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saco-indonesia.com, Kanker Payudara juga merupakan penyakit yang dapat disebabkan oleh sel ganas (kanker) yang tumbuh pada jaringan payudara. Sel-sel ini biasanya akan muncul pada saluran atau lobula di payudara. Sel-sel kanker ini juga dapat menyebar di antara jaringan atau organ yang ada dan ke bagian tubuh lainnya.

Seberapa umumkah Kanker Payudara?

Kanker Payudara juga merupakan penyebab kematian kedua terbesar bagi wanita saat ini. Di Singapura, 1 dari 16 wanita akan terdiagnosa mengidap kanker payudara dalam masa hidupnya. Wanita etnis Cina telah memiliki resiko yang lebih tinggi jika dibandingkan dengan etnis Melayu atau India sekitar 10% hingga 20%. Kasus tertinggi telah terjadi pada kelompok umur 55-59 tahun. Resiko terkena kanker payudara meningkat seiring bertambahnya usia. Kabar baiknya sekarang adalah banyak wanita kini mampu untuk melawan kanker payudara karena telah melakukan pendeteksian dini serta peningkatan kualitas pengobatan.

Apa Penyebabnya?

Faktor pemicu kanker ini belum dapat diketahui. Namun hal ini juga bisa ditelusuri dari sejarah keluarga yang telah mengidap kanker payudara, siklus menstruasi dini, atau kemungkinan faktor resiko lainnya. Karena begitu sulit untuk dapat dipastikan, masing-masing kita telah memiliki resiko terkena kanker payudara, khususnya saat kita berusia 40 tahun atau lebih. Walaupun faktor penyebabnya masih tidak diketahui, akan tetapi penyembuhan total sangat dimungkinkan dengan pendeteksian dini melalui pemeriksaan payudara secara reguler.
 
Diagnosa & Pemeriksaan

Bagaimana cara mendiagnosa?

Pemeriksaan Klinis – Khususnya bila benjolan, keluarnya cairan dari puting, atau perubahan payudara yang tidak biasa terjadi.

Mamogram – Metode ini juga dapat mendeteksi perubahan seperti kepadatan yang tidak normal atau terjadinya deposit kalsium.

Ultrasound Scan – Metode ini juga digunakan untuk dapat mendeteksi pada area khusus yang telah ditemukan dalam pemeriksaan mamogram atau dapat dilakukan untuk dapat mendeteksi kondisi abnormal yang tidak terlihat pada mamogram. Sebuah ultrasound scan juga dapat membedakan antara massa yang solid, yang kemungkinan kanker, atau kista yang berisi cairan yang biasanya bukan merupakan kanker.

Magnetic Resonance Imaging, MRI – Pada beberapa kasus, pasien harus menjalani sken MRI untuk dapat memperoleh hasil pemeriksaan yang lebih jelas pada area yang diduga terkena kanker. Metode ini juga sangat berguna bagi wanita yang berusia muda karena pada usianya mereka memiliki kepadatan jaringan payudara yang lebih besar dan tes visual konvensional seperti mamogram ataupun ultrasound menjadi kurang sensitif dan spesifik untuk mendeteksi kanker payudara.

          
Apa itu Biopsi?
          

Teknik biopsi umum

Untuk dapat memastikan kanker payudara, sebuah biopsi harus dilakukan di mana bagian dari jaringan sel yang diduga kanker diangkat dan diperiksa dengan mikroskop.
          

    Aspirasi Jarum Halus (FNA)
    Biopsi Jarum Inti (Core Needle) atau Biopsi Tru-cut
    Biopsi Eksisi (Excision Biopsy)

 
Bagaimana Kanker Payudara diperiksa?


A. TAHAPAN/LUAS PENYEBARAN
      TAHAPAN     LUAS PENYEBARAN     TINGKAT RATA-RATA KESELAMATAN PADA MASA
5-TAHUNAN(%)
      0     Kanker non-invasif     99
      I     Kanker invasif kecil
(kurang dari 2 cm tanpa penyebaran ke arah kelenjar getah bening aksila)     90
      II     

Kanker invasif
(antara 2-5cm atau/dengan penyebaran pada kelenjar getah bening)
    70
      III     Kanker invasif besar
(lebih dari 5cm dengan penyebaran pada kulit atau beberapa kelenjar getah bening)     40
      IV     

Penyebaran yang luas atau Kanker metastatis
    20


B. KARAKTERISTIK KANKER PAYUDARA YANG BERDAMPAK PADA KAMBUH DAN KESELAMATAN
Tingkat Histologis Tumor

Merujuk pada seberapa banyak sel tumor yang telah memiliki kemiripan dengan sel normal dilihat dari mikroskop; skala tingkat 1 sampai dengan 3. Tumor tingkat 3 mengandung sel kanker yang sangat abnormal dan tumbuh pesat. Semakin tinggi tingkat histologis tumor, semakin besar resiko kanker payudara kembali.
          
Kelenjar Getah Bening

Jumlah kelenjar getah bening yang berada di ketiak, di sisi yang sama pada payudara yang terkena kanker, bisa jadi indikator penting. Semakin besar jumlah kelenjar yang positif diasosiasikan dengan kemungkinan terburuk dan merujuk kepada perawatan dan pengobatan yang lebih agresif.
            
Ukuran Tumor

Secara umum, semakin besar ukuran tumor, semakin besar kemungkinan untuk kanker payudara kembali menyerang.
          
ER/PR

Sekitar duapertiga dari semua kanker payudara telah memiliki tingkat esterogen yang signifikan dan/atau reseptor progesteron. Mereka dirujuk sebagai tumor reseptor esterogen positif (ER+). Tumor ER+ cenderung tumbuh kurang agresif dan dapat diobati dengan pengobatan menggunakan hormon.
            
HER2/erbB2

HER2 adalah sebuah protein yang telah ditemukan pada permukaan dari sel kanker tertentu. Sebuah tumor juga dapat digambarkan sebagai HER2-positif apabila tumor tersebut telah memiliki lebih banyak reseptor HER2 dibanding dengan yang lain. Sekitar 20-25% dari semua kanker payudara memiliki tumor dengan label HER2-positif. Tumors HER2-positif cenderung tumbuh lebih cepat daripada jenis-jenis kanker payudara lainnya.

Dengan mengetahui apakah sebuah kanker adalah HER2-positif dapat mempengaruhi pilihan pengobatan yang dapat diambil, karena wanita dengan tumor sejenis ini dapat diuntungkan dengan obat yang disebut trastuzumab (Herceptin®).

 
Pengobatan & Perawatan

Bagaimana kanker payudara diobati?

Pilihan pengobatan dan prognosis (peluang kesembuhan) tergantung dari tahapan kanker (apakah kanker tersebut hanya ada di payudara atau sudah menyebar ke bagian tubuh lainnya), tipe kanker payudara, karakteristik dari sel kanker dan apakah kanker tersebut ditemukan pada sisi payudara yang lain. Usia seorang wanita, status menopausal (apakah wanita tersebut masih memiliki siklus haid) dan kondisi kesehatan umumnya juga dapat mempengaruhi pilihan pengobatan dan prognosis.
 
Bedah

Pembedahan adalah umum untuk mengangkat kanker. Beberapa bentuk prosedur bedah termasuk:

1)    Bedah dengan mempertahankan payudara

    Lumpektomi atau Wide Local Excision – pengangkatan kanker dan sedikit jaringan di sekitarnya.
    Quadrantektomi – pengangkatan kanker dengan mengangkat lebih banyak jaringan disekitarnya dibandingkan dengan lumpektomi. Untuk prosedur quadrantektomi, seperempat bagian dari payudara diangkat.

2)    Mastektomi – pengangkatan seluruh bagian payudara dengan atau tanpa jaringan kelenjar getah bening di bawah aksila.
 
3)    Saat bedah payudara, beberapa sel kelenjar getah bening di bawah ketiak juga akan diambil untuk pemeriksaan.

 
Terapi Sistemik

    Kemoterapi
    Terapi Hormon
    Herceptin®

 
          
Radioterapi

Radioterapi dengan menggunakan sinar berenergi tinggi yang ditargetkan untuk dapat membunuh sel-sel kanker. Tujuannya adalah untuk dapat membunuh sel kanker yang mungkin tersisa di sekitar payudara.

Radioterapi sangatlah vital setelah prosedur bedah yang mempertahankan payudara, seperti lumpektomi, karena sebagian besar jaringan payudara dibiarkan utuh. Terapi ini juga akan mengurangi kemungkinan kembalinya kanker payudara.

Pada umumnya, wanita yang telah menjalani prosedur masektomi tidak memerlukan radioterapi. Akan tetapi, untuk beberapa kasus, prosedur ini perlu dilakukan untuk dapat merawat dinding dada dan kelenjar getah bening yang ada pada ketiak, bila resiko kembalinya kanker secara lokal masih tinggi.


Editor : dian sukmawati

KANKER PAYUDARA

MAGDEBURG, Saco-Indonesia.Com - Ancaman banjir belum juga berlalu di Jerman. Ribuan petugas darurat, tentara, dan relawan, Minggu (9/6), mengalihkan perhatian kepada Kota Magdeburg yang berjuang melawan banjir terburuk di Eropa tengah dalam satu dekade.

Banjir di Jerman dalam sepekan terakhir telah menyebabkan evakuasi massal, yang menurut anggota parlemen sebagai sebuah ”bencana nasional”. Luapan air Sungai Elbe yang bergerak ke utara kini mengancam Magdeburg, kota di timur Jerman. Wilayah luas di sekitar kota tertutup lautan air warna coklat akibat hujan lebat di hulu Sungai Elbe yang berada di Ceko.

Tingkat muka air Sungai Elbe di Magdeburg 7,45 meter pada Minggu pagi, lebih tinggi tiga kali lipat daripada muka air normal yang setinggi dua meter. Pejabat setempat mengatakan, kondisi itu lebih buruk daripada banjir besar di kawasan itu tahun 2002.

Walau ada upaya keras untuk mengamankan kota, sebuah bendungan jebol di selatan kota di titik di mana Sungai Elbe bertemu anak Sungai Saale. Pusat komando krisis lokal mengatakan, hal itu memaksa 150 warga yang masih bertahan di wilayah itu harus dievakuasi ke tempat yang lebih tinggi.

Presiden Jerman Joachim Gauck kemarin mengunjungi Negara Bagian Saxony dan Saxony- Anhalt yang terkena banjir. Dari udara, atap dan puncak-puncak pohon menyembul dari wilayah luas yang tergenang air, dan hanya bisa dijangkau dengan perahu dan helikopter.

Ironisnya, matahari musim panas bersinar cerah di atas wilayah yang dilanda banjir. Ribuan relawan dan petugas yang mengisi karung pasir dan membantu warga mengungsi harus menggunakan tabir surya dan losion antinyamuk.

Harian Leipziger Volkszeitung memberitakan, pemerintahan Kanselir Angela Merkel merencanakan pertemuan krisis dengan perdana menteri negara- negara bagian untuk membicarakan biaya bencana itu. ”Kita menghadapi bencana nasional,” kata Gerda Hasselfeldt, anggota parlemen dari Uni Sosial Kristen.

