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California ports watch for unusual water patterns after Chilean quake

Written By kolimtiga on Kamis, 03 April 2014 | 12.18

Small tsunami waves and other unusual "water movements" arrived on the California coast Wednesday following an 8.2 earthquake that struck Chile's northern coast.

Although officials stressed that no tsunami warning had been issued for California or the West Coast, the abnormal wave heights, tide fluctuations and current changes may have surprised boaters, they said.

The first waves to strike California that were connected to Tuesday night's South American earthquake may have hit La Jolla about 4 a.m., said Bill Knight, an oceanographer with the National Tsunami Warning Center based in Alaska.

From there, officials said, the waves appear to have traveled north. The National Weather Service in Oxnard said on its Facebook page that small tsunami waves arrived just before 5 a.m. in Los Angeles County and reached San Luis Obispo County about 20 minutes later.

Observed tsunami heights reached nearly 7 feet in the Chilean port city of Iquique, and evacuations were ordered along the country's Pacific Coast. But by early Wednesday local time, officials lifted tsunami warnings and watches for Chile and other Latin American countries.

By about 7:30 a.m. Wednesday, officials also ended a tsunami advisory for Hawaii.

In California, Port of Los Angeles spokesman Phillip Sanfield said officials were not aware of any issues connected to tsunami-related waves, tides or currents. The same was true for Marina del Rey, said Carol Baker, a spokeswoman for the Los Angeles County Department of Beaches and Harbors, which oversees that area. "We haven't had any issues … no surge, no reports of damage."

"Wave heights have been just a few inches," the NWS Facebook post said, "but there have been reports of noticeable currents in both the Ventura and Santa Barbara harbors this morning."

Kathy Hoxsie, a meteorologist with the NWS Oxnard, said "one-foot tide fluctuations" occurred in the Santa Barbara harbor as of about 7:45 a.m. Such tides were unlikely to damage boats in the harbor, she said.

The Ventura Harbor also experienced three-to-four knot fluctuations in its currents, as well as swirling water, Hoxsie said. Those fluctuations can act like "a sudden push," similar to a wind gust, she said.

If a boat owner was returning to a dock or harbor, such a jolt could cause damage by suddenly slamming the vessel into the dock.

Knight said one of the largest fluctuations in wave height could hit San Luis Obispo County, where waves could reach up to 20 centimeters above normal.

He said the "wave action" could continue for a full day but called the situation "pretty typical."

"I think there's nothing to worry about here, but we want to do our due diligence," he said. "We haven't seen anything yet to make us worry. And we don't expect to."

matt.stevens@latimes.com

Twitter: @MattStevensLAT

Times staff writer Rong-Gong Lin II contributed to this report.


12.18 | 0 komentar | Read More

20 arrested at UC Santa Cruz as teaching assistants strike

Twenty picketers were arrested Wednesday for blocking traffic at UC Santa Cruz as unionized teaching assistants and tutors began a strike at two UC campuses.

The walkout at Santa Cruz and UC Berkeley is expected to extend for a second day Thursday and include the system's other seven undergraduate campuses as well, union leaders said.

The United Auto Workers Local 2865 — which represents about 13,000 teaching assistants, tutors and readers — called the strike to protest what it said were unfair labor practices and intimidation by UC administrators. Among other issues, the union contends that growing class sizes and workloads are making it difficult to offer quality teaching and tutoring.

At UC Santa Cruz, the arrests came as the protesters — mainly graduate students — tried to block campus roadway entrances Wednesday morning, university spokesman Jim Burns said.

The 20, cited on such allegations as failing to disperse and being a pedestrian in a roadway, were taken to the Santa Cruz County Jail and released soon after, according to the sheriff's office. Traffic was prevented from accessing the campus' main entrance for much of the day as picketing continued.

The union and UC have been negotiating a new contract since last summer.

