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Howard Blatt, stroke survivor who co-founded an aphasia support group, died at 88

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Howard Blatt, stroke survivor who co-founded an aphasia support group, died at 88

Judy and Howie Blatt in 1996.

Sacha Pfeiffer/NPR


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In 1983, Howard Blatt was a middle-aged married father working as an electrical engineer at MIT when he collapsed in his kitchen. He’d had a stroke.

That health catastrophe left him with a paralyzed arm and leg, as well as almost total loss of speech. He was diagnosed with aphasia, a brain disorder that can occur after strokes and head injuries, and robs people of their ability to communicate.

Here’s how Blatt, who died May 7 at his home near Boston at age 88, described his post-stroke condition: “No talking — zip. Speech — zip. One incident. Changed life.”

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Although he used adaptive devices to overcome some of his physical disabilities, he never fully recovered. And he discovered, to his dismay, that support networks for people with aphasia were a rarity in the early 1980s.

So, with his wife and a small group of other people, Blatt helped create an organization that may be his most important legacy: the Aphasia Community Group, now one of the country’s oldest and largest continuously operating support groups for people with aphasia and their families.

Many of its members say the group — founded in 1990 at Spaulding Rehabilitation Hospital in Boston and now based at Boston University — rescued them from isolation.

It offers an expansive array of services and activities — including concerts, book groups, potluck meals, health information, and technology tips for managing disabilities — as well as companionship for people whose speech was stolen by strokes and other brain injuries.

“You think, oh my God, I am alone,” said Mary Borelli, 61, a former elementary school principal in Massachusetts who was unable to speak after having a stroke at age 47. When she first attended the Aphasia Community Group, “I was like, here are people that understand what I’m going through, and they know how I’m feeling,” she recalled, “and it was a beautiful thing.”

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At the group’s meetings, noted Borelli, who speaks haltingly after years of rehabilitative therapy, “Everybody says, ‘Take your time. Take as long as it takes to tell your story,’ and then we all clap for each other. It’s so good.”

Aphasia does not affect intellect, so some aphasia sufferers liken it to living in a prison within their own brain; their minds work, yet they are unable to express themselves or understand spoken or written language. The condition can prevent them from speaking, reading, writing or comprehending, sometimes a combination of those, sometimes all of them. According to the American Stroke Association, at least 2 million people in the U.S. have aphasia, commonly as a result of stroke.

“Aphasia is so isolating,” said another Aphasia Community Group co-founder, Jerry Kaplan, a Boston University speech-language pathologist who has led the organization since its inception. “Newcomers invariably say to me at some point, ‘I thought I was the only one.’”

Thousands of people have attended the group since it began more than three decades ago, and for many of them it “becomes a very important part of their lives,” he added.

“It’s a place that feels safe, feels comfortable,” Kaplan said. “It’s a place where they meet other people who are struggling with the same challenges.”

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After Blatt had his stroke at age 48, he and his wife, Judy, quickly recognized the need for a local support network. At the time, there wasn’t even a national group; the National Aphasia Association was founded in 1987, several years after Blatt’s aphasia diagnosis.

“There was nothing when Howie had the stroke,” said Judy, who was then a 46-year-old elementary school teacher with two daughters in college. “Boy, we would have appreciated having something. I mean, we were so young.”

The Aphasia Community Group — part of the Aphasia Resource Center at Boston University’s Sargent College of Health & Rehabilitation Sciences — draws people of all ages. Its members live mainly in New England, but during the coronavirus pandemic its meetings shifted to Zoom, allowing people around the country to dial in and join.

Many of its attendees considered Blatt an inspirational figure, thanks to his eclectic range of post-stroke accomplishments. Known widely as Howie, he was not able to return to his job as a computer hardware designer at MIT’s Lincoln Laboratories after his stroke, but he worked methodically to regain as much function as possible.

A drawing made for the Blatts by one of their two daughters, Julia Blatt, for their 40th wedding anniversary.

A drawing made for the Blatts by one of their two daughters, Julia Blatt, for their 40th wedding anniversary.

