Rate of Childhood Obesity Falls in Several Cities


Jessica Kourkounis for The New York Times


At William H. Ziegler Elementary in Northeast Philadelphia, students are getting acquainted with vegetables and healthy snacks.







PHILADELPHIA — After decades of rising childhood obesity rates, several American cities are reporting their first declines.




The trend has emerged in big cities like New York and Los Angeles, as well as smaller places like Anchorage, Alaska, and Kearney, Neb. The state of Mississippi has also registered a drop, but only among white students.


“It’s been nothing but bad news for 30 years, so the fact that we have any good news is a big story,” said Dr. Thomas Farley, the health commissioner in New York City, which reported a 5.5 percent decline in the number of obese schoolchildren from 2007 to 2011.


The drops are small, just 5 percent here in Philadelphia and 3 percent in Los Angeles. But experts say they are significant because they offer the first indication that the obesity epidemic, one of the nation’s most intractable health problems, may actually be reversing course.


The first dips — noted in a September report by the Robert Wood Johnson Foundation — were so surprising that some researchers did not believe them.


Deanna M. Hoelscher, a researcher at the University of Texas, who in 2010 recorded one of the earliest declines — among mostly poor Hispanic fourth graders in the El Paso area — did a double-take. “We reran the numbers a couple of times,” she said. “I kept saying, ‘Will you please check that again for me?’ ”


Researchers say they are not sure what is behind the declines. They may be an early sign of a national shift that is visible only in cities that routinely measure the height and weight of schoolchildren. The decline in Los Angeles, for instance, was for fifth, seventh and ninth graders — the grades that are measured each year — between 2005 and 2010. Nor is it clear whether the drops have more to do with fewer obese children entering school or currently enrolled children losing weight. But researchers note that declines occurred in cities that have had obesity reduction policies in place for a number of years.


Though obesity is now part of the national conversation, with aggressive advertising campaigns in major cities and a push by Michelle Obama, many scientists doubt that anti-obesity programs actually work. Individual efforts like one-time exercise programs have rarely produced results. Researchers say that it will take a broad set of policies applied systematically to effectively reverse the trend, a conclusion underscored by an Institute of Medicine report released in May.


Philadelphia has undertaken a broad assault on childhood obesity for years. Sugary drinks like sweetened iced tea, fruit punch and sports drinks started to disappear from school vending machines in 2004. A year later, new snack guidelines set calorie and fat limits, which reduced the size of snack foods like potato chips to single servings. By 2009, deep fryers were gone from cafeterias and whole milk had been replaced by one percent and skim.


Change has been slow. Schools made money on sugary drinks, and some set up rogue drink machines that had to be hunted down. Deep fat fryers, favored by school administrators who did not want to lose popular items like French fries, were unplugged only after Wayne T. Grasela, the head of food services for the school district, stopped buying oil to fill them.


But the message seems to be getting through, even if acting on it is daunting. Josh Monserrat, an eighth grader at John Welsh Elementary, uses words like “carbs,” and “portion size.” He is part of a student group that promotes healthy eating. He has even dressed as an orange to try to get other children to eat better. Still, he struggles with his own weight. He is 5-foot-3 but weighed nearly 200 pounds at his last doctor’s visit.


“I was thinking, ‘Wow, I’m obese for my age,’ ” said Josh, who is 13. “I set a goal for myself to lose 50 pounds.”


Nationally, about 17 percent of children under 20 are obese, or about 12.5 million people, according to the Centers for Disease Control and Prevention, which defines childhood obesity as a body mass index at or above the 95th percentile for children of the same age and sex. That rate, which has tripled since 1980, has leveled off in recent years but has remained at historical highs, and public health experts warn that it could bring long-term health risks.


Obese children are more likely to be obese as adults, creating a higher risk of heart disease and stroke. The American Cancer Society says that being overweight or obese is the culprit in one of seven cancer deaths. Diabetes in children is up by a fifth since 2000, according to federal data.


“I’m deeply worried about it,” said Francis S. Collins, the director of the National Institutes of Health, who added that obesity is “almost certain to result in a serious downturn in longevity based on the risks people are taking on.”