Ironisnya, bencana ini juga menjadi tontonan sejumlah warga. Mereka menghalangi upaya penyelamatan dan membuat kesal para petugas. ”Wisata bencana adalah masalah serius. Orang- orang yang menonton memarkir mobil sembarangan, menghalangi jalan dan petugas darurat, mengancam keselamatan tanggul, serta membahayakan diri mereka sendiri,” kata Hans-Peter Kroeger, Ketua Asosiasi Pemadam Kebakaran, seperti dikutip kantor berita DPA.

Normal

Keadaan di Ceko normal setelah puncak banjir lewat. Namun, penahan banjir tetap dipasang setelah ada prakiraan badai dan hujan lebat. ”Bahaya masih ada, bahkan di tempat-tempat yang telah terkena banjir karena tanah masih basah,” kata PM Ceko Petr Necas.

Kini giliran banjir mengancam Budapest, Hongaria, seiring arah aliran Sungai Danube ke timur. Warga bekerja sama memperkuat tanggul dengan menambah karung pasir.

PM Hongaria Viktor Orban mengatakan, ketinggian muka air Sungai Danube mencapai puncaknya di Budapest, Minggu malam. Tanggul-tanggul sungai telah diperkuat di beberapa titik kritis. Orban mengatakan, tingkat air baru surut perlahan pekan depan. (AFP/Reuters/DI)

Sumber : Kompas Cetak/http://internasional.kompas.com/read/2013/06/10/08544552/Jerman.Berjuang.Hadapi.Bencana
Editor :Liwon Maulana
Jerman Sebagai Negara Maju Sedang Berjuang Hadapi Bencana

Jasa Konsultasi Arsitektur dan Desain Interior berupa gambar desain, gambar kerja sampai pelaksaanaan untuk bangunan rumah tinggal,Ruko, Restoran, Renovasi, Desain Interior untuk rumah, kantor, restaurant, ruko dll. 

Harga dapat dinegosiasikan tergantung tingkat kesulitan desain. Jika berminat anda dapat konsultasi via online,sms,tlp atau tatap muka langsung dengan kami. Kami dapat melayani untuk daerah Jabodetabek, Serang, Karawang dan sekitarnya. hubungi :
tlp/hp : 081399132206 (gladys) & Gerard (0818.784144)
Via email : arssix06@gmail.com atau pinky.adeez@gmail.com

JASA KONSULTASI GAMBAR ARSITEKTUR DAN DESAIN INTERIOR

saco-indonesia.com,

Sudah bukan zamannya lagi jika absensi harus dilakukan dengan cara manual atau ketok cap pada kartu absen. Cara ini juga sangat mudah dimanifulasi oleh para karyawan dan terkadang dapat menyulitkan pencatatan absensi untuk pada bagian administrasi atau kepegawaian. Untuk itu, anda juga dapat menggunakan ID Card sebagai alat untuk absensi.

Fungsi ganda selain sebagai kartu tanda pengenal karyawan di perusahaan anda, ini akan sangat mempermudah berbagai hal yang telah berkaitan dengan absensi, mulai dari reward dan punishment karena keterlambatan, izin, atau untuk proses penggajian dan bonus karyawan secara berkala.

Saat ini juga sudah banyak ID Card yang telah mempergunakan system magnetic dan barcode yang tidak hanya dapat difungsikan sebagai kartu identitas saja, melainkan juga untuk absensi. Selain itu, kartu ini jga bisa dijadikan untuk kunci ruangan ruangan tertentu yang hanya bisa diakses oleh divisi divisi tertentu saja. Ini tentunya telah membuat perusahaan anda lebih aman dalam penyimpanan data data perusahaan.

Magnetic   Barcode

Keamanan juga bisa menjadi sebuah keunggulan yang dapat anda tawarkan dalam menjual barang atau jasa yang dihasilkan oleh perusahaan anda. Semakin banyak klien yang percaya pada perusahaan anda, maka semakin banyak pula keuntungan yang akan didapatkan oleh perusahaan anda. Semakin banyak keuntungan yang didapat, makan karyawan karyawan anda dapat tersejahterakan.


Editor : Dian Sukmawati

ID CARD UNTUK ABSENSI DAN KEAMANAN

Saco-Indonesia.com - Wali Kota Bandung Ridwan Kamil selalu memiliki inovasi untuk memajukan Kota Kembang tersebut. Sebentar lagi Bandung akan memiliki 'kota teknologi', sebuah kawasan seluas 600 hektar atau setara dengan Kecamatan Kemang, Jakarta Selatan.

"Saya ingin tempat itu menjadi tempat orang-orang kreatif, yang bisa mendukung UKM atau start-up yang berbasis teknologi untuk membuka usaha di sana. Mereka bisa menggunakan tempatnya gratis untuk 6 bulan pertama," ujar pria yang biasa disapa Emil itu saat berbincang dengan merdeka.com di Jakarta, Rabu (12/3).

Di Amerika Serikat, ada sebuah kawasan yang dikenal sebagai kota teknologi di Silicon Valley di kota San Jose. Silicon Valley melahirkan perusahaan kelas dunia seperti Yahoo, Google, dan Apple Computer. Emil sebelum menjabat sebagai wali kota adalah seorang arsitek terkenal, mimpinya adalah membangun sebuah legacy di Bandung.

"Daripada lahan tersebut hanya digunakan sebagai lahan perumahan biasa, saya pikir Bandung butuh sesuatu yang lebih. Perumahan yang bisa membantu industri kreatifnya dikenal oleh dunia internasional, orang-orang mudanya bisa berkreasi dan berprestasi," jelasnya.

Bandung saat ini adalah kota yang penduduknya adalah pengguna aktif media sosial. Ada lebih dari 80% penduduk yang mempunyai akun jejaring sosial. Ridwan sendiri di-follow oleh 450.000 akun di Twitter. Dia mengatakan bahwa banyak hal yang dilaporkan oleh masyarakat Bandung melalui media sosial, sehingga banyak masalah segera diketahui oleh pemerintah.

"Di sosial media ada segalanya," ujar Emil.

"Kita tidak bisa pakai perasaan. Ada hujatan, ada kritik, ada saran dan ada pujian. Semua ini kita pakai sebagai sumber informasi, dan kita pakai juga untuk menyampaikan informasi kita ke masyarakat," tambahnya.

Kota teknologi di Bandung ini akan menjadi sebuah kawasan yang terkoneksi dengan internet dan sosial media. Di luar terlihat seperti kawasan normal, tetapi di dalamnya akan berisi tempat-tempat untuk orang kreatif. Setiap orang yang ingin mengembangkan kreativitasnya, bisa bertemu dengan komunitas yang tepat dan bisa menikmati fasilitasnya.

Mimpi kota teknologi ini akan terwujud dalam jangka panjang, setidaknya sampai 15 tahun ke depan. Perlu ada peraturan daerah yang bisa memastikan proyek ini terus dijalankan. Indonesia butuh terobosan baru, membangkitkan prestasi orang-orang muda, seperti apa yang direncanakan oleh Emil.

 

Editor : Maulana Lee

Sumber : Merdeka.com

Seperti Amerika, Bandung akan punya kota teknologi
Children playing last week in Sandtown-Winchester, the Baltimore neighborhood where Freddie Gray was raised. One young resident called it “a tough community.”
Todd Heisler/The New York Times

Children playing last week in Sandtown-Winchester, the Baltimore neighborhood where Freddie Gray was raised. One young resident called it “a tough community.”

Hard but Hopeful Home to ‘Lot of Freddies’

Hard but Hopeful Home to ‘Lot of Freddies’

The magical quality Mr. Lesnie created in shooting the “Babe” films caught the eye of the director Peter Jackson, who chose him to film the fantasy epic.

Andrew Lesnie, Cinematographer of ‘Lord of the Rings,’ Dies at 59

Ms. von Furstenberg made her debut in the movies and on the Broadway stage in the early 1950s as a teenager and later reinvented herself as a television actress, writer and philanthropist.

Betsy von Furstenberg, Baroness and Versatile Actress, Dies at 83
Photo
 
United’s first-class and business fliers get Rhapsody, its high-minded in-flight magazine, seen here at its office in Brooklyn. Credit Sam Hodgson for The New York Times

Last summer at a writers’ workshop in Oregon, the novelists Anthony Doerr, Karen Russell and Elissa Schappell were chatting over cocktails when they realized they had all published work in the same magazine. It wasn’t one of the usual literary outlets, like Tin House, The Paris Review or The New Yorker. It was Rhapsody, an in-flight magazine for United Airlines.

It seemed like a weird coincidence. Then again, considering Rhapsody’s growing roster of A-list fiction writers, maybe not. Since its first issue hit plane cabins a year and a half ago, Rhapsody has published original works by literary stars like Joyce Carol Oates, Rick Moody, Amy Bloom, Emma Straub and Mr. Doerr, who won the Pulitzer Prize for fiction two weeks ago.

As airlines try to distinguish their high-end service with luxuries like private sleeping chambers, showers, butler service and meals from five-star chefs, United Airlines is offering a loftier, more cerebral amenity to its first-class and business-class passengers: elegant prose by prominent novelists. There are no airport maps or disheartening lists of in-flight meal and entertainment options in Rhapsody. Instead, the magazine has published ruminative first-person travel accounts, cultural dispatches and probing essays about flight by more than 30 literary fiction writers.

 

Photo
 
Sean Manning, executive editor of Rhapsody, which publishes works by the likes of Joyce Carol Oates, Amy Bloom and Anthony Doerr, who won a Pulitzer Prize. Credit Sam Hodgson for The New York Times

 

An airline might seem like an odd literary patron. But as publishers and writers look for new ways to reach readers in a shaky retail climate, many have formed corporate alliances with transit companies, including American Airlines, JetBlue and Amtrak, that provide a captive audience.

Mark Krolick, United Airlines’ managing director of marketing and product development, said the quality of the writing in Rhapsody brings a patina of sophistication to its first-class service, along with other opulent touches like mood lighting, soft music and a branded scent.

“The high-end leisure or business-class traveler has higher expectations, even in the entertainment we provide,” he said.

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Some of Rhapsody’s contributing writers say they were lured by the promise of free airfare and luxury accommodations provided by United, as well as exposure to an elite audience of some two million first-class and business-class travelers.

“It’s not your normal Park Slope Community Bookstore types who read Rhapsody,” Mr. Moody, author of the 1994 novel “The Ice Storm,” who wrote an introspective, philosophical piece about traveling to the Aran Islands of Ireland for Rhapsody, said in an email. “I’m not sure I myself am in that Rhapsody demographic, but I would like them to buy my books one day.”

In addition to offering travel perks, the magazine pays well and gives writers freedom, within reason, to choose their subject matter and write with style. Certain genres of flight stories are off limits, naturally: no plane crashes or woeful tales of lost luggage or rude flight attendants, and nothing too risqué.

“We’re not going to have someone write about joining the mile-high club,” said Jordan Heller, the editor in chief of Rhapsody. “Despite those restrictions, we’ve managed to come up with a lot of high-minded literary content.”

Guiding writers toward the right idea occasionally requires some gentle prodding. When Rhapsody’s executive editor asked Ms. Russell to contribute an essay about a memorable flight experience, she first pitched a story about the time she was chaperoning a group of teenagers on a trip to Europe, and their delayed plane sat at the airport in New York for several hours while other passengers got progressively drunker.

