Surgery Returns to NYU Langone Medical Center

Chang W. Lee/The New York Times

Senator Charles E. Schumer spoke at a news conference Thursday about the reopening of NYU Langone Medical Center.

NYU Langone Medical Center opened its doors to surgical patients on Thursday, almost two months after Hurricane Sandy overflowed the banks of the East River and forced the evacuation of hundreds of patients.

While the medical center had been treating many outpatients, it had farmed out surgery to other hospitals, which created scheduling problems that forced many patients to have their operations on nights and weekends, when staffing is traditionally low. Some patients and doctors had to postpone not just elective but also necessary operations for lack of space at other hospitals.

The medical center’s Tisch Hospital, its major hospital for inpatient services, between 30th and 34th Streets on First Avenue, had been closed since the hurricane knocked out power and forced the evacuation of more than 300 patients, some on sleds brought down darkened flights of stairs.

“I think it’s a little bit of a miracle on 34th Street that this happened so quickly,” Senator Charles E. Schumer of New York said Thursday.

Mr. Schumer credited the medical center’s leadership and esprit de corps, and also a tour of the damaged hospital on Nov. 9 by the administrator of the Federal Emergency Management Agency, W. Craig Fugate, whom he and others escorted through watery basement hallways.

“Every time I talk to Fugate there are a lot of questions, but one is, ‘How are you doing at NYU?’ ” the senator said.

The reopening of Tisch to surgery patients and associated services, like intensive care, some types of radiology and recovery room anesthesia, was part of a phased restoration that will continue. Besides providing an essential service, surgery is among the more lucrative of hospital services.

The hospital’s emergency department is expected to delay its reopening for about 11 months, in part to accommodate an expansion in capacity to 65,000 patient visits a year, from 43,000, said Dr. Andrew W. Brotman, its senior vice president and vice dean for clinical affairs and strategy.

In the meantime, NYU Langone is setting up an urgent care center with 31 bays and an observation unit, which will be able to treat some emergency patients. It will initially not accept ambulances, but might be able to later, Dr. Brotman said. Nearby Bellevue Hospital Center, which was also evacuated, opened its emergency department to noncritical injuries on Monday.

Labor and delivery, the cancer floor, epilepsy treatment and pediatrics and neurology beyond surgery are expected to open in mid-January, Langone officials said. While some radiology equipment, which was in the basement, has been restored, other equipment — including a Gamma Knife, a device using radiation to treat brain tumors — is not back.

The flooded basement is still being worked on, and electrical gear has temporarily been moved upstairs. Mr. Schumer, a Democrat, said that a $60 billion bill to pay for hurricane losses and recovery in New York and New Jersey was nearing a vote, and that he was optimistic it would pass in the Senate with bipartisan support. But the measure’s fate in the Republican-controlled House is far less certain.

The bill includes $1.2 billion for damage and lost revenue at NYU Langone, including some money from the National Institutes of Health to restore research projects. It would also cover Long Beach Medical Center in Nassau County, Bellevue, Coney Island Hospital and the Veterans Affairs hospital in Manhattan.

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Obama to Urge Vote in Senate if Parties Fail in Fiscal Talks

Luke Sharrett for The New York Times

In a televised statement at the White House after meeting with Congressional leaders on Friday, President Obama said he was “modestly optimistic” that an agreement could be reached.

WASHINGTON — President Obama said Friday evening that progress had been made in make-or-break talks on the fiscal crisis and pronounced himself cautiously “optimistic,” as Senate leaders worked furiously toward an agreement to avert the worst of the economic punch from landing Jan. 1.

But after a one-hour meeting with Congressional leaders at the White House, Mr. Obama warned that if the two sides did not agree on a bill, he would urge the Democratic-controlled Senate to put forward a measure anyway, in essence daring Republicans in the House and Senate to block a floor vote on tax cuts.