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Michigan puts limits on unions









NEW YORK —- Labor relations in the Midwest reached a new level of acrimony as Michigan Gov. Rick Snyder abruptly signed legislation placing limits on unions, setting up a bitter political battle that could resonate nationwide.


It's a stunning development for a blue state that's been known as a place friendly to labor, where autoworkers and their families from Detroit to Saginaw have benefited from generous union contracts. An estimated 15,000 workers descended on the state Capitol in Lansing on Tuesday to protest against the bills, scuffling at times with police and conservatives who also set up shop at the Capitol.


House members passed two bills that would make Michigan a "right to work" state, essentially prohibiting union security agreements, which make union membership or fees a condition of employment. The bills, which covered private sector and public sector employees, had passed the state Senate last week.





Snyder, a Republican, signed both bills in private Tuesday afternoon, hailing the legislation as a victory for Michigan workers and a way to bring more jobs to the state.


"This is a major day in Michigan's history," he said at a news conference. "This is an opportunity for unions to step up and say how they can provide the best value to workers in our state."


The legislation comes as workplace tensions grow across the country.


While employees making low wages at companies such as Wal-Mart Stores Inc. and McDonald's Corp. are protesting to demand higher wages, businesses are increasing the number of lockouts they impose on workers. And in the last two years, union supporters have converged on state capitols in Wisconsin, Indiana and Ohio to oppose bills that restricted their power.


Now, labor groups from around the country are watching what happens in Michigan, where labor groups have vowed to overturn the law and vote Snyder out of office by 2014. If Michigan, which voted for President Obama over native son Mitt Romney by 8 percentage points, becomes a right-to-work state permanently, others could follow suit.


"Michigan could prove defining," said Harley Shaiken, a labor expert at UC Berkeley. "What happens here, given the role of unions historically in Michigan, and the larger political implications of right-to-work, could mean a lot."


The bills came as a surprise to many in labor, especially after recent victories at the ballot box. Gov. Snyder had initially said he was not interested in pursuing right-to-work laws, because they affected a relatively small number of Michiganders.


But he said that Proposal 2, a labor-backed referendum on the November ballot, "triggered the dialogue" about labor issues and led him to ultimately support anti-union legislation. The proposal would have enshrined collective bargaining rights in the state's constitution, but it was rejected by voters by a large margin.


"I asked labor leaders not to move forward with the ballot proposal because I knew it could trigger a discussion that could lead to right-to-work being a divisive issue," he said. "Unfortunately, they moved forward, it became divisive, and it was time to step up and take a leadership position."


It's unlikely the Legislature would have had enough votes to pass the bills in January, when the Legislature will still be in Republican control but more moderate, said Roland Zullo, a research scientist at the University of Michigan's Institute for Labor and Industrial Relations. The legislative approval, and Snyder's backing, signal that the partisan discord paralyzing the federal government is present on a local level too.


"There's retribution on many levels here," Zullo said. "It would have been easy for the current political party to walk away and say it is done, but instead, during this lame duck session when they feel they have the votes, they're pushing through a right-to-work law, allowing no debates."


Even before the legislation passed Tuesday, labor leaders were brainstorming ways to reverse the bills. The right-to-work legislation is attached to appropriations bills, so it can't simply be reversed in a referendum. But it could be reversed in a citizen's initiative in 2014, the same year that Snyder would be running for reelection.


"While it was disappointing that Snyder rammed this divisive 'tea party' legislation through we are considering all options that are on the table," said Eddie Vale, a spokesman for the labor-funded Workers' Voice. "Whether it is the available ballot initiative option, or Snyder's reelection itself, he will strongly hear the voices of Michiganders in 2014."


Unions have had mixed results overturning the slate of anti-labor laws that have been passed in the last two years. In Wisconsin, where Gov. Scott Walker signed a bill limiting collective bargaining for public sector employees, the law is still being challenged in various courts. An effort to recall Walker failed.


Labor had more success in Ohio, where Gov. John Kasich signed a bill in early 2011 that restricted collective bargaining rights for public employees. Unions were able to repeal the bill through a referendum in November 2011.


Anger against Kasich and Ohio Republicans may have helped President Obama win in Ohio in November.


Unions are popular in some parts of Michigan, where they had guaranteed pensions, benefits and high wages for decades in the auto industry. Although they were blamed by some for bankrupting the auto industry during the recession, they have regained trust by agreeing to a number of concessions with the Big Three automakers, said Kristin Dziczek, director of the labor and industry group for the Center for Automotive Research.