"A strike will not resolve the issues on the table — it only hurts other students and their ability to get their education," UC spokeswoman Shelly Meron said. Administrators contend that they have made progress toward a settlement and have offered wage increases and higher child care subsidies, among other things.

But Caroline McKusick, an executive board member of the statewide union local, said UC has not made offers that "put academic quality first." McKusick, an anthropology graduate student at UC Davis, said the arrests showed that the university system "would rather intimidate us than settle things right."

The effect Wednesday on academic life was uneven. Some professors canceled classes and some teaching assistants rescheduled their discussion sections for later dates.

"There are some classes happening, but it is kind of like a ghost town," said Jeb Purucker, a literature department graduate student and teaching assistant at UC Santa Cruz.

Burns said that he did not know yet what percentage of classes and discussion sections were proceeding at their normal schedule, but that most offices and services at the Santa Cruz campus were operating — although some at reduced levels.

No arrests were reported at Berkeley. Most of the campus seemed to be operating as usual, but "pockets" of classes were canceled or rescheduled, campus spokeswoman Janet Gilmore said.

larry.gordon@latimes.com


12.18 | 0 komentar | Read More

Dodgers' Yasiel Puig seeks advice, gets it

To his teammates. To his coaches. Even players on other teams.

Over the last week, the Dodgers' problem child made it a point to speak with Albert Pujols of the Angels during the Freeway Series. He also solicited advice from Robinson Cano, who was with the Seattle Mariners in Anaheim.

Puig talked to them about his difficulties at the plate in spring training. What they told him was similar to what he was told by Dodgers coaches Mark McGwire and Manny Mota when he batted .122 in the Cactus League.

"They said if I keep working hard, I'll see the results on the field," Puig said in Spanish.

He's now starting to see them.

Puig was two for four with a home run and two RBIs on Tuesday against the San Diego Padres. He walked in his first at-bat in the series finale Wednesday, scoring from first base on a double by Hanley Ramirez.

Puig isn't ready to declare his slump over, but he's close.

"Little by little," Puig said, "I'm getting out of it."

The expectation around baseball is that Puig will regress from his rookie season last year, when he batted .319 with 19 home runs and 42 runs batted in in 104 games. The widely held belief is that pitchers have adjusted to Puig. But Puig is doing what he can to counter back.

"I'm preparing very well in practice, in batting practice, everything I'm doing with the coaches," he said. "I'm learning more about the pitchers, the pitches they throw, how to not let them beat me with pitches out of the zone, wait for the pitches I can hit and to trust my hands."

The pitch Puig hit for a home run Tuesday was a fastball up and in from Ian Kennedy, the very kind of pitch that was said to trouble him.

"It was all the result of the work we've been doing," Puig said.

Puig said he is listening more closely to the team's trainers on how to treat minor aches and pains.

Last week, in the wake of public criticism he received from Manager Don Mattingly, Puig said he asked a clubhouse full of teammates how he could better himself, both as a player and person.

"They shared some of the experiences they had when they were my age," Puig said. "That's helped me a lot."

dylan.hernandez@latimes.com

Twitter: @dylanohernandez


12.18 | 0 komentar | Read More

USC's George Farmer looks good in comeback

Written By kolimtiga on Rabu, 02 April 2014 | 12.18

George Farmer sprinted past a defender along the left sideline, and then jumped and extended his body to its full length attempting to haul in a pass in the end zone.

The overthrown ball fell incomplete during USC's practice on Tuesday, but Farmer's fearless leap, hard landing and hustle back to the line of scrimmage for another rep marked another milestone of sorts for the Trojans receiver making a comeback from major knee surgery.

"It's all about getting confidence," Farmer said.

Farmer, a junior, has looked stronger and more confident as spring workouts have progressed to the midway point.

His leap Tuesday came only a few yards from where he was injured during a spring workout almost exactly one year ago on April 2.

The 6-foot-1, 210-pound Farmer underwent surgery about six weeks later and redshirted in 2013. He spent the last 10 months working to regain the form that helped him star at Gardena Serra High alongside Robert Woods and Marqise Lee.

