechanical vibrations produced by sound into electrical signals and deliver them to the auditory nerve.

Dr. House’s cochlear implant electronically translated sound into mechanical vibrations. His initial device, implanted in 1961, was eventually rejected by the body. But after refining its materials, he created a long-lasting version and implanted it in 1969.

More than a decade would pass before the Food and Drug Administration approved the cochlear implant, but when it did, in 1984, Mark Novitch, the agency’s deputy commissioner, said, “For the first time a device can, to a degree, replace an organ of the human senses.”

One of Dr. House’s early implant patients, from an experimental trial, wrote to him in 1981 saying, “I no longer live in a world of soundless movement and voiceless faces.”

But for 27 years, Dr. House had faced stern opposition while he was developing the device. Doctors and scientists said it would not work, or not work very well, calling it a cruel hoax on people desperate to hear. Some said he was motivated by the prospect of financial gain. Some criticized him for experimenting on human subjects. Some advocates for the deaf said the device deprived its users of the dignity of their deafness without fully integrating them into the hearing world.

Even when the American Academy of Ophthalmology and Otolaryngology endorsed implants in 1977, it specifically denounced Dr. House’s version. It recommended more complicated versions, which were then under development and later became the standard.

But his work is broadly viewed as having sped the development of implants and enlarged understanding of the inner ear. Jack Urban, an aerospace engineer, helped develop the surgical microscope as well as mechanical and electronic aspects of the House implant.

Karl White, founding director of the National Center for Hearing Assessment and Management, said in an interview that it would have taken a decade longer to invent the cochlear implant without Dr. House’s contributions. He called him “a giant in the field.”

After embracing the use of the microscope in ear surgery, Dr. House developed procedures — radical for their time — for removing tumors from the back portion of the brain without causing facial paralysis; they cut the death rate from the surgery to less than 1 percent from 40 percent.

He also developed the first surgical treatment for Meniere’s disease, which involves debilitating vertigo and had been viewed as a psychosomatic condition. His procedure cured the astronaut Alan B. Shepard Jr. of the disease, clearing him to command the Apollo 14 mission to the moon in 1971. In 1961, Shepard had become the first American launched into space.

In presenting Dr. House with an award in 1995, the American Academy of Otolaryngology-Head and Neck Surgery Foundation said, “He has developed more new concepts in otology than almost any other single person in history.”

William Fouts House was born in Kansas City, Mo., on Dec. 1, 1923. When he was 3 his family moved to Whittier, Calif., where he grew up on a ranch. He did pre-dental studies at Whittier College and the University of Southern California, and earned a doctorate in dentistry at the University of California, Berkeley. After serving his required two years in the Navy — and filling the requisite 300 cavities a month — he went back to U.S.C. to pursue an interest in oral surgery. He earned his medical degree in 1953. After a residency at Los Angeles County Hospital, he joined the Los Angeles Foundation of Otology, a nonprofit research institution founded by his brother, Howard. Today it is called the House Research Institute.

Many at the time thought ear surgery was a declining field because of the effectiveness of antibiotics in dealing with ear maladies. But Dr. House saw antibiotics as enabling more sophisticated surgery by diminishing the threat of infection.

When his brother returned from West Germany with a surgical microscope, Dr. House saw its potential and adopted it for ear surgery; he is credited with introducing the device to the field. But again there was resistance. As Dr. House wrote in his memoir, “The Struggles of a Medical Innovator: Cochlear Implants and Other Ear Surgeries” (2011), some eye doctors initially criticized his use of a microscope in surgery as reckless and unnecessary for a surgeon with good eyesight.

Dr. House also used the microscope as a research tool. One night a week he would take one to a morgue for use in dissecting ears to gain insights that might lead to new surgical procedures. His initial reaction, he said, was how beautiful the bones seemed; he compared the experience to one’s first view of the Grand Canyon. His wife, the former June Stendhal, a nurse, often helped.

She died in 2008 after 64 years of marriage. In addition to his daughter, Dr. House is survived by a son, David; three grandchildren; and two great-grandchildren.

The implant Dr. House invented used a single channel to deliver information to the hearing system, as opposed to the multiple channels of competing models. The 3M Company, the original licensee of the House implant, sold its rights to another company, the Cochlear Corporation, in 1989. Cochlear later abandoned his design in favor of the multichannel version.

But Dr. House continued to fight for his single-electrode approach, saying it was far cheaper, and offered voluminous material as evidence of its efficacy. He had hoped to resume production of it and make it available to the poor around the world.

Neither the institute nor Dr. House made any money on the implant. He never sought a patent on any of his inventions, he said, because he did not want to restrict other researchers. A nephew, Dr. John House, the current president of the House institute, said his uncle had made the deal to license it to the 3M Company not for profit but simply to get it built by a reputable manufacturer.