"A lot of people are currently benefiting from the United Auto Workers' bargaining, or have in the past," Dziczek said.


Conservative groups hailed the passage of the bills as an economic boon for Michigan, which was plagued by some of the highest unemployment rates in the nation during the recession.


"In addition to greater freedom for Michigan's workers, the right-to-work law will provide significant economic benefits for the state's workers and small businesses," Mark Mix, president of the National Right to Work Committee, said in a statement.


Michigan probably won't see the repercussions of the bills for a few years. That's because the right-to-work legislation only goes into effect when unions renegotiate contracts with management. For many autoworkers, that won't happen until 2015.


alana.semuels@latimes.com





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L.A. Archdiocese personnel files could be released next month









After five years of legal wrangling, confidential personnel files of at least 69 priests accused of sexually abusing children in the Los Angeles Archdiocese could be ordered released as early as January, a Los Angeles County Superior Court judge said Monday.


Judge Emilie H. Elias set a hearing for Jan. 7 to hear objections to the release of what a church attorney said were five or six banker's boxes of files relating to the archdiocese's handling of child molestation claims, which could include internal memos, Vatican correspondence and psychiatric reports.


The public release of the files was agreed to as part of a record $660-million settlement reached in 2007 between the archdiocese and 562 people who alleged that they were molested as children by clergy members. The process, overseen by a retired judge, was beset by delays and faced objections from an attorney representing at least 30 of the priests, who contends that his clients' constitutional rights to privacy are at stake.





The retired judge, Dickran Tevrizian, also ordered that all names of church leaders, including Cardinal Roger M. Mahony, who retired as archbishop last year, be blacked out in the files, saying the information should not be used to embarrass the archdiocese. Attorneys for The Times on Friday filed a motion opposing the redaction of church officials' names, contending that the public has a right to know who in the hierarchy knew of molestation allegations and what they did about it.


"Without this information," lawyers for the newspaper wrote, " the public will not be able to assess the extent of institutional or individual knowledge of the abuse."


At a hearing Monday, an attorney representing abuse victims accused the church of going beyond the judge's rulings in their redactions and withholding of files. "The archdiocese is trying to drive a truck through the exceptions Judge Tevrizian is setting," attorney Ray Boucher told Elias.


Church attorney J. Michael Hennigan said his staff complied with Tevrizian's order "literally and expansively." He said that he wanted a "very short fuse" on the process of individual priests' objections to the files and that the archdiocese is eager to complete the document release, possibly by mid-January.


Elias ordered church attorneys to submit to her for review both the redacted and unredacted versions of the documents.


Donald Steier, an attorney for the priests, said he would file legal papers by late December objecting to the files being made public. At the hearing, Steier accused archdiocese officials of failing to defend the priests' rights.


"They have a duty to help protect those files, and they've already breached that," he said.


victoria.kim@latimes.com


harriet.ryan@latimes.com


ashley.powers@latimes.com





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Luke Bryan cleans up at ACAs with 9 awards


Luke Bryan didn't want the American Country Awards to end.


He cleaned up during the fan-voted show, earning nine awards, including artist and album of the year. His smash hit "I Don't Want This Night To End" was named single and music video of the year.


Miranda Lambert took home the second most guitar trophies with three. Jason Aldean was named touring artist of the year. Carrie Underwood won female artist of the year, and a tearful Lauren Alaina won new artist of the year.


Bryan, Aldean, Keith Urban, Lady Antebellum and Trace Adkins with Lynyrd Skynrd were among the high-energy performances.


The third annual ACAs were held at Mandalay Bay in Las Vegas Monday night.


___


Online: http://www.theACAs.com


___


Follow http://www.twitter.com/AP_Country for the latest country music news from The Associated Press.


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Rate of Childhood Obesity Falls in Several Cities


PHILADELPHIA — After decades of rising childhood obesity rates, several American cities are reporting their first declines.


The trend has emerged in big cities like New York and Los Angeles, as well as smaller places like Anchorage, Alaska, and Kearney, Neb. The state of Mississippi has also registered a drop, but only among white students.