"He looks like he wants to let people know he can play," quarterback Cody Kessler said, noting that Farmer has been doing extra film study. "He's really bought into that work ethic."

Coach Steve Sarkisian has noticed. He praised Farmer for going through Tuesday's entire practice after he "tweaked" his knee Saturday.

"He's getting stronger, mentally, about what he can handle and how he can bounce back from it," Sarkisian said.

Farmer, son of former Los Angeles Rams receiver George Farmer, said his comeback began a few hours after he was injured.

"I couldn't mope about it," he said.

Farmer is eager to work into the receiver rotation. He spent part of his freshman season as a running back and caught four passes. He returned to receiver in 2012, and had one reception during an injury-plagued sophomore season.

While Farmer moved between positions and struggled to stay physically sound, Woods and Lee emerged as stars.

"It weighed on me at the beginning, as a freshman, but as I matured I learned that everybody's destiny isn't the same," he said. "You have to keep working and keep doing what you have to do.

"'I'm very eager to get out there, and that's why I'm doing the extra work. So, come game time, I'll be ready to go."

Quick hits

Tailback Javorius Allen (ankle) and safety Su'a Cravens (knee) were among the players who did not practice. With Allen and several other backs sidelined, junior Tre Madden, junior fullback Jahleel Pinner and walk-on James Toland shared reps at tailback. The 5-11, 240-pound Pinner did not have a carry in his first two seasons. He averaged five yards a carry his senior season at Mission Viejo High. "I don't know if he will ever be a featured back for us, but he's a guy that we know we can put in whether it's a short-yardage situation, a goal-line situation or late in the game to close out a football game," Sarkisian said. "He's a guy that we can have trust in to go out and execute the offense from that position." … Former Trojans cornerback Terrell Thomas attended practice.

gary.klein@latimes.com

Twitter: @latimesklein


12.18 | 0 komentar | Read More

Solutions sought to reduce food waste at schools

It's lunchtime at Washington Preparatory High School in Los Angeles, but 16-year-old Parrish Jackson has barely touched her turkey burger and apricots.

She's dumping them into the trash can.

The apricots are "sour," the junior says. The meat is "nasty." If it were up to her, she would just have taken the potato wedges — they're close enough to fries — then headed to the student store to fuel up on hot Cheetos and juice.

And so it goes on hundreds of campuses in Los Angeles Unified, the nation's second-largest school system, which serves 650,000 meals a day. Students throw out at least $100,000 worth of food a day — and probably far more, according to estimates by David Binkle, the district's food services director. That amounts to $18 million a year — based on a conservative estimate of 10% food waste — which Binkle says would be far better spent on higher-quality items, such as strawberries or watermelon.

But under federal school meal rules finalized in 2012, Parrish and other students must take at least three items — including one fruit or vegetable — even if they don't want them. Otherwise, the federal government won't reimburse school districts for the meals.

"What can we do about this?" Binkle says. "We can stop forcing children to take food they don't like and throw in the garbage."

Many nutrition and health experts disagree, citing studies that show repeated exposure to fruits and vegetables eventually leads children to eat more of them. That, in turn, will help prevent obesity and related maladies, says William J. McCarthy, a UCLA professor of health policy and management.

The cost of wasted food "is a small investment for permanently enlarging our children's receptivity to the foods most likely to prolong their lives and minimize their risk of the major chronic diseases that kill Americans," McCarthy said in an email.

The differing views reflect the escalating national debate over how to improve child nutrition without the massive food waste and climbing costs in the $11.6-billion federal school lunch program, which feeds 31 million students daily. The rules, part of the 2010 Healthy, Hunger-Free Kids Act championed by First Lady Michelle Obama, imposed a dizzying array of requirements on calories, portion sizes, even the color of fruits and vegetables to be served. The rules also increased the amount of fruits, vegetables and whole grains that must be offered, imposing higher costs on school districts.

