воскресенье, 30 сентября 2012 г.

BABY BOOMERS TRY TO USE THEIR HEADS.(News) - Daily News (Los Angeles, CA)

Byline: DANA BARTHOLOMEW Staff Writer

Feng shui master Judy Famiglietti did yoga, practiced Pilates, sought Reiki massage and meditated 15 minutes a day.

But the svelte baby boomer from Sherman Oaks wasn't content to be just fit and calm. Fuzzy thinking meant she needed mental workouts, too.

``I used to forget lists at the grocery store,'' Famiglietti said during a Brain Gym 101 session conducted by Barbara Schwartz at Equilibrium in Encino.

``In my family, we're really obsessed with being fit, mentally and physically. Perfection is high on the list ... and I have sharpened my mental abilities.''

It's no longer enough for middle-age Angelenos to tone their bodies, Botox their brows and toss out the trans fats in their quest for vitality.

Across the nation, those born in the 20 years after World War II are popularizing everything from ``brain-healthy'' foods to virtual brain gyms in an effort to retain their cognitive edge and stave off dementia.

``We're baby boomers, and we don't want it to happen to us,'' said Sheryle Bolton, chief executive officer of Quixit Inc., of Oakland, whose HappyNeuron.com launched last fall.

``We started the fitness craze. We've learned a lot about nutrition. And now it's time to learn about mental exercise.''

Nintendo's Brain Age video game, for instance, offers math-and-word challenges, while California-based Web sites such as MyBrainTrainer.com and HappyNeuron.com supply cranial calisthenics to a generation that hatched the fitness and nutrition movements.

AARP and other 50-plus advocates offer brain health tips, while the Alzheimer's Association conducts Maintain Your Brain workshops for such corporations as Lockheed Martin and Apple Computer.

Brain health has even become the darling of health insurers.

MetLife offers a 61-page booklet called ``Love Your Brain,'' while Humana plans to offer brain fitness software to millions of graying clients.

With Americans now living longer and the first wave of the 78 million baby boomers approaching 60, many hope such noggin-builders will ward off memory problems.

``The difficult fact to face is that baby boomers are getting older at the same time,'' said Barbara Goen, spokeswoman for the Alzheimer's Association of California Southland.

``It is going to have a catastrophic effect if we don't make some progress in solving the problem of Alzheimer's disease.''

Millions affected

The degenerative brain disease affects an estimated 4.5 million Americans -- more than double the number in 1980 -- including one in 10 persons older than 65 and nearly half of those older than 85.

Research has shown that an estimated 40 percent of those 65 and older have some level of age-associated memory loss.

Without a cure, up to 16 million Americans are expected to suffer from Alzheimer's by mid-century, according to the Alzheimer's Association.

For overall brain health, AARP and health experts recommend regular exercise, staying mentally active and eating a balanced diet rich in antioxidants and omega-3 fatty acids.

To determine whether brain exercise can actually ward off flabby minds, dozens of studies are in the works. However, there already is growing evidence that it does.

Previous studies have shown that animals kept in cages full of toys had better memories and more brain cells than those housed in more mundane environments.

And research has long shown that mental exercise in people can improve test scores while crossword puzzles and reading can keep the mind sharp.

A new study suggests that brain exercise strengthens the ability of seniors to think more clearly and to perform everyday tasks needed to live independently.

Healthy seniors with only 10 hours of classes to improve their reasoning reported significantly less trouble with cooking, shopping and other routine activities.

The study, published Dec. 20 in the Journal of the American Medical Association, showed that cognitive training still brought benefits five years later.

``There is mounting evidence that cognitive exercise may protect our brains,'' said Dr. Gary W. Small, a professor of geriatric psychiatry and director of the UCLA Center on Aging and the Memory & Aging Research Center.

``We know specific exercises in certain brain functions definitely have an effect. The question is, if you do your mental aerobics, will brain exercise stave off Alzheimer's?

``There is softer evidence that it does.''

Small, whose five-week Senior Memory Training courses at UCLA Center on Aging have drawn baby boomers to teaching sites across Los Angeles, has licensed it in a half-dozen states.

He has also designed Brain Games, a handheld computer game scheduled to be released this month by Mattel.

Last year, Small led a UCLA study that found people could improve brain function and efficiency with only two weeks of memory exercises, along with healthy eating, physical fitness and stress reduction.

The study, published in the June issue of the American Journal of Geriatric Psychiatry, centered on ages 35 to 69.

``There is definitely something to this,'' Small said. ``We found that in a matter of two weeks, we cannot only improve memory performance, but improve mental efficiency as seen on brain scans.''

Entrepreneurs have pursued the boomer brain market with proven success.

In the past year, MyBrainTrainer.com has more than doubled its membership to 7,000 clients, company officials said.

``It's the Nautilus machine for the mind,'' said Bruce Friedman, the Web site's founder. ``It's the ignition for your cognition.

``I definitely believe that more and more boomers are going to be taking these kind of preventative steps to ward off, or attempt to ward off, dementia.''

Rod Evans, a 57-year-old author and philosophy professor, is an unlikely candidate for more mental stimulation.

He teaches classes at Old Dominion University in Virginia and has written 14 books, including ``The Gilded Tongue,'' a dictionary of ``meretricious words guaranteed to impress your friends.'' He rifles through flash cards daily to improve his word skills. And he plays Boggle, a Scrabble-like game for the brainy.

Keeping fit

To keep fit, he also exercises and lifts weights throughout the week.

But when Evans discovered MyBrainTrainer.com two years ago, he found himself mentally working out up to three times a day online.

``I feel energized,'' said Evans, of Norfolk, Va., whose family has no known history of dementia. ``It helps me wake up. It makes me feel good.

``I want to reduce the possibility, or at the very least, to delay senility.''

For the past 20 years, Schwartz has conducted Brain Gym sessions at her Encino home. Founded by Brain Gym International in Ventura, the technique aims to improve the mind through 26 exercises.

During a recent session, Schwartz went through a litany of exercises with Famiglietti, who once stumbled at remembering peoples' names. She signed up in August for Brain Gym sessions that cost $125 and up.

``Feel complete?,'' asked Schwartz, in a room redolent of sweet aromatherapy oils.

``Yeah, I feel much better,'' said the feng shui consultant whose 80-year-old mother can still whip the most challenging crossword and Soduku puzzles.

``I'm hoping the DNA will kick in, that the gene pool will stay on my side and that I can preserve what I have with the exercises that I'm doing.''

The New York Times News Service contributed to this report.

dana.bartholomew(at)dailynews.com

(818) 713-3730

On the Net: For more information on brain health, go to http://www.alzla.org; www.aarp.org; www.aging.ucla.edu.; www.mybraintrainer.com; www.happy-neuron.com; www.braingym.org; and www.equilibriumhealing.com.

CAPTION(S):

2 photos

Photo:

(1 -- color) Dr. Gary W. Small, a UCLA geriatric psychiatry professor, holds Brain Games, computer brain exercises he developed.

(2) Brain Gym instructor Barbara Schwartz, top, helps client Judy Famiglietti release emotional stress and sharpen the mind during a session at Schwartz's home in Encino.

суббота, 29 сентября 2012 г.

NURSING HOME METHODS PROTESTED - Daily News (Los Angeles, CA)

An advocacy group for nursing home patients picketed the ShermanOaks headquarters of a statewide nursing home chain Tuesday morning,protesting what they said was inadequate treatment of its elderlyresidents.

California Advocates for Nursing Home Reform a nonprofit SanFrancisco-based group, said that between 1993 and 1994 nursing homesrun by Golden State Health Centers Inc. accrued $300,750 in finesfrom the state for various deficiencies, including neglect ofpatients.

Officials at Golden State, which runs 10 area convalescentfacilities and 15 statewide, did not dispute that fines were leviedbut said the allegations of mistreatment are misguided.

'The majority of citations occurred in two of our 15 nursinghomes which we acquired over the last three years,' said Sol Goldner,Golden State's vice president and chief financial officer, referringto facilities in San Diego and Bakersfield.

'They were troubled facilities, in bad shape, and you cannotexpect things to get better overnight,' Goldner said. 'We have putmillions of dollars into those facilities and they are now in fullcompliance with all regulations.'

Seventeen protesters circled the sidewalk in front of theVentura Boulevard office building, beating drums and chanting 'shameon Golden State' and 'high profits, lousy care.'

'The numbers don't lie,' said Kim Kelley, special projectscoordinator for the advocacy group, citing 73 citations against thechain by the state in 1993 and 1994.

'This is not acceptable,' Kelley said. 'If you look at thestatistics these people are among the worst in the state.'

Inside, company officials explained that health departmentofficials carefully monitor the quality of care at convalescenthospitals and extreme violations would result in the closing offacilities.

'The nursing home industry is the most highly regulated segmentof health care,' Goldner said. 'Every complaint is investigated.'

A Los Angeles County Health Services Department official whooversees area nursing homes under contract with the state said thatGolden State's citations are not egregious.

пятница, 28 сентября 2012 г.

MENDING MATTERS OF THE HEART FOR WOMEN, CARDIAC PROBLEMS CAN BE HIDDEN OR MISDIAGNOSED.(U) - Daily News (Los Angeles, CA)

Byline: Diana McKeon Charkalis Lifestyle Editor

Lori Kupetz looks younger than her 40 years, especially when she hula-hoops in front of her Sherman Oaks home with daughters Sophie, 9, and Zoe, 7. No one would ever guess that earlier this year, this thin vegetarian who doesn't smoke underwent a triple bypass.

``I just don't fit the bill of someone who would have heart surgery,'' says Kupetz, who is now out to spread the word about cardiovascular disease from a female perspective. ``But heart disease kills women more than anything else. It's not just a man's disease.''

And sadly, for many women, it often goes unnoticed.

``It's very tragic, but unfortunately two-thirds of women will actually die of heart disease and not know they have a problem,'' says Dr. Lisa Matzer, medical director of Glendale Adventist Medical Center's Outpatient Cardiac Services Program.

Doctors and researchers say this is partly because heart disease affects men and women differently.

``The symptoms women present are a lot different than the symptoms we typically see in men,'' says Matzer. She says the most common for women include weakness, fatigue, shortness of breath with exercise and just not feeling right.

In addition, tests that work for men aren't always as effective for women.