“He pointed out that disaster flights are not what people want to read about when they’re in transit, and very diplomatically suggested that maybe people want to read something that casts air travel in a more positive light,” said Ms. Russell, whose novel “Swamplandia!” was a finalist for the 2012 Pulitzer Prize.

She turned in a nostalgia-tinged essay about her first flight on a trip to Disney World when she was 6. “The Magic Kingdom was an anticlimax,” she wrote. “What ride could compare to that first flight?”

Ms. Oates also wrote about her first flight, in a tiny yellow propeller plane piloted by her father. The novelist Joyce Maynard told of the constant disappointment of never seeing her books in airport bookstores and the thrill of finally spotting a fellow plane passenger reading her novel “Labor Day.” Emily St. John Mandel, who was a finalist for the National Book Award in fiction last year, wrote about agonizing over which books to bring on a long flight.

“There’s nobody that’s looked down their noses at us as an in-flight magazine,” said Sean Manning, the magazine’s executive editor. “As big as these people are in the literary world, there’s still this untapped audience for them of luxury travelers.”

United is one of a handful of companies showcasing work by literary writers as a way to elevate their brands and engage customers. Chipotle has printed original work from writers like Toni Morrison, Jeffrey Eugenides and Barbara Kingsolver on its disposable cups and paper bags. The eyeglass company Warby Parker hosts parties for authors and sells books from 14 independent publishers in its stores.

JetBlue offers around 40 e-books from HarperCollins and Penguin Random House on its free wireless network, allowing passengers to read free samples and buy and download books. JetBlue will start offering 11 digital titles from Simon & Schuster soon. Amtrak recently forged an alliance with Penguin Random House to provide free digital samples from 28 popular titles, which passengers can buy and download over Amtrak’s admittedly spotty wireless service.

Amtrak is becoming an incubator for literary talent in its own right. Last year, it started a residency program, offering writers a free long-distance train trip and complimentary food. More than 16,000 writers applied and 24 made the cut.

Like Amtrak, Rhapsody has found that writers are eager to get onboard. On a rainy spring afternoon, Rhapsody’s editorial staff sat around a conference table discussing the June issue, which will feature an essay by the novelist Hannah Pittard and an unpublished short story by the late Elmore Leonard.

“Do you have that photo of Elmore Leonard? Can I see it?” Mr. Heller, the editor in chief, asked Rhapsody’s design director, Christos Hannides. Mr. Hannides slid it across the table and noted that they also had a photograph of cowboy spurs. “It’s very simple; it won’t take away from the literature,” he said.

Rhapsody’s office, an open space with exposed pipes and a vaulted brick ceiling, sits in Dumbo at the epicenter of literary Brooklyn, in the same converted tea warehouse as the literary journal N+1 and the digital publisher Atavist. Two of the magazine’s seven staff members hold graduate degrees in creative writing. Mr. Manning, the executive editor, has published a memoir and edited five literary anthologies.

Mr. Manning said Rhapsody was conceived from the start as a place for literary novelists to write with voice and style, and nobody had been put off that their work would live in plane cabins and airport lounges.

Still, some contributors say they wish the magazine were more widely circulated.

“I would love it if I could read it,” said Ms. Schappell, a Brooklyn-based novelist who wrote a feature story for Rhapsody’s inaugural issue. “But I never fly first class.”

Rhapsody, a Lofty Literary Journal, Perused at 39,000 Feet

Pronovost, who played for the Red Wings, was not a prolific scorer, but he was a consummate team player with bruising checks and fearless bursts up the ice that could puncture a defense.

Marcel Pronovost, 84, Dies; Hall of Famer Shared in Five N.H.L. Titles

HOBART, Tasmania — Few places seem out of reach for China’s leader, Xi Jinping, who has traveled from European capitals to obscure Pacific and Caribbean islands in pursuit of his nation’s strategic interests.

So perhaps it was not surprising when he turned up last fall in this city on the edge of the Southern Ocean to put down a long-distance marker in another faraway region, Antarctica, 2,000 miles south of this Australian port.

Standing on the deck of an icebreaker that ferries Chinese scientists from this last stop before the frozen continent, Mr. Xi pledged that China would continue to expand in one of the few places on earth that remain unexploited by humans.

He signed a five-year accord with the Australian government that allows Chinese vessels and, in the future, aircraft to resupply for fuel and food before heading south. That will help secure easier access to a region that is believed to have vast oil and mineral resources; huge quantities of high-protein sea life; and for times of possible future dire need, fresh water contained in icebergs.

It was not until 1985, about seven decades after Robert Scott and Roald Amundsen raced to the South Pole, that a team representing Beijing hoisted the Chinese flag over the nation’s first Antarctic research base, the Great Wall Station on King George Island.

But now China seems determined to catch up. As it has bolstered spending on Antarctic research, and as the early explorers, especially the United States and Australia, confront stagnant budgets, there is growing concern about its intentions.

China’s operations on the continent — it opened its fourth research station last year, chose a site for a fifth, and is investing in a second icebreaker and new ice-capable planes and helicopters — are already the fastest growing of the 52 signatories to the Antarctic Treaty. That gentlemen’s agreement reached in 1959 bans military activity on the continent and aims to preserve it as one of the world’s last wildernesses; a related pact prohibits mining.

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But Mr. Xi’s visit was another sign that China is positioning itself to take advantage of the continent’s resource potential when the treaty expires in 2048 — or in the event that it is ripped up before, Chinese and Australian experts say.

“So far, our research is natural-science based, but we know there is more and more concern about resource security,” said Yang Huigen, director general of the Polar Research Institute of China, who accompanied Mr. Xi last November on his visit to Hobart and stood with him on the icebreaker, Xue Long, or Snow Dragon.

With that in mind, the polar institute recently opened a new division devoted to the study of resources, law, geopolitics and governance in Antarctica and the Arctic, Mr. Yang said.

Australia, a strategic ally of the United States that has strong economic relations with China, is watching China’s buildup in the Antarctic with a mix of gratitude — China’s presence offers support for Australia’s Antarctic science program, which is short of cash — and wariness.

“We should have no illusions about the deeper agenda — one that has not even been agreed to by Chinese scientists but is driven by Xi, and most likely his successors,” said Peter Jennings, executive director of the Australian Strategic Policy Institute and a former senior official in the Australian Department of Defense.

“This is part of a broader pattern of a mercantilist approach all around the world,” Mr. Jennings added. “A big driver of Chinese policy is to secure long-term energy supply and food supply.”

That approach was evident last month when a large Chinese agriculture enterprise announced an expansion of its fishing operations around Antarctica to catch more krill — small, protein-rich crustaceans that are abundant in Antarctic waters.

“The Antarctic is a treasure house for all human beings, and China should go there and share,” Liu Shenli, the chairman of the China National Agricultural Development Group, told China Daily, a state-owned newspaper. China would aim to fish up to two million tons of krill a year, he said, a substantial increase from what it currently harvests.

Because sovereignty over Antarctica is unclear, nations have sought to strengthen their claims over the ice-covered land by building research bases and naming geographic features. China’s fifth station will put it within reach of the six American facilities, and ahead of Australia’s three.

Chinese mappers have also given Chinese names to more than 300 sites, compared with the thousands of locations on the continent with English names.

In the unspoken competition for Antarctica’s future, scientific achievement can also translate into influence. Chinese scientists are driving to be the first to drill and recover an ice core containing tiny air bubbles that provide a record of climate change stretching as far back as 1.5 million years. It is an expensive and delicate effort at which others, including the European Union and Australia, have failed.

In a breakthrough a decade ago, European scientists extracted an ice core nearly two miles long that revealed 800,000 years of climate history. But finding an ice core going back further would allow scientists to examine a change in the earth’s climate cycles believed to have occurred 900,000 to 1.2 million years ago.

China is betting it has found the best location to drill, at an area called Dome A, or Dome Argus, the highest point on the East Antarctic Ice Sheet. Though it is considered one of the coldest places on the planet, with temperatures of 130 degrees below zero Fahrenheit, a Chinese expedition explored the area in 2005 and established a research station in 2009.

“The international community has drilled in lots of places, but no luck so far,” said Xiao Cunde, a member of the first party to reach the site and the deputy director of the Institute for Climate Change at the Chinese Academy of Meteorological Sciences. “We think at Dome A we will have a straight shot at the one-million-year ice core.”

Mr. Xiao said China had already begun drilling and hoped to find what scientists are looking for in four to five years.

To support its Antarctic aspirations, China is building a sophisticated $300 million icebreaker that is expected to be ready in a few years, said Xia Limin, deputy director of the Chinese Arctic and Antarctic Administration in Beijing. It has also bought a high-tech fixed-wing aircraft, outfitted in the United States, for taking sensitive scientific soundings from the ice.

China has chosen the site for its fifth research station at Inexpressible Island, named by a group of British explorers who were stranded at the desolate site in 1912 and survived the winter by excavating a small ice cave.

Mr. Xia said the inhospitable spot was ideal because China did not have a presence in that part of Antarctica, and because the rocky site did not have much snow, making it relatively cheap to build there.

Anne-Marie Brady, a professor of political science at the University of Canterbury in New Zealand and the author of a soon-to-be-released book, “China as a Polar Great Power,” said Chinese scientists also believed they had a good chance of finding mineral and energy resources near the site.

“China is playing a long game in Antarctica and keeping other states guessing about its true intentions and interests are part of its poker hand,” she said. But she noted that China’s interest in finding minerals was presented “loud and clear to domestic audiences” as the main reason it was investing in Antarctica.

Because commercial drilling is banned, estimates of energy and mineral resources in Antarctica rely on remote sensing data and comparisons with similar geological environments elsewhere, said Millard F. Coffin, executive director of the Institute for Marine and Antarctic Studies in Hobart.

But the difficulty of extraction in such severe conditions and uncertainty about future commodity prices make it unlikely that China or any country would defy the ban on mining anytime soon.

Tourism, however, is already booming. Travelers from China are still a relatively small contingent in the Antarctic compared with the more than 13,000 Americans who visited in 2013, and as yet there are no licensed Chinese tour operators.

But that is about to change, said Anthony Bergin, deputy director of the Australian Strategic Policy Institute. “I understand very soon there will be Chinese tourists on Chinese vessels with all-Chinese crew in the Antarctic,” he said.

 

Top News China’s Intents Are Questioned as It Builds in Antarctica

WASHINGTON — A decade after emergency trailers meant to shelter Hurricane Katrina victims instead caused burning eyes, sore throats and other more serious ailments, the Environmental Protection Agency is on the verge of regulating the culprit: formaldehyde, a chemical that can be found in commonplace things like clothes and furniture.

But an unusual assortment of players, including furniture makers, the Chinese government, Republicans from states with a large base of furniture manufacturing and even some Democrats who championed early regulatory efforts, have questioned the E.P.A. proposal. The sustained opposition has held sway, as the agency is now preparing to ease key testing requirements before it releases the landmark federal health standard.

The E.P.A.’s five-year effort to adopt this rule offers another example of how industry opposition can delay and hamper attempts by the federal government to issue regulations, even to control substances known to be harmful to human health.