“I believe such proposals could pass both houses with a bipartisan majority as long as both leaders will allow it to come to a vote,” Mr. Obama said. “If members want to vote no, they can.”

Senators broke from a long huddle on the Senate floor with Senator Mitch McConnell of Kentucky, the Republican leader, to say progress had been made. Mr. McConnell, White House aides, and Senator Harry Reid of Nevada, the majority leader, were set to continue talks on Saturday aiming for a breakthrough as soon as Sunday.

“We’re working with the White House, and hopefully we’ll come up with something we can recommend to our respective caucuses,” Mr. McConnell told reporters.

Mr. Reid also said that there had been some progress but he warned that in assembling a measure that can win support from both parties, “what we come up with is going to be imperfect.”

For all the cautious optimism, the president also expressed exasperation that four days before a looming deadline, which lawmakers have known about for a year and a half, the two sides are still far apart.

“This is déjà vu all over again,” he said. “America wonders why it is that in this time, you can’t get stuff done in an organized timetable. The American people are not going to have any patience for a politically self-inflicted wound to our economy.”

Mr. Obama took steps to keep the pressure on throughout the weekend, scheduling an appearance on Sunday’s “Meet the Press” on NBC.

The emerging path to a possible resolution, at least Friday, appeared to mirror the protracted stalemate over the payroll tax cut last year. In that conflict, House Republicans refused to go along with a short-term extension of the cut, but Mr. McConnell struck a deal that permitted such a measure to get through the Senate, and Speaker John A. Boehner essentially forced members of the House to accept it from afar, after members had left for Christmas recess.

This time, the consequences are even more significant, with more than a half-trillion dollars of tax increases and across-the-board spending cuts just days from going into force, an event most economists warn would send the economy back into recession if not quickly reversed. With the House set to return to the Capitol on Sunday, Mr. Boehner has said he would place any Senate-passed bill before his chamber — perhaps amended — and let the chips fall, with or without Republicans on board.

“I’ve got a positive feeling now,” said Senator Kay Bailey Hutchison, Republican of Texas, who said a burst of deal-making talk broke out as soon as the leaders returned to the Capitol.

This was the first time in weeks that Mr. Obama met with the four Congressional leaders — Mr. Reid, Mr. McConnell, Mr. Boehner and Representative Nancy Pelosi, the Democratic leader.

The meeting started with the president reiterating his demand for an extension of tax cuts on incomes below $250,000.

That opening offer lowered expectations on Capitol Hill that a breakthrough could be pending, but behind the scenes, talks continued, focusing on a possibly higher threshold of $400,000. Senator Max Baucus of Montana, chairman of the Senate Finance Committee, said sentiment is “jelling” around a new offer, and a source familiar with the negotiations said the president would ask Republican and Democratic leaders what proposal could win majority support in the House and Senate.

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Iran’s Slowing of Enrichment Efforts May Show It Wants Deal

WASHINGTON — By subtly putting its hands on the brakes of its uranium enrichment efforts, Iran may be signaling that it wants to avoid a direct confrontation over its nuclear program, at least in the near term, according to United States and other Western officials.  The action has also led some analysts to conclude that Iran’s leaders are showing signs that they may be more interested in a deal to end the nuclear standoff with the West.  

Evidence began emerging last summer that the Iranians were diverting a significant portion of their medium-enriched uranium for use in a small research reactor, converting it into a form that cannot easily be used in a weapon.

One American official said the move amounted to trying to “put more time on the clock to solve this,” characterizing it as a step “you have to assume was highly calculated, because everything the Iranians do in a negotiation is highly calculated.” Israel’s departing defense minister, Ehud Barak, came to a similar conclusion when he said in October that his country could safely back away from threats of military action against Iran, at least until the late spring or summer of 2013.

But White House, State Department and Pentagon officials all cautioned against drawing firm conclusions about Iran’s ultimate intentions.