For Binkle and many other school food managers, the most challenging change has been the requirement to offer both a fruit and vegetable — previously it was one or the other — and make students take at least one of them in order to receive federal reimbursement for the meal.

The extra produce costs school districts $5.4 million a day, with $3.8 million of that being tossed in the trash, according to national estimates based on a 2013 study of 15 Utah schools by researchers with Cornell University and Brigham Young University.

Other studies also have found significant waste, including 40% of all the lunches served in four Boston schools. In L.A. Unified, a forthcoming study of four middle schools has confirmed substantial waste and "significant student aversion to even selecting a fruit or vegetable serving," according to McCarthy, who co-wrote it. He declined to provide further details until the study is published.

Yet federal rules bar schools from allowing people to take the uneaten food off campus. The school board voted to allow nonprofits to pick up extra food under the federal Good Samaritan food law that allows such actions to aid people in need. But Binkle said that not enough schools participate to solve the massive waste problem.

Teachers and parents have also complained about widespread waste in the Breakfast in the Classroom program, which requires L.A. Unified students to take all three items offered.

Nationally, the cost of wasted food overall — including milk, meats and grains — is estimated at more than $1 billion annually. A U.S. General Accountability Office survey released in January found that 48 of 50 states reported that food waste and higher costs have been their top challenges in rolling out the 2012 rules.

The widespread concerns have prompted the School Nutrition Assn., representing 55,000 school food providers, to launch lobbying efforts to revise the child nutrition law, which is up for reauthorization next year.

Among other things, the group wants to remove the requirement forcing students to take a fruit or vegetable, suspend rules requiring lower sodium and drop a planned shift from half to full whole grain in food products beginning in July.

"We're not opposed to healthy changes," said Julia Bauscher, the group's president-elect. "We just want changes that don't unnecessarily increase cost and force students to take foods they have no intention of eating."

Other nutrition experts are pushing back. Juliana Cohen, a Harvard University nutrition research fellow, said the rules have helped children eat more nutritious food — particularly important, she said, for urban, low-income students who get up to half their daily calories from school meals. She co-wrote a study, published this month, that found that students observed over two days in four Boston schools ate more fruits and vegetables after the new rules took effect — although they still threw away much of them.

The solution to waste, Cohen and others say, isn't to roll back the rules but to find other ways to prod children to eat their vegetables. Working with professional chefs to make meals tastier, planting school gardens and scheduling recess before lunch are all proven ways to do so, Cohen and McCarthy say.

The Utah study found that rewards such as raffle tickets and small amounts of money got students to eat more produce with far less waste than mandatory servings. Joseph Price, a Brigham Young assistant economics professor and study co-writer, said smoothies and redesigned cafeterias have also been effective.

L.A. Unified, regarded as a national leader in making school food more healthful, has taken many of these steps. Celebrity chefs, such as Jamie Oliver, have helped develop menus. More than 270 schools offer "harvest of the month" lessons about produce, and 450 schools have started campus gardens.

Still the food piles up in school trash cans.

Back at Washington Prep, a few students said they ate their entire lunches. Daniel Ofa, a hulking sophomore, said he doesn't really enjoy the spaghetti or enchiladas but downs them anyway.

"Since we're football players, we eat all of it, bad or good," he said.

Several students poked at their food. The potato wedges seemed the biggest hit, while the apricots were a bust. At one table, A'lea Rendev, a senior, pulled a hair from her turkey burger, eliciting loud "ewwwwws" from her friends.

"If the food was good food, we'd have no problems," A'lea said. She dumped her food, then headed off to the school store for a Pop-Tart.

teresa.watanabe@latimes.com


12.18 | 0 komentar | Read More

Solutions sought to reduce food waste at schools

It's lunchtime at Washington Preparatory High School in Los Angeles, but 16-year-old Parrish Jackson has barely touched her turkey burger and apricots.

She's dumping them into the trash can.