``Making the diagnosis of heart disease can be difficult,'' Matzer says. ``The angiogram is the gold standard for men, so we assume it's the gold standard for women. But it only works for one-third of women. We know that two-thirds of women (with heart problems) will go in and be given a clean bill of health.''

For Kupetz, too, getting the right diagnosis proved elusive.

Her story began in February 2005. One day while hiking with a friend, she found herself doubled over with chest pains. After two more similar episodes, she called her internist. In light of her family history of heart attacks combined with her own high cholesterol level, he recommended she see a cardiologist.

`` `Doctor, I'm having the pains right now,'' ' Kupetz said in the cardiologist's office, while taking a standard stress test on a treadmill.

But he couldn't see any abnormalities, so he diagnosed her chest pains as non-cardiac-related and sent her to a gastroenterologist. The pattern continued.

Nearly one year, four doctors and seven major tests later, Kupetz didn't have answers. And she was still getting chest pains from everyday activities like dancing with her kids or bringing in groceries. She had stopped exercising. One doctor suggested she take antidepressants.

Matzer hears this a lot. ``You go into my waiting room and ask who has a Valium and they all raise their hands because they've been told they have a psychological problem. But it's not all in their head. It's all in their heart.''

Kupetz finally found answers when she called Dr. C. Noel Bairey Merz, medical director of the Women's Health Program, Preventive and Rehabilitative Cardiac Center, at Cedars-Sinai Medical Center in Los Angeles.

Confident that Kupetz did indeed have a heart problem after hearing her story, Bairey Merz ordered an echocardiac stress test and an adenosine cardiac stress MRI. Both showed that Kupetz's heart was not responding as it should.

A subsequent angiogram found three arteries with major blockages. After an attempt at angioplasty, Kupetz had triple-bypass surgery in March. Through it all, her family, especially Daniel, her husband of 12 years, was by her side. Kupetz credits Bairey Merz with saving her life, but the doctor says Kupetz deserves praise, too.

``Lori was a positive advocate for herself. She didn't stop pursuing it or ignore her symptoms. Doctors can only do so much. They need active partners in the process.''

Bairey Merz continues to keep track of her patient's health and Kupetz does her part by maintaining a regimen of statin drugs, beta blockers, aspirin and prescribed doses of fish oil.

Kupetz's pain, triggered by insufficient blood flow to her heart, is finally gone. The only visible sign now is a scar on her collarbone. Recently while she was getting dressed, her daughter protested when she tried to hide it with a high collar.

``Every scar has a story,'' her daughter told her. ``And you should be proud of yours.''

Diana McKeon Charkalis, (818) 713-3760

diana.charkalis@dailynews.com

Women, ask your doctor

When visiting the doctor, sometimes women's heart health problems may be overlooked. Asking physicians specific questions can help get a useful discussion started. Here's a list to bring to your next office visit:

What is my risk for heart disease?

What is my blood pressure? What does it mean for me and what do I need to do about it?

What are my cholesterol numbers? (These include total cholesterol, LDL, HDL, and triglycerides, a type of fat found in the blood and food). What do they mean for me and what do I need to do about them?

What is my ``body mass index'' and waist measurement? Do they mean that I need to lose weight for my health?

What is my blood sugar level, and does it mean I'm at risk for diabetes? If so, what do I need to do about it?

What other screening tests for heart disease do I need?

What can you do to help me quit smoking?

How much physical activity do I need to help protect my heart?

What is a heart-healthy eating plan for me?

How can I tell if I may be having a heart attack? If I think I'm having one, what should I do?

-- NIH/National Heart, Lung and Blood Institute

CAPTION(S):

4 photos, box

Photo:

(1 -- cover -- color) ROUND AND ROUND

Challenges of diagnosing heart disease in women

(2) Lori Kupetz of Sherman Oaks has no problem playing with her children, Sophie, 9, left, and Zoe, 7, after undergoing triple-bypass surgery earlier this year at the age of 39. For months before her operation, doctors did not see her problem as heart-related.

(3) Spending time being active with daughters Sophie, left, and Zoe, right, is high on Kupetz's list since bypass surgery increased blood flow to her heart and stopped the regular chest pains that led her to curtail any strenuous activity.

(4) Kupetz saw four doctors and had seven major medical tests before her heart disease was diagnosed. Before then, physicians attributed her symptoms to, among other things, gastroenterological problems and depression.

Box:

четверг, 27 сентября 2012 г.

BABY BOOMERS TRY TO USE THEIR HEADS - Daily News (Los Angeles, CA)

Feng shui master Judy Famiglietti did yoga, practiced Pilates,sought Reiki massage and meditated 15 minutes a day.

But the svelte baby boomer from Sherman Oaks wasn't content to bejust fit and calm. Fuzzy thinking meant she needed mental workouts,too.

'I used to forget lists at the grocery store,' Famiglietti saidduring a Brain Gym 101 session conducted by Barbara Schwartz atEquilibrium in Encino.

'In my family, we're really obsessed with being fit, mentally andphysically. Perfection is high on the list ... and I have sharpenedmy mental abilities.'

It's no longer enough for middle-age Angelenos to tone theirbodies, Botox their brows and toss out the trans fats in their questfor vitality.

Across the nation, those born in the 20 years after World War IIare popularizing everything from 'brain-healthy' foods to virtualbrain gyms in an effort to retain their cognitive edge and stave offdementia.

'We're baby boomers, and we don't want it to happen to us,' saidSheryle Bolton, chief executive officer of Quixit Inc., of Oakland,whose HappyNeuron.com launched last fall.

'We started the fitness craze. We've learned a lot aboutnutrition. And now it's time to learn about mental exercise.'

Nintendo's Brain Age video game, for instance, offers math-and-word challenges, while California-based Web sites such asMyBrainTrainer.com and HappyNeuron.com supply cranial calisthenicsto a generation that hatched the fitness and nutrition movements.

AARP and other 50-plus advocates offer brain health tips, whilethe Alzheimer's Association conducts Maintain Your Brain workshopsfor such corporations as Lockheed Martin and Apple Computer.

Brain health has even become the darling of health insurers.

MetLife offers a 61-page booklet called 'Love Your Brain,' whileHumana plans to offer brain fitness software to millions of grayingclients.

With Americans now living longer and the first wave of the 78million baby boomers approaching 60, many hope such noggin-builderswill ward off memory problems.

'The difficult fact to face is that baby boomers are gettingolder at the same time,' said Barbara Goen, spokeswoman for theAlzheimer's Association of California Southland.

'It is going to have a catastrophic effect if we don't make someprogress in solving the problem of Alzheimer's disease.'

Millions affected

The degenerative brain disease affects an estimated 4.5 millionAmericans -- more than double the number in 1980 -- including one in10 persons older than 65 and nearly half of those older than 85.

Research has shown that an estimated 40 percent of those 65 andolder have some level of age-associated memory loss.

Without a cure, up to 16 million Americans are expected to sufferfrom Alzheimer's by mid-century, according to the Alzheimer'sAssociation.

For overall brain health, AARP and health experts recommendregular exercise, staying mentally active and eating a balanced dietrich in antioxidants and omega-3 fatty acids.

To determine whether brain exercise can actually ward off flabbyminds, dozens of studies are in the works. However, there already isgrowing evidence that it does.

Previous studies have shown that animals kept in cages full oftoys had better memories and more brain cells than those housed inmore mundane environments.

And research has long shown that mental exercise in people canimprove test scores while crossword puzzles and reading can keep themind sharp.

A new study suggests that brain exercise strengthens the abilityof seniors to think more clearly and to perform everyday tasksneeded to live independently.

Healthy seniors with only 10 hours of classes to improve theirreasoning reported significantly less trouble with cooking, shoppingand other routine activities.

The study, published Dec. 20 in the Journal of the AmericanMedical Association, showed that cognitive training still broughtbenefits five years later.

'There is mounting evidence that cognitive exercise may protectour brains,' said Dr. Gary W. Small, a professor of geriatricpsychiatry and director of the UCLA Center on Aging and the Memory &Aging Research Center.

'We know specific exercises in certain brain functions definitelyhave an effect. The question is, if you do your mental aerobics,will brain exercise stave off Alzheimer's?

'There is softer evidence that it does.'

Small, whose five-week Senior Memory Training courses at UCLACenter on Aging have drawn baby boomers to teaching sites across LosAngeles, has licensed it in a half-dozen states.

He has also designed Brain Games, a handheld computer gamescheduled to be released this month by Mattel.

Last year, Small led a UCLA study that found people could improvebrain function and efficiency with only two weeks of memoryexercises, along with healthy eating, physical fitness and stressreduction.

The study, published in the June issue of the American Journal ofGeriatric Psychiatry, centered on ages 35 to 69.

'There is definitely something to this,' Small said. 'We foundthat in a matter of two weeks, we cannot only improve memoryperformance, but improve mental efficiency as seen on brain scans.'

Entrepreneurs have pursued the boomer brain market with provensuccess.

In the past year, MyBrainTrainer.com has more than doubled itsmembership to 7,000 clients, company officials said.

'It's the Nautilus machine for the mind,' said Bruce Friedman,the Web site's founder. 'It's the ignition for your cognition.

'I definitely believe that more and more boomers are going to betaking these kind of preventative steps to ward off, or attempt toward off, dementia.'

Rod Evans, a 57-year-old author and philosophy professor, is anunlikely candidate for more mental stimulation.

He teaches classes at Old Dominion University in Virginia and haswritten 14 books, including 'The Gilded Tongue,' a dictionary of'meretricious words guaranteed to impress your friends.' He riflesthrough flash cards daily to improve his word skills. And he playsBoggle, a Scrabble-like game for the brainy.

Keeping fit

To keep fit, he also exercises and lifts weights throughout theweek.

But when Evans discovered MyBrainTrainer.com two years ago, hefound himself mentally working out up to three times a day online.

'I feel energized,' said Evans, of Norfolk, Va., whose family hasno known history of dementia. 'It helps me wake up. It makes me feelgood.

'I want to reduce the possibility, or at the very least, to delaysenility.'

For the past 20 years, Schwartz has conducted Brain Gym sessionsat her Encino home. Founded by Brain Gym International in Ventura,the technique aims to improve the mind through 26 exercises.