Reflecting on his business decisions in his memoir, Dr. House acknowledged, “I might be a little richer today.”

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As Gold Is Spirited Out of Afghanistan, Officials Wonder Why

Zalmai for The New York Times

A Kabul jewelry shop. Officials are concerned about gold being flown out of Afghanistan.

KABUL, Afghanistan — Packed into hand luggage and tucked into jacket pockets, roughly hewed bars of gold are being flown out of Kabul with increasing regularity, confounding Afghan and American officials who fear money launderers have found a new way to spirit funds from the country.

Most of the gold is being carried on commercial flights destined for Dubai, according to airport security reports and officials. The amounts carried by single couriers are often heavy enough that passengers flying from Kabul to the Persian Gulf emirate would be well advised to heed warnings about the danger of bags falling from overhead compartments. One courier, for instance, carried nearly 60 pounds of gold bars, each about the size of an iPhone, aboard an early morning flight in mid-October, according to an airport security report. The load was worth more than $1.5 million.

The gold is fully declared and legal to fly. Some, if not most, is legitimately being sent by gold dealers seeking to have old and damaged jewelry refashioned into new pieces by skilled craftsmen in the Persian Gulf, said Afghan officials and gold dealers.

But gold dealers in Kabul and current and former Kabul airport officials say there has been a surge in shipments since early summer. The talk of a growing exodus of gold from Afghanistan has been spreading among the business community here, and in recent weeks has caught the attention of Afghan and American officials. The officials are now puzzling over the origin of the gold — very little is mined in Afghanistan, although larger mines are planned — and why so much appears to be heading for Dubai.

“We are investigating it, and if we find this is a way of laundering money, we will intervene,” said Noorullah Delawari, the governor of Afghanistan’s central bank. Yet he acknowledged that there were more questions than answers at this point. “I don’t know where so much gold would come from, unless you can tell me something about it,” he said in an interview. Or, as a European official who tracks the Afghan economy put it, “new mysteries abound” as the war appears to be drawing to a close.

Figuring out what precisely is happening in the Afghan economy remains as confounding as ever. Nearly 90 percent of the financial activity takes place outside formal banks. Written contracts are the exception, receipts are rare and statistics are often unreliable. Money laundering is commonplace, say Western and Afghan officials.

As a result, with the gold, “right now you’re stuck in that situation we usually are: is there something bad going on here or is this just the Afghan way of commerce?” said a senior American official who tracks illicit financial networks.

There is reason to be suspicious: the gold shipments track with the far larger problem of cash smuggling. For years, flights have left Kabul almost every day carrying thick wads of bank notes — dollars, euros, Norwegian kroner, Saudi Arabian riyals and other currencies — stuffed into suitcases, packed into boxes and shrink-wrapped onto pallets. At one point, cash was even being hidden in food trays aboard now-defunct Pamir Airways flights to Dubai.

Last year alone, Afghanistan’s central bank says, roughly $4.5 billion in cash was spirited out through the airport. Efforts to stanch the flow have had limited impact, and concerns about money laundering persist, according to a report released last week by the United States Special Inspector General for Afghanistan Reconstruction.

The unimpeded “bulk cash flows raise the risk of money laundering and bulk cash smuggling — tools often used to finance terrorist, narcotics and other illicit operations,” the report said. The cash, and now the gold, is most often taken to Dubai, where officials are known for asking few questions. Many wealthy Afghans park their money and families in the emirate, and gold dealers say more middle-class Afghans are sending money and gold — seen as a safeguard against economic ruin — to Dubai as talk of a postwar economic collapse grows louder.

But given Dubai’s reputation as a haven for laundered money, an Afghan official said that the “obvious suspicion” is that at least some of the apparent growth in gold shipments to Dubai is tied to the myriad illicit activities — opium smuggling, corruption, Taliban taxation schemes — that have come to define Afghanistan’s economy.

There are also indications that Iran could be dipping into the Afghan gold trade. It is already buying up dollars and euros here to circumvent American and European sanctions, and it may be using gold for the same purpose.

Yahya, a dealer in Kabul, said other gold traders were helping Iran buy the precious metal here. Payment was being made in oil or with Iranian rials, which readily circulate in western Afghanistan. The Afghan dealers are then taking it to Dubai, where the gold is sold for dollars. The money is then moved to China, where it was used to buy needed goods or simply funneled back to Iran, said Yahya, who like many Afghans uses a single name.

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Panetta Orders Deployment of U.S. Antimissile Units in Turkey

Manu Brabo/Associated Press

In a part of Aleppo controlled by the Free Syrian Army, a woman hurt by Syrian Army shelling was wheeled in front of a hospital.