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Document: The Formaldehyde Fight

Formaldehyde is a known carcinogen that can also cause respiratory ailments like asthma, but the potential of long-term exposure to cause cancers like myeloid leukemia is less well understood.

The E.P.A.’s decision would be the first time that the federal government has regulated formaldehyde inside most American homes.

“The stakes are high for public health,” said Tom Neltner, senior adviser for regulatory affairs at the National Center for Healthy Housing, who has closely monitored the debate over the rules. “What we can’t have here is an outcome that fails to confront the health threat we all know exists.”

The proposal would not ban formaldehyde — commonly used as an ingredient in wood glue in furniture and flooring — but it would impose rules that prevent dangerous levels of the chemical’s vapors from those products, and would set testing standards to ensure that products sold in the United States comply with those limits. The debate has sharpened in the face of growing concern about the safety of formaldehyde-treated flooring imported from Asia, especially China.

What is certain is that a lot of money is at stake: American companies sell billions of dollars’ worth of wood products each year that contain formaldehyde, and some argue that the proposed regulation would impose unfair costs and restrictions.

Determined to block the agency’s rule as proposed, these industry players have turned to the White House, members of Congress and top E.P.A. officials, pressing them to roll back the testing requirements in particular, calling them redundant and too expensive.

“There are potentially over a million manufacturing jobs that will be impacted if the proposed rule is finalized without changes,” wrote Bill Perdue, the chief lobbyist at the American Home Furnishings Alliance, a leading critic of the testing requirements in the proposed regulation, in one letter to the E.P.A.

Industry opposition helped create an odd alignment of forces working to thwart the rule. The White House moved to strike out key aspects of the proposal. Subsequent appeals for more changes were voiced by players as varied as Senator Barbara Boxer, Democrat of California, and Senator Roger Wicker, Republican of Mississippi, as well as furniture industry lobbyists.

Hurricane Katrina in 2005 helped ignite the public debate over formaldehyde, after the deadly storm destroyed or damaged hundreds of thousands of homes along the Gulf of Mexico, forcing families into temporary trailers provided by the Federal Emergency Management Agency.

The displaced storm victims quickly began reporting respiratory problems, burning eyes and other issues, and tests then confirmed high levels of formaldehyde fumes leaking into the air inside the trailers, which in many cases had been hastily constructed.

Public health advocates petitioned the E.P.A. to issue limits on formaldehyde in building materials and furniture used in homes, given that limits already existed for exposure in workplaces. But three years after the storm, only California had issued such limits.

Industry groups like the American Chemistry Council have repeatedly challenged the science linking formaldehyde to cancer, a position championed by David Vitter, the Republican senator from Louisiana, who is a major recipient of chemical industry campaign contributions, and whom environmental groups have mockingly nicknamed “Senator Formaldehyde.”

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Formaldehyde in Laminate Flooring

In laminate flooring, formaldehyde is used as a bonding agent in the fiberboard (or other composite wood) core layer and may also be used in glues that bind layers together. Concerns were raised in March when certain laminate flooring imported from China was reported to contain levels of formaldehyde far exceeding the limit permitted by California.

Typical

laminate

flooring

CLEAR FINISH LAYER

Often made of melamine resin

PATTERN LAYER

Paper printed to resemble wood,

or a thin wood veneer

GLUE

Layers may be bound using

formaldehyde-based glues

CORE LAYER

Fiberboard or other

composite, formed using

formaldehyde-based adhesives

BASE LAYER

Moisture-resistant vapor barrier

What is formaldehyde?

Formaldehyde is a common chemical used in many industrial and household products as an adhesive, bonding agent or preservative. It is classified as a volatile organic compound. The term volatile means that, at room temperature, formaldehyde will vaporize, or become a gas. Products made with formaldehyde tend to release this gas into the air. If breathed in large quantities, it may cause health problems.

WHERE IT IS COMMONLY FOUND

POTENTIAL HEALTH RISKS

Pressed-wood and composite wood products

Wallpaper and paints

Spray foam insulation used in construction

Commercial wood floor finishes

Crease-resistant fabrics

In cigarette smoke, or in the fumes from combustion of other materials, including wood, oil and gasoline.

Exposure to formaldehyde in sufficient amounts may cause eye, throat or skin irritation, allergic reactions, and respiratory problems like coughing, wheezing or asthma.

Long-term exposure to high levels has been associated with cancer in humans and laboratory animals.

Exposure to formaldehyde may affect some people more severely than others.

By 2010, public health advocates and some industry groups secured bipartisan support in Congress for legislation that ordered the E.P.A. to issue federal rules that largely mirrored California’s restrictions. At the time, concerns were rising over the growing number of lower-priced furniture imports from Asia that might include contaminated products, while also hurting sales of American-made products.

Maneuvering began almost immediately after the E.P.A. prepared draft rules to formally enact the new standards.

White House records show at least five meetings in mid-2012 with industry executives — kitchen cabinet makers, chemical manufacturers, furniture trade associations and their lobbyists, like Brock R. Landry, of the Venable law firm. These parties, along with Senator Vitter’s office, appealed to top administration officials, asking them to intervene to roll back the E.P.A. proposal.

The White House Office of Management and Budget, which reviews major federal regulations before they are adopted, apparently agreed. After the White House review, the E.P.A. “redlined” many of the estimates of the monetary benefits that would be gained by reductions in related health ailments, like asthma and fertility issues, documents reviewed by The New York Times show.

As a result, the estimated benefit of the proposed rule dropped to $48 million a year, from as much as $278 million a year. The much-reduced amount deeply weakened the agency’s justification for the sometimes costly new testing that would be required under the new rules, a federal official involved in the effort said.

“It’s a redlining blood bath,” said Lisa Heinzerling, a Georgetown University Law School professor and a former E.P.A. official, using the Washington phrase to describe when language is stricken from a proposed rule. “Almost the entire discussion of these potential benefits was excised.”

Senator Vitter’s staff was pleased.

“That’s a huge difference,” said Luke Bolar, a spokesman for Mr. Vitter, of the reduced estimated financial benefits, saying the change was “clearly highlighting more mismanagement” at the E.P.A.

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The review’s outcome galvanized opponents in the furniture industry. They then targeted a provision that mandated new testing of laminated wood, a cheaper alternative to hardwood. (The California standard on which the law was based did not require such testing.)

But E.P.A. scientists had concluded that these laminate products — millions of which are sold annually in the United States — posed a particular risk. They said that when thin layers of wood, also known as laminate or veneer, are added to furniture or flooring in the final stages of manufacturing, the resulting product can generate dangerous levels of fumes from often-used formaldehyde-based glues.

Industry executives, outraged by what they considered an unnecessary and financially burdensome level of testing, turned every lever within reach to get the requirement removed. It would be particularly onerous, they argued, for small manufacturers that would have to repeatedly interrupt their work to do expensive new testing. The E.P.A. estimated that the expanded requirements for laminate products would cost the furniture industry tens of millions of dollars annually, while the industry said that the proposed rule over all would cost its 7,000 American manufacturing facilities over $200 million each year.

“A lot of people don’t seem to appreciate what a lot of these requirements do to a small operation,” said Dick Titus, executive vice president of the Kitchen Cabinet Manufacturers Association, whose members are predominantly small businesses. “A 10-person shop, for example, just really isn’t equipped to handle that type of thing.”

Photo
 
Becky Gillette wants strong regulation of formaldehyde. Credit Beth Hall for The New York Times

Big industry players also weighed in. Executives from companies including La-Z-Boy, Hooker Furniture and Ashley Furniture all flew to Washington for a series of meetings with the offices of lawmakers including House Speaker John Boehner, Republican of Ohio, and about a dozen other lawmakers, asking several of them to sign a letter prepared by the industry to press the E.P.A. to back down, according to an industry report describing the lobbying visit.

Within a matter of weeks, two letters — using nearly identical language — were sent by House and Senate lawmakers to the E.P.A. — with the industry group forwarding copies of the letters to the agency as well, and then posting them on its website.

The industry lobbyists also held their own meeting at E.P.A. headquarters, and they urged Jim Jones, who oversaw the rule-making process as the assistant administrator for the agency’s Office of Chemical Safety and Pollution Prevention, to visit a North Carolina furniture manufacturing plant. According to the trade group, Mr. Jones told them that the visit had “helped the agency shift its thinking” about the rules and how laminated products should be treated.

The resistance was particularly intense from lawmakers like Mr. Wicker of Mississippi, whose state is home to major manufacturing plants owned by Ashley Furniture Industries, the world’s largest furniture maker, and who is one of the biggest recipients in Congress of donations from the industry’s trade association. Asked if the political support played a role, a spokesman for Mr. Wicker replied: “Thousands of Mississippians depend on the furniture manufacturing industry for their livelihoods. Senator Wicker is committed to defending all Mississippians from government overreach.”

Individual companies like Ikea also intervened, as did the Chinese government, which claimed that the new rule would create a “great barrier” to the import of Chinese products because of higher costs.

Perhaps the most surprising objection came from Senator Boxer, of California, a longtime environmental advocate, whose office questioned why the E.P.A.’s rule went further than her home state’s in seeking testing on laminated products. “We did not advocate an outcome, other than safety,” her office said in a statement about why the senator raised concerns. “We said ‘Take a look to see if you have it right.’ ”

Safety advocates say that tighter restrictions — like the ones Ms. Boxer and Mr. Wicker, along with Representative Doris Matsui, a California Democrat, have questioned — are necessary, particularly for products coming from China, where items as varied as toys and Christmas lights have been found to violate American safety standards.

While Mr. Neltner, the environmental advocate who has been most involved in the review process, has been open to compromise, he has pressed the E.P.A. not to back down entirely, and to maintain a requirement that laminators verify that their products are safe.

An episode of CBS’s “60 Minutes” in March brought attention to the issue when it accused Lumber Liquidators, the discount flooring retailer, of selling laminate products with dangerous levels of formaldehyde. The company has disputed the show’s findings and test methods, maintaining that its products are safe.

“People think that just because Congress passed the legislation five years ago, the problem has been fixed,” said Becky Gillette, who then lived in coastal Mississippi, in the area hit by Hurricane Katrina, and was among the first to notice a pattern of complaints from people living in the trailers. “Real people’s faces and names come up in front of me when I think of the thousands of people who could get sick if this rule is not done right.”

An aide to Ms. Matsui rejected any suggestion that she was bending to industry pressure.

“From the beginning the public health has been our No. 1 concern,” said Kyle J. Victor, an aide to Ms. Matsui.

But further changes to the rule are likely, agency officials concede, as they say they are searching for a way to reduce the cost of complying with any final rule while maintaining public health goals. The question is just how radically the agency will revamp the testing requirement for laminated products — if it keeps it at all.

“It’s not a secret to anybody that is the most challenging issue,” said Mr. Jones, the E.P.A. official overseeing the process, adding that the health consequences from formaldehyde are real. “We have to reduce those exposures so that people can live healthy lives and not have to worry about being in their homes.”

The Uphill Battle to Better Regulate Formaldehyde

Though Robin and Joan Rolfs owned two rare talking dolls manufactured by Thomas Edison’s phonograph company in 1890, they did not dare play the wax cylinder records tucked inside each one.