The apricots are "sour," the junior says. The meat is "nasty." If it were up to her, she would just have taken the potato wedges — they're close enough to fries — then headed to the student store to fuel up on hot Cheetos and juice.

And so it goes on hundreds of campuses in Los Angeles Unified, the nation's second-largest school system, which serves 650,000 meals a day. Students throw out at least $100,000 worth of food a day — and probably far more, according to estimates by David Binkle, the district's food services director. That amounts to $18 million a year — based on a conservative estimate of 10% food waste — which Binkle says would be far better spent on higher-quality items, such as strawberries or watermelon.

But under federal school meal rules finalized in 2012, Parrish and other students must take at least three items — including one fruit or vegetable — even if they don't want them. Otherwise, the federal government won't reimburse school districts for the meals.

"What can we do about this?" Binkle says. "We can stop forcing children to take food they don't like and throw in the garbage."

Many nutrition and health experts disagree, citing studies that show repeated exposure to fruits and vegetables eventually leads children to eat more of them. That, in turn, will help prevent obesity and related maladies, says William J. McCarthy, a UCLA professor of health policy and management.

The cost of wasted food "is a small investment for permanently enlarging our children's receptivity to the foods most likely to prolong their lives and minimize their risk of the major chronic diseases that kill Americans," McCarthy said in an email.

The differing views reflect the escalating national debate over how to improve child nutrition without the massive food waste and climbing costs in the $11.6-billion federal school lunch program, which feeds 31 million students daily. The rules, part of the 2010 Healthy, Hunger-Free Kids Act championed by First Lady Michelle Obama, imposed a dizzying array of requirements on calories, portion sizes, even the color of fruits and vegetables to be served. The rules also increased the amount of fruits, vegetables and whole grains that must be offered, imposing higher costs on school districts.

For Binkle and many other school food managers, the most challenging change has been the requirement to offer both a fruit and vegetable — previously it was one or the other — and make students take at least one of them in order to receive federal reimbursement for the meal.

The extra produce costs school districts $5.4 million a day, with $3.8 million of that being tossed in the trash, according to national estimates based on a 2013 study of 15 Utah schools by researchers with Cornell University and Brigham Young University.

Other studies also have found significant waste, including 40% of all the lunches served in four Boston schools. In L.A. Unified, a forthcoming study of four middle schools has confirmed substantial waste and "significant student aversion to even selecting a fruit or vegetable serving," according to McCarthy, who co-wrote it. He declined to provide further details until the study is published.

Yet federal rules bar schools from allowing people to take the uneaten food off campus. The school board voted to allow nonprofits to pick up extra food under the federal Good Samaritan food law that allows such actions to aid people in need. But Binkle said that not enough schools participate to solve the massive waste problem.

Teachers and parents have also complained about widespread waste in the Breakfast in the Classroom program, which requires L.A. Unified students to take all three items offered.

Nationally, the cost of wasted food overall — including milk, meats and grains — is estimated at more than $1 billion annually. A U.S. General Accountability Office survey released in January found that 48 of 50 states reported that food waste and higher costs have been their top challenges in rolling out the 2012 rules.

The widespread concerns have prompted the School Nutrition Assn., representing 55,000 school food providers, to launch lobbying efforts to revise the child nutrition law, which is up for reauthorization next year.

Among other things, the group wants to remove the requirement forcing students to take a fruit or vegetable, suspend rules requiring lower sodium and drop a planned shift from half to full whole grain in food products beginning in July.

"We're not opposed to healthy changes," said Julia Bauscher, the group's president-elect. "We just want changes that don't unnecessarily increase cost and force students to take foods they have no intention of eating."

Other nutrition experts are pushing back. Juliana Cohen, a Harvard University nutrition research fellow, said the rules have helped children eat more nutritious food — particularly important, she said, for urban, low-income students who get up to half their daily calories from school meals. She co-wrote a study, published this month, that found that students observed over two days in four Boston schools ate more fruits and vegetables after the new rules took effect — although they still threw away much of them.