INCIRLIK AIR BASE, Turkey — Defense Secretary Leon E. Panetta signed an official deployment order on Friday to send 400 American military personnel and two Patriot air defense batteries to Turkey as its tensions intensify with neighboring Syria, where government forces have increasingly resorted to aerial attacks, including the use of ballistic missiles, to fight a spreading insurgency.

The American batteries will be part of a broader push to strengthen Turkey’s defenses that will include the deployment of four other Patriot batteries — two from Germany and two from the Netherlands. Each battery contains multiple rounds of guided missiles that can intercept and destroy other missiles and hostile aircraft flying at high speeds.

Mr. Panetta’s deployment order, the result of NATO discussions last week, represents the most direct American military action so far to help contain the Syrian conflict and minimize its risk of spilling across the 550-mile border with Turkey, a NATO member that is housing more than 100,000 Syrian refugees and providing aid to the Syrian rebels trying to oust President Bashar al-Assad.

Tensions between Turkey and Syria have escalated in recent months as Syrian forces have bombed rebel positions along the border and occasionally lobbed artillery rounds into Turkish territory. The Turks have also grown increasingly alarmed that Mr. Assad’s forces could fire missiles into Turkey.

News of the Patriot deployment order came as antigovernment activists inside Syria reported new mayhem, including an unconfirmed rebel claim to have shot down a government warplane attacking insurgent positions near the international airport in Damascus, the capital.

In Moscow, meanwhile, the Russian Foreign Ministry sought to distance itself from comments a day earlier by its Middle East envoy that the Syrian rebels might defeat Mr. Assad, a longstanding Kremlin ally and arms client. A ministry spokesman, Aleksandr K. Lukashevich, said Russia remained committed to a political solution in Syria.

“We have never changed our position and will not change it,” Mr. Lukashevich said. He rejected a comment made by a State Department spokesman on Thursday that Moscow had “woken up” and changed its position as dynamics shifted on the battlefield, saying, “We have never been asleep.”

All six Patriot units deployed in Turkey will be under NATO’s command and are scheduled to be operational by the end of January, according to officials in Washington.

George Little, the Pentagon spokesman, said Mr. Panetta signed the order as he flew from Afghanistan to this air base in southern Turkey, close to the Syrian border.

“The United States has been supporting Turkey in its efforts to defend itself,” Mr. Little said.

The order “will deploy some 400 U.S. personnel to Turkey to support two Patriot missile batteries,” Mr. Little added, and the personnel and Patriot batteries will arrive in Turkey in the coming weeks. He did not specify their deployment locations.

After landing at Incirlik on Friday, Mr. Panetta told a gathering of American Air Force personnel of his decision to deploy the Patriots.

He said the United States was working with Turkey, Jordan and Israel to monitor Syria’s stockpiles of chemical weapons, and warned of “serious consequences” if Syria used them, but he did not offer any specifics.

“We have drawn up plans for presenting to the president,” Mr. Panetta said. “We have to be ready.”

Turkey’s worries about vulnerability to Syrian missiles, including Scuds that might be tipped with chemical weapons, were heightened recently by intelligence reports that Syrian troops had mixed small amounts of precursor chemicals for sarin, a deadly nerve gas, at one or two storage sites, and loaded them into artillery shells and airplane bombs. “Their arsenal of chemical weapons has been configured for use at a moment’s notice,” Representative Mike Rogers, a Michigan Republican who heads the House Intelligence Committee, said in an interview on Friday. Mr. Panetta, however, said this week that intelligence about chemical weapons activity in Syria had “leveled off.”

Recent Scud missile attacks by Mr. Assad’s forces against rebels in northern Syria have only added to Turkey’s concerns. The Scud missiles were armed with conventional warheads, but the attacks showed that the Assad government was prepared to use missiles as it struggled to slow rebel gains.

With the nearly two-year-old Syrian conflict entering its second winter and many thousands of people struggling for food and warmth in cities ruined by protracted fighting, the humanitarian costs seemed to be mounting.

An activist in the central province Homs, who identified himself as Abu Ourouba, said the town of Houla — where, the United Nations confirmed in May, Syrian troops had killed more than 100 people, including 32 children — was facing catastrophe.

“Houla has been besieged from all directions for the past 10 days,” he said. “Until now, not even one loaf of bread has entered Houla. The food that was available is beginning to run out very quickly. Most children don’t have milk anymore. The kids are at risk of dying from hunger.”

Shelling along access routes means that no one can walk “unless they crawl” to avoid hundreds of strikes from tanks, warplanes and rocket launchers, the activist said.