During a recent session, Schwartz went through a litany ofexercises with Famiglietti, who once stumbled at rememberingpeoples' names. She signed up in August for Brain Gym sessions thatcost $125 and up.

'Feel complete?,' asked Schwartz, in a room redolent of sweetaromatherapy oils.

'Yeah, I feel much better,' said the feng shui consultant whose80-year-old mother can still whip the most challenging crossword andSoduku puzzles.

'I'm hoping the DNA will kick in, that the gene pool will stay onmy side and that I can preserve what I have with the exercises thatI'm doing.'

The New York Times News Service contributed to this report.

dana.bartholomew(at)dailynews.com

(818) 713-3730

среда, 26 сентября 2012 г.

MENDING MATTERS OF THE HEART FOR WOMEN, CARDIAC PROBLEMS CAN BE HIDDEN OR MISDIAGNOSED - Daily News (Los Angeles, CA)

Lori Kupetz looks younger than her 40 years, especially when shehula-hoops in front of her Sherman Oaks home with daughters Sophie,9, and Zoe, 7. No one would ever guess that earlier this year, thisthin vegetarian who doesn't smoke underwent a triple bypass.

'I just don't fit the bill of someone who would have heartsurgery,' says Kupetz, who is now out to spread the word aboutcardiovascular disease from a female perspective. 'But heart diseasekills women more than anything else. It's not just a man's disease.'

And sadly, for many women, it often goes unnoticed.

'It's very tragic, but unfortunately two-thirds of women willactually die of heart disease and not know they have a problem,'says Dr. Lisa Matzer, medical director of Glendale Adventist MedicalCenter's Outpatient Cardiac Services Program.

Doctors and researchers say this is partly because heart diseaseaffects men and women differently.

'The symptoms women present are a lot different than the symptomswe typically see in men,' says Matzer. She says the most common forwomen include weakness, fatigue, shortness of breath with exerciseand just not feeling right.

In addition, tests that work for men aren't always as effectivefor women.

'Making the diagnosis of heart disease can be difficult,' Matzersays. 'The angiogram is the gold standard for men, so we assume it'sthe gold standard for women. But it only works for one-third ofwomen. We know that two-thirds of women (with heart problems) willgo in and be given a clean bill of health.'

For Kupetz, too, getting the right diagnosis proved elusive.

Her story began in February 2005. One day while hiking with afriend, she found herself doubled over with chest pains. After twomore similar episodes, she called her internist. In light of herfamily history of heart attacks combined with her own highcholesterol level, he recommended she see a cardiologist.

' 'Doctor, I'm having the pains right now,' ' Kupetz said in thecardiologist's office, while taking a standard stress test on atreadmill.

But he couldn't see any abnormalities, so he diagnosed her chestpains as non-cardiac-related and sent her to a gastroenterologist.The pattern continued.

Nearly one year, four doctors and seven major tests later, Kupetzdidn't have answers. And she was still getting chest pains fromeveryday activities like dancing with her kids or bringing ingroceries. She had stopped exercising. One doctor suggested she takeantidepressants.

Matzer hears this a lot. 'You go into my waiting room and ask whohas a Valium and they all raise their hands because they've beentold they have a psychological problem. But it's not all in theirhead. It's all in their heart.'

Kupetz finally found answers when she called Dr. C. Noel BaireyMerz, medical director of the Women's Health Program, Preventive andRehabilitative Cardiac Center, at Cedars-Sinai Medical Center in LosAngeles.

Confident that Kupetz did indeed have a heart problem afterhearing her story, Bairey Merz ordered an echocardiac stress testand an adenosine cardiac stress MRI. Both showed that Kupetz's heartwas not responding as it should.

A subsequent angiogram found three arteries with major blockages.After an attempt at angioplasty, Kupetz had triple-bypass surgery inMarch. Through it all, her family, especially Daniel, her husband of12 years, was by her side. Kupetz credits Bairey Merz with savingher life, but the doctor says Kupetz deserves praise, too.

'Lori was a positive advocate for herself. She didn't stoppursuing it or ignore her symptoms. Doctors can only do so much.They need active partners in the process.'

Bairey Merz continues to keep track of her patient's health andKupetz does her part by maintaining a regimen of statin drugs, betablockers, aspirin and prescribed doses of fish oil.

Kupetz's pain, triggered by insufficient blood flow to her heart,is finally gone. The only visible sign now is a scar on hercollarbone. Recently while she was getting dressed, her daughterprotested when she tried to hide it with a high collar.

'Every scar has a story,' her daughter told her. 'And you shouldbe proud of yours.'

Diana McKeon Charkalis, (818) 713-3760

diana.charkalis@dailynews.com

Women, ask your doctor

When visiting the doctor, sometimes women's heart health problemsmay be overlooked. Asking physicians specific questions can help geta useful discussion started. Here's a list to bring to your nextoffice visit:

What is my risk for heart disease?

What is my blood pressure? What does it mean for me and what do Ineed to do about it?

What are my cholesterol numbers? (These include totalcholesterol, LDL, HDL, and triglycerides, a type of fat found in theblood and food). What do they mean for me and what do I need to doabout them?

What is my 'body mass index' and waist measurement? Do they meanthat I need to lose weight for my health?

What is my blood sugar level, and does it mean I'm at risk fordiabetes? If so, what do I need to do about it?

What other screening tests for heart disease do I need?

What can you do to help me quit smoking?

How much physical activity do I need to help protect my heart?

What is a heart-healthy eating plan for me?

How can I tell if I may be having a heart attack? If I think I'mhaving one, what should I do?

вторник, 25 сентября 2012 г.

Mandatory condom use urged for porn actors.(News) - Daily News (Los Angeles, CA)

Byline: Susan Abram Staff Writer

HEALTH: AIDS/HIV foundation says laws need to be enforced.

Advocates for those with AIDS and HIV called on the Los Angeles County Health Department on Thursday to force condom use on production sets in the adult entertainment industry.

'We're calling on the county to shut down porn sets that do not use condoms,' said Michael Weinstein, president of AIDS Healthcare Foundation.

Weinstein said, under California Health & Safety Code, health officials have a right to regulate film sets if they believe an infectious or communicable disease is present.

'It's not an issue of right,' Weinstein said. 'What takes place in a private setting is different than in a commercial setting.'

County officials said they had no comment Thursday.

Weinstein's call for action was in response to last week's news that a woman who works in the adult entertainment industry tested positive for HIV. Health workers at the Sherman Oaks-based Adult Industry Medical Healthcare Foundation, where she is a client, said the case was an isolated one and is significantly different from the HIV scare that jolted the industry five years ago.

Those who work and support the industry say self-regulation, such as the 30-day testing for HIV and other sexually transmitted diseases, works better than government regulation, which could force production to move to other states.

'It's been five years since there was a positive (test result) in our industry. It was caught immediately, showing it does work,' said Diane Duke, executive director for the Canoga Park-based Free Speech Coalition. She said condom use on sets should remain optional.

The AIDS Healthcare Foundation and the Los Angeles County Commission on HIV both want legislation that would require condom use on production sets.

Officials with the state Division of Occupational Safety and Health said employers are required to establish an effective control plan to limit exposure to bloodborne pathogens including semen and other fluids. The code does not require condom use.

Six code citations have been issued against adult film production companies in the Valley since 2004, said Erika Monterroza, spokeswoman for the Department of Industrial Relations, which oversees Cal-OSHA.

susan.abram@dailynews.com

понедельник, 24 сентября 2012 г.

EDITORIAL TAKING AIM PERMANENT CLOSURE OF PORN ACTORS CLINIC WOULD BE BAD FOR THE PUBLIC ; Permanent closure of porn actors clinic would be bad for the public - Daily News (Los Angeles, CA)

STRAIGHT society has a hard time dealing with the porn industry.On the one hand, it doesn't want to legitimize the business or theadult film actors in any way. On the other hand, it wants theindustry and workers to conform to strict - and restrictive - rulesand standards.

And, if there were another hand, on it would be the millions ofcustomers who keep adult movies in high demand and the source of oneof the San Fernando Valley's most profitable enterprises.

This societal schizophrenia is exhibited in the hopefullytemporary closure earlier this month of one of the industry's mostimportant health centers - AIM, or the Adult Industry MedicalHealthcare Foundation. The Sherman Oaks-based clinic is the mainscreener of sexually transmitted diseases for adult film workers. Italso acts as an advocate for an industry that others consideruntouchable.

Citing what sounds like extremely minor paperwork violations,state public health officials ordered AIM to close on Dec. 9, theday after an adult film star announced publicly that he was treatedpoorly at the clinic after he tested positive for HIV in October anddidn't get treatment as fast as he could.

In fact, it appears just ammunition in the long-standing feudbetween Los Angeles County Public Health officials and AIDSactivists and AIM and its co-founder Sharon Mitchell over the issueof condoms in adult films. State law requires that adult film starsuse condoms, but many performers eschew them. While AIM suppliesfree condoms, it focuses on testing performers as opposed toenforcing condom rules.

Mitchell, a former porn star herself, sees the closure as aconspiracy. But there's been nothing secret about how she and AIMhave been targeted. After AIM was shut down, for example, MichaelWeinstein, the executive director for AIDS Healthcare Foundation, aprovider of medical treatment for AIDS and HIV patients, made itclear his goal is getting the adult film industry shut down if itdoesn't use condoms.

While his concern about the spread of AIDS and HIV is admirable,he's misguided if he thinks persecuting AIM or adult film actorswill make the public safer. It's likely to have the opposite effect.

AIM provides important support for adult film stars. AIM testsabout 1,500 clients a month. And some have said that if AIM didn'tdo these screenings, they probably wouldn't happen. In fact, losingcenters like AIM will likely force adult film production undergroundor to other states, endangering workers and public health evenfurther.

воскресенье, 23 сентября 2012 г.

Mandatory condom use urged for porn actors - Daily News (Los Angeles, CA)

HEALTH: AIDS/HIV foundation says laws need to be enforced.

Advocates for those with AIDS and HIV called on the Los AngelesCounty Health Department on Thursday to force condom use onproduction sets in the adult entertainment industry.

'We're calling on the county to shut down porn sets that do notuse condoms,' said Michael Weinstein, president of AIDS HealthcareFoundation.