“It’s been nothing but bad news for 30 years, so the fact that we have any good news is a big story,” said Dr. Thomas Farley, the health commissioner in New York City, which reported a 5.5 percent decline in the number of obese schoolchildren from 2007 to 2011.


The drops are small, just 5 percent here in Philadelphia and 3 percent in Los Angeles. But experts say they are significant because they offer the first indication that the obesity epidemic, one of the nation’s most intractable health problems, may actually be reversing course.


The first dips — noted in a September report by the Robert Wood Johnson Foundation — were so surprising that some researchers did not believe them.


Deanna M. Hoelscher, a researcher at the University of Texas, who in 2010 recorded one of the earliest declines — among mostly poor Hispanic fourth graders in the El Paso area — did a double-take. “We reran the numbers a couple of times,” she said. “I kept saying, ‘Will you please check that again for me?’ ”


Researchers say they are not sure what is behind the declines. They may be an early sign of a national shift that is visible only in cities that routinely measure the height and weight of schoolchildren. The decline in Los Angeles, for instance, was for fifth, seventh and ninth graders — the grades that are measured each year — between 2005 and 2010. Nor is it clear whether the drops have more to do with fewer obese children entering school or currently enrolled children losing weight. But researchers note that declines occurred in cities that have had obesity reduction policies in place for a number of years.


Though obesity is now part of the national conversation, with aggressive advertising campaigns in major cities and a push by Michelle Obama, many scientists doubt that anti-obesity programs actually work. Individual efforts like one-time exercise programs have rarely produced results. Researchers say that it will take a broad set of policies applied systematically to effectively reverse the trend, a conclusion underscored by an Institute of Medicine report released in May.


Philadelphia has undertaken a broad assault on childhood obesity for years. Sugary drinks like sweetened iced tea, fruit punch and sports drinks started to disappear from school vending machines in 2004. A year later, new snack guidelines set calorie and fat limits, which reduced the size of snack foods like potato chips to single servings. By 2009, deep fryers were gone from cafeterias and whole milk had been replaced by one percent and skim.


Change has been slow. Schools made money on sugary drinks, and some set up rogue drink machines that had to be hunted down. Deep fat fryers, favored by school administrators who did not want to lose popular items like French fries, were unplugged only after Wayne T. Grasela, the head of food services for the school district, stopped buying oil to fill them.


But the message seems to be getting through, even if acting on it is daunting. Josh Monserrat, an eighth grader at John Welsh Elementary, uses words like “carbs,” and “portion size.” He is part of a student group that promotes healthy eating. He has even dressed as an orange to try to get other children to eat better. Still, he struggles with his own weight. He is 5-foot-3 but weighed nearly 200 pounds at his last doctor’s visit.


“I was thinking, ‘Wow, I’m obese for my age,’ ” said Josh, who is 13. “I set a goal for myself to lose 50 pounds.”


Nationally, about 17 percent of children under 20 are obese, or about 12.5 million people, according to the Centers for Disease Control and Prevention, which defines childhood obesity as a body mass index at or above the 95th percentile for children of the same age and sex. That rate, which has tripled since 1980, has leveled off in recent years but has remained at historical highs, and public health experts warn that it could bring long-term health risks.


Obese children are more likely to be obese as adults, creating a higher risk of heart disease and stroke. The American Cancer Society says that being overweight or obese is the culprit in one of seven cancer deaths. Diabetes in children is up by a fifth since 2000, according to federal data.


“I’m deeply worried about it,” said Francis S. Collins, the director of the National Institutes of Health, who added that obesity is “almost certain to result in a serious downturn in longevity based on the risks people are taking on.”


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FedEx fills Santa's sleigh during busiest day in its history









FedEx Corp.'s sorting facility at Los Angeles International Airport is a maze of chutes, ladders and catwalks, capable of processing more than 300 packages a minute.

And in the pre-dawn hours Monday — which FedEx projected would be the busiest in its history — it was going full force.

"With the Internet now, that volume is just flying off the hook," said manager Alex Johnson, 55, speaking above the loud whir of machinery and steady thud of vehicles in motion around him.





All that activity is yet another sign that the economy is coming back from the dregs of the recession and its long aftermath. Shoppers this year will spend an estimated $586.1 billion during the holidays, up 4.1% from last year, according to the National Retail Federation.