Thom Shanker reported from Incirlik Air Base, Turkey, and Michael R. Gordon from Washington. Reporting was contributed by Eric Schmitt from Washington; Anne Barnard, Hania Mourtada and Hwaida Saad from Beirut, Lebanon; Alan Cowell from London; and Ellen Barry from Moscow.

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Sports world shaken by Connecticut school shooting

Oklahoma City forward Kevin Durant wrote "Newtown CT" on both of his shoes. Cleveland Cavaliers coach Byron Scott struggled with his composure as he talked about the tragedy. Boston Celtics star Kevin Garnett called it "a tough day."

The school shooting in Connecticut hit close to home for several sports stars, and they extended their condolences over social media websites such as Twitter. Some were visibly shaken as they went about their business on Friday night, and the NFL asked each of its teams to observe a moment of silence before this weekend's games.

"I'm all over the place. Today's been a crazy day," Garnett said following a 101-89 loss at Houston. "I just want to say that my condolences go out to the families that are in Connecticut. Anybody that has kids, a niece, any kind of siblings or any kind of someone that they love, it's just been a tough day. I just wanted to get it off my chest and say my condolences go out to all the parents out there. ... It's been an emotional roller-coaster today."

A man killed his mother at their home and then opened fire inside an elementary school, slaying 26 people, including 20 children. The 20-year-old killer, carrying two handguns, committed suicide at the school.

"It's a sad day. ... It has impacted all of us," Golden State Warriors coach Mark Jackson said. "I got kids, who we take for granted waking them up and sending them to school. It's just a tragedy."

Scott paused a couple of times as he talked about what happened in Newtown, a small community about 60 miles northeast of New York City.

"I have three healthy kids and a beautiful granddaughter," he said. "When you hear about kids who are that young and don't get a chance to live because of something that's so senseless as somebody going in and doing the things that this person did, I think it affects everybody. It puts everything in the right perspective as well. As much as we love this game, this doesn't mean nothing."

From the full slate of NBA games to high school and college football finals, there were moments of silences at sporting events of all sizes. The overhead videoboard at the Barclays Center showed a candle and the town seal of Newtown as the Nets and Pistons paused for reflection before their game in Brooklyn.

"I wish I could do more," Durant said of the message on his shoes. "But it hit me really hard. It's tough to see, especially kids that couldn't do anything for themselves. Words can't even describe it. I'm kind of at a loss for words right now."

The NFL sent a memo asking for each of its teams to observe a moment of silence before this weekend's games.

"This shocking event has brought the nation together in grieving for the victims and their families as well as the survivors," the note read. "We believe it is appropriate and important for us to collectively recognize and participate in the grieving process at our games this weekend, as we have done on other occasions."

The NFL dealt with a shooting tragedy a couple weeks ago when Kansas City Chiefs linebacker Jovan Belcher killed his girlfriend before committing suicide in a parking lot at Arrowhead Stadium. Then Dallas Cowboys defensive lineman Josh Brent was charged with intoxication manslaughter on Dec. 8 after he flipped his car in a pre-dawn accident that killed teammate Jerry Brown.

Many athletes took to social media websites to process what happened in Connecticut, discussing their shock and horror, and openly worrying about their kids at school.

"Innocent victims just gone," Miami Heat star LeBron James said in a series of posts on Twitter. "This is really messing with my mind. Kids is everything to me! And of course i have 2 of my own in elementary school as well. I can't imagine it happening to my kids school. I and the rest of the families would be devastated! Something has to be done."

Golfer John Daly talked about home schooling his children, and outspoken Minnesota Vikings punter Chris Kluwe wondered about the road ahead.

"The way we deal with this tragedy in CT will tell us a lot about where we're headed as a society. Do we only address the symptoms (i.e. just gun control laws)? Or do we also address the disease — how we treat each other and those who need help," Kluwe said in a couple of posts on Twitter.

There also was some anger.

Montreal Canadiens captain Brian Gionta tweeted: "Not sure if there is anything lower than harming innocent children." He ended the tweet with a hashtag of "coward," then was critical of the media interviewing young children outside the school.

"At some point, we've got to get past bureaucracy and all the nonsense and do something about this so our kids can be safe," said New Orleans Hornets coach Monty Williams, who has five children ranging in age from 2 to 14.

"If we can go to outer space and take care of trees and rivers and animals, we can do a better job of taking care of our kids. It's just a sad situation."

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The Neediest Cases: Disabled Young Man and His Protective Mother Deal With Life’s Challenges

Though he would prefer to put his socks on without his mother’s help, Zaquan West, 25, does not have a choice.

Michelle V. Agins/The New York Times

Joann West is a constant caretaker for her son, Zaquan. Though Ms. West works as a receptionist, the family fell behind on rent.