The Rolfses, longtime collectors of Edison phonographs, knew that if they turned the cranks on the dolls’ backs, the steel phonograph needle might damage or destroy the grooves of the hollow, ring-shaped cylinder. And so for years, the dolls sat side by side inside a display cabinet, bearers of a message from the dawn of sound recording that nobody could hear.

In 1890, Edison’s dolls were a flop; production lasted only six weeks. Children found them difficult to operate and more scary than cuddly. The recordings inside, which featured snippets of nursery rhymes, wore out quickly.

Yet sound historians say the cylinders were the first entertainment records ever made, and the young girls hired to recite the rhymes were the world’s first recording artists.

Year after year, the Rolfses asked experts if there might be a safe way to play the recordings. Then a government laboratory developed a method to play fragile records without touching them.

Audio

The technique relies on a microscope to create images of the grooves in exquisite detail. A computer approximates — with great accuracy — the sounds that would have been created by a needle moving through those grooves.

In 2014, the technology was made available for the first time outside the laboratory.

“The fear all along is that we don’t want to damage these records. We don’t want to put a stylus on them,” said Jerry Fabris, the curator of the Thomas Edison Historical Park in West Orange, N.J. “Now we have the technology to play them safely.”

Last month, the Historical Park posted online three never-before-heard Edison doll recordings, including the two from the Rolfses’ collection. “There are probably more out there, and we’re hoping people will now get them digitized,” Mr. Fabris said.

The technology, which is known as Irene (Image, Reconstruct, Erase Noise, Etc.), was developed by the particle physicist Carl Haber and the engineer Earl Cornell at Lawrence Berkeley. Irene extracts sound from cylinder and disk records. It can also reconstruct audio from recordings so badly damaged they were deemed unplayable.

“We are now hearing sounds from history that I did not expect to hear in my lifetime,” Mr. Fabris said.

The Rolfses said they were not sure what to expect in August when they carefully packed their two Edison doll cylinders, still attached to their motors, and drove from their home in Hortonville, Wis., to the National Document Conservation Center in Andover, Mass. The center had recently acquired Irene technology.

Audio

Cylinders carry sound in a spiral groove cut by a phonograph recording needle that vibrates up and down, creating a surface made of tiny hills and valleys. In the Irene set-up, a microscope perched above the shaft takes thousands of high-resolution images of small sections of the grooves.

Stitched together, the images provide a topographic map of the cylinder’s surface, charting changes in depth as small as one five-hundredth the thickness of a human hair. Pitch, volume and timbre are all encoded in the hills and valleys and the speed at which the record is played.

At the conservation center, the preservation specialist Mason Vander Lugt attached one of the cylinders to the end of a rotating shaft. Huddled around a computer screen, the Rolfses first saw the wiggly waveform generated by Irene. Then came the digital audio. The words were at first indistinct, but as Mr. Lugt filtered out more of the noise, the rhyme became clearer.

“That was the Eureka moment,” Mr. Rolfs said.

In 1890, a girl in Edison’s laboratory had recited:

There was a little girl,

And she had a little curl

Audio

Right in the middle of her forehead.

When she was good,

She was very, very good.

But when she was bad, she was horrid.

Recently, the conservation center turned up another surprise.

In 2010, the Woody Guthrie Foundation received 18 oversize phonograph disks from an anonymous donor. No one knew if any of the dirt-stained recordings featured Guthrie, but Tiffany Colannino, then the foundation’s archivist, had stored them unplayed until she heard about Irene.

Last fall, the center extracted audio from one of the records, labeled “Jam Session 9” and emailed the digital file to Ms. Colannino.

“I was just sitting in my dining room, and the next thing I know, I’m hearing Woody,” she said. In between solo performances of “Ladies Auxiliary,” “Jesus Christ,” and “Dead or Alive,” Guthrie tells jokes, offers some back story, and makes the audience laugh. “It is quintessential Guthrie,” Ms. Colannino said.

The Rolfses’ dolls are back in the display cabinet in Wisconsin. But with audio stored on several computers, they now have a permanent voice.

Ghostly Voices From Thomas Edison’s Dolls Can Now Be Heard

Judge Patterson helped to protect the rights of Attica inmates after the prison riot in 1971 and later served on the Federal District Court in Manhattan.

Robert Patterson Jr., Lawyer and Judge Who Fought for the Accused, Dies at 91

ate in February, Dr. Ben Carson, the celebrated pediatric neurosurgeon turned political insurrectionist, was trying to check off another box on his presidential-campaign to-do list: hiring a press secretary. The lead prospect, a public-relations specialist named Deana Bass, had come to meet him at the dimly lit Capitol Hill office of Carson’s confidant and business manager, Armstrong Williams. Carson sat back and scrutinized her from behind a small granite table, as life-size cardboard cutouts of more conventional politicians — President Obama, with a tight smile, and Senator John McCain, glowering — loomed behind each of his shoulders. (The mock $3 bill someone had left on a table in Williams’s waiting room undercut any notion that this was a bipartisan zone; it featured Obama wearing a turban.)

Bass seemed momentarily speechless, and not just because no one had warned her that a New York Times reporter would be sitting in on her job interview. Though she knew Williams — a jack-of-all-trades entrepreneur who owns several television stations and a public-affairs business and who hosts a daily talk-radio show — through Washington’s small circle of black conservatives, the two hadn’t spoken in years until he called her two days earlier. He had been struggling to come up with the perfect national spokesperson, he told her. Then, at the gym, her name popped into his head; Williams was fairly certain she was the one. Sitting across from a likely candidate for president, Bass was adjusting to the idea that her life might be about to take a sudden chaotic turn.

“It’s like getting the most random call on a Monday that you simply do not see coming,” she said. “Oftentimes, that is how the Lord works.”

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His life in brain surgery
has prepared him for the
presidency, he maintains,
better than lives in
politics have for his rivals.

Carson concurred: “It’s always how he works in my life.” Carson is soft-spoken and often talks with his eyes half closed, frequently punctuating his sentences with a small laugh, even if the humor of his statement is not readily apparent. Bass told Carson that she had been a Republican staff member on Capitol Hill then worked for the Republican National Committee. In 2007 she started a Christian public-relations firm with her sister. She enjoyed working on the Hill, she said, but the pay wasn’t as high as the hours were long. “We figured that we worked like slaves for other people, and we wanted to work for ourselves.”

Carson stopped her. “You know you can’t mention that word, right?” Carson waited a beat, then laughed, and Williams and Bass joined in. He was getting to the point; he needed a professional who could help him check his penchant for creating uncontrolled controversy just by talking.

The Ben Carson movement began in 2013, when Carson, a neurosurgeon, whose operating-room prowess and up-from-poverty back story had made him the subject of a television movie and a regular on the inspirational-speaking circuit, was invited to address the annual National Prayer Breakfast in Washington. With Barack Obama sitting just two seats away, Carson warned that “moral decay” and “fiscal irresponsibility” could destroy America just as it did ancient Rome. He proposed a substitute for Obamacare — Health Savings Accounts, which, he said, would end any talk of “death panels” — and a flat-tax based on the concept of tithing. His address, combined with the president’s stony reaction, was a smash with Republican activists. Speaking and interview requests flooded in. Carson, then 61, announced his planned retirement a few weeks later, freeing his calendar to accept just about all of them. In the months that followed, his rhetoric became increasingly strident. The claim that drew the most attention, perhaps, was that Obamacare was “the worst thing that has happened in this nation since slavery.”

Bass’s own use of the word prompted Carson to ask her what she thought about that incident. She considered for a moment.

“If you want to reach people and have them even understand what you’re saying, there is a way to do it, without that hyperbole, that might be. . . . ” She paused. “I just think it’s important not to shut people off before they —”

Carson jumped in. “That doesn’t allow them to hear what you’re saying?”

Bass nodded.

Likening Obamacare to slavery — and slavery was incomparably worse, Carson said — had its political advantages for a candidacy like his. It was the kind of statement that stoked the angriest of the Republican voters: conservative stalwarts who can’t hear enough bad things about Obama. This, in turn, led to more talk-radio and Fox News appearances, more book sales, more donations to the super PAC started in his name, more support in the polls. (The day before the meeting, one poll of Republican voters showed Carson statistically tied for first place with Jeb Bush and Scott Walker.)

Rhetorical excess was good for business, but Carson now wants to be seen as more than a novelty candidate. He has come to learn that such extreme analogies, while true to his views, aren’t especially presidential. They alienate more moderate voters and, perhaps even more damaging, reinforce the impression that he is not “serious” — that he is another Herman Cain, the black former Godfather’s Pizza chief executive who rose to the top of the early presidential polls in 2011 but then bowed out before the Iowa caucuses, largely because of leaked allegations of sexual misconduct, which he denied but from which he never recovered. Cain lingers as a cautionary tale for the party as much as for a right-leaning candidate like Carson. The fact that Cain, with his folksy sayings (“shucky ducky”) and misnomers (“Ubeki-beki-beki-beki-stan-stan”), reached the top of the national polls — much less that he was eventually followed there by the likes of Michele Bachmann, Newt Gingrich and Rick Santorum, who all topped one or another poll in the 2012 primary season — wound up being a considerable embarrassment for the eventual nominee, Mitt Romney, and for the longtime party regulars who were trying to fast-track his way to the nomination.

Carson liked Bass and, without directly saying so, made it clear the job was hers for the taking. Carson’s campaign chairman, Terry Giles — a white lawyer whose clients have included the comedian Richard Pryor and the stepson of the model Anna Nicole Smith and who helped reconcile the business interests of the descendants of the Rev. Martin Luther King Jr. — had assembled a mostly white campaign team, including many from the 2012 Gingrich effort, and Carson wanted a person of color to speak for him. Bass said she would have to mull it over, pray about it. Carson nodded approvingly. “Pray about it,” he said. “See what you think.”

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Williams knew the party was intent on protecting the eventual 2016 nominee from the same embarrassment Romney suffered. Already, suspiciously tough articles about Carson were showing up in conservative magazines and on right-wing websites. “They’re protecting these establishment candidates,” Williams said. “This is coming from within the house. This is family.” At the very least, he wanted to make sure that Carson didn’t do their work for them. (Carson would commit another unforced error a week later, when he told CNN that homosexuality was clearly a choice, because a lot of people go in prison straight and “when they come out, they’re gay”; he later apologized.)

“We need somebody to protect him, sometimes, from himself,” he told Bass — laughing, but only half kidding.

A candidacy like Carson’s presents a new kind of problem to the establishment wing of the G.O.P., which, at least since 1980, has selected its presidential nominees with a routine efficiency that Democrats could only envy. The establishment candidate has usually been a current or former governor or senator, blandly Protestant, hailing from the moderate, big-business wing of the party (or at least friendly with it) and almost always a second-, third- or fourth-time national contender — someone who had waited “his turn.” These candidates would tack predictably to the right during the primaries to satisfy the evangelicals, deficit hawks, libertarian leaners and other inconvenient but vital constituents who made up the “base” of the party. In return, the base would, after a brief flirtation with some fantasy candidate like Steve Forbes or Pat Buchanan, “hold their noses” and deliver their votes come November. This bargain was always tenuous, of course, and when some of the furthest-right activists turned against George W. Bush, citing (among other apostasies) his expansion of Medicare’s prescription drug benefit, it began to fall apart. After Barack Obama defeated McCain in 2008, the party’s once dependable base started to reconsider the wisdom of holding their noses at all.