Sacha Pfeiffer/NPR

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He progressed from a wheelchair to a metal brace to a plastic leg support. He did extensive physical, occupational and speech therapy. He re-earned his driver’s license, then drove cross-country by himself multiple times, documenting his trips with copious photographs. He dabbled in sculpting and designed additions to his house.

“He built a table, he built closets, he built cabinets,” Judy Blatt, now 87, recalled. “He figured out how he could do it with one hand.”

He studied grammar to try to improve his speech, treating English as a foreign language to be re-learned. He also created a newsletter called The Aphasia Advocate.

Throughout his rehab, Blatt documented his work in binders, assigning grades to himself. Immediately after his stroke, he gave himself flunking scores in all categories. Eventually, his grades improved, and he even earned an occasional A.

Over the decades, he was a faithful member of the Aphasia Community Group, as was Judy, his wife of 64 years.

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When Borelli, the former school principal, began attending its meetings and met Blatt, she thought: “I want to be like Howie,” she recalled.

“I think Howie was the example of what you could do with all the loss he had,” said Judy Blatt. “He was sort of a model.”

Other group members, she added, “could look at Howie and see what you could actually do, because he had done it.”

The Aphasia Community Group, which will celebrate its 35th anniversary next year, is one of Blatt’s most enduring achievements, and “for folks that have stayed with it for many years, it became a family,” Kaplan said.

“This was a tenacious man who was really given a tough break in midlife, with young children, at the top of his game in his profession, and his communication gifts were largely wiped out,” Kaplan said of Blatt. “But he did not give in to this for 40-plus years. And not only did he survive; he thrived.”

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Cross-Tabs: June 2024 Times/Siena Poll of the Likely Electorate

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Cross-Tabs: June 2024 Times/Siena Poll of the Likely Electorate

How This Poll Was Conducted

Here are the key things to know about this Times/Siena poll:

• We spoke with 1,226 registered voters from June 20 to 25, 2024.

• Our polls are conducted by telephone, using live interviewers, in both English and Spanish. More than 90 percent of respondents were contacted on a cellphone for this poll.

• Voters are selected for the survey from a list of registered voters. The list contains information on the demographic characteristics of every registered voter, allowing us to make sure we reach the right number of voters of each party, race and region. For this poll, we placed nearly 150,000 calls to more than 100,000 voters.

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• To further ensure that the results reflect the entire voting population, not just those willing to take a poll, we give more weight to respondents from demographic groups that are underrepresented among survey respondents, like people without a college degree. You can see more information about the characteristics of our respondents and the weighted sample at the bottom of the page, under “Composition of the Sample.”

• The poll’s margin of sampling error among registered voters is plus or minus three percentage points. In theory, this means that the results should reflect the views of the overall population most of the time, though many other challenges create additional sources of error. When computing the difference between two values — such as a candidate’s lead in a race — the margin of error is twice as large.

If you want to read more about how and why we conduct our polls, you can see answers to frequently asked questions and submit your own questions here.

Full Methodology

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The New York Times/Siena College poll of 1,226 registered voters nationwide, including 991 who completed the full survey, was conducted in English and Spanish on cellular and landline telephones from June 20 to 25, 2024. The margin of sampling error is plus or minus three percentage points for registered voters and plus or minus 3.2 percentage points for the likely electorate. Among those who completed the full survey, the margin of sampling error is plus or minus 3.5 percentage points for registered voters and plus or minus 3.6 percentage points for the likely electorate.

Sample

The survey is a response rate-adjusted stratified sample of registered voters on the L2 voter file. The sample was selected by The New York Times in multiple steps to account for differential telephone coverage, nonresponse and significant variation in the productivity of telephone numbers by state.

First, records were selected by state. To adjust for noncoverage bias, the L2 voter file was stratified by statehouse district, party, race, gender, marital status, household size, turnout history, age and home ownership. The proportion of registrants with a telephone number and the mean expected response rate were calculated for each stratum. The mean expected response rate was based on a model of unit nonresponse in prior Times/Siena surveys. The initial selection weight was equal to the reciprocal of a stratum’s mean telephone coverage and modeled response rate. For respondents with multiple telephone numbers on the L2 file, the number with the highest modeled response rate was selected.