Weinstein said, under California Health & Safety Code, healthofficials have a right to regulate film sets if they believe aninfectious or communicable disease is present.

'It's not an issue of right,' Weinstein said. 'What takes placein a private setting is different than in a commercial setting.'

County officials said they had no comment Thursday.

Weinstein's call for action was in response to last week's newsthat a woman who works in the adult entertainment industry testedpositive for HIV. Health workers at the Sherman Oaks-based AdultIndustry Medical Healthcare Foundation, where she is a client, saidthe case was an isolated one and is significantly different from theHIV scare that jolted the industry five years ago.

Those who work and support the industry say self-regulation, suchas the 30-day testing for HIV and other sexually transmitteddiseases, works better than government regulation, which could forceproduction to move to other states.

'It's been five years since there was a positive (test result) inour industry. It was caught immediately, showing it does work,' saidDiane Duke, executive director for the Canoga Park-based Free SpeechCoalition. She said condom use on sets should remain optional.

The AIDS Healthcare Foundation and the Los Angeles CountyCommission on HIV both want legislation that would require condomuse on production sets.

Officials with the state Division of Occupational Safety andHealth said employers are required to establish an effective controlplan to limit exposure to bloodborne pathogens including semen andother fluids. The code does not require condom use.

Six code citations have been issued against adult film productioncompanies in the Valley since 2004, said Erika Monterroza,spokeswoman for the Department of Industrial Relations, whichoversees Cal-OSHA.

susan.abram@dailynews.com

IN YOUR 40S? GET A MAMMOGRAM : ACTIVISTS PRAISE GOVERNMENT DECISION TO SUPPORT BREAST-CANCER SCREENING.(L.A. LIFE)(Statistical Data Included) - Daily News (Los Angeles, CA)

Byline: Jenifer Hanrahan Daily News Staff Writer

Almost 50 years ago, a gal named Terese Lasser had her breast removed. A painful mastectomy shaved her chest muscles down to her ribs. The missing flesh threw off her balance.

Before the days of reconstructive surgery, Lasser did the only thing she could do, recalled her friend, Helene Brown.

``She went into the department store to get a bra to stuff with something,'' said Brown, an honorary lifetime member of the America Cancer Society's National Board of Directors. ``And they kicked her out. They said, `We don't allow people like you to try on underwear.' ''

When Brown began promoting women's health issues 47 years ago as a volunteer for the Cancer Society, her job was to spread the word about Pap smears and self-breast examination.

In those days, the only breast cancer screening available to most women was feeling a lump.

Oh, how times have changed.

Last week, the federal government came out in favor of mammograms every one or two years for women in their 40s.

``It's marvelous, absolutely marvelous,'' said Brown, a longtime Sherman Oaks resident. ``Women will make decisions for themselves, but they need guidance.''

Health-care victory

The announcement by the National Cancer Advisory Board on the controversial mammogram debate was a significant victory for the grass-roots campaign to improve women's health care in the United States through legislation, gender-specific research, increased funding and improved standards of care.

Across the country, women in the breast-cancer prevention movement started support groups and outreach programs to encourage women to get regular exams. They even took their message on the road with the Wall of Hope, a traveling photo exhibit celebrating breast cancer survivors, and adopted the pink ribbon, a variation on the red AIDS ribbon, as a symbol to increase awareness.

``For a long time, it had been a subject that people didn't discuss,'' Brown said. ``It turned out that a lot of women not only wanted to talk but wanted to do something.''

The move by the cancer advisory board, which advises the National Cancer Institute, is expected to put pressure on the insurance industry to pay for mammograms. The Cancer Institute's decisions are used by health insurance companies to set benefits and by doctors to determine appropriate care.

``This is a big deal,'' said Linda Hirsh, a member of the Los Angeles Breast Cancer Alliance, a group that lobbies for improved health care for women. ``Before, women were left in a bind.''

A helping hand

Kay Powell, founder of Los Angeles-based Sisters Breast Cancer Survivor Network, a group that provides information and support for minority women who have been diagnosed with breast cancer, said she believes the decision will make it easier for low-income women to have mammograms.

``So many times, I hear the excuse that they don't have the money,'' Powell said. ``We're going to go out and spread the word and let the ladies know money won't stop them.''

For women at high risk of breast cancer, the recommendation advises seeking expert medical advice about mammograms before age 40. High risk factors include a family history of breast cancer and delaying pregnancy until after age 30.

For decades, women have gotten conflicting information about whether to have a mammogram. In 1977, the National Cancer Institute and the American Cancer Society issued the first guidelines, recommending that women 40 to 49 have mammograms only if they or their mothers or sisters had breast cancer.

In 1980, the Cancer Society recommended a one-time mammogram for women 35 to 40 to establish a base line for future measurements, with women younger than 50 consulting their doctors to decide whether to have one.

In 1983, the Cancer Society told women from 40 to 49 to have mammograms every one to two years.

Muddling matters furt`her, the National Cancer Institute in 1993 said there was insufficient evidence to justify mammograms for women in their 40s.

Calling for clarification

So when a panel of experts assembled by the National Cancer Institute convened in January to hear two days of evidence from specialists and researchers, women's health advocates were hoping for clarification.

Instead, the panel said each woman should ``decide for herself.''

The debate over mammograms for younger women revolves around the high number of false alarms and questions about whether the mammograms save lives.

Mammograms are far from a foolproof method of detecting the cancer, especially in younger women, because their breast tissue is more dense. Mammograms miss about one-fourth of invasive breast cancer in women in their 40s, compared to one-tenth of such cancers in women 50 and older.

Because of this, mammograms for women younger than 40 are not a ``panacea,'' said Dr. Mitzi Crockover, director of the Iris Cantor-UCLA Women's Health Center. ``Mammograms are not going to catch all the cancers in 40-year-olds. What we need are better ways of screening.''

About 1.5 percent of American women will get breast cancer between age 40 and 49.

An important procedure

Almost all health professionals agree that women past 50 should get annual mammograms that can spot tumors before they spread to other organs and can reduce breast cancer deaths by 30 percent. Most also agree that mammograms are generally unnecessary for women in their 30s.

Traditionally, governmental and medical advisory bodies' decisions to recommend screening for disease are based only on scientific evidence and cost-effectiveness. In other words, will testing people for the disease save enough lives to make economic sense?

The breast cancer issue, and questions of women's health in general, have moved beyond the scientific world and into the political realm.

More than any other disease, American women fear breast cancer, said Dr. Debra `Judelson, president of the American Medical Women's Association, a group of women doctors and medical students that was formed in 1915 when the American Medical Association was closed to women.

The disease's impact on women cannot be fully measured by scientific studies or medical bills, Judelson said.

By recommending that women get mammograms if they are in their 40s, ``it says it's worthwhile to save lives,'' Judelson said. ``Even if the technique isn't perfect, we are going to the trouble and expense necessary to catch a disease in its early, treatable stages.''

Despite any evidence to the contrary, Joanne Eacrett of Woodland Hills, is more than certain that mammograms save lives.

At 47, a mammogram spotted cancer that she had removed by a mastectomy.

``I know there are many different opinions,'' said Eacrett, 55, who has been active in the Breast Cancer Alliance. ``I know that other people feel it doesn't save lives, however, I feel that I am here because of it.''

CAPTION(S):

Drawing, Photo

Drawing: PINK POWER

Women win a battle in the war against breast cancer

Bradford Mar/Daily News

Photo: ``It's marvelous, absolutely marvelous. Women will make decisions for themselves, but they need guidance,'' the American Cancer Society's Helene Brown says of the mammogram decision.

суббота, 22 сентября 2012 г.

HMO FEE HIKES AHEAD INDUSTRY OFFICIALS BLAME MEDICARE.(News) - Daily News (Los Angeles, CA)

Byline: Dana Bartholomew Staff Writer

For 82-year-old Queenie Serot, life's great pleasure is treating each of her seven grandchildren to dinner and a show.

But if a $20-a-month HMO-Medicare premium proposed by Kaiser Permanente is approved this week by Uncle Sam, Serot said she might not be able to share the next Disney spectacular with her offspring.

``I have a fixed income,'' said the retired school teacher from Woodland Hills, who can amble about thanks to a pacemaker and walker supplied by Kaiser. ``It would be difficult.''

The increase, she said, is ``not acceptable.''

Serot is one of almost 554,000 Kaiser beneficiaries in California likely to be hit in 2001 with new or higher Medicare premiums. For Los Angeles, the $20 Kaiser premium is new - a result, company and industry officials say, of medical costs failing to keep pace with government Medicare reimbursement rates.

Though other counties will probably fare worse, the likely increase for Kaiser beneficiaries in Los Angeles already worries some seniors. The federal Health Care Financing Administration, which administers Medicare, is scheduled to announce the new rates Friday.

The Center for Health Care Rights, a health insurance counseling program in Los Angeles, reports numerous calls from concerned seniors.

``The primary concern is the $20 premium is unfair,'' said Aileen Harper, executive director for the Department of Aging program. ``because last year Kaiser increased its office visit copayment and pharmaceuticals copayment.

``I think people feel it's a double whammy,'' she said. ``These costs are striking for low-income seniors on fixed incomes who are not eligible for Medicaid.''

The myth is that Medicare pays for health care, said Clare Smith, executive director of California Health Care Advocates. ``Time and again, it shows it barely covers half'' when such big-ticket expenditures as long- term care are included.

Many Kaiser beneficiaries, however, said they can absorb the $240 a year.

Compared to the regular Medicare fee-for-service plan, which doesn't pay for costly drugs or confer other benefits, the choice to enroll in a health maintenance organization plan is inexpensive.

``I think Kaiser is a pretty good bargain,'' said George Honorof, 89, of Sherman Oaks, who like Serot was in line to receive care from the Kaiser Permanente Woodland Hills Medical Center on Friday.

``I've been with Kaiser and I've saved money in contrast with private physicians.''

Rising costs cited

Kaiser officials were apologetic enough about the proposed increase to notify an undisclosed number of Los Angeles beneficiaries by letter last July.

``We're in for the long haul,'' said Kaiser spokeswoman Lisa Kort, ``but unfortunately, we're seeing a rise in costs.

``The rate of (federal Medicare) reimbursement increases at a rate slower than the cost of health care, hospital utilization, pharmacy costs, new technology and recruiting and obtaining specialized doctors.''