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Republican candidates at a pre-straw-poll debate, held at Iowa State University in 2011. Credit Chip Somodevilla/Getty Images

This insurgent attitude was helped along by changes in the nomination rules. In 2010, the Republican National Committee, hoping to capture the excitement of the coast-to-coast Democratic primary competition between Obama and Hillary Clinton, introduced new voting rules that required many of the early voting states to award some delegates to losing candidates, based on their shares of the vote. The proportional voting rules would encourage struggling candidates to stay in the primaries even after successive losses, as Clinton did, because they might be able to pull together enough delegates to take the nomination in a convention-floor fight or at least use them to bargain for a prime speaking slot or cabinet post.

This shift in incentives did not go unnoticed by potential 2012 candidates, nor did changes in election law that allowed billionaire donors to form super PACs in support of pet candidacies. At the same time, increasingly widespread broadband Internet access allowed candidates to reach supporters directly with video and email appeals and supporters to send money with the tap of a smartphone, making it easier than ever for individual candidates to ignore the wishes of the party.

Into this newly chaotic Republican landscape strode Mitt Romney. There could be no doubt that it was his turn, and yet his journey to the nomination was interrupted by one against-the-odds challenger after another — Cain, Michele Bachmann, Newt Gingrich, Rick Santorum, Ron Paul; always Ron Paul. It was easy to dismiss the 2012 primaries as a meaningless circus, but the onslaught did much more than tarnish the overall Republican brand. It also forced Romney to spend money he could have used against Obama and defend his right flank with embarrassing pandering that shadowed him through the general election. It was while trying to block a surge from Gingrich, for instance, that Romney told a debate audience that he was for the “self-deportation” of undocumented immigrants.

At the 2012 convention in Tampa, a group of longtime party hands, including Romney’s lawyer, Ben Ginsberg, gathered to discuss how to prevent a repeat of what had become known inside and outside the party as the “clown show.” Their aim was not just to protect the party but also to protect a potential President Romney from a primary challenge in 2016. They forced through new rules that would give future presumptive nominees more control over delegates in the event of a convention fight. They did away with the mandatory proportional delegate awards that encouraged long-shot candidacies. And, in a noticeably targeted effort, they raised the threshold that candidates needed to meet to enter their names into nomination, just as Ron Paul’s supporters were working to reach it. When John A. Boehner gaveled the rules in on a voice vote — a vote that many listeners heard as a tie, if not an outright loss — the hall erupted and a line of Ron Paul supporters walked off the floor in protest, along with many Tea Party members.

At a party meeting last winter, Reince Priebus, who as party chairman is charged with maintaining the support of all his constituencies, did restore some proportional primary and caucus voting, but only in states that held voting within a shortened two-week window. And he also condensed the nominating schedule to four and a half months from six months, and, for the first time required candidates to participate in a shortened debate schedule, determined by the party, not by the whims of the networks. (The panel that recommended those changes included names closely identified with the establishment — the former Bush White House spokesman Ari Fleischer, the Mississippi committeeman Haley Barbour and, notably, Jeb Bush’s closest adviser, Sally Bradshaw.)

Grass-roots activists have complained that the condensed schedule robs nonestablishment candidates — “movement candidates” like Carson — of the extra time they need to build momentum, money and organizations. But Priebus, who says the nomination could be close to settled by April, said it helped all the party’s constituencies when the nominee was decided quickly. “We don’t need a six-month slice-and-dice festival,” Priebus said when we spoke in mid-March. “While I can’t always control everyone’s mouth, I can control how long we can kill each other.”

All the rules changes were built to sidestep the problems of 2012. But the 2016 field is shaping up to be vastly different and far larger. A new Republican hints that he or she is considering a run seemingly every week. There are moderates like Gov. John Kasich of Ohio and former Gov. George Pataki of New York; no-compromise conservatives like Senator Ted Cruz of Texas and former Senator Rick Santorum of Pennsylvania; business-wingers like the former Hewlett-Packard chief executive Carly Fiorina; one-of-a-kinds like Donald Trump — some 20 in all, a dozen or so who seem fairly serious about it. That opens the possibility of multiple candidates vying for all the major Republican constituencies, some of them possibly goaded along by super-PAC-funding billionaires, all of them trading wins and collecting delegates well into spring.

Giles says his candidate can capitalize on all that chaos. Rivals may laugh, but Giles argues that if Carson can make a respectable showing in Iowa, then win in South Carolina — or at least come in second should a home-state senator, Lindsey Graham, run — and come in second behind Bush or Senator Marco Rubio in their home state of Florida, he could be positioned to make a real run. But that would depend on avoiding pitfalls like Carson’s ill-considered comments on homosexuality. Rather than capitalizing on the chaos, Carson may only contribute to it.

Ben Carson is, in many ways, the ideal Republican presidential candidate. With a not-too-selective reading of his life story, conservative voters can — and do — see in him an inspiring, up-from-nowhere African-American who shares their beliefs, a right-wing answer to Barack Obama. Before he was born, his parents moved to Detroit from rural Tennessee as part of the second great migration. His father, Robert Solomon Carson, worked at a Cadillac factory. His mother, Sonya — who herself had grown up as one of 24 children and left school at third grade — cleaned houses. When Carson was 8, Sonya discovered that Robert was keeping a second family. She moved, with her two sons, into a rundown group house. It was in a part of town that Carson described to me as crawling with “big rats and roaches and all kinds of horrible things.” Sonya worked several jobs at a time and made up the shortfall with food stamps. (Carson has called for paring back the social safety net but not doing away with it.)

Carson recounts this story in his best-selling 1990 memoir, “Gifted Hands,” which also became the basis for a 2009 movie on TNT, starring Cuba Gooding Jr. as Carson. Raised as a Seventh Day Adventist, Carson realized that he wanted to become a physician during a church sermon about a missionary doctor who, while serving overseas, was almost attacked by thieves but found safety by putting his faith in God. When Carson, then 8, told his mother his new dream, “She said, ‘Absolutely, you could do it, you could do anything,’ ” he told me. Forced by his mother to read two extra books a week, he made it to Yale, then to medical school at the University of Michigan, where he decided to specialize in neurosurgery. He was selected for residency at Johns Hopkins Children’s Center, where he was named director of pediatric neurosurgery at 33, becoming the youngest person, and the first black person, to hold the title. He drew national attention by conducting a succession of operations that had never been performed successfully, most famously planning and managing the first separation of conjoined twins connected through major blood vessels in the brain.

Carson, a two-time Jimmy Carter voter, traces his conservative political awakening to a patient he met during the Reagan years. During a routine obstetrics rotation, he found himself treating an unwed pregnant teenager who had run away from her well-to-do parents. When Carson asked her how she was getting by, she informed him she was on public assistance; this led him to ponder the fact that the government was paying for the result of what he did not view as a “wise decision.” The incident, he says, fed his growing sense that the welfare system too often saps motivation and rewards irresponsible behavior. (When we spoke, he suggested that the government should cut off assistance to would-be unwed mothers, but only after warning them that it would do so within a certain amount of time, say five years. “I bet you’d see a dramatic decrease in unwed motherhood.”)

Carson’s friends at Hopkins say they do not remember him being particularly outspoken about his conservatism. He devoted most of his public engagement to urging poor kids in bad neighborhoods to use “these fancy brains God gave us,” through weekly school visits, student hospital tours and, ultimately, a multimillion-dollar scholarship program. “His issues were always medical care for the poor, education for the poor, equal opportunity — helping the less fortunate and really inspiring them as an example,” a mentor who named him to the chief pediatrics-neurosurgery post at Hopkins, Dr. Donlin Long, told me.

Even when Carson got the chance, in 1997, to speak in front of President Bill Clinton, at the national prayer breakfast, he mostly discussed the lack of role models for black children who were not sports stars or rappers. (There was possibly an oblique reference to Clinton’s sex scandals, when he told the audience that, if they are always honest, they won’t have to worry later about “skeletons in the closet.”)

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Ben Carson at CPAC on Feb. 26 in Oxon Hill, Md. Credit Dolly Faibyshev for The New York Times

In 2011, Carson’s politics took a strident turn, mirroring that of many in his party during the Obama years. “America the Beautiful,” his sixth book, which he wrote with Candy Carson, his wife of 39 years, included a get-tough-on-illegal-immigration message and offered anti-establishment praise for the Tea Party. It suggested that blacks who voted for Obama only because he was black were themselves practicing a form of racism. (Earlier this year he admitted to Buzzfeed that portions of the book were lifted directly from several sources without proper attribution.) His prayer-breakfast performance in 2013, and the extremity of his remarks in the months afterward (Obamacare is the worst thing since slavery; the United States is “very much like Nazi Germany”; allowing same-sex marriage could lead to allowing bestiality), left some of his old friends bewildered. Students at Johns Hopkins University School of Medicine protested his planned convocation address there in 2013, and he eventually backed out. When I asked Carson about the view at Hopkins that he had changed, he said his themes are still the same: “hard work, self-reliance, helping other people.” If he had become more overtly political, he said, it was only because the Obama years had led him to believe that “we’re really moving in a direction that is very, very destructive.”

None of this went unnoticed by campaign professionals. In August 2013, John Philip Sousa IV and Vernon Robinson, each of whom professes to be a virtual stranger to Carson, and who had previously been active in the anti-illegal-immigration movement, started the National Draft Ben Carson for President Committee. Sousa was just coming off a campaign to defend the sheriff of Maricopa County, Arizona, Joe Arpaio, from a recall effort, and he told me that he found Carson’s lack of political experience refreshing. “We have 500 guys and gals with probably a collective 5,000 years experience, and look at the mess we’re in,” he said.

Many others in the party feel the same way. Carson’s PAC finished 2014 with more than $13 million in donations, more than Ready for Hillary. Much of its money has gone toward further fund-raising, but Sousa — the great-grandson of the famous composer — points out that their effort has already built far more than just a war chest, organizing leaders in all 99 of Iowa’s counties. Regardless, Carson credits the fund-raising success of Sousa and Robinson with persuading him to enter the race.

Very early the morning after the job interview, Carson was in a black S.U.V., heading from Washington to the Gaylord National Resort and Convention Center in Oxon Hill, Md., where he was to give the opening candidate speech of the Conservative Political Action Conference. The event, which functions as an early tryout for Republican presidential contenders, tends to skew rightward in its audience, drawing many of the same sorts of people who shouted at Boehner in Tampa. As such, it tends to favor anti-establishment candidates, but the news leading up to this year’s event was that Jeb Bush hoped to make inroads there.

It was still dark when we set out, and I joked with Carson about the hour, telling him he’d better get used to it. He retorted that his career in pediatric brain surgery made him no stranger to early mornings. This is a big theme of Carson’s presidential pitch: that neither the rigors of the campaign nor those of the White House can faze a man who held children’s lives in his hands. His life in brain surgery has prepared him for the presidency, he maintains, better than lives in politics have for his rivals. At the very least, he says, it conditioned him against getting too worked up about any problem that isn’t life threatening. “I mean, it’s grueling, but interestingly enough, I don’t feel the pressure,” he said.