A new session of talks involving Iran and six major powers, including the United States, is expected next year, and American officials say they still cannot determine whether Iran’s supreme leader, Ayatollah Ali Khamenei, is ready to strike a deal.

A quiet feeler seeking direct talks with Iran that the administration put out after President Obama’s re-election last month resulted in “no real response,” another senior official said, adding: “It wasn’t that they said yes or no. They said nothing.”

These uncertainties underlie the hunger in Western countries to understand why Iran appears to be keeping its stockpile of medium-enriched uranium — which could be converted to bomb fuel in weeks or months — to a level below the amount necessary to build a single weapon.

Evidence from a variety of sources, including the International Atomic Energy Agency, suggests that as Iran produced more uranium enriched to near 20 percent purity, a process that takes it most of the way to bomb-grade fuel, it began diverting some into an oxide powder that could be used in a small research reactor in Tehran. That diversion is believed to have begun in August.

Iran had been complaining for years that the research reactor, which was supplied by the United States during the rule of Shah Mohammed Reza Pahlavi to produce isotopes for medical purposes, was running out of fuel, and that the West refused to sell it more. So it decided to make the fuel itself. Now, even though it has enough fuel to keep the reactor running for at least a decade, it may be making more, several sources indicate.

The statistics released in quarterly reports by the atomic energy agency show that if Iran had not diverted fuel to that project, it would have enough medium-enriched fuel for one bomb and would be on its way to enough for a second. Instead, as of the agency’s last report, in November, Iran had enriched 232 kilograms (about 511 pounds) of the fuel, nearly enough to produce a weapon. But more than 96 kilograms (almost 212 pounds) had been sent off for fabrication into fuel plates for the reactor. Once turned to that purpose, the fuel is very difficult to use in a bomb.

The diversion “was a move to take heat away so that things didn’t go over the tipping point,” said Olli Heinonen, the former head of inspections for the atomic energy agency, who dealt with Iran extensively. Mr. Heinonen, now a senior fellow at the Kennedy School of Government at Harvard, said that since the diversion, the Iranians had continued to produce about 15 kilograms (about 33 pounds) a month of medium-enriched fuel. So unless they slow that pace, or divert more fuel to the reactor program, “they are going back up to the tipping point,” he said.

Iran could use that to its advantage in negotiations. “I think it is hard to understand what Iran was doing if not sending a deliberate signal, signaling some cautiousness,” said Greg Thielmann, a former State Department intelligence analyst who is now at the Arms Control Association. “I think it is reasonable to see the diversion as a negotiating signal, and a note of moderation.”

Ray Takeyh, an Iran specialist at the Council on Foreign Relations, said that “the sanctions policy that the United States has pursued over the past decade is beginning to bear fruit.” He said that the steps, which have led to a huge devaluation of the Iranian currency and a sharp decline in Iranian oil exports, “have seemingly succeeded in convincing influential sectors of the theocracy to reconsider their options.”

Some Arab officials agree, though they warn that it could be three years before the sanctions hurt Iran enough to bring about a change of position. “The problem is we don’t have three years,” a senior Arab diplomat said recently.

The big question is whether any of this is more than tactical positioning. “Tehran almost certainly hopes the diversion will be read in Western capitals as a sign of its willingness to reach a deal,” said Paul R. Pillar, a former C.I.A. analyst who is now at Georgetown University.

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Fear of Amazon Pushes Stores to Offer Same-Day Shipping

Richard Perry/The New York Times

Arianna Simpson of Shoptiques.com, a retail Web site, made a same-day delivery to a Manhattan office building last week.

Ivy Wu did not immediately need the navy lace cocktail dress she ordered the other day. But when a representative from Shoptiques, an e-commerce site, arrived at her Midtown Manhattan office with the dress only hours after Ms. Wu, 26, had placed her order, “I was really impressed that it was here,” she said.

