Well: Getting the Right Dose of Exercise

Phys Ed

Gretchen Reynolds on the science of fitness.

A common concern about exercise is that if you don’t do it almost every day, you won’t achieve much health benefit. But a commendable new study suggests otherwise, showing that a fairly leisurely approach to scheduling workouts may actually be more beneficial than working out almost daily.

For the new study, published this month in Exercise & Science in Sports & Medicine, researchers at the University of Alabama at Birmingham gathered 72 older, sedentary women and randomly assigned them to one of three exercise groups.

One group began lifting weights once a week and performing an endurance-style workout, like jogging or bike riding, on another day.

Another group lifted weights twice a week and jogged or rode an exercise bike twice a week.

The final group, as you may have guessed, completed three weight-lifting and three endurance sessions, or six weekly workouts.

The exercise, which was supervised by researchers, was easy at first and meant to elicit changes in both muscles and endurance. Over the course of four months, the intensity and duration gradually increased, until the women were jogging moderately for 40 minutes and lifting weights for about the same amount of time.

The researchers were hoping to find out which number of weekly workouts would be, Goldilocks-like, just right for increasing the women’s fitness and overall weekly energy expenditure.

Some previous studies had suggested that working out only once or twice a week produced few gains in fitness, while exercising vigorously almost every day sometimes led people to become less physically active, over all, than those formally exercising less. Researchers theorized that the more grueling workout schedule caused the central nervous system to respond as if people were overdoing things, sending out physiological signals that, in an unconscious internal reaction, prompted them to feel tired or lethargic and stop moving so much.

To determine if either of these possibilities held true among their volunteers, the researchers in the current study tracked the women’s blood levels of cytokines, a substance related to stress that is thought to be one of the signals the nervous system uses to determine if someone is overdoing things physically. They also measured the women’s changing aerobic capacities, muscle strength, body fat, moods and, using sophisticated calorimetry techniques, energy expenditure over the course of each week.

By the end of the four-month experiment, all of the women had gained endurance and strength and shed body fat, although weight loss was not the point of the study. The scientists had not asked the women to change their eating habits.

There were, remarkably, almost no differences in fitness gains among the groups. The women working out twice a week had become as powerful and aerobically fit as those who had worked out six times a week. There were no discernible differences in cytokine levels among the groups, either.

However, the women exercising four times per week were now expending far more energy, over all, than the women in either of the other two groups. They were burning about 225 additional calories each day, beyond what they expended while exercising, compared to their calorie burning at the start of the experiment.

The twice-a-week exercisers also were using more energy each day than they had been at first, burning almost 100 calories more daily, in addition to the calories used during workouts.

But the women who had been assigned to exercise six times per week were now expending considerably less daily energy than they had been at the experiment’s start, the equivalent of almost 200 fewer calories each day, even though they were exercising so assiduously.

“We think that the women in the twice-a-week and four-times-a-week groups felt more energized and physically capable” after several months of training than they had at the start of the study, says Gary Hunter, a U.A.B. professor who led the experiment. Based on conversations with the women, he says he thinks they began opting for stairs over escalators and walking for pleasure.

The women working out six times a week, though, reacted very differently. “They complained to us that working out six times a week took too much time,” Dr. Hunter says. They did not report feeling fatigued or physically droopy. Their bodies were not producing excessive levels of cytokines, sending invisible messages to the body to slow down.

Rather, they felt pressed for time and reacted, it seems, by making choices like driving instead of walking and impatiently avoiding the stairs.

Despite the cautionary note, those who insist on working out six times per week need not feel discouraged. As long as you consciously monitor your activity level, the findings suggest, you won’t necessarily and unconsciously wind up moving less over all.

But the more fundamental finding of this study, Dr. Hunter says, is that “less may be more,” a message that most likely resonates with far more of us. The women exercising four times a week