The solution to waste, Cohen and others say, isn't to roll back the rules but to find other ways to prod children to eat their vegetables. Working with professional chefs to make meals tastier, planting school gardens and scheduling recess before lunch are all proven ways to do so, Cohen and McCarthy say.

The Utah study found that rewards such as raffle tickets and small amounts of money got students to eat more produce with far less waste than mandatory servings. Joseph Price, a Brigham Young assistant economics professor and study co-writer, said smoothies and redesigned cafeterias have also been effective.

L.A. Unified, regarded as a national leader in making school food more healthful, has taken many of these steps. Celebrity chefs, such as Jamie Oliver, have helped develop menus. More than 270 schools offer "harvest of the month" lessons about produce, and 450 schools have started campus gardens.

Still the food piles up in school trash cans.

Back at Washington Prep, a few students said they ate their entire lunches. Daniel Ofa, a hulking sophomore, said he doesn't really enjoy the spaghetti or enchiladas but downs them anyway.

"Since we're football players, we eat all of it, bad or good," he said.

Several students poked at their food. The potato wedges seemed the biggest hit, while the apricots were a bust. At one table, A'lea Rendev, a senior, pulled a hair from her turkey burger, eliciting loud "ewwwwws" from her friends.

"If the food was good food, we'd have no problems," A'lea said. She dumped her food, then headed off to the school store for a Pop-Tart.

teresa.watanabe@latimes.com


12.18 | 0 komentar | Read More

Chapman University football player Mitch Eby comes out as gay

Written By kolimtiga on Selasa, 01 April 2014 | 12.18

Mitch Eby wasn't trying to make history or make a point when he got up to speak to his football teammates at Chapman University two weeks ago. He just was trying to make a difference.

But with one simple sentence — "I am ready to share with you all that I am gay" — he may have accomplished all three.

"It was to put my story out there to kind of help other people in the same situation," the junior defensive lineman from Santa Monica said. "It was reading a lot of stories like this, watching YouTube videos, stuff like that that helped me. And I wanted to be able to provide my story and my own experiences to maybe help other people in the future."

The last three months have been a transformative time for gay athletes, with nearly two dozen world-class or college competitors, from swimmers and volleyball players to distance runners and baseball players, coming out publicly as gay according to Cyd Zeigler, co-founder and editor of the website Outsports.

But, Zeigler says, Eby is the first active gay college football player to come out publicly.

"It's another brick on the path to the end of homophobia in sports," Zeigler says. "It's something that we've been working for for many years. We are not there yet because we still get kids like Mitch, who are afraid to come out to their teams.

"But with every one of these athletes coming out, another athlete feels better about himself. The more people who stand up and are counted, the more other kids feel OK with who they are, the less we hear of kids attempting suicide, the less we hear of kids being depressed. That's the importance here."

Eby says he has known he is gay for years but was reluctant to share that with family, friends or teammates because he wasn't sure how they would react. But earlier this year he began an email friendship with Conner Mertens, a redshirt freshman kicker at Oregon's Willamette University who announced in January that he was bisexual.

Mertens' experience convinced Eby that by coming out, he could help others just as Mertens had helped him.

"I came out to my parents, my family, my friends. I did that for me," Eby says. "And then this other stuff was just to kind of reciprocate because I received a lot of support from other people, other athletes who have been through something similar to me."

He started by telling his roommates, then his coach at Chapman, a small private Christian college in Orange County. They were supportive and urged him to speak to the rest of the team at its final meeting of spring practice last month.

Eby wrote out his moving 295-word speech ahead of time and rehearsed part of it. And when he finished addressing his teammates, they applauded, which gave Eby the courage to contact Zeigler and share his story with a wider audience.