By Monday afternoon, FedEx estimated that it had delivered 19 million packages, a 10% increase from its busiest day last year. The company predicted that it will deliver a record 280 million parcels worldwide between Thanksgiving and Christmas, assisted by 20,000 seasonal hires.

Other shippers estimated that they also would have their busiest holiday season in years.

United Parcel Service Inc. said it expected its holiday shipping to increase 10% this year to 527 million packages. UPS planned to deliver 28 million packages Dec. 20, its projected peak day, and has hired 55,000 seasonal employees to try to ensure on-time delivery.

The U.S. Postal Service said it anticipates a 20% increase in packages between Thanksgiving and Christmas this year, and that it will process a projected 658 million letters and parcels on its forecast peak day, Dec. 17.

At the FedEx facility, workers were unloading giant steel shipping containers holding hundreds of boxes, newly plucked from jetliners. Mechanical arms sent packages marked with company names, or simply "Season's Greetings," pirouetting down a side ramp. Spry human "jammers" swung precariously from railings, jumping down onto the ramps to prevent backups and to funnel the boxes to the sorters below.

One of the jammers, Arvel Boyd, 20, has been working for FedEx for 10 months. He's was perspiring heavily as he worked, even though at 3:30 a.m. the warehouse, open to the tarmac, was chilly.

"It's a workout," Boyd said. "Plus, I get paid for it."

christine.maiduc@latimes.com

Times writer Shan Li contributed to this report.





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Rise in renewable energy will require more use of fossil fuels









The Delta Energy Center, a power plant about an hour outside San Francisco, was roaring at nearly full bore one day last month, its four gas and steam turbines churning out 880 megawatts of electricity to the California grid.


On the horizon, across an industrial shipping channel on the Sacramento-San Joaquin River Delta, scores of wind turbines stood dead still. The air was too calm to turn their blades — or many others across the state that day. Wind provided just 33 megawatts of power statewide in the midafternoon, less than 1% of the potential from wind farms capable of producing 4,000 megawatts of electricity.


As is true on many days in California when multibillion-dollar investments in wind and solar energy plants are thwarted by the weather, the void was filled by gas-fired plants like the Delta Energy Center.





One of the hidden costs of solar and wind power — and a problem the state is not yet prepared to meet — is that wind and solar energy must be backed up by other sources, typically gas-fired generators. As more solar and wind energy generators come online, fulfilling a legal mandate to produce one-third of California's electricity by 2020, the demand will rise for more backup power from fossil fuel plants.


"The public hears solar is free, wind is free," said Mitchell Weinberg, director of strategic development for Calpine Corp., which owns Delta Energy Center. "But it is a lot more complicated than that."


Wind and solar energy are called intermittent sources, because the power they produce can suddenly disappear when a cloud bank moves across the Mojave Desert or wind stops blowing through the Tehachapi Mountains. In just half an hour, a thousand megawatts of electricity — the output of a nuclear reactor — can disappear and threaten stability of the grid.


To avoid that calamity, fossil fuel plants have to be ready to generate electricity in mere seconds. That requires turbines to be hot and spinning, but not producing much electricity until complex data networks detect a sudden drop in the output of renewables. Then, computerized switches are thrown and the turbines roar to life, delivering power just in time to avoid potential blackouts.


The state's electricity system can handle the fluctuations from existing renewable output, but by 2020 vast wind and solar complexes will sprawl across the state, and the problem will become more severe.


Just how much added capacity will be needed from traditional sources is the subject of heated debate by utility officials, government regulators and policy experts. The concerns are expected to come to a head next year when the state must adopt a 10-year plan for its energy needs.


"This issue is someplace between a significant concern and a major problem," said electricity system expert Severin Borenstein, a professor at UC Berkeley's Haas School of Business. "There is definitely going to be a need for more reserves."


Borenstein said state legislators and the governor did not consider all of the details, such as unleashing this new demand for fossil fuel generators, when they set the 33% mandate for renewable energy. The state now gets 20% of its power from renewables, in part from older hydro and geothermal energy. Gov. Jerry Brown has advocated upping the goal to 40%.