This holiday season, same-day shipping has replaced free shipping as the new must-have promotion. It’s logistically complicated and money-losing — and may not even be a service that consumers want or need, analysts say. But retailers from Walmart to small shops like Shoptiques are willing to take the risk. Even the Postal Service has introduced a same-day option for retailers. And the reason is simple: fear of Amazon.com.

Amazon, the world’s biggest online retailer, has hinted that it will expand its same-day shipping service, giving customers the immediate gratification that has been the biggest advantage of brick-and-mortar stores.

For small outfits like Shoptiques, it is not an easy proposition. The courier who showed up at Ms. Wu’s office was the company’s head of boutique operations, who has put aside her regular job this holiday season to make deliveries by hand. Bigger retailers, like Toys “R” Us, Macy’s and Target, have worked with eBay to deliver items the same day, as have other old-line stores. Google has begun testing a local delivery service with several chains.

“There’s lots going on in this space, and it’s all driven by Amazon,” said Tom Allason, founder and chief executive of Shutl, a British same-day delivery service that will expand to the United States next year. “It’s not really being driven by consumers at the moment.”

The same-day delivery idea was a spectacular failure during the dot.com boom. Companies like Kozmo.com and Webvan went under because the services simply cost too much to be profitable. Amazon has offered same-day shipping since 2009, but with limits — only in big cities near Amazon warehouses on certain items ordered in the morning.

The geographical limits exist because Amazon had built warehouses far from major cities to avoid charging sales tax in certain states. But it has now given in on the sales tax fight, and in return, is erecting warehouses near cities like San Francisco, which analysts say is paving the way for faster, more widespread same-day delivery and spurring competitors.

“It’s the old idiom, ‘time is money,’ ” said Lina Shustarovich, an eBay spokeswoman. “How much time are you saving by not going to the store? People want it now, they want it fast.”

Walmart, which is the nation’s biggest retailer but sells just a fraction of what Amazon does online, is testing same-day shipping during the holiday season in five markets. Generally, it gives shoppers a four-hour delivery window and charges $10 for same- or next-day delivery. The idea is “to give customers convenience, by way of combining our online shopping with the local presence of stores,” said Amy Lester, a Walmart spokeswoman for global commerce.

But, Ms. Lester said, the test is showing that consumers often pick next-day delivery rather than same day. She declined to give a specific figure for same-day orders, but said thousands of same- and next-day orders had been placed.

Net-a-Porter, the designer apparel e-commerce site, said its same-day service is quite popular. Its $25 delivery service in the London and New York areas pays for itself, said Alison Loehnis, its managing director. But its clients are accustomed to paying for concierge service, like the customer who ordered clothing to be delivered the same day to her private jet before a vacation.

With the eBay Now iPhone app, introduced this year in San Francisco and New York, customers choose items from physical stores and eBay sends a courier to the store to pick it up and drop it off — at an apartment, office, coffee shop or bar — for a $5 fee.

EBay declined to say whether it loses money on the orders, but analysts who study logistics say it is not profitable.

“The goal with this pilot was never to monetize,” Ms. Shustarovich said. But in the future, it could make money, she said, for example if retailers pay eBay a fee for bringing them customers.

The Postal Service is testing a same-day service in San Francisco that is meant to offset its declining carrier business, a spokesman said. Consumers can order items until 2 p.m. from 1-800-Flowers.com, the first retailer offering the service, and a Postal Service employee will pick up the package and deliver it between 4 and 8 p.m.

Smaller companies are trying different approaches.

TaskRabbit, which offers à la carte personal assistant services, noticed last summer that delivering items from local stores was the most popular task requested.

Now, it charges $10 for delivery from local stores, starting in San Francisco.

This article has been revised to reflect the following correction:

Correction: December 27, 2012

A photo caption with an earlier version of this post misspelled the given name of an employee of Shoptiques.com who was making a same-day delivery. She is Arianna Simpson, not Arriana.