At the convention hall, we were quickly surrounded by admirers. Two women were already waiting to meet him — white, middle-aged volunteers for Carson’s super PAC, who had traveled from South Carolina. One of them, Chris Horne, was holding a dog-eared and taped Bible. A founding member of the Charleston Tea Party who went on to work for Gingrich’s successful South Carolina primary campaign in 2012, Horne lamented over the attacks that Carson was sure to face. “You served us, you served the Lord, just don’t let them steal that from you,” she said. Her friend told him, “You’ve got God behind you!” Such religious evocations trailed Carson constantly while I walked the CPAC floor with him. Evangelicals are impressed not only with his devotion to their politics but also with his career path; as one of them told me, what’s more pro-life than saving babies?

During our ride to the conference, Carson told me his speech was not looking to “feed the beast.” When his appointed time came, he kept his remarks as tame as promised. “Real compassion” meant “using our intellect” to help people “climb out of dependency and realize the American dream,” he said. The national debt is going to “destroy us,” Obamacare was about “redistribution and control,” but Republicans better come forward with their own alternative before they repeal it, he said.

Because his speech was first, and it started several minutes early, the auditorium was slow to fill. Still, the first day saw a crush of people seeking autographs and pictures as he roamed the hall. The Draft Carson committee’s 150 volunteers swarmed the auditorium, collecting emails and handing out “Run Ben Run” stickers. After a quick interview with Sean Hannity, the conservative-radio and Fox News host — his second in two days — Carson was off to Tampa.

In the hours that followed his talk, the hall offered a view in miniature of what the next 12 to 14 months might hold for the party. Chris Christie, sitting across from the tough-minded talk-radio host Laura Ingraham, boasted about his multiple vetoes of Planned Parenthood funding, his refusal to raise income taxes and his belief that “sometimes people need to be told to sit down and shut up.” Cruz, an audience favorite, warning his fellow Republicans against falling for a “squishy moderate,” declared, “Take all 125,000 I.R.S. agents and put ’em on our Southern border!” Gov. Scott Walker of Wisconsin, surging in polls, boasted that if he could face down the 100,000 union supporters who protested his legislation limiting collective bargaining for public employees, he could certainly handle ISIS. The next day, the traditional CPAC favorite Rand Paul spoke, packing the hall with his supporters who chanted “President Paul.” He warned, counter to the overall hawkish tenor of the event, that “we should not succumb to the notion that a government inept at home will somehow become successful abroad.” But he also vowed to end foreign aid to countries whose citizens are seen burning American flags. “Not one penny more to these haters of America.”

Perhaps the defining moment came near the end of the conference, when Jeb Bush spoke. In a neat trick of political gamesmanship — and a show of establishment muscle — his team had bused in an ample cheering section for the dozens of cameras on hand for his appearance. But a small contingent of Tea Party activists and Rand Paul supporters staged a walk out. When Bush began a question-and-answer session, they turned and left the auditorium to chant “U.S.A., U.S.A.” in the hallway, led by a man in colonial garb waving a huge “Don’t Tread on Me” banner. Plenty of other detractors stayed in the hall and peppered Bush’s remarks with booing as he stood by positions unpopular with the conservative grass roots: support for the Common Core standards and an immigration overhaul that provides a “path to legal status” for undocumented immigrants. Bush took it all in good humor, but finally seemed to give up.

“For those who made an ‘oo’ sound — is that what it was? — I’m marking you down as neutral,” he said. “And I want to be your second choice.”

Bush strategists told me they would not repeat Romney’s mistakes. Of course they would love to glide to an early nomination, they said, but they are prepared for a long contest and won’t be wasting any energy bending under pressure from a Paul or a Cruz or a Carson.

No one doubts that the pressure will increase, though. Despite the best wishes of the party’s leaders, GOP primary voters have given little indication that they will narrow the field quickly.

Before I left, I spotted Newt Gingrich, himself a fleeting presidential front-runner during those strange primary days of 2012. I asked him whether he thought all the party maneuvering — all the attempts to change the rules and fast-track the process — would preclude someone from presenting the sort of outside primary challenge he had carried out in the last election.

“No,” he told me, as if it was the most obvious thing in the world. “Look at where Ben Carson is right now.”

Jim Rutenberg is the chief political correspondent for the magazine. His most recent feature was about Megyn Kelly.

Ben Carson Says He’ll Seek 2016 G.O.P. Nomination

The bottle Mr. Sokolin famously broke was a 1787 Château Margaux, which was said to have belonged to Thomas Jefferson. Mr. Sokolin had been hoping to sell it for $519,750.

William Sokolin, Wine Seller Who Broke Famed Bottle, Dies at 85

BALTIMORE — In the afternoons, the streets of Locust Point are clean and nearly silent. In front of the rowhouses, potted plants rest next to steps of brick or concrete. There is a shopping center nearby with restaurants, and a grocery store filled with fresh foods.

And the National Guard and the police are largely absent. So, too, residents say, are worries about what happened a few miles away on April 27 when, in a space of hours, parts of this city became riot zones.

“They’re not our reality,” Ashley Fowler, 30, said on Monday at the restaurant where she works. “They’re not what we’re living right now. We live in, not to be racist, white America.”

As Baltimore considers its way forward after the violent unrest brought by the death of Freddie Gray, a 25-year-old black man who died of injuries he suffered while in police custody, residents in its predominantly white neighborhoods acknowledge that they are sometimes struggling to understand what beyond Mr. Gray’s death spurred the turmoil here. For many, the poverty and troubled schools of gritty West Baltimore are distant troubles, glimpsed only when they pass through the area on their way somewhere else.

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Officers blocked traffic at Pennsylvania and West North Avenues after reports that a gun was discharged in the area. Credit Drew Angerer for The New York Times

And so neighborhoods of Baltimore are facing altogether different reckonings after Mr. Gray’s death. In mostly black communities like Sandtown-Winchester, where some of the most destructive rioting played out last week, residents are hoping businesses will reopen and that the police will change their strategies. But in mostly white areas like Canton and Locust Point, some residents wonder what role, if any, they should play in reimagining stretches of Baltimore where they do not live.

“Most of the people are kind of at a loss as to what they’re supposed to do,” said Dr. Richard Lamb, a dentist who has practiced in the same Locust Point office for nearly 39 years. “I listen to the news reports. I listen to the clergymen. I listen to the facts of the rampant unemployment and the lack of opportunities in the area. Listen, I pay my taxes. Exactly what can I do?”

And in Canton, where the restaurants have clever names like Nacho Mama’s and Holy Crepe Bakery and Café, Sara Bahr said solutions seemed out of reach for a proudly liberal city.

“I can only imagine how frustrated they must be,” said Ms. Bahr, 36, a nurse who was out with her 3-year-old daughter, Sally. “I just wish I knew how to solve poverty. I don’t know what to do to make it better.”

The day of unrest and the overwhelmingly peaceful demonstrations that followed led to hundreds of arrests, often for violations of the curfew imposed on the city for five consecutive nights while National Guard soldiers patrolled the streets. Although there were isolated instances of trouble in Canton, the neighborhood association said on its website, many parts of southeast Baltimore were physically untouched by the tumult.

Tensions in the city bubbled anew on Monday after reports that the police had wounded a black man in Northwest Baltimore. The authorities denied those reports and sent officers to talk with the crowds that gathered while other officers clutching shields blocked traffic at Pennsylvania and West North Avenues.

Lt. Col. Melvin Russell, a community police officer, said officers had stopped a man suspected of carrying a handgun and that “one of those rounds was spent.”

Colonel Russell said officers had not opened fire, “so we couldn’t have shot him.”

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Lambi Vasilakopoulos, right, who runs a casual restaurant in Canton, said he was incensed by last week's looting and predicted tensions would worsen. Credit Drew Angerer for The New York Times

The colonel said the man had not been injured but was taken to a hospital as a precaution. Nearby, many people stood in disbelief, despite the efforts by the authorities to quash reports they described as “unfounded.”

Monday’s episode was a brief moment in a larger drama that has yielded anger and confusion. Although many people said they were familiar with accounts of the police harassing or intimidating residents, many in Canton and Locust Point said they had never experienced it themselves. When they watched the unrest, which many protesters said was fueled by feelings that they lived only on Baltimore’s margins, even those like Ms. Bahr who were pained by what they saw said they could scarcely comprehend the emotions associated with it.

But others, like Lambi Vasilakopoulos, who runs a casual restaurant in Canton, said they were incensed by what unfolded last week.

“What happened wasn’t called for. Protests are one thing; looting is another thing,” he said, adding, “We’re very frustrated because we’re the ones who are going to pay for this.”

There were pockets of optimism, though, that Baltimore would enter a period of reconciliation.

“I’m just hoping for peace,” Natalie Boies, 53, said in front of the Locust Point home where she has lived for 50 years. “Learn to love each other; be patient with each other; find justice; and care.”

A skeptical Mr. Vasilakopoulos predicted tensions would worsen.

“It cannot be fixed,” he said. “It’s going to get worse. Why? Because people don’t obey the laws. They don’t want to obey them.”

But there were few fears that the violence that plagued West Baltimore last week would play out on these relaxed streets. The authorities, Ms. Fowler said, would make sure of that.

“They kept us safe here,” she said. “I didn’t feel uncomfortable when I was in my house three blocks away from here. I knew I was going to be O.K. because I knew they weren’t going to let anyone come and loot our properties or our businesses or burn our cars.”

Baltimore Residents Away From Turmoil Consider Their Role

Over the last five years or so, it seemed there was little that Dean G. Skelos, the majority leader of the New York Senate, would not do for his son.

He pressed a powerful real estate executive to provide commissions to his son, a 32-year-old title insurance salesman, according to a federal criminal complaint. He helped get him a job at an environmental company and employed his influence to help the company get government work. He used his office to push natural gas drilling regulations that would have increased his son’s commissions.

He even tried to direct part of a $5.4 billion state budget windfall to fund government contracts that the company was seeking. And when the company was close to securing a storm-water contract from Nassau County, the senator, through an intermediary, pressured the company to pay his son more — or risk having the senator subvert the bid.

The criminal complaint, unsealed on Monday, lays out corruption charges against Senator Skelos and his son, Adam B. Skelos, the latest scandal to seize Albany, and potentially alter its power structure.

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Preet Bharara, the United States attorney in Manhattan, discussed the case involving Dean G. Skelos and his son, Adam. Credit Eduardo Munoz/Reuters

The repeated and diverse efforts by Senator Skelos, a Long Island Republican, to use what prosecutors said was his political influence to find work, or at least income, for his son could send both men to federal prison. If they are convicted of all six charges against them, they face up to 20 years in prison for each of four of the six counts and up to 10 years for the remaining two.

Senator Kenneth P. LaValle, of Long Island, who serves as chairman of the Republican conference, emerged from a closed-door meeting Monday night to say that conference members agreed that Mr. Skelos should be benefited the “presumption of innocence,” and would stay in his leadership role.

“The leader has indicated he would like to remain as leader,” said Mr. LaValle, “and he has the support of the conference.” The case against Mr. Skelos and his son grew out of a broader inquiry into political corruption by the United States attorney for the Southern District of New York, Preet Bharara, that has already changed the face of the state capital. It is based in part, according to the six-count complaint, on conversations secretly recorded by one of two cooperating witnesses, and wiretaps on the cellphones of the senator and his son. Those recordings revealed that both men were concerned about electronic surveillance, and illustrated the son’s unsuccessful efforts to thwart it.