The cost to consumers in the years ahead could be in the billions of dollars, according to industry experts. California's electricity prices are already among the highest in the nation and are projected to rise sharply in coming years. At the moment, the need for reserve power isn't considered a cost of renewable power, though consumers have to bear its costs as well.


The California Independent System Operator, the nonprofit company that runs the grid, estimates that by 2020 the state will need to double its reserve capacity. California now maintains a margin of 7% to 8% above projected daily demand, in case a nuclear power plant goes offline or outages occur. But when 33% of the state's power comes from renewables, that margin will have to rise to 15%, said Stephen Berberich, the firm's chief executive.


Nobody knows whether Berberich's estimate is right or how much the added capacity will cost. The California Energy Commission, which has responsibility for licensing new power plants and forecasting future power demand, said it doesn't have the analytical tools necessary to know how much reserve power will be needed.


"It is frankly in the development stage," said Mike Jaske, the commission's senior policy analyst for electricity supply.


The independent system operator is warning that by 2017 the state will be short by about 3,100 megawatts of flexible power that it can dedicate to meeting reserve needs — about what three nuclear reactors produce. The company is pushing the state Public Utility Commission to require that capacity. The commission has been noncommittal so far.


Solar and wind advocates reject those concerns. They say renewables can provide their own reserve cushion because solar and wind generators will be spread across vast areas of the state. If wind power is down in one region, it might be up in another. If wind power is down statewide, desert sunshine might boost solar.


On the day last month when wind energy provided just 33 megawatts of power statewide, a brilliant sun spiked solar plant output.


The independent system operator "likes to show these frightening graphs for shock value," said Nancy Rader, executive director of the California Wind Energy Assn.


Edward Randolph, director of the Public Utility Commission's energy division, said the independent system operator understandably wants more reserves because its primary focus is on the reliability of the system. The PUC is focused on cost. If there is an immediate problem with reserves, the PUC can order utilities to make more available. And in three to five years, batteries, flywheels or other new technology can provide storage that would make reserves much less necessary, he said.





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'Amour' takes top prize from LA film critics


LOS ANGELES (AP) — The French-language drama "Amour" was chosen as the year's best film Sunday by the Los Angeles Film Critics Association, whose prizes are among a flurry of year-end honors that help sort out the Academy Awards race.


Among the group's other honors, the 1950s cult drama "The Master" earned four awards: best director for Paul Thomas Anderson, best actor for Joaquin Phoenix, supporting actress for Amy Adams and production design for David Crank and Jack Fisk.


"The Master" also was chosen as best-picture runner-up. The film stars Phoenix as a volatile World War II veteran who comes under the sway of a charismatic cult leader. Adams co-stars as the cult leader's tough-minded wife.


"Amour" star Emmanuelle Riva, who plays an elderly, ailing woman being cared for by her husband, shared the best-actress honor in a tie with Jennifer Lawrence of the lost-soul romance "Silver Linings Playbook."


Newcomer Dwight Henry was chosen as supporting actor for the low-budget critical darling "Beasts of the Southern Wild." The film's writer-director, Benh Zeitlin, received the group's New Generation Award and shared the prize for best music score with composing partner Dan Romer.


Directed by Michael Haneke, "Amour" is Austria's entry for the foreign-language Oscar and won the top honor at the Cannes Film Festival in May.


The choice by the Los Angeles critics marked a move away from bigger Hollywood productions that the group favored the last two years when it named George Clooney's "The Descendants" as best film of 2011 and David Fincher's "The Social Network" as tops for 2010.


The Los Angeles critics' picks came days after both the New York Film Critics Circle and the National Board of Review chose Kathryn Bigelow's Osama bin Laden manhunt docudrama "Zero Dark Thirty" as the best film of the year.


Bigelow, who dominated the 2009 Los Angeles critics awards with best-picture and director wins for "The Hurt Locker," was chosen this time as directing runner-up for "Zero Dark Thirty."


"The Hurt Locker" went on to a best-picture win at the Oscars and made Bigelow the first woman ever to earn the best-director Oscar. Bigelow is considered a potential Oscar favorite again this time around with "Zero Dark Thirty."


Shut out at the LA critics honors was Steven Spielberg's Civil War epic "Lincoln."