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7-Eleven Stores Focus on Healthier Food Options

The chain that is home of the Slurpee, Big Gulp and self-serve nachos with chili and cheese is betting that consumers will stop in for yogurt parfaits, crudité and lean turkey on whole wheat bread.

7-Eleven, the convenience store chain, is restocking its shelves with an eye toward health. Over the last year, the retailer has introduced a line of fresh foods for the calorie conscious and trimmed down its more indulgent fare by creating portion-size items.

The change is as much about consumers’ expanding waistlines as the company’s bottom line. By 2015, the retailer aims to have 20 percent of sales come from fresh foods in its American and Canadian stores, up from about 10 percent currently, according to a company spokesman.

“We’re aspiring to be more of a food and beverage company, and that aligns with what the consumer now wants, which is more tasty, healthy, fresh food choices,” said Joseph M. DePinto, the chief executive of 7-Eleven, a subsidiary of the Japanese company, Seven & i Holdings.

Convenience stores have typically been among the most nimble of retailers. In the 1980s, they added Pac-Man arcade games as a way to keep customers in stores longer and to buy more merchandise. They installed A.T.M.’s a decade later, taking a slice of the transaction fees. More recently, they built refrigerated dairy cases, with milk, eggs, cheese and other staples.

But just as they have taken business from traditional supermarkets, convenience stores have faced increased competition from the likes of Dunkin’ Donuts and Starbucks, which offer a basic menu of fresh foods for consumers on the go.

At the same time, a major profit driver for convenience stores — cigarettes — has been in steady decline over the last decade as the rate of smoking has dropped in the United States.

Fresh foods can help offset some of those losses. The markup on such merchandise can be significant, bolstering a store’s overall profits. It’s also a fast-growing category.

“If you can figure out how to deliver consistent quality and the products consumers want, fresh food is attractive because margins are higher, and it addresses some of the competitive issues you’re facing,” said Richard Meyer, a longtime consultant for the convenience store industry. “But it’s not easy to do.”

7-Eleven has been selling fresh food since the late 1990s. But much of its innovation has been limited to the variety of hot dogs spinning on the roller grill or the breakfast sandwiches languishing beneath a heating lamp.

As 7-Eleven refocuses its lineup, the retail chain has assembled a team of culinary and food science experts to study industry trends and develop new products. Such groups have been around for a while at fast-food restaurants like McDonald’s and packaged-goods manufacturers like Kraft. But it’s a relatively new concept for players like 7-Eleven, which have typically relied on their suppliers to provide product innovation.

“We’re working to create a portfolio of fresh foods,” said Anne Readhimer, senior director of fresh food innovation, who joined the company in May from Yum Brands, where she had worked on the KFC and Pizza Hut brands. “Some will be for snacking, some for a quick meal, but we hope everything we offer our guests is convenient and tasty.”

One new menu item just hitting stores is a Bistro Snack Protein Pack, which includes mini pita rounds, cheddar cheese cubes, grapes, celery, baby carrots and hummus. The meal in a box, similar to one carried by Starbucks, is part of a broader menu with healthier items under 400 calories.

The company is also taking existing products and retooling them for single portions. For example, customers can now buy jelly doughnuts and tacos, in mini sizes.

“There are definitely customers who want healthy options, but there are also lots of customers who are excited about the new sandwich options that aren’t low calorie — and minidoughnuts are doing very well,” said Lori Primavera, senior manager of fresh food innovation at 7-Eleven, who previously worked for Food and Drink Resources, a consulting firm for restaurant companies.

Norman Jemal, a franchisee, said sales of the new products are growing steadily in the three 7-Eleven stores that he owns in Manhattan. “At first, people are surprised when they come in here and see a bag of carrots and celery,” Mr. Jemal said. “They say, ‘I came in here for a bag of chips — I can’t believe you have fruit cups or yogurt cups.’ ”

He said the Yoplait Parfait, a cup of vanilla yogurt topped with fresh strawberries or blueberries and granola, is his best-selling fresh food item, while the 7 Smart turkey sandwich is his top sandwich.