Other insurance providers and analysts agree. But compared to HMO- Medicare increases for Northern California and other states, Los Angeles and Orange county (also at $20) are faring well.

Managed care markets in those regions are mature, with 10 HMO insurance providers and a medical infrastructure with hundreds of hospitals and thousands of doctors.

Such competition, along with the highest per patient Medicare reimbursement rate in the state - at $661 per patient per year, compared with Fresno's $438 - have kept patient costs down, analysts say.

``Los Angeles will fare the best,'' said Jack Christy, director of the California Medicare Project, a research arm of the California Health Foundation. Elsewhere, he added, ``there's going to be a lot of pain out there.''

In most counties outside Los Angeles, Medicare managed care plans will begin charging a hospital deductible of $100 per visit, with some imposing new limits on total drug purchases, he said.

Kaiser, which commands 34 percent of the Medicare managed care market in California, has proposed $30 premiums for Ventura, Riverside, San Bernardino and San Diego counties. Beneficiaries in Northern California counties may pay up to $50 a month.

A call to action

PacifiCare, the country's largest HMO, whose Secure Horizons plan covers about 200,000 seniors in Los Angeles, has proposed higher premiums as well - but not in the Los Angeles market, company officials say.

``It doesn't warrant a premium, not in our eyes yet,'' said PacifiCare Senior Vice President Kathy Feeny, who said premiums have cost PacifiCare market share. Instead, the company has proposed a minor increase in generic drug costs for Los Angeles.

This year, medical costs have risen 6 percent; drug costs 23 percent, while Uncle Sam has upped reimbursements only 2 percent. What's needed for Medicare, she said, is a massive infusion of federal dollars.

``There's a call to action here, and it's loud and clear,'' Feeny said. ``More money needs to be put into the system - and the federal government needs to hear that.''

Health Care Financing Administration officials could not be reached for comment Friday.

Help may - or may not - be on its way.

Insurance companies have called for an additional $70 billion a year for Medicare. Senate Republicans are pushing legislation that would offer up to $31 billion for temporary, immediate Medicare prescription drug assistance for lower-income senior citizens. Other pending bills call for less.

``Assuming that things stay the same - and there is no legislative intervention - the plans in Los Angeles are going to see continual increases,'' said Cecilia Echeverria, senior policy analyst for the California Medicare Project.

``If things stay the same, beneficiaries (in Los Angeles) will begin to see premiums just like the other counties'' across the state.

пятница, 21 сентября 2012 г.

Report: Good nursing home care rare. - Daily News (Los Angeles, CA)

Byline: Dana Bartholomew

Aug. 9--Poor nursing homes abound while good ones are harder to find, says a survey released Tuesday that blames lax oversight of nursing care facilities.

An analysis by the nonprofit Consumer Reports listed what it considers the best and worst of the nation's 16,000 nursing homes -- including two of the best and one of the worst in the San Fernando Valley.

'It's a national disgrace that 20 years after landmark legislation was passed, nursing homes continue to provide poor care,' said Trudy Lieberman, director of the Center for Consumer Health Choices and author of the report.

'People in nursing homes are frailer and sicker than ever before.'

In 'Nursing Homes: Business as Usual,' the New York-based consumer advocate found that not-for-profit nursing homes generally provide the best care.

It also found that independent nursing homes are generally superior than those run by chains, saying that unaffiliated facilities tend to have more staff and registered nurses.

State nursing home industry officials took issue with the report, saying it used old data and unfairly lumped nursing homes with hospital nursing care or psychiatric services.

'They really have missed the mark on this one,' said Betsy Hite, spokeswoman for the California Association of Health Facilities, which represents the state's nursing homes.

Nursing home care, she added, has actually improved.

'It's so flawed, I frankly consider it an actual disservice to Consumer Reports, which many people rely on for goods and services.'

Consumer Reports based its conclusions on evaluation of recent state inspection reports for nursing homes.

The report, available online and in the September issue of Consumer Reports, ranked homes according to inspection surveys, staffing and quality indicators, listing top and bottom 10 percent of nursing homes.

The report also discusses the influence of politics on the 1987 federal nursing home reform law, with violators receiving token fines -- or no fines at all.

'We couldn't agree more,' said Mike AdvertisementGetAd('tile','box','/news_article',','www.dailynews.com',','null','null');Connors of the Pasadena office of California Advocates for Nursing Home Reform, which has sued the state for failing to investigate nursing home complaints in a timely manner.

'Poor care is business as usual for many California nursing homes.'

A representative of the state Department of Health Services, which oversees nursing homes, could not be reached for comment late Tuesday.

California contains three of the nation's worst dozen nursing homes, including Fountain Gardens Convalescent Hospital in Los Angeles, according to the report.

A Fountain Gardens administrator did not return calls.

In the San Fernando Valley, Consumer reports recommended Alameda Care Center in Burbank and Glendale Memorial Hospital and Health Center. Sherman Oaks Hospital was also recommended but closed its transitional-bed unit last year.

The magazine suggested avoiding California Healthcare & Rehab of Van Nuys, listed on a Medicare Web site with 28 deficiencies. A company official did not return calls.

Only 2 percent of for-profit nursing homes and 7.3 percent of not-for-profit homes met Consumer Reports standards for quality nursing home care.

What's needed, Lieberman said, is tough federal and state oversight and enforcement for the 1.6 million people who live in nursing homes.

'What's amazing to me is that things are really going in the wrong direction,' she said. 'The feds pull their punches ... the regulation process in the states have been swamped by politics.'

FOR MORE INFO

-- To read the full Consumer Reports survey on nursing homes, go to www.consumerreports.org/nursinghomes.

-- For Medicare nursing home comparisons, see www.medicare.gov.

-- For more on nursing home reform, go to www.canhr.org.

To see more of the Daily News, or to subscribe to the newspaper, go to http://www.dailynews.com.

Copyright (c) 2006, Daily News, Los Angeles

Distributed by McClatchy-Tribune Business

News.

четверг, 20 сентября 2012 г.

BRIEFLY - Daily News (Los Angeles, CA)

Mayor nominates 5 for board posts

Los Angeles Mayor Antonio Villaraigosa announced Monday that hewas nominating a cross section of labor activists and specialists ashis appointees to the city's Civil Service Board of Commissioners.

Villaraigosa said he was seeking to appoint residents withvarious backgrounds to the panel, which oversees civil-service rulesand disciplinary matters against workers.

The five nominees, subject to City Council confirmation, areSylvia Drew Ivie, a poverty and civil-rights attorney; Yolanda Vega,director of LA Health Action; John Perez, past president of UnitedTeachers Los Angeles; Margaret Leal-Sotelo, a lifetime health policyand labor advocate; and attorney Prosy Abarquez-Delacruz.

- Daily News

New toys needed for holiday drive

The Northeast Valley Health Corp. is collecting toys through Dec.7 to make the holidays brighter for needy children in the SanFernando Valley.

New, unwrapped toys for newborns to age 10 are being accepted atthe organization's corporate office, 1172 N. Maclay Ave., SanFernando, and at the following locations: Canoga Park Health Center,7107 Remmet Ave.; Valencia Health Center, 23763 Valencia Blvd;Pacoima Health Center, 12756 Van Nuys Blvd.; San Fernando HealthCenter, 1600 San Fernando Road; and Van Nuys Pediatric HealthCenter, 7138 Van Nuys Blvd.

- Daily News

Shooting victim is ID'd by police

SYLMAR - Juan Borjas, a 20-year-old resident of Canyon Country,was identified by police as the victim in a fatal shooting Fridaynight on the 1300 block of MacNeil Street.

Borjas was shot multiple times in the roadway about 7:30 p.m.,and died at Providence Holy Cross Medical Center, Mission AreaDetective Jim Freund said.

Police have found no eyewitnesses and have few leads, Freundsaid.

'It's a real whodunit,' Freund said. 'We don't know if there wasa dispute before this or anything.'

Anyone with information on the shooting is asked to call theMission Area Police Station at (818) 838-9800.

- Daily News

Man, 21, charged in carnival death

An alleged gang member was charged Monday with murder in the Nov.13 shooting death of a 14-year-old boy outside a neighborhoodcarnival in Jefferson Park.

Los Angeles Superior Court Commissioner James N. Bianco orderedJason Robert Walton, 21, held on $2 million bail pendingarraignment, which was postponed to Dec. 5 at the defense's request.

- City News Service

UCLA gets funds for nurse program

Newly approved funding will allow UCLA to restore a bachelor'sdegree program in nursing that fell under the budget ax in the mid-1990s, the university said Monday.

In voting to approve $5.2 million to fund the undergraduateprogram and a new entry-level master's in nursing - to begin in the2006-07 academic year - the University of California Board ofRegents was responding to the shortage of nurses in California.

Admissions to both new programs are expected to begin in fall2006, and plans call for UCLA to hire 22 new faculty members andfive new staff members in the next three years, officials said.

- City News Service

Suspect arrested in murder attempt

STUDIO CITY - A man suspected of attempted murder was arrestedMonday after undercover officers spotted him driving a blackMercedes-Benz, police said.

The man, whose identity was not released, was spotted in ShermanOaks. Soon afterward, officers in a patrol car ordered him to stopin the 12600 block of Ventura Boulevard in Studio City, Los AngelesPolice Officer Jason Lee said.

HOSPITALS IN AREA PASS PATIENTS' QUALITY TESTS.(News) - Daily News (Los Angeles, CA)

Byline: Dana Bartholomew Staff Writer

Patients gave satisfactory marks to many San Fernando Valley-area hospitals in a survey, released today, that rated the ``institutional bedside manner'' of California medical facilities.

The patient survey - the largest comparison of local hospitals ever made public - asked patients to rank their overnight experience in such categories as physical comfort, emotional support, coordination of care and transition to home.

Officials at about half the hospitals in the Valley region volunteered to ask patients to participate in the survey, and most received an average rating from patients, saying they would recommend their hospital.

``I think it validates what we think internally: We're a very customer- friendly hospital,'' said Rick Miller, spokesman for West Hills Hospital & Medical Center, which got top marks for care coordination and the involvement of family and friends.

The Patients' Evaluation of Performance in California or PEP-C survey, conducted by the Oakland-based California HealthCare Foundation and the California Institute for Health Systems Performance, was released today at www.calhospitals.com.