Second, state records were selected for the national sample. The number of records selected by state was based on a model of unit nonresponse in prior Times/Siena national surveys as a function of state, telephone number quality and other demographic and political characteristics. The state’s share of records was equal to the reciprocal of the mean response rate of the state’s records, divided by the national sum of the weights.

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Fielding

The sample was stratified according to political party, race and region and fielded by the Siena College Research Institute, with additional field work by ReconMR, the Public Opinion Research Laboratory at the University of North Florida, the Institute of Policy and Opinion Research at Roanoke College, and the Center for Public Opinion and Policy Research at Winthrop University in South Carolina. Interviewers asked for the person named on the voter file and ended the interview if the intended respondent was not available. Overall, 91 percent of respondents were reached on a cellular telephone.

The instrument was translated into Spanish by ReconMR. Bilingual interviewers began the interview in English and were instructed to follow the lead of the respondent in determining whether to conduct the survey in English or Spanish. Monolingual Spanish-speaking respondents who were initially contacted by English-speaking interviewers were recontacted by Spanish-speaking interviewers. Overall, 13 percent of interviews among self-reported Hispanics were conducted in Spanish, including 17 percent of weighted interviews.

An interview was determined to be complete for the purposes of inclusion in the ballot test question if the respondent did not drop out of the survey by the end of the two self-reported variables used in weighting — age and education — and answered at least one of the age, education, race or presidential election ballot test questions.

Weighting — registered voters

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The survey was weighted by The Times using the R survey package in multiple steps.

First, the sample was adjusted for unequal probability of selection by stratum.

Second, the sample was weighted to match voter file-based parameters for the characteristics of registered voters.

The following targets were used:

• Party (party registration if available, or else classification based on a model of vote choice in prior Times/Siena polls) by whether the respondent’s race is modeled as white or nonwhite (L2 model)

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• Age (Self-reported age, or voter file age if the respondent refuses) by gender (L2)

• Race or ethnicity (L2 model)

• Education (four categories of self-reported education level, weighted to match NYT-based targets derived from Times/Siena polls, census data and the L2 voter file)

• White/non-white race by college or non-college educational attainment (L2 model of race weighted to match NYT-based targets for self-reported education)

• Marital status (L2 model)

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• Home ownership (L2 model)

• National region (NYT classifications by state)

• Turnout history (NYT classifications based on L2 data)

• Method of voting in the 2020 elections (NYT classifications based on L2 data)

• Metropolitan status (2013 NCHS Urban-Rural Classification Scheme for Counties)

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• Census tract educational attainment

Finally, the sample of respondents who completed all questions in the survey was weighted identically, as well as to the result for the general election horse race question (including leaners) on the full sample.

Weighting — likely electorate

The survey was weighted by The Times using the R survey package in multiple steps.

First, the samples were adjusted for unequal probability of selection by stratum.

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Second, the first-stage weight was adjusted to account for the probability that a registrant would vote in the 2024 election, based on a model of turnout in the 2020 election.

Third, the sample was weighted to match targets for the composition of the likely electorate. The targets for the composition of the likely electorate were derived by aggregating the individual-level turnout estimates described in the previous step for registrants on the L2 voter file. The categories used in weighting were the same as those previously mentioned for registered voters.

Fourth, the initial likely electorate weight was adjusted to incorporate self-reported intention to vote intention. The final probability that a registrant would vote in the 2024 election was four-fifths based on their ex ante modeled turnout score and one-fifth based on their self-reported intentions, based on prior Times/Siena polls, including a penalty to account for the tendency of survey respondents to turn out at higher rates than nonrespondents. The final likely electorate weight was equal to the modeled electorate rake weight, multiplied by the final turnout probability and divided by the ex ante modeled turnout probability.

Finally, the sample of respondents who completed all questions in the survey was weighted identically, as well as to the result for the general election horse race question (including leaners) on the full sample.

The margin of error accounts for the survey’s design effect, a measure of the loss of statistical power due to survey design and weighting. The design effect for the full sample is 1.21 for registered voters and 1.33 for the likely electorate. The design effect for the sample of completed interviews is 1.24 for registered voters and 1.33 for the likely electorate.