The fresh food in Mr. Jemal’s stores and other locations around the country are supplied from a system of 29 commissaries and bakeries that fulfill orders from 7-Eleven. They tailor menu items for specific markets. In the Miami area, they produce a hot Cuban sandwich with ham, cheese, pickles and mustard. The Turkey Gobbler with turkey, stuffing and cranberry sauce sells in Northeastern stores around the holidays.

Each store has a data system that allows it to see exactly what is selling, which helps manage waste. Stores can track consumers’ purchase habits over a month, and adjust their orders based on those behaviors.

“In this 28-day cycle, I know I sold 3,563 bananas to customers in this store,” said Todd Ferguson, who owns five 7-Eleven locations in Las Vegas.

Mr. Ferguson has owned 7-Eleven franchises since 1986, and he said the variety of fresh food options in the stores is far better than before. The category already accounts for 20 percent of his sales, and his goal is to reach a quarter of sales volume.

“We used to be a place for people to buy beer, wine, cigarettes, candy and chips, and people would occasionally ask where they could go to get something to eat,” Mr. Ferguson said. “We’re no longer getting that question because now you can get something to eat right here.”

This article has been revised to reflect the following correction:

Correction: December 27, 2012

An earlier version of this article incorrectly identified a 7-Eleven franchisee in Las Vegas. He is Todd Ferguson, not Tom Ferguson.

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Syrian General in Charge of Stopping Defections Becomes a Defector

Aref Heretani/Reuters.

Mannequins were set up to confuse snipers loyal to President Bashar al-Assad in the old city of Aleppo on Sunday.

BEIRUT, Lebanon — Syria’s government suffered an embarrassing new setback as the top general responsible for preventing defections within the military became a defector himself, making what insurgents described on Wednesday as a daring back-roads escape by motorcycle across the border into Turkey.

The defector, Maj. Gen. Abdul Aziz Jassem al-Shallal, the chief of the military police, was one of the highest-ranking military officers to abandon President Bashar al-Assad in the nearly two-year-old uprising against him.

His departure, first reported by Al Arabiya late on Tuesday evening and confirmed by opposition figures on Wednesday, came as a flurry of diplomatic activity suggested the possibility of movement toward a political solution to the Syrian crisis. A deputy Syrian foreign minister flew to Moscow for meetings with Kremlin officials, and the international envoy who met with Mr. Assad in Damascus earlier this week was planning to visit Moscow this weekend. Russia, one of Mr. Assad’s most ardent foreign defenders, has in recent weeks suggested it was open to a negotiated transition that would ease him out of power.

Opposition figures said General Shallal’s defection had taken weeks to prepare and ended with a four-hour sprint by motorcycle to the Turkish border, driving through woods and on muddy roads. In a video broadcast by Al Arabiya, the general said that he had taken the step because the Syrian military had deviated from its mission to protect the country, and had transformed into “a gang for killing and destruction.”

“The regime army has lost control over most of the country,” the general said in an interview on the Saudi-owned channel, which has heavily criticized the Syrian government.

Opposition fighters embraced the defection as more than a symbolic blow to the government because of the general’s primary responsibility as an enforcer of Mr. Assad’s repression of dissent and guarantor of loyalty by the armed forces. As head of the military police, General Shallal was responsible for the department that was supposed to stop defections. He also presided over a force that guarded prisons where civilian dissidents were held.

Maj. Ibrahim Moutawe, who defected from the Syrian Army a year ago, said defection was a “last resort” for high-ranking officials like General Shallal. “They only consider it when fear and danger begin to threaten them directly, and when the regime can no longer protect them,” he said.

General Shallal was not a member of Mr. Assad’s inner circle, and analysts said that the defections of other officials with impressive titles — including the prime minister, a brigadier general and a well-known government spokesman — had done little to shake Mr. Assad’s basic hold on power.