For the past 100 years, The New York Times Neediest Cases Fund has provided direct assistance to children, families and the elderly in New York. To celebrate the 101st campaign, an article will appear daily through Jan. 25. Each profile will illustrate the difference that even a modest amount of money can make in easing the struggles of the poor.

Last year donors contributed $7,003,854, which was distributed to those in need through seven New York charities.

2012-13 Campaign

Previously recorded:

$3,104,694

Recorded Thursday:

$137,451

*Total:

$3,242,145

Last year to date:

$2,862,836

*Includes $596,609 contributed to the Hurricane Sandy relief efforts.

The Youngest Donors

If your child or family is using creative techniques to raise money for this year’s campaign, we want to hear from you. Drop us a line on Facebook or talk to us on Twitter.

A genetic disorder has encumbered Mr. West all his life, but he has needed assistance with this particular task since only last year. In November 2011, he had surgery to remove a cancerous tumor on his left thigh that was as big as a football, but he was left less flexible.

“He doesn’t do well with disability, with the label,” his mother, Joann West, 55, said. “He doesn’t tell people that he has a disability. If they can’t see it, they just can’t see it.”

When her son was 13 months old, Ms. West learned he had neurofibromatosis, a disorder that causes tumors to grow on the nerves and, in some cases, to infringe on vital organs, or as was the case last year, to become malignant. It also creates large bumps on the skin known as nodules.

At ages 5 and 8, Zaquan had operations to remove neurofibromatosis clusters that were eating away at his left hip bone. The disease has left his left leg a few inches shorter than his right. After each operation, he had to relearn how to walk.

Because of his physical disability, he was placed in a special-education class at school and given the same homework every night, his mother said.

“I advocated for him,” Ms. West said. “I kept fighting, because he was no dummy. He was physically impaired, not mentally. I went out of my way to try to give him a better life. The system would have failed him more than it did if I hadn’t stepped in.” Her efforts led to his being moved from a special-education classroom to a regular one in second grade.

Ms. West, a single mother, acknowledges that her protective instincts made her a very controlling parent, and she did not allow Zaquan out of the house much, which limited his friendships.

“I was afraid for him,” she said. “The streets, they don’t care about your disability.”

When Mr. West entered high school, it was the first time he had truly been away from his mother’s watchful eyes. He began skipping class, often going to the park or wandering their Bedford-Stuyvesant, Brooklyn, neighborhood with truant friends. He eventually dropped out of school.

“It was just me being out on my own and making my own choices,” Mr. West recalled.

Though she did not agree with her son’s decisions, Ms. West said that his need to explore was in some ways a result of her actions. “At a point, I stepped back,” she said, “to allow him to do certain things on his own and do what he wanted to do.”

In 2007, a couple of years after he dropped out, Mr. West joined the Door, an organization focused on empowering young people to reach their potential. There, he obtained his high school equivalency diploma.

Today, Mr. West is job hunting so that he can help pay his and his mother’s expenses.

But paying the monthly bills has become a struggle, Ms. West said, in part because of a recent change in her budget. In August, after an increase in income, they stopped receiving $324 a month in food stamps. The additional income did not cover all their expenses, however, and Ms. West eventually fell behind in the rent on their apartment.

Ms. West, who has been employed in various administrative jobs, currently works as a receptionist for Howie the Harp Advocacy Center, an agency that provides employment help to people with psychiatric disabilities. Her annual salary is about $25,000 before taxes. Her son receives $646 in Social Security disability benefits. After the family’s food stamps were cut off, Mr. West applied individually, and he now receives $200 in food stamps each month.

With the addition of Mr. West’s disability benefits and food stamps, their net monthly income is $2,213. Their contribution for the Section 8-subsidized apartment Ms. West has lived in for the past 30 years is $969.

Knowing she was in need of help, Ms. West’s boss told her about the Community Service Society, one of the organizations supported by The New York Times Neediest Cases Fund. And the society drew $1,598 from the fund to cover her debt.

Ms. West remains a constant caretaker for her independent-minded son, who, she says, has come to accept her help grudgingly. She says that even if they are not on speaking terms after a disagreement, she is there to lend him a hand.

Both are continuing to deal with the inevitable challenges: Mr. West is awaiting word from doctors on whether a new growth in his lungs is cancerous. But one of his greatest assets, given all that he has overcome, is that he is comfortable in his own skin.

“I’m just always going to be me,” he said, “so why deal with somebody else?”

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With E.C.B. in Spotlight, Bundesbank Finds Itself in the Shadows

Mustafah Abdulaziz for The New York Times

The Bundesbank, Germany’s central bank, built in 1967 in Frankfurt.