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Historically, The Times/Siena Poll’s error at the 95th percentile has been plus or minus 5.1 percentage points in surveys taken over the final three weeks before an election. Real-world error includes sources of error beyond sampling error, such as nonresponse bias, coverage error, late shifts among undecided voters and error in estimating the composition of the electorate.

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Top US banks withstand annual ritual of Federal Reserve ‘stress tests’

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Top US banks withstand annual ritual of Federal Reserve ‘stress tests’

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All 31 of the largest US banks passed the Federal Reserve’s yearly so-called stress tests, satisfying regulators that they could withstand a theoretical scenario in which unemployment rose to 10 per cent during a severe recession.

The Fed on Wednesday said that under its baseline scenario banks including JPMorgan Chase, Goldman Sachs and Bank of America would lose nearly $685bn and suffer their biggest hit to capital in six years, but would still meet regulatory minimum standards.

The scenario involved a 40 per cent decline in commercial real estate prices, a substantial rise in office vacancies and a 36 per cent fall in house prices.

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“This year’s stress test shows that large banks have sufficient capital to withstand a highly stressful scenario and meet their minimum capital ratios,” said Michael Barr, the Fed’s vice-chair for supervision.

“The goal of our test is to help to ensure that banks have enough capital to absorb losses in a highly stressful scenario,” he added.

The tests are used to calculate the minimum amount of capital, which is used to absorb losses, that banks must hold relative to their assets.

The banks, which often use the results of the test to update investors on potential shareholder payouts, will on Friday afternoon provide an update on what they expect their new capital requirement to be.

Barclays research analyst Jason Goldberg estimated that several large banks, including Goldman and BofA, are set to see their capital requirements rise by more than analysts had anticipated, potentially leaving less capital for potential dividends and buybacks.

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Goldman shares were down 1.7 per cent in after-hours trading, while those of BofA had slipped 0.3 per cent.

The annual exercise started after the 2008 financial crisis and was seen as a major factor in rebuilding confidence in the banking sector. In recent years, the nation’s largest banks have generally passed the tests, usually by a wide margin, raising questions about their usefulness and purpose.

Matthew Bisanz, a partner in the financial services practice at law firm Mayer Brown, said the tests’ reliance on capital buffers “focuses people on the wrong things”.

“Last March [2023], we saw three banks obliterated in one month,” he said, referring to the failures of Silicon Valley Bank, First Republic Bank and Signature Bank. “Yet all 31 of these banks survive a stress event that lasts nine quarters. This reinforces how unrealistic the stress test is.”

The results come during a renewed focus around capital levels at large US banks, with regulators weighing changes to its proposal to implement the so-called Basel III Endgame capital rules.

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The Fed’s initial proposal, which called for a significant increase in capital requirements, provoked an aggressive lobbying effort from large US banks. Fed chair Jay Powell has since said it would likely make material changes to the proposed new rules.

This year’s stress tests would push banks’ aggregate tier one capital ratio, their main cushion against losses, down by 2.8 percentage points, the biggest drop since 2018.

The Fed said the bigger losses were partly the result of an expectation of higher losses on credit card loans for the nation’s biggest banks, up nearly 20 per cent from a year ago. Banks’ corporate loan books also became riskier, as higher expenses and lower fees left lenders with less of a cushion to absorb a severe hit.

Another scenario, examining what would happen if five large hedge funds failed, showed the largest and most complex banks did have material exposure and were projected to lose between $13bn and $22bn in aggregate.

Additional reporting by Stephen Gandel in New York

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Woman, 10-year-old daughter dead in suspected murder-suicide, Chandler police say

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Woman, 10-year-old daughter dead in suspected murder-suicide, Chandler police say

CHANDLER, AZ (AZFamily) — Chandler police are investigating the deaths of a woman and her 10-year-old daughter as a suspected murder-suicide, investigators said Wednesday afternoon.

Officers responded to reports of a shooting at the Lumiere Chandler Condominiums near Priest Drive and Ray Road around 5:30 p.m. on Tuesday. According to police, a family friend had walked into an unlocked condo and found the bodies of the mother and daughter and called 911.

Investigators say the bodies of a 49-year-old woman and her 10-year-old daughter were discovered in a bedroom.

A gun was also nearby and police said both were shot to death.

Their names will not be released until next of kin notifications are made.

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