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Adam Skelos took to using a “burner” phone, the complaint says, and told his father he wanted them to speak through a FaceTime video call in an apparent effort to avoid detection. They also used coded language at times.

At one point, Adam Skelos was recorded telling a Senate staff member of his frustration in not being able to speak openly to his father on the phone, noting that he could not “just send smoke signals or a little pigeon” carrying a message.

The 43-page complaint, sworn out by Paul M. Takla, a special agent for the Federal Bureau of Investigation, outlines a five-year scheme to “monetize” the senator’s official position; it also lays bare the extent to which a father sought to use his position to help his son.

The charges accuse the two men of extorting payments through a real estate developer, Glenwood Management, based on Long Island, and the environmental company, AbTech Industries, in Scottsdale, Ariz., with the expectation that the money paid to Adam Skelos — nearly $220,000 in total — would influence his father’s actions.

Glenwood, one of the state’s most prolific campaign donors, had ties to AbTech through investments in the environmental firm’s parent company by Glenwood’s founding family and a senior executive.

The accusations in the complaint portray Senator Skelos as a man who, when it came to his son, was not shy about twisting arms, even in situations that might give other arm-twisters pause.

Seeking to help his son, Senator Skelos turned to the executive at Glenwood, which develops rental apartments in New York City and has much at stake when it comes to real estate legislation in Albany. The senator urged him to direct business to his son, who sold title insurance.

After much prodding, the executive, Charles C. Dorego, engineered a $20,000 payment to Adam Skelos from a title insurance company even though he did no work for the money. But far more lucrative was a consultant position that Mr. Dorego arranged for Adam Skelos at AbTech, which seeks government contracts to treat storm water. (Mr. Dorego is not identified by name in the complaint, but referred to only as CW-1, for Cooperating Witness 1.)

Senator Skelos appeared to take an active interest in his son’s new line of work. Adam Skelos sent him several drafts of his consulting agreement with AbTech, the complaint says, as well as the final deal that was struck.

“Mazel tov,” his father replied.

Senator Skelos sent relevant news articles to his son, including one about a sewage leak near Albany. When AbTech wanted to seek government contracts after Hurricane Sandy, the senator got on a conference call with his son and an AbTech executive, Bjornulf White, and offered advice. (Like Mr. Dorego, Mr. White is not named in the complaint, but referred to as CW-2.)

The assistance paid off: With the senator’s help, AbTech secured a contract worth up to $12 million from Nassau County, a big break for a struggling small business.

But the money was slow to materialize. The senator expressed impatience with county officials.

Adam Skelos, in a phone call with Mr. White in late December, suggested that his father would seek to punish the county. “I tell you this, the state is not going to do a [expletive] thing for the county,” he said.

Three days later, Senator Skelos pressed his case with the Nassau County executive, Edward P. Mangano, a fellow Republican. “Somebody feels like they’re just getting jerked around the last two years,” the senator said, referring to his son in what the complaint described as “coded language.”

The next day, the senator pursued the matter, as he and Mr. Mangano attended a wake for a slain New York City police officer. Senator Skelos then reassured his son, who called him while he was still at the wake. “All claims that are in will be taken care of,” the senator said.

AbTech’s fortunes appeared to weigh on his son. At one point in January, Adam Skelos told his father that if the company did not succeed, he would “lose the ability to pay for things.”

Making matters worse, in recent months, Senator Skelos and his son appeared to grow wary about who was watching them. In addition to making calls on the burner phone, Adam Skelos said he used the FaceTime video calling “because that doesn’t show up on the phone bill,” as he told Mr. White.

In late February, Adam Skelos arranged a pair of meetings between Mr. White and state senators; AbTech needed to win state legislation that would allow its contract to move beyond its initial stages. But Senator Skelos deemed the plan too risky and caused one of the meetings to be canceled.

In another recorded call, Adam Skelos, promising to be “very, very vague” on the phone, urged his father to allow the meeting. The senator offered a warning. “Right now we are in dangerous times, Adam,” he told him.

A month later, in another phone call that was recorded by the authorities, Adam Skelos complained that his father could not give him “real advice” about AbTech while the two men were speaking over the telephone.

“You can’t talk normally,” he told his father, “because it’s like [expletive] Preet Bharara is listening to every [expletive] phone call. It’s just [expletive] frustrating.”

“It is,” his father agreed.

Dean Skelos, Albany Senate Leader, Aided Son at All Costs, U.S. Says

Mr. Alger, who served five terms from Texas, led Republican women in a confrontation with Lyndon B. Johnson that may have cost Richard M. Nixon the 1960 presidential election.

Bruce Alger, 96, Dies; Led ‘Mink Coat’ Protest Against Lyndon Johnson

WASHINGTON — The former deputy director of the C.I.A. asserts in a forthcoming book that Republicans, in their eagerness to politicize the killing of the American ambassador to Libya, repeatedly distorted the agency’s analysis of events. But he also argues that the C.I.A. should get out of the business of providing “talking points” for administration officials in national security events that quickly become partisan, as happened after the Benghazi attack in 2012.

The official, Michael J. Morell, dismisses the allegation that the United States military and C.I.A. officers “were ordered to stand down and not come to the rescue of their comrades,” and he says there is “no evidence” to support the charge that “there was a conspiracy between C.I.A. and the White House to spin the Benghazi story in a way that would protect the political interests of the president and Secretary Clinton,” referring to the secretary of state at the time, Hillary Rodham Clinton.

But he also concludes that the White House itself embellished some of the talking points provided by the Central Intelligence Agency and had blocked him from sending an internal study of agency conclusions to Congress.

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Michael J. Morell Credit Mark Wilson/Getty Images

“I finally did so without asking,” just before leaving government, he writes, and after the White House released internal emails to a committee investigating the State Department’s handling of the issue.

A lengthy congressional investigation remains underway, one that many Republicans hope to use against Mrs. Clinton in the 2016 election cycle.

In parts of the book, “The Great War of Our Time” (Twelve), Mr. Morell praises his C.I.A. colleagues for many successes in stopping terrorist attacks, but he is surprisingly critical of other C.I.A. failings — and those of the National Security Agency.

Soon after Mr. Morell retired in 2013 after 33 years in the agency, President Obama appointed him to a commission reviewing the actions of the National Security Agency after the disclosures of Edward J. Snowden, a former intelligence contractor who released classified documents about the government’s eavesdropping abilities. Mr. Morell writes that he was surprised by what he found.

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“You would have thought that of all the government entities on the planet, the one least vulnerable to such grand theft would have been the N.S.A.,” he writes. “But it turned out that the N.S.A. had left itself vulnerable.”

He concludes that most Wall Street firms had better cybersecurity than the N.S.A. had when Mr. Snowden swept information from its systems in 2013. While he said he found himself “chagrined by how well the N.S.A. was doing” compared with the C.I.A. in stepping up its collection of data on intelligence targets, he also sensed that the N.S.A., which specializes in electronic spying, was operating without considering the implications of its methods.

“The N.S.A. had largely been collecting information because it could, not necessarily in all cases because it should,” he says.

The book is to be released next week.

Mr. Morell was a career analyst who rose through the ranks of the agency, and he ended up in the No. 2 post. He served as President George W. Bush’s personal intelligence briefer in the first months of his presidency — in those days, he could often be spotted at the Starbucks in Waco, Tex., catching up on his reading — and was with him in the schoolhouse in Florida on the morning of Sept. 11, 2001, when the Bush presidency changed in an instant.

Mr. Morell twice took over as acting C.I.A. director, first when Leon E. Panetta was appointed secretary of defense and then when retired Gen. David H. Petraeus resigned over an extramarital affair with his biographer, a relationship that included his handing her classified notes of his time as America’s best-known military commander.

Mr. Morell says he first learned of the affair from Mr. Petraeus only the night before he resigned, and just as the Benghazi events were turning into a political firestorm. While praising Mr. Petraeus, who had told his deputy “I am very lucky” to run the C.I.A., Mr. Morell writes that “the organization did not feel the same way about him.” The former general “created the impression through the tone of his voice and his body language that he did not want people to disagree with him (which was not true in my own interaction with him),” he says.

But it is his account of the Benghazi attacks — and how the C.I.A. was drawn into the debate over whether the Obama White House deliberately distorted its account of the death of Ambassador J. Christopher Stevens — that is bound to attract attention, at least partly because of its relevance to the coming presidential election. The initial assessments that the C.I.A. gave to the White House said demonstrations had preceded the attack. By the time analysts reversed their opinion, Susan E. Rice, now the national security adviser, had made a series of statements on Sunday talk shows describing the initial assessment. The controversy and other comments Ms. Rice made derailed Mr. Obama’s plan to appoint her as secretary of state.

The experience prompted Mr. Morell to write that the C.I.A. should stay out of the business of preparing talking points — especially on issues that are being seized upon for “political purposes.” He is critical of the State Department for not beefing up security in Libya for its diplomats, as the C.I.A., he said, did for its employees.

But he concludes that the assault in which the ambassador was killed took place “with little or no advance planning” and “was not well organized.” He says the attackers “did not appear to be looking for Americans to harm. They appeared intent on looting and conducting some vandalism,” setting fires that killed Mr. Stevens and a security official, Sean Smith.

Mr. Morell paints a picture of an agency that was struggling, largely unsuccessfully, to understand dynamics in the Middle East and North Africa when the Arab Spring broke out in late 2011 in Tunisia. The agency’s analysts failed to see the forces of revolution coming — and then failed again, he writes, when they told Mr. Obama that the uprisings would undercut Al Qaeda by showing there was a democratic pathway to change.

“There is no good explanation for our not being able to see the pressures growing to dangerous levels across the region,” he writes. The agency had again relied too heavily “on a handful of strong leaders in the countries of concern to help us understand what was going on in the Arab street,” he says, and those leaders themselves were clueless.

Moreover, an agency that has always overvalued secretly gathered intelligence and undervalued “open source” material “was not doing enough to mine the wealth of information available through social media,” he writes. “We thought and told policy makers that this outburst of popular revolt would damage Al Qaeda by undermining the group’s narrative,” he writes.

Instead, weak governments in Egypt, and the absence of governance from Libya to Yemen, were “a boon to Islamic extremists across both the Middle East and North Africa.”

Mr. Morell is gentle about most of the politicians he dealt with — he expresses admiration for both Mr. Bush and Mr. Obama, though he accuses former Vice President Dick Cheney of deliberately implying a connection between Al Qaeda and Iraq that the C.I.A. had concluded probably did not exist. But when it comes to the events leading up to the Bush administration’s decision to go to war in Iraq, he is critical of his own agency.

Mr. Morell concludes that the Bush White House did not have to twist intelligence on Saddam Hussein’s alleged effort to rekindle the country’s work on weapons of mass destruction.

“The view that hard-liners in the Bush administration forced the intelligence community into its position on W.M.D. is just flat wrong,” he writes. “No one pushed. The analysts were already there and they had been there for years, long before Bush came to office.”

Ex-C.I.A. Official Rebuts Republican Claims on Benghazi Attack in ‘The Great War of Our Time’
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