FRANKFURT — The exposed-concrete slab of the Bundesbank headquarters stands like a bulwark outside the downtown financial district here, a stolid, Brutalist structure that in its sheer mass evokes not just the German central bank’s stubborn resistance to change but, above all, its obsessive commitment to crushing inflation.

Built 45 years ago, the modernist building is hardly old by European standards, yet it is a temple to tradition, embodying the ethos of this most conservative of institutions. “We are trying to keep it just the way it is,” said Reiner Bruckhaus, head of the bank’s centralized construction management division.

That starts with the granite floors, the Barcelona chairs in the lobby (designed by the Bauhaus great Ludwig Mies van der Rohe), and the grand, white Carrara marble by the elevators, and goes all the way up to the wood grid ceilings on the top floor. “You will find not even the slightest changes,” Mr. Bruckhaus said.

When the building was erected in 1967, the Bundesbank’s dominance in European monetary policy went unchallenged. But in the hazy distance of the Frankfurt skyline, significant change is evident in the outline of two towers and three cranes, the new headquarters of the European Central Bank — a visible reminder of the institution that has supplanted the Bundesbank, just as the euro replaced the German mark.

European leaders established the European Central Bank’s headquarters in Frankfurt as a symbol of its status as heir to the Bundesbank. But the danger posed by Europe’s continuing debt crisis demanded improvisations at odds with the Bundesbank’s conservative teachings.

Over the summer the E.C.B.’s president, Mario Draghi, pursued an expansive policy that was anathema to the old guard, whose cause was championed by the Bundesbank’s youthful president, Jens Weidmann. He and his supporters base their views not, they say, on rigid orthodoxy but on experience gleaned from the disaster of hyperinflation and the success of adhering to a hard-money path.

In an increasingly uncomfortable pairing, the Bundesbank functions as the largest piece of the E.C.B. puzzle. With more than 9,500 full-time workers, the Bundesbank dwarfs the 1,600-strong central bank. Because of that limited staff, the E.C.B. depends on the Bundesbank to handle many of the back-office functions of the common currency.

But the European Central Bank’s influence continues to grow. Euro-zone finance ministers agreed to a deal Thursday to put 100 to 200 of their largest banks under its direct supervision.

The arranged marriage between the two banks will take enormous effort and flexibility. As its massive headquarters suggests, the Bundesbank is capable of enormous and sustained effort, but flexibility may be inimical to its nature.

Founded in 1957, the Bundesbank quickly grew into one of Germany’s most respected institutions. The rank-and-file behind Mr. Weidmann, 44, represent an unusually tight-knit group, almost like a monastic order, and they are steeped in the bank’s secular religion — often at the bank’s own school, a kind of Hogwarts for its future financial wizards, in a hilltop 12th-century castle in the town of Hachenburg.

“You hear it in the first lecture,” said Silke Frühklug, 32, a graduate and Bundesbank employee. “You hear it in the last lecture and every day in between: price stability.”

Ms. Frühklug married a classmate and in her free time plays on the central bank’s badminton team, which on a recent evening practiced in a gymnasium on the Bundesbank campus right after the handball team. The bank also has a theater society and “hobby artists” club, which exhibits in the lobby of the headquarters. It owns apartments for workers in tight real-estate markets like Munich and here in Frankfurt. Retired employees still lunch at the cafeteria, helping to nurture the all-important continuity.

“People feel connected with the goals of the bank,” said Matthias Endres, 43, editor of the Bundesbank’s internal magazine. Like Ms. Frühklug, he married a fellow graduate from the school in Hachenburg. He has vacationed with his wife and their three children at all three of the Bundesbank getaways, on the North Sea, in the Black Forest and on a lake in Bavaria.

Mr. Endres’s wife, Simone, works part-time in the headquarters’ Money Museum, which houses some 350,000 objects, of which roughly 1,300 are on display, including the worthless bills in denominations of millions and billions from the hyperinflation of the Weimar-era and examples of commodity money, like a gold bar, a tea brick and even a preserved cow standing near the entrance, a silent bovine greeter.

Jack Ewing contributed reporting.

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News Analysis: China Stays Beside North Korea, a Buffer Against the U.S.

BEIJING — Even though North Korea ignored China’s appeal not to test its new longer-range missile, the new leadership here appears intent on remaining a steadfast supporter of its wayward neighbor because it considers the North a necessary buffer against the United States and its allies.

Analysts said that China’s overriding fear was of a collapse of the hard-line Communist government in Pyongyang, which could lead to the reunification of the Korean Peninsula under a government in Seoul allied with the United States. China, they said, would consider an American presence on its doorstep untenable.

But China’s unyielding support of Kim Jong-un has a serious downside, they added, because it may lead to a result nearly as unpalatable: efforts by the United States and its regional allies Japan and South Korea to contain China.