More critically, the opposition has failed to attract either officers or rank-and-file soldiers belonging to Syria’s Alawite minority, the sect that Mr. Assad belongs to, doing little to assuage fears among Alawites that the Sunni-led insurgency threatens their existence, analysts said.

But the departure of a major general who publicly condemned the armed forces seemed likely to undercut Mr. Assad’s attempts to maintain morale.

The negotiations for the general’s defection began weeks ago, after members of his tribe reached out to opposition commanders, according to Louay Mekdad, the political and media coordinator for the Free Syrian Army, an umbrella organization for rebel fighting groups. Mr. Mekdad said that the general had tried to defect several times before, but had been prevented for what he called “technical reasons,” without giving any more detail.

Rebel commanders gave differing accounts of how much power the general had held in Syria. One commander said he had been a member of Mr. Assad’s “crisis team” of top military, security and intelligence officials coordinating the government’s response to the war. Capt. Adnan Dayoub, a rebel commander in Hama, said that General Shallal had been responsible for prisons — “God knows how many,” he said — and was almost certainly guilty of crimes.

“He’s contaminated from top to bottom,” the captain said. “Tomorrow he will be a hero.”

Kareem Fahim reported from Beirut, and Rick Gladstone from New York. Reporting was contributed by Hwaida Saad from Beirut, Ellen Barry from Moscow, Hala Droubi from Dubai, United Arab Emirates, and Eric Schmitt from Washington.

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State of the Art: Pogie Awards for the Brightest Ideas of 2012

Good evening, and welcome to The Dalles, Ore.! Here in the cafetorium of the James A. Garfield Middle School, we meet every year for the biggest event in technology: the Pogie awards!

We don’t award these coveted trophies to the best products of the year; everybody does that. No, the Pogies celebrate the best ideas of the year: ingenious features that somehow made it past the lawyers, through the penny-pinching committees and into real-world tech gadgets — even if the products overall are turkeys.

So now, for the eighth straight year — the FedEx envelopes, please!

SMART STAY On Samsung’s Galaxy S III phone, the front-facing camera looks for your eyes. When you’re not looking at the screen, it dims to save battery power. It brightens right back up when you return your gaze.

POWER NAP Most of the world’s laptops do exactly one thing when you close their lids: sleep. All other activity stops.

But Apple asked: Why? Why can’t network activity keep chugging away even when the lid is closed? Why can’t your laptop keep backing itself up, downloading e-mail and syncing its online data (calendars, calendar notes, reminders, photos)?

That is the idea behind Power Nap, a feature of OS X Mountain Lion that works on recent MacBook models. You can wake up, grab your laptop and head out, confident that it is backed up and has the latest mail downloaded.

SLIPSTREAM On Amazon’s 8.9-inch Kindle HD, something ingenious happens when you call up a big-name Web site: It pops onto your screen fast, all at once. It’s almost as though the Kindle’s browser is loading a JPEG screenshot of a Web page, rather than the dozens of individual graphics, text bits and other elements that constitute a Web page. And that’s exactly what it is doing. Behind the scenes, Amazon’s servers grab frequent screenshots of the most popular Web sites; when you visit one, what you see first is that JPEG image (with live links in the right places, fortunately).

While you are studying that image, the browser continues to fetch the component pieces of the page — and after a few seconds, a blink (and occasionally a shifted element) lets you know that you are now looking at the real deal. It is a sneaky, logical, brilliant trick that saves you time and costs you nothing.

CYCLORAMIC Just when you think that nobody could possibly have another fresh idea for a phone app, Cycloramic ($1) makes 360-degree panoramic videos — without a tripod or swivel.

You stand the phone upright and tap the Go button. Incredibly, the phone, balancing on its end, begins to rotate itself. Freakiest darned thing you ever saw. Great for winning bar bets or establishing new religions.