Survey analysts found that, across the state, patients gave above-average scores to 25 percent of hospitals and average scores to 57 percent, and they rated 18 percent of their hospital experiences below average.

Patients generally gave high marks for physical comfort, care coordination and respect for personal preferences. Lower marks were handed out for emotional support and information about side effects to expect when they got home.

The authors of the survey stressed that the ratings were meant to assist hospitals in improving services and were not meant to assess clinical results - or to brand hospitals as ``good'' or ``bad.''

``Patients, God love 'em, think that hospitals get the technical things right,'' said Dr. Mark Smith, president and chief executive officer of the California HealthCare Foundation.

``But what they do know from direct experience is whether their emotional needs were attended to, whether their pain was managed and whether the transition to home was explained,'' he said. ``It's a kind of institutional bedside manner, but (the survey) also says how good a job they're doing at certain tasks.''

The survey, conducted by mail by the National Research Corp., queried nearly 35,000 patients who had spent at least one night in an acute-care hospital between July and October of 2002. Of the 385 licensed hospitals - with 470 hospital sites across the state - 181 participated in the survey.

The California Healthcare Association, an industry advocate for hospitals, called the survey a harbinger of a coalition of federal and private industry patient surveys to be published beginning next month.

``There is definitely a growing sentiment that hospitals need to be more public in their evaluation of quality care,'' said Jan Emerson, spokeswoman for the association, who endorsed the PEP-C report.

In the Valley and eastern Ventura County, patients gave average marks to Glendale Adventist Medical Center, Kaiser Permanente Foundation hospitals in Panorama City and Woodland Hills, Northridge Hospital Medical Center's Roscoe Boulevard campus, West Hills Hospital & Medical Center and Los Robles Regional Medical Center.

Officials contacted at each hospital said that, even with the risk of going public, they chose to have patients participate in the survey as a positive addendum to regular in-house studies on patient satisfaction.

``Average scores - we're very pleased,'' said Kris Carroway-Bowman, spokeswoman for Los Robles. ``My feeling was: Let's use another source. Let's use the PEP-C thing. Let's see if our surveys were right. They were.''

Only Sherman Oaks Hospital and Health Center got a below-average score on overall patient satisfaction with care.

``We feel we were brave enough to confront our strengths and weaknesses,'' said Jami Feldstein, spokeswoman for Sherman Oaks Hospital, which also received below-average scores in respect for patient preferences, physical comfort and transition to home.

``We thought it was a valuable tool to perform better.''

Dana Bartholomew, (818) 713-3730

dana.bartholomew(at)dailynews.com

CAPTION(S):

photo, box

Photo:

Dr. Alan Kuban checks a patient at West Hills Hospital & Medical Center, which got some high marks in a new survey.

Michael Owen Baker/Staff Photographer

Box:

PATIENTS RATE LOCAL HOSPITALS

SOURCE: The Patients' Evaluation of Performance in California, 2003

Los Angeles-Area Hospitals Pass Patients' Quality Tests. - Knight Ridder/Tribune Business News

By Dana Bartholomew, Daily News, Los Angeles Knight Ridder/Tribune Business News

Jun. 25--Patients gave satisfactory marks to many San Fernando Valley-area hospitals in a survey, released today, that rated the 'institutional bedside manner' of California medical facilities.

The patient survey -- the largest comparison of local hospitals ever made public -- asked patients to rank their overnight experience in such categories as physical comfort, emotional support, coordination of care and transition to home.

Officials at about half the hospitals in the Valley region volunteered to ask patients to participate in the survey, and most received an average rating from patients, saying they would recommend their hospital.

'I think it validates what we think internally: We're a very customer-friendly hospital,' said Rick Miller, spokesman for West Hills Hospital & Medical Center, which got top marks for care coordination and the involvement of family and friends.

The Patients' Evaluation of Performance in California or PEP-C survey, conducted by the Oakland-based California HealthCare Foundation and the California Institute for Health Systems Performance, was released today at www.calhospitals.com.

Survey analysts found that, across the state, patients gave above-average scores to 25 percent of hospitals and average scores to 57 percent, and they rated 18 percent of their hospital experiences below average.

Patients generally gave high marks for physical comfort, care coordination and respect for personal preferences. Lower marks were handed out for emotional support and information about side effects to expect when they got home.

The authors of the survey stressed that the ratings were meant to assist hospitals in improving services and were not meant to assess clinical results -- or to brand hospitals as 'good' or 'bad.'

'Patients, God love 'em, think that hospitals get the technical things right,' said Dr. Mark Smith, president and chief executive officer of the California HealthCare Foundation.

'But what they do know from direct experience is whether their emotional needs were attended to, whether their pain was managed and whether the transition to home was explained,' he said. 'It's a kind of institutional bedside manner, but (the survey) also says how good a job they're doing at certain tasks.'

The survey, conducted by mail by the National Research Corp., ...ueried nearly 35,000 patients who had spent at least one night in an acute-care hospital between July and October of 2002. Of the 385 licensed hospitals -- with 470 hospital sites across the state -- 181 participated in the survey.

The California Healthcare Association, an industry advocate for hospitals, called the survey a harbinger of a coalition of federal and private industry patient surveys to be published beginning next month.

'There is definitely a growing sentiment that hospitals need to be more public in their evaluation of ...uality care,' said Jan Emerson, spokeswoman for the association, who endorsed the PEP-C report.

In the Valley and eastern Ventura County, patients gave average marks to Glendale Adventist Medical Center, Kaiser Permanente Foundation hospitals in Panorama City and Woodland Hills, Northridge Hospital Medical Center's Roscoe Boulevard campus, West Hills Hospital & Medical Center and Los Robles Regional Medical Center.

Officials contacted at each hospital said that, even with the risk of going public, they chose to have patients participate in the survey as a positive addendum to regular in-house studies on patient satisfaction.

'Average scores -- we're very pleased,' said Kris Carroway-Bowman, spokeswoman for Los Robles. 'My feeling was: Let's use another source. Let's use the PEP-C thing. Let's see if our surveys were right. They were.'

Only Sherman Oaks Hospital and Health Center got a below-average score on overall patient satisfaction with care.

'We feel we were brave enough to confront our strengths and weaknesses,' said Jami Feldstein, spokeswoman for Sherman Oaks Hospital, which also received below-average scores in respect for patient preferences, physical comfort and transition to home.

'We thought it was a valuable tool to perform better.'

FYI

The PEP-C survey can be viewed at www.calhospitals.org, or can be obtained free of charge by calling (888) 430-2423.

To see more of the Daily News, or to subscribe to the newspaper, go to http://www.dailynews.com.

среда, 19 сентября 2012 г.

New porn-set rules to be discussed at meeting - Daily News (Los Angeles, CA)

The last in a series of meetings to consider imposing additionalsafety regulations on adult film sets will be held Tuesday by thestate Division of Occupational Safety and Health.

The public meeting will include discussions and comments byhealth advocates and others who have been lobbying for stricterstandards on adult film sets and for tougher regulations to protectperformers from HIV and other sexually transmitted diseases.

Cal-OSHA officials say employers must establish an effective planto limit exposure to blood-borne pathogens, including in semen andother bodily fluids. Currently, the code does not mandate the use ofcondom use.

Three production sites have been cited this year for violatingthe code, each receiving three citations. One of those sites was inCanoga Park and was associated with Hustler Video Productions,according to Cal-OSHA.

But advocates for those with HIV and AIDS say the regulatorsshould mandate and enforce condom use on production sets in theadult entertainment industry.

In the last few years, a handful of actors and actresses havetested positive, prompting the AIDS Healthcare Foundation and theLos Angeles County Commission on HIV to demand legislation thatwould require condom use on production sets.

Tuesday's meeting is merely a discussion of some possiblechanges, although there is no consensus on what those should be,said Deborah Gold, senior safety engineer in research and standardhealth practices with Cal-OSHA.

'Right now, there's not a commitment to bring any kind ofproposal forward by the commission,' Gold said. 'What we have puttogether is a discussion draft to take a look at regulatorylanguage.'

Additional codes may be considered to address the transmission ofdiseases through oral sex, Gold said. The use and disposal ofneedles and personal razors on production sets also will bediscussed.

The meeting follows the recent closure of the Adult IndustryMedical Healthcare Foundation in Sherman Oaks.

The clinic followed a protocal that required performers to betested for HIV and other sexually transmitted diseases every 30days. Many said that form of self-regulation worked better thangovernment regulation, which could force production to move to otherstates.

AIM shut down as a result of financial issues, but the 30-daytesting for HIV will continue under the auspices of the Canoga Parkbased Coalition for Free Speech, officials said.

Tuesday's Cal-OSHA meeting also comes a few weeks after the LosAngeles City Council in a 10-0 vote planned to ask state and countyofficials to allow Los Angeles to make the use of condoms on adult-film sets a condition of getting a film permit.

Want to go?

HOSPITALS IN AREA PASS PATIENTS' QUALITY TESTS - Daily News (Los Angeles, CA)

Patients gave satisfactory marks to many San Fernando Valley-area hospitals in a survey, released today, that rated the'institutional bedside manner' of California medical facilities.

The patient survey - the largest comparison of local hospitalsever made public - asked patients to rank their overnight experiencein such categories as physical comfort, emotional support,coordination of care and transition to home.

Officials at about half the hospitals in the Valley regionvolunteered to ask patients to participate in the survey, and mostreceived an average rating from patients, saying they wouldrecommend their hospital.

'I think it validates what we think internally: We're a verycustomer- friendly hospital,' said Rick Miller, spokesman for WestHills Hospital & Medical Center, which got top marks for carecoordination and the involvement of family and friends.

The Patients' Evaluation of Performance in California or PEP-Csurvey, conducted by the Oakland-based California HealthCareFoundation and the California Institute for Health SystemsPerformance, was released today at www.calhospitals.com.

Survey analysts found that, across the state, patients gave above-average scores to 25 percent of hospitals and average scores to 57percent, and they rated 18 percent of their hospital experiencesbelow average.

Patients generally gave high marks for physical comfort, carecoordination and respect for personal preferences. Lower marks werehanded out for emotional support and information about side effectsto expect when they got home.

The authors of the survey stressed that the ratings were meant toassist hospitals in improving services and were not meant to assessclinical results - or to brand hospitals as 'good' or 'bad.'