Runners-up for the acting honors: Denis Levant of "Holy Motors," best actor; Christoph Waltz of "Django Unchained," supporting actor; and Anne Hathaway of "Les Miserables" and "The Dark Knight Rises," supporting actress. The French film "Holy Motors" also was named best foreign-language film, with Israel's "Footnote" named runner-up.


Next up on Hollywood's awards calendar are the Screen Actors Guild nominations Wednesday and Golden Globe nominations Thursday. Oscar nominations follow on Jan. 10.


The Los Angeles group named Tim Burton's dead-dog tale "Frankenweenie" best animated film. Don Hertzfeldt's "It's Such a Beautiful Day" was runner-up.


The documentary prize went to "The Gatekeepers," director Dror Moreh's exploration of intelligence operations by Israel's Shin Bet security agency. The runner-up was "Searching for Sugar Man," Malik Bendjelloul's portrait of obscure 1970s singer-songwriter Rodriguez.


Chris Terrio earned the screenplay honor for Ben Affleck's Iran hostage-crisis thriller "Argo." David O. Russell was the screenplay runner-up for "Silver Linings Playbook."


The critics group gave its first-ever prize for film editing to Dylan Tichenor and William Goldenberg for "Zero Dark Thirty." Goldenberg also was the editing runner-up for "Argo."


Among other honors Sunday:


— Music score runner-up: Jonny Greenwood, "The Master."


— Cinematography: Roger Deakins, "Skyfall." Runner-up: Mihai Malaimare Jr., "The Master."


— Production design runner-up: Adam Stockhausen, "Moonrise Kingdom."


— Independent experimental film: "Leviathan."


___


Online:


http://www.lafca.net


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A Breakthrough Against Leukemia Using Altered T-Cells





PHILIPSBURG, Pa. — Emma Whitehead has been bounding around the house lately, practicing somersaults and rugby-style tumbles that make her parents wince.




It is hard to believe, but last spring Emma, then 6, was near death from leukemia. She had relapsed twice after chemotherapy, and doctors had run out of options.


Desperate to save her, her parents sought an experimental treatment at the Children’s Hospital of Philadelphia, one that had never before been tried in a child, or in anyone with the type of leukemia Emma had. The experiment, in April, used a disabled form of the virus that causes AIDS to reprogram Emma’s immune system genetically to kill cancer cells.


The treatment very nearly killed her. But she emerged from it cancer-free, and about seven months later is still in complete remission. She is the first child and one of the first humans ever in whom new techniques have achieved a long-sought goal — giving a patient’s own immune system the lasting ability to fight cancer.


Emma had been ill with acute lymphoblastic leukemia since 2010, when she was 5, said her parents, Kari and Tom. She is their only child.


She is among just a dozen patients with advanced leukemia to have received the experimental treatment, which was developed at the University of Pennsylvania. Similar approaches are also being tried at other centers, including the National Cancer Institute and Memorial Sloan-Kettering Cancer Center in New York.


“Our goal is to have a cure, but we can’t say that word,” said Dr. Carl June, who leads the research team at the University of Pennsylvania. He hopes the new treatment will eventually replace bone-marrow transplantation, an even more arduous, risky and expensive procedure that is now the last hope when other treatments fail in leukemia and related diseases.


Three adults with chronic leukemia treated at the University of Pennsylvania have also had complete remissions, with no signs of disease; two of them have been well for more than two years, said Dr. David Porter. Four adults improved but did not have full remissions, and one was treated too recently to evaluate. A child improved and then relapsed. In two adults, the treatment did not work at all. The Pennsylvania researchers were presenting their results on Sunday and Monday in Atlanta at a meeting of the American Society of Hematology.


Despite the mixed results, cancer experts not involved with the research say it has tremendous promise, because even in this early phase of testing it has worked in seemingly hopeless cases. “I think this is a major breakthrough,” said Dr. Ivan Borrello, a cancer expert and associate professor of medicine at the Johns Hopkins University School of Medicine.


Dr. John Wagner, the director of pediatric blood and marrow transplantation at the University of Minnesota, called the Pennsylvania results “phenomenal” and said they were “what we’ve all been working and hoping for but not seeing to this extent.”


A major drug company, Novartis, is betting on the Pennsylvania team and has committed $20 million to building a research center on the university’s campus to bring the treatment to market.