If you’ve ever seen a phone scoot itself along a table when it is in buzz mode, you get the principle. The app triggers the phone’s vibration module at exactly the right frequencies to make the phone turn on the table. The phone’s sensors figure out how far it’s rotated.

It works only on shiny surfaces like glass, polished granite or laminated wood (like desks), and only the iPhone 5 has exactly the right balance. It’s a jaw-dropper.

ELECTRONIC LEASHES The Ciago iAlert and Cobra Tag are Bluetooth keychain fobs that communicate with your iPhone or Android phone. Once you’re 30 feet away from the phone, the keychain starts beeping, as though to say, “You’re leaving your $200 phone behind, you idiot!” It works the other way, too; the phone beeps if you leave your keys behind.

In practice, these fobs are cheaply built and, if the Amazon reviews are to be believed, not always reliable. But remember — on the night of the Pogies, it’s the idea that counts.

BLUETOOTH 4.0 Bluetooth is that wireless technology that connects gadgets within 30 feet — your phone to your headset, for example — and kills your battery charge. Right?

Actually, it doesn’t anymore. Bluetooth 4.0, built into the latest iPhone and Android phones, is also called Bluetooth LE (low energy) for a reason. For the most part, it uses power only when it has data to exchange. The rest of the time, it sleeps.

E-mail: pogue@nytimes.com

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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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Q & A: Should Older Adults Be Vaccinated Against Chickenpox?

Q. Should a 65-year-old who has never had chickenpox be vaccinated against it?

A. In someone who has never had chickenpox, the vaccine would protect against a disease that is far more serious in adults than it is in children, said Dr. Mark S. Lachs, director of geriatrics for the NewYork-Presbyterian Healthcare System and professor of medicine at Weill Cornell Medical College.

After childhood chickenpox, the varicella virus is never eliminated from the body but lies dormant in nerve roots. Decades later, it may reactivate along the nerve pathway and cause the very painful rash called shingles, and later, in many cases, a persistent pain called postherpetic neuralgia, or PHN.

Therefore, for most people over 60, the Centers for Disease Control and Prevention recommends the shingles vaccine. It safely reduces (but does not eliminate) the risk of both shingles and PHN in those who have had chickenpox, Dr. Lachs said.

In someone who never had chickenpox, he said, the concern is not shingles but adult chickenpox, which has “fatality rates 25 times higher than in children.”

Such a person should instead be vaccinated against a primary infection with the varicella virus, Dr. Lachs said. The vaccine differs in strength from the one for shingles and is given in two injections, a month apart.

C. CLAIBORNE RAY

Readers may submit questions by mail to Question, Science Times, The New York Times, 620 Eighth Avenue, New York, N.Y. 10018, or by e-mail to question@nytimes.com.

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South Korea Seeks to Buy Spy Drones

WASHINGTON (Reuters) — The Obama administration formally proposed a sale of advanced spy drones to help South Korea take a more active role in its own defense from any attack by the heavily armed North.

Seoul has requested a possible $1.2 billion sale of four Northrop Grumman Global Hawks, remotely piloted aircraft with enhanced surveillance capabilities, according to a statement by the Pentagon’s Defense Security Cooperation Agency dated Monday and distributed Tuesday.

South Korea needs such systems to assume top responsibility for intelligence-gathering from the United States-led Combined Forces Command as scheduled in 2015, the security agency said in releasing a notice to American lawmakers. The aircraft “will maintain adequate intelligence, surveillance, and reconnaissance capabilities and will ensure the alliance is able to monitor and deter regional threats in 2015 and beyond,” the notice said.

The military partnership grew from the American role in the 1950-53 Korean War, and is being phased out. Seoul has shown interest in the high-altitude, long-endurance Global Hawk platform for at least four years.

The possible sale has been held up by discussions involving price, aircraft configuration and a deliberately slow pace in releasing of such technology, which is subject to a voluntary 34-nation arms control pact.

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