“It stirs up regional security,” said Zhu Feng, a professor of international relations at Peking University who favors reducing support for North Korea. Without naming the United States, he added that the missile launching “facilitates China-bashers to work on hard-line policies to contain China, or just balance China.”

Obama administration officials were clearly exasperated this week with China’s inability to rein in Mr. Kim, saying that they were considering a stronger military presence in the Asia-Pacific region.

Beneath the official tolerance of North Korea, a debate about the wisdom of remaining loyal to such a world outlier and its defiant young leader simmers among analysts who strive to influence China’s foreign policy.

China runs the risk, Dr. Zhu said, of being bunched together with North Korea as one of “the two bad guys.”

“I feel very frustrated,” Dr. Zhu added. “At least we should distance ourselves from North Korea. The reality is, as long as North Korea can’t change their behavior, then peace and stability on the peninsula will be increasingly vulnerable.”

China has twice asked Mr. Kim, who inherited the leadership of North Korea after the death of his father at the end of last year, not to proceed with missile tests, and twice he has rebuffed the entreaties. Shortly after he came to power, a Chinese vice minister of foreign affairs, Fu Ying, visited Pyongyang to warn him not to conduct a test. In April, Mr. Kim went ahead anyway with a rocket launching, which fizzled. Last month, Li Jianguo, a member of the Politburo, visited North Korea to again urge restraint.

Despite their displeasure, China’s leaders see little choice but to put up with such indignities.

The slight pique expressed by the Foreign Ministry on Wednesday was not a signal that China would alter its course, the analysts said, or back tougher sanctions at the United Nations.

The official reaction was “very hesitant,” said Jin Canrong, a professor of international relations at Renmin University in Beijing.

After the missile test, Washington immediately started pushing for deeper sanctions at the United Nations and for a tightening of existing sanctions that China agreed to after earlier rocket launchings.

“China will not support a resolution; it will favor a president’s statement,” said Cai Jian, the deputy director of the Center for Korean Studies at Fudan University in Shanghai. A president’s statement at the United Nations is considered a much weaker form of condemnation than sanctions.

A major reason for not backing new sanctions is the fear that they would provoke North Korea to test another nuclear weapon, a far worse prospect than the launching of an unarmed rocket like the one on Wednesday, said Jonathan D. Pollack, a North Korea expert at the Brookings Institution in Washington.

“The North Koreans demurred from a third nuclear test in April, very likely under major Chinese pressure,” Dr. Pollack said.

In 2006 and 2009, North Korea tested a nuclear weapon soon after launching missiles. Dr. Pollack said a repeat of that action would pose a major test to the Obama administration, as well as to the new Chinese leader, Xi Jinping.

“Pyongyang may have decided now is the time to put down a major marker as Obama’s second term approaches and as South Korea elects a new president,” he said.

Beyond the hard strategic questions for the new Chinese leadership, the concerns among ordinary Chinese about why China bankrolls such a ruthless government should be considered, several Chinese analysts said.

“Internally in China, many voices are questioning all this spending on rocket launches instead of on improving people’s livelihoods,” said Jia Qingguo, an expert at Peking University.

The South Korean government recently estimated that North Korea had spent $2.8 billion to $3.2 billion since 1998 on its missile program, said Stephan M. Haggard, a professor of Korea-Pacific studies at the University of California, San Diego. That amount of money would have bought enough corn to feed the country for about three years, Dr. Haggard said.

The debate within China about its relationship with North Korea stems from the unusual nature of the alliance. Fundamentally, the two governments do not like each other and harbor deep mutual suspicions, said Stephanie T. Kleine-Ahlbrandt, the China and Northeast Asia project director of the International Crisis Group in Beijing. When North Korean officials visited Singapore this year to get new ideas for Mr. Kim’s government, leaders in Beijing — who have sent teams of their own to Singapore to study its softer form of one-party leadership — became very nervous, she said.

The larger fear is that any fundamental change in North Korea could send waves of refugees into China, who would be considerably more difficult to absorb than people of other nationalities on China’s borders.

“For the Chinese,” Ms. Kleine-Ahlbrandt said, “there are fewer problems keeping North Korea the way it is than having a collapse.”

Bree Feng contributed research.

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Bengals beat Eagles 34-13

PHILADELPHIA (AP) — Now the Cincinnati Bengals can focus on that other Pennsylvania team.

Andy Dalton threw a touchdown pass and ran for another score, an opportunistic defense forced five turnovers and Cincinnati beat the Philadelphia Eagles 34-13 on Thursday night.

The Bengals (8-6) took a half-game lead over the Pittsburgh Steelers for the last playoff spot in the AFC. But their game at Pittsburgh next week is far more important in the standings than this one.