'Patients, God love 'em, think that hospitals get the technicalthings right,' said Dr. Mark Smith, president and chief executiveofficer of the California HealthCare Foundation.

'But what they do know from direct experience is whether theiremotional needs were attended to, whether their pain was managed andwhether the transition to home was explained,' he said. 'It's a kindof institutional bedside manner, but (the survey) also says how gooda job they're doing at certain tasks.'

The survey, conducted by mail by the National Research Corp.,queried nearly 35,000 patients who had spent at least one night inan acute-care hospital between July and October of 2002. Of the 385licensed hospitals - with 470 hospital sites across the state - 181participated in the survey.

The California Healthcare Association, an industry advocate forhospitals, called the survey a harbinger of a coalition of federaland private industry patient surveys to be published beginning nextmonth.

'There is definitely a growing sentiment that hospitals need tobe more public in their evaluation of quality care,' said JanEmerson, spokeswoman for the association, who endorsed the PEP-Creport.

In the Valley and eastern Ventura County, patients gave averagemarks to Glendale Adventist Medical Center, Kaiser PermanenteFoundation hospitals in Panorama City and Woodland Hills, NorthridgeHospital Medical Center's Roscoe Boulevard campus, West HillsHospital & Medical Center and Los Robles Regional Medical Center.

Officials contacted at each hospital said that, even with therisk of going public, they chose to have patients participate in thesurvey as a positive addendum to regular in-house studies on patientsatisfaction.

'Average scores - we're very pleased,' said Kris Carroway-Bowman, spokeswoman for Los Robles. 'My feeling was: Let's useanother source. Let's use the PEP-C thing. Let's see if our surveyswere right. They were.'

Only Sherman Oaks Hospital and Health Center got a below-averagescore on overall patient satisfaction with care.

'We feel we were brave enough to confront our strengths andweaknesses,' said Jami Feldstein, spokeswoman for Sherman OaksHospital, which also received below-average scores in respect forpatient preferences, physical comfort and transition to home.

'We thought it was a valuable tool to perform better.'

Dana Bartholomew, (818) 713-3730

BRIEFLY.(News) - Daily News (Los Angeles, CA)

Cooley says DNA solving old cases

District Attorney Steve Cooley on Tuesday cited a dramatic increase in the number of old cases being solved in California since voters approved a measure expanding the collection of DNA samples from felons.

Less than a year after Proposition 69 was passed by the state's voters, there have been close to 1,700 so-called ``cold hits'' in the state so far this year involving previously unsolved cases, Cooley said.

The number of cold hits in 2002 was just over 200, the county's top prosecutor said at a forum co-sponsored by the Los Angeles County Sexual Assault Coordinating Council and the District Attorney's Crime Lab Advisory Board.

Cooley said he expects the county could see ``incredible results'' in identifying the most violent offenders, getting them into the court system and behind bars and preventing crime by taking them off the streets.

- City News Service

Metrolink train strikes empty car

OXNARD - A Metrolink train struck an empty vehicle near Oxnard just before 6 a.m. Tuesday, officials said.

No injuries were reported at the crash scene between Oxnard and Camarillo and it is not clear why the car was abandoned on the railroad tracks, said Metrolink spokeswoman Denise Tyrrell.

The train, which did not derail, was traveling from Montalvo in Ventura County to Union Station in downtown Los Angeles. The Ventura County and Oxnard fire departments as well as the California Highway Patrol responded to the non-injury collision.

- Daily News

Condor chick died of West Nile virus

VENTURA COUNTY - A three-month-old California condor chick that recently died tested positive for West Nile virus, officials said Tuesday.

Observers noticed a rapid decline in the chick's health and tried to remove it from the nest, but it died before it could be treated, the U.S. Fish and Wildlife Service reported.

A necropsy at the San Diego Zoo determined the cause of death was probably West Nile virus complicated by secondary fungal pneumonia.

The chick hatched in the wild in Ventura County on May 19. Both of the chick's parents had been inoculated with a West Nile vaccine in June 2003 and again in June 2004, and all California condors have been inoculated at least once, with the exception of chicks hatched in the wild.

- Daily News

Supervisor's wife named to panel

Barbara Yaroslavsky, a longtime advocate on children's issues and the wife of Los Angeles County Supervisor Zev Yaroslavsky, was confirmed by the City Council on Tuesday to serve on the city's Commission on Children, Youth and Their Families.

The council vote 12-0 to confirm the appointment, after Yaroslavsky pledged to be a ``vocal advocate'' on behalf of children, particularly those in poorer areas of the city.

- Daily News

Firefighter injures fingers in blaze

SHERMAN OAKS - A firefighter crushed several of his fingers while trying to extinguish a blaze in the attic of a Sherman Oaks home, officials said Tuesday.

The firefighter, whose name was not released, was taken to an area hospital for treatment of the non-life-threatening injury after the 4:30 p.m. blaze. Thirty firefighters from the Los Angeles Fire Department extinguished the blaze on the 16100 block of Woodvale Road in 27 minutes, spokesman Brian Humphrey said. The cause of the fire and the amount of damage was not immediately available, Humphrey said.

BEST OF VOLUNTEERISM REPRESENTED BY FERNANDO FINALISTS.(News) - Daily News (Los Angeles, CA)

Byline: Sharline Chiang Daily News Staff Writer

Their pasts vary greatly - from repairing jewelry in Brooklyn to selling appliances in the San Fernando Valley. But the five finalists for the Fernando Award have at least one thing in common: a driving commitment to public service.

Tonight during a gala at the Warner Center Marriott in Woodland Hills, one of them will be named winner of the award, the Valley's most coveted prize for volunteerism and civic participation.

Fausto Capobianco, spokesman for the Fernando Award Foundation, said the five finalists represent the best in volunteerism at a time when such work is increasingly vital to society.

``As government continues to cut back on funds for organizations, volunteers are needed in greater numbers,'' he said. ``It becomes more and more important for people to help each other. That's why, for organizations like Fernando that promote volunteerism, the message is more and more important.''

The finalists are Herman Berman of Sherman Oaks, Rickey Gelb of Calabasas, Walter Mosher of West Hills, Bob Scott of West Hills and Robert Voit, a longtime Woodland Hills resident.

They will be honored at tonight's 40th annual Fernando Award Foundation's gala.

The award was inspired by traditions of community service dating back to the Valley's earliest settlers. For that reason, the Fernando Award is a statuette of a young American Indian.

The winner was selected by 100 voting members of the Fernando Award Foundation. The group includes 19 past recipients, 23 board members, representatives from 25 chambers of commerce in the Valley and 47 benefactors and patrons.

Herman Berman

As a member of Encino B'nai B'rith's Bagel Brigade, the 77-year-old Berman helps hand out more than 300,000 donated day-old bagels and other baked goods to needy families and children each day.

Giving to those less fortunate than himself started early for Berman, a resident of Sherman Oaks.

As a child growing up in Brooklyn, Berman collected money for the poor. Later in life, he helped to resettle Japanese-Americans who were interned during World War II. Berman founded Herman Berman Co., a trophy company in Van Nuys, in 1945. He's lived in the Valley for 44 years and has volunteered with the Jewish Federation of Greater Los Angeles, the State of Israel Bonds and the Mid-Valley Chamber of Commerce, among other groups.

Rickey M. Gelb

A real estate developer from Calabasas, the 53-year-old Gelb started his career as a refrigerator salesman and went on to become the largest appliance dealer in Southern California.

The managing general partner of the Encino-based Gelb Enterprises, Gelb serves on the board of the Encino Chamber of Commerce. He also volunteers for the West Valley Police Activity League Supporters and the Valley Jewish Business Leaders, among other groups.

He was born in St. Louis, Mo., and grew up in Van Nuys, graduating from Valley College in 1969. He has lived in the Valley for 50 years.

Since 1994, Gelb has supported the anti-gang program of the Van Nuys police station, and he helped open Los Angeles Police Department Devonshire Division substations in Granada Hills and in Encino. He also created a wheelchair-donation program for the Los Angeles Unified School District.

Gelb serves on Councilman Hal Bernson's 12th District Citizens' Advisory Council and on the board of directors for the Executives for the Jewish Home for the Aging in Reseda.

Walter W. Mosher Jr.

Mosher, 64, of West Hills, is president of San Fernando-based Precision Dynamics Corp., which he founded in 1956.

Mosher was born and raised in Burbank, and he has been involved for years in lobbying city, state and federal government for improvements in health care, land-use planning, education and the environment. In 1969, he became a member of the interdisciplinary faculty of the UCLA School of Architecture and Urban Planning and helped set up curriculum.

He has volunteered with several organizations, including the Southern California Association of Governments, the San Fernando Chamber of Commerce and the Valley Economic Development Center.

He has served as past chairman of the Valley Industry and Commerce Association, which represents more than 400 corporations and 250,000 employees of the greater Valley area.

Currently, Mosher is the director of the Health Industry Manufacturers Association representing small medical device manufacturing companies. He is also co-chairman of the education and work force development initiative for the Economic Alliance of the Valley.

Bob Scott

Scott, an attorney from West Hills, is the founder of Scott & Associates in Woodland Hills. Born in Van Nuys, the 52-year-old has served as president of the Los Angeles City Planning Commission and was instrumental in the completion of the new two-year general plan.

In 1992, Scott founded and served as chairman of the Valley Advocates for Local Unified Education and is now a member of Finally Restoring Excellence to Education, a group pushing to split the Los Angeles Unified School District.

Since the early 1970s, Scott has served on more than 50 community groups and associations, and he is a past president of the United Chambers of Commerce of the San Fernando Valley.

After the 1994 Northridge Earthquake, Scott worked with community members and city officials to put together an emergency action plan.

Scott has also provided pro bono legal counsel for Vaughn Street 21st Century Learning Center in Pacoima and Fenton Avenue Charter School in Lake View Terrace. He was nominated for the Fernando Award in 1995 and 1996.

Robert D. Voit

Voit is a developer and president of Woodland Hills-based Voit Companies, which he founded in 1971.

His firm built the Valley landmark Warner Center Plaza - 2.5 million square feet of commercial offices. Voit's company is now working to redevelop the General Motors plant site in Van Nuys and is building the new Marvin Braude Constituent Center - a civic center - also in Van Nuys.