"I didn't expect it would be on this level. But everything's been really, really positive," says Eby, who has received dozens of texts and emails from family and friends. "I definitely feel more comfortable now. I can actually go around and be around who I want, do what I want to do without having to worry about someone's reaction or someone judging me."

kevin.baxter@latimes.com

Twitter: @kbaxter11


12.18 | 0 komentar | Read More

Bariatric surgery found to ease Type 2 diabetes symptoms

Bariatric surgery did more to improve symptoms of diabetes, high blood pressure and high cholesterol after three years than intensive treatment with drugs alone, according to new results from a closely watched clinical trial involving patients who were overweight or obese.

Study participants who had gastric bypass surgery or sleeve gastrectomy also lost more weight, had better kidney function and saw greater improvements in their quality of life than their counterparts who did not go under the knife, researchers reported Monday.

The latest findings from the trial, known as STAMPEDE — for Surgical Treatment and Medications Potentially Eradicate Diabetes Efficiently — should prompt more patients with Type 2 diabetes to consider surgery as a viable treatment, even if their body mass index isn't high enough for them to qualify as severely obese, said Dr. Philip Schauer, director of the Cleveland Clinic's Bariatric and Metabolic Institute and leader of the trial.

"Right now, bariatric surgery is way underutilized," Schauer said. "I wouldn't say that every diabetic needs bariatric surgery. But I would say there are a lot of patients on aggressive medical treatment that are looking at some surgery down the road — including extremely costly interventions such as amputations and coronary bypass procedures."

Bariatric surgery, including the two procedures tested in the STAMPEDE trial, can cost as much as $60,000, depending on complications. That price tag has prompted skepticism among insurers about its worth as a diabetes treatment. But it "seems like a bargain" compared with the future surgical costs many of the 17 million Americans with Type 2 diabetes will face if they cannot get their blood sugar under control, Schauer said.

The trial results were presented Monday at a meeting of the American College of Cardiology and the American Heart Assn. in Washington, and published by the New England Journal of Medicine.

The study randomly assigned 150 overweight and obese people with Type 2 diabetes to one of three groups. Those in the control group had their diabetes managed with medications and daily blood-glucose monitoring. They also received intensive counseling about diet and exercise, including regular weigh-ins to monitor their progress. After three years, they had lost an average of 9.5 pounds.

The second group in the trial got Roux-en-Y gastric bypasses, in which the stomach is reshaped and relocated to divert most food past much of the lower intestine, where nutrients and calories are largely absorbed. The third group got a procedure called sleeve gastrectomy, which staples some 80% of the stomach closed, creating a banana-shaped tube where once a large pouch existed. Patients who had surgery received intensive medical management and lifestyle counseling as well.

Three years later, those who had the Roux-en-Y bypass had lost an average of nearly 58 pounds, and those who had sleeve gastrectomy lost an average of 47 pounds.

More importantly, Schauer said, the patients in the surgery groups were much more likely to have their diabetes under control — 58% of those who had Roux-en-Y and 33% of those who had sleeve gastrectomy were able to stop taking diabetes medications. Only 5% of patients in the control group achieved the same endpoint after three years, and none were able to discontinue medications completely.

In addition, study volunteers who had gastric bypass whittled their daily number of blood pressure and cholesterol-lowering medications from 2.73 to 0.96, on average. And subjects who had sleeve gastrectomy reduced their average number of cardiovascular medications from 2.18 to 1.35 three years later.

The medication tally for the control group didn't budge.

Ultimately, Schauer said, better health should afford patients a fuller, happier life — and by that measure too, bariatric surgery yielded superior results.

The Roux-en-Y subjects showed greatest improvement in quality of life, including measures of bodily pain, physical functioning, general health, emotional well-being, and energy and fatigue. Those who got the sleeve gastrectomy also reported more significant improvements than those in the control group.

Schauer noted that some of the patients who benefited from bariatric surgery did not have a body mass index high enough to qualify for the procedure under most clinical guidelines and insurance plans. More than one-third of the volunteers enrolled in the trial had a body mass index between 27 and 34, below the usual threshold of 35.

But the overweight and mildly obese patients who got bariatric surgery showed health improvements on a par with much heavier diabetics, Schauer said.