"We've got nothing to celebrate here," coach Marvin Lewis said. "But we won and we do have some time to get ready for Pittsburgh."

The Bengals would clinch their second straight playoff berth with a win over the Steelers if Pittsburgh loses at Dallas this Sunday. A loss to the Steelers, though, likely would ruin Cincinnati's chances because it would lose the tiebreaker.

"Our goal is to win games. Period. We did that. Doesn't matter how we got there," cornerback Adam "Pacman" Jones said. "We can be better. We can be higher. And that's what we take from this game. Listen, we all know we need to play better as a defense next week. Because we have ourselves a big one next week."

The Eagles' season was lost a long time ago. They fell to 4-10, losing double-digit games for the first time since 2005, the year after losing the Super Bowl to New England.

There were plenty of empty seats at the Linc, where fans are hoping this is Andy Reid's final season as coach. Reid led the Eagles to nine playoff appearances, six division titles and five NFC championship games in his first 13 years. But the Eagles will miss the playoffs for the second straight year and owner Jeffrey Lurie already said 8-8 would be "unacceptable."

"Five turnovers, 31 points. That says it all," Reid said. "Guys played hard, but you can't have those turnovers. You have to take care of the ball. Guys have to do it. I take full responsibility for them."

An interception by Leon Hall set up Dalton's go-ahead 11-yard TD run in the third quarter. Then Wallace Gilberry picked up Bryce Brown's fumble and ran it back 25 yards for another score and an 11-point lead.

BenJarvus Green-Ellis ran for 106 yards, including a 1-yard TD run in the first quarter for Cincinnati. Dalton tossed a 5-yard TD pass to A.J. Green in the fourth to cap a 24-point outburst in a span of 3:23.

"We realize what's at stake here, and we know we needed to put some football plays together," Lewis said. "We put ourselves at risk tonight, but we made plays when we needed to. We were able to get some things going with the turnovers and that definitely helped. We redirected some things at halftime and got everyone on the same page."

The Eagles committed three turnovers on three straight possessions at one point and then fumbled a kickoff when defensive lineman Cedric Thornton let the ball fall through his hands on a short kick.

After beating Tampa Bay on a last-second TD last week to snap an eight-game losing streak, the Eagles tried to make it two in a row. Turnovers got in their way again. They've committed an NFL-high 34 and forced just 12 all season.

The Eagles snapped a drought of 22 quarters without a turnover by recovering two fumbles in the second. Both led to field goals by Alex Henery, helping Philadelphia to a 13-10 halftime lead.

Rookie Nick Foles made his fifth straight start for Michael Vick, who just returned to practice this week after sustaining a concussion on Nov. 11. Foles threw for 182 yards, one TD and one interception.

Down 13-10, the Bengals started their rally with a turnover.

Hall intercepted Foles' deep pass and returned it 44 yards to the Eagles 40. Foles underthrew Jeremy Maclin, who was a few steps behind Hall.

"I feel really good anytime I have one of our receivers vertical on a guy," Foles said. "I just have to get the ball out there and make a better throw."

Green made an acrobatic catch for an 11-yard gain on third-and-9 a few plays before Dalton ran for the score to put the Bengals up 17-13.

Foles, who threw for 381 yards to lead that comeback against the Bucs, hit Riley Cooper on an 11-yard TD pass to cut it to 10-7. Foles connected with Maclin on a 46-yard pass during the drive.

The Eagles then forced their first turnover since Nov. 5 against New Orleans. Brandon Graham sacked Dalton, the ball popped loose and Trent Cole recovered at the Bengals 29.

"We win as a team, we lose as a team," said Eagles defensive coordinator Todd Bowles, who replaced Juan Castillo after six games. "We lost as a team today."

Just two plays in, Maclin fumbled after a 6-yard catch. Carlos Dunlap recovered and the Bengals started at the Eagles 44. Green-Ellis ran 29 yards on first down and scored a few plays later for a 7-0 lead.

It got uglier for Philadelphia on the next possession. Mat McBriar punted into his own blocker, Daniel Herron picked it up and ran 3 yards to the Eagles 11. But Graham sacked Dalton and Cincinnati settled for Brown's 24-yard field goal that made it 10-0.

The Eagles were again without running back LeSean McCoy and tight end Brent Celek also sat out. Both players also are recovering from concussions. McCoy missed his fourth straight game, but returned to practice this week with Vick.

NOTES: Green-Ellis surpassed 1,000 yards rushing for second time in his career. He did it with New England in 2010. ... The Eagles had a season-high six sacks. They have eight in two games since defensive line coach Jim Washburn was fired, and had 20 in first 12 games. ... Bowles confirmed he interviewed for the coaching vacancy at Temple, his alma mater.

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