The 58-year-old's leadership led to the creation of the West Valley Boys & Girls Club in 1992, where he served as director until 1995.

Voit also helped launch Warner Center Concerts in the Park, and he has served as a member of the Warner Center Association and the Valley Cultural Center. Voit, who lived in the Valley for 23 years, is a past recipient of the Valley Cultural Center Golden Horn Award. He was a resident of Woodland Hills for more than 20 years and moved to Newport Beach last year when he opened a new office there.

CAPTION(S):

5 photos

PHOTO (1) BERMAN

(2) GELB

(3) MOSHER

(4) SCOTT

REPORT: GOOD NURSING HOME CARE RARE GLENDALE, BURBANK FACILITIES GET HIGH MARKS.(News) - Daily News (Los Angeles, CA)

Byline: DANA BARTHOLOMEW Staff Writer

Poor nursing homes abound while good ones are harder to find, says a survey released Tuesday that blames lax oversight of nursing care facilities.

An analysis by the nonprofit Consumer Reports listed what it considers the best and worst of the nation's 16,000 nursing homes -- including two of the best and one of the worst in the San Fernando Valley.

``It's a national disgrace that 20 years after landmark legislation was passed, nursing homes continue to provide poor care,'' said Trudy Lieberman, director of the Center for Consumer Health Choices and author of the report.

``People in nursing homes are frailer and sicker than ever before.''

In ``Nursing Homes: Business as Usual,'' the New York-based consumer advocate found that not-for-profit nursing homes generally provide the best care.

It also found that independent nursing homes are generally superior than those run by chains, saying that unaffiliated facilities tend to have more staff and registered nurses.

State nursing home industry officials took issue with the report, saying it used old data and unfairly lumped nursing homes with hospital nursing care or psychiatric services.

``They really have missed the mark on this one,'' said Betsy Hite, spokeswoman for the California Association of Health Facilities, which represents the state's nursing homes.

Nursing home care, she added, has actually improved.

``It's so flawed, I frankly consider it an actual disservice to Consumer Reports, which many people rely on for goods and services.''

Consumer Reports based its conclusions on evaluation of recent state inspection reports for nursing homes.

The report, available online and in the September issue of Consumer Reports, ranked homes according to inspection surveys, staffing and quality indicators, listing top and bottom 10 percent of nursing homes.

The report also discusses the influence of politics on the 1987 federal nursing home reform law, with violators receiving token fines -- or no fines at all.

``We couldn't agree more,'' said Mike Connors of the Pasadena office of California Advocates for Nursing Home Reform, which has sued the state for failing to investigate nursing home complaints in a timely manner.

``Poor care is business as usual for many California nursing homes.''

A representative of the state Department of Health Services, which oversees nursing homes, could not be reached for comment late Tuesday.

California contains three of the nation's worst dozen nursing homes, including Fountain Gardens Convalescent Hospital in Los Angeles, according to the report.

A Fountain Gardens administrator did not return calls.

In the San Fernando Valley, Consumer reports recommended Alameda Care Center in Burbank and Glendale Memorial Hospital and Health Center. Sherman Oaks Hospital was also recommended but closed its transitional-bed unit last year.

The magazine suggested avoiding California Healthcare & Rehab of Van Nuys, listed on a Medicare Web site with 28 deficiencies. A company official did not return calls.

Only 2 percent of for-profit nursing homes and 7.3 percent of not-for-profit homes met Consumer Reports standards for quality nursing home care.

What's needed, Lieberman said, is tough federal and state oversight and enforcement for the 1.6 million people who live in nursing homes.

``What's amazing to me is that things are really going in the wrong direction,'' she said. ``The feds pull their punches ... the regulation process in the states have been swamped by politics.''

dana.bartholomew(at)dailynews.com

REPORT: GOOD NURSING HOME CARE RARE GLENDALE, BURBANK FACILITIES GET HIGH MARKS - Daily News (Los Angeles, CA)

Poor nursing homes abound while good ones are harder to find,says a survey released Tuesday that blames lax oversight of nursingcare facilities.

An analysis by the nonprofit Consumer Reports listed what itconsiders the best and worst of the nation's 16,000 nursing homes --including two of the best and one of the worst in the San FernandoValley.

'It's a national disgrace that 20 years after landmarklegislation was passed, nursing homes continue to provide poorcare,' said Trudy Lieberman, director of the Center for ConsumerHealth Choices and author of the report.

'People in nursing homes are frailer and sicker than everbefore.'

In 'Nursing Homes: Business as Usual,' the New York-basedconsumer advocate found that not-for-profit nursing homes generallyprovide the best care.

It also found that independent nursing homes are generallysuperior than those run by chains, saying that unaffiliatedfacilities tend to have more staff and registered nurses.

State nursing home industry officials took issue with the report,saying it used old data and unfairly lumped nursing homes withhospital nursing care or psychiatric services.

'They really have missed the mark on this one,' said Betsy Hite,spokeswoman for the California Association of Health Facilities,which represents the state's nursing homes.

Nursing home care, she added, has actually improved.

'It's so flawed, I frankly consider it an actual disservice toConsumer Reports, which many people rely on for goods and services.'

Consumer Reports based its conclusions on evaluation of recentstate inspection reports for nursing homes.

The report, available online and in the September issue ofConsumer Reports, ranked homes according to inspection surveys,staffing and quality indicators, listing top and bottom 10 percentof nursing homes.

The report also discusses the influence of politics on the 1987federal nursing home reform law, with violators receiving tokenfines -- or no fines at all.

'We couldn't agree more,' said Mike Connors of the Pasadenaoffice of California Advocates for Nursing Home Reform, which hassued the state for failing to investigate nursing home complaints ina timely manner.

'Poor care is business as usual for many California nursinghomes.'

A representative of the state Department of Health Services,which oversees nursing homes, could not be reached for comment lateTuesday.

California contains three of the nation's worst dozen nursinghomes, including Fountain Gardens Convalescent Hospital in LosAngeles, according to the report.

A Fountain Gardens administrator did not return calls.

In the San Fernando Valley, Consumer reports recommended AlamedaCare Center in Burbank and Glendale Memorial Hospital and HealthCenter. Sherman Oaks Hospital was also recommended but closed itstransitional-bed unit last year.

The magazine suggested avoiding California Healthcare & Rehab ofVan Nuys, listed on a Medicare Web site with 28 deficiencies. Acompany official did not return calls.

Only 2 percent of for-profit nursing homes and 7.3 percent of not-for-profit homes met Consumer Reports standards for quality nursinghome care.

What's needed, Lieberman said, is tough federal and stateoversight and enforcement for the 1.6 million people who live innursing homes.

'What's amazing to me is that things are really going in thewrong direction,' she said. 'The feds pull their punches ... theregulation process in the states have been swamped by politics.'

dana.bartholomew(at)dailynews.com

BIZ BUZZ.(Business) - Daily News (Los Angeles, CA)

Byline: -- Compiled by Ben Jauron

Woodland Hills-based Health Net Inc. announced last week that it has named Mark El-Tawil as its new chief senior products officer. El-Tawil, 41, previously headed the company's Arizona health plan and will continue to do so until a permanent replacement is found there. He replaced Sam Srivastava, who has resigned.

Origin LLC, designer and producer of display items for the entertainment industry, has leased a 25,200 square-foot industrial property at 119 Graham Place in Burbank. Mike La Rocque of GVA DAUM represented the property owner Billups Trust, and Lee Black of NAI Capital represented Origin in this transaction. The lease's value wasn't disclosed.

The Wall Street Journal and REAL Trends have named Coldwell Banker Real Estate Agent Sandra Gibson of Sherman Oaks as No. 10 on their inaugural ``Real Estate Top 200'' list. Nearly 25 percent of the professionals on the list belong to subsidiaries of NRT Inc., the parent company of Coldwell Banker and America's largest residential real estate brokerage company.

Coldwell Banker Residential Brokerage Greater Los Angeles and Orange County Company has named Steve Glassman as its new branch manager for Oxnard operations. Glassman was previously manager of the Thousand Oaks and Mission Viejo offices. In his new role, he will succeed Harriet Clune, who will remain with the company as a sales associate.

Calabasas-based Insurance Neighborhood LLC has announced the launch of a Web site to help consumers with their health insurance needs. On the Web site, www.InsuranceNeighborhood.com, consumers can compare rates and benefits, examine the physician and hospital networks and apply for individual and family medical coverage from Blue Cross of California, Blue Shield of California and Health Net. The Web site also helps people find local agents who can serve as their advocates.

BIZ BUZZ - Daily News (Los Angeles, CA)

Woodland Hills-based Health Net Inc. announced last week that ithas named Mark El-Tawil as its new chief senior products officer. El-Tawil, 41, previously headed the company's Arizona health plan andwill continue to do so until a permanent replacement is found there.He replaced Sam Srivastava, who has resigned.

Origin LLC, designer and producer of display items for theentertainment industry, has leased a 25,200 square-foot industrialproperty at 119 Graham Place in Burbank. Mike La Rocque of GVA DAUMrepresented the property owner Billups Trust, and Lee Black of NAICapital represented Origin in this transaction. The lease's valuewasn't disclosed.

The Wall Street Journal and REAL Trends have named ColdwellBanker Real Estate Agent Sandra Gibson of Sherman Oaks as No. 10 ontheir inaugural 'Real Estate Top 200' list. Nearly 25 percent of theprofessionals on the list belong to subsidiaries of NRT Inc., theparent company of Coldwell Banker and America's largest residentialreal estate brokerage company.

Coldwell Banker Residential Brokerage Greater Los Angeles andOrange County Company has named Steve Glassman as its new branchmanager for Oxnard operations. Glassman was previously manager ofthe Thousand Oaks and Mission Viejo offices. In his new role, hewill succeed Harriet Clune, who will remain with the company as asales associate.

Calabasas-based Insurance Neighborhood LLC has announced thelaunch of a Web site to help consumers with their health insuranceneeds. On the Web site, www.InsuranceNeighborhood.com, consumers cancompare rates and benefits, examine the physician and hospitalnetworks and apply for individual and family medical coverage fromBlue Cross of California, Blue Shield of California and Health Net.The Web site also helps people find local agents who can serve astheir advocates.