"Hopefully, insurance policymakers will look at this data and consider expanding their coverage," he said.

Randy Seeley, a University of Cincinnati professor of endocrinology who was not involved in the trial, said the latest results showed that both Roux-en-Y and sleeve gastrectomy worked "demonstrably better than standard diabetes interventions."

But with its steep price, bariatric surgery is unlikely ever to be available to many who suffer from both obesity and diabetes, he said. Currently, about 1% of those who might benefit from such surgery are getting it, and even with a mighty effort to expand access, experts predict that figure is unlikely to rise above 4%.

"This highlights the need to understand the mechanistic similarities and differences" between the two procedures, "so that we might harness their efficacy to help more patients with diabetes," Seeley said.

Last week, Seeley and colleagues from Denmark and Sweden published a study in Nature describing a key genetic switch that appears to be activated in sleeve gastrectomy, prompting changes in gut bacteria that improve metabolic function, appetite changes and weight loss. Someday, those changes might be induced without surgery, he said.

melissa.healy@latimes.com

Twitter: @LATMelissaHealy


12.18 | 0 komentar | Read More

Kings' winning streak halted in 3-2 loss to Wild

Matt Moulson and Mikko Koivu scored 62 seconds apart in the third period, and Zach Parise connected on a power play for the Minnesota Wild, who rallied for a 3-2 victory Monday night that snapped the Kings' six-game winning streak.

Ilya Bryzgalov made 18 saves for the Wild. It was the second time in eight games that the Kings lost in regulation when leading after two periods — something that happened only once in their previous 138 contests.

Alec Martinez and Justin Williams scored for Los Angeles, both capitalizing on turnovers by defenseman Jared Spurgeon in his zone. Jonathan Quick stopped 17 shots.

Moulson tied it with 16:06 remaining, using Martinez as a screen and beating Quick for his 22nd goal. Koivu made it 3-2 with his 10th on a one-timer from the top of the left circle.

Williams put the Kings ahead 2-1 at 11:49 of the second with his 19th goal. Spurgeon had the puck behind his net and tried to clear it around the boards, but Willie Mitchell intercepted it and took a shot that struck Minnesota defenseman Ryan Suter before Marian Gaborik got control and set up Williams at the left of the crease.

Martinez opened the scoring 6:30 in with his seventh goal in 15 games and 11th overall. The defenseman beat Bryzgalov to the stick side with a wrist shot from the right circle after Spurgeon lost the puck to Anze Kopitar behind the net.

Parise tied it at 3:37 of the second period, 36 seconds into Tanner Pearson's hooking penalty. Mikael Granlund got the puck in the slot from Koivu for a one-timer that Parise redirected past Quick's glove.

The Kings were 0 for 2 on the power play, and have gone consecutive games without a power-play goal for the first time since a five-game drought Jan. 21-28.

Minnesota left wing Dany Heatley, struggling through a 12-goal season and currently in a 14-game drought, was a healthy scratch for the second straight game.


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Up next for Clippers: Thursday at Dallas

Written By kolimtiga on Kamis, 27 Maret 2014 | 12.18

Chris Paul, Jose Calderon

Clippers guard Chris Paul, left, drives around Dallas Mavericks guard Jose Calderon during the Clippers' 119-112 win Jan. 3. (Sharon Ellman / Associated Press / January 3, 2014)

By Broderick Turner

March 26, 2014, 9:26 p.m.

AT DALLAS

When: 5:30 PDT.

Where: American Airlines Center.

On the air: TV: Prime Ticket; Radio: 980, 1330.

Records: Clippers 50-22, Mavericks 43-29.

Record vs. Mavericks: 2-0.

Update: The Clippers have defeated the Mavericks five of the last six times. The Mavericks are playing for their playoff lives. They have the same record as the Phoenix Suns (43-29) in the eighth and final playoff spot in the Western Conference with 10 games to go.

broderick.turner@latimes.com

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