HervĂ© Hoppenot, the president of Novartis Oncology, called the research “fantastic” and said it had the potential — if the early results held up — to revolutionize the treatment of leukemia and related blood cancers. Researchers say the same approach, reprogramming the patient’s immune system, may also eventually be used against tumors like breast and prostate cancer.


To perform the treatment, doctors remove millions of the patient’s T-cells — a type of white blood cell — and insert new genes that enable the T-cells to kill cancer cells. The technique employs a disabled form of H.I.V. because it is very good at carrying genetic material into T-cells. The new genes program the T-cells to attack B-cells, a normal part of the immune system that turn malignant in leukemia.


The altered T-cells — called chimeric antigen receptor cells — are then dripped back into the patient’s veins, and if all goes well they multiply and start destroying the cancer.


The T-cells home in on a protein called CD-19 that is found on the surface of most B-cells, whether they are healthy or malignant.


A sign that the treatment is working is that the patient becomes terribly ill, with raging fevers and chills — a reaction that oncologists call “shake and bake,” Dr. June said. Its medical name is cytokine-release syndrome, or cytokine storm, referring to the natural chemicals that pour out of cells in the immune system as they are being activated, causing fevers and other symptoms. The storm can also flood the lungs and cause perilous drops in blood pressure — effects that nearly killed Emma.


Steroids sometimes ease the reaction, but they did not help Emma. Her temperature hit 105. She wound up on a ventilator, unconscious and swollen almost beyond recognition, surrounded by friends and family who had come to say goodbye.


But at the 11th hour, a battery of blood tests gave the researchers a clue as to what might help save Emma: her level of one of the cytokines, interleukin-6 or IL-6, had shot up a thousandfold. Doctors had never seen such a spike before and thought it might be what was making her so sick.


Dr. June knew that a drug could lower IL-6 — his daughter takes it for rheumatoid arthritis. It had never been used for a crisis like Emma’s, but there was little to lose. Her oncologist, Dr. Stephan A. Grupp, ordered the drug. The response, he said, was “amazing.”


Within hours, Emma began to stabilize. She woke up a week later, on May 2, the day she turned 7; the intensive-care staff sang “Happy Birthday.”


Since then, the research team has used the same drug, tocilizumab, in several other patients.


In patients with lasting remissions after the treatment, the altered T-cells persist in the bloodstream, though in smaller numbers than when they were fighting the disease. Some patients have had the cells for years.


Dr. Michel Sadelain, who conducts similar studies at the Sloan-Kettering Institute, said: “These T-cells are living drugs. With a pill, you take it, it’s eliminated from your body and you have to take it again.” But T-cells, he said, “could potentially be given only once, maybe only once or twice or three times.”


The Pennsylvania researchers said they were surprised to find any big drug company interested in their work, because a new batch of T-cells must be created for each patient — a far cry from the familiar commercial strategy of developing products like Viagra or cholesterol medicines, in which millions of people take the same drug.


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Jenni Rivera aboard plane missing in Mexico












































































A small plane carrying Mexican American singer Jenni Rivera is missing and believed to have crashed in northern Mexico early Sunday.


The Associated Press reported the plane, a Learjet, left Monterrey about 3:30 a.m. after a concert by Rivera. The pilot lost contact with air traffic contollers about 10 minutes after its departure. It was scheduled to arrive in Toluca, near Mexico City, about an hour later.


An NBCUniversal spokeswoman confirmed that Rivera was aboard the plane. Seven people, including the pilots and crew, were believed to be on the plane.








PHOTOS: Jenni Rivera missing


The Long Beach native's career has been soaring. The 43-year-old singer is best known for her interpretations of regional Mexican music, norteno and banda. She also is one of NBCUniversal's brightest bilingual television stars.


Her reality show on the Telemundo cable channel, mun2, "I Love Jenni," has been one of the channel's highest rated shows. The program is in its second year.


ABC television network was reportedly considering casting Rivera as a star of a prime-time sitcom in development about a strong-willed single Latina mother.


The AP said that a search for the plane was launched early Sunday.


[Updated 3:37 p.m.: Mexican transportation officials have reported the wreckage of the plane believed to be carrying Rivera has been located and no one appears to have survived the crash.


Read more: Jenni Rivera, Mexican American music star, feared dead in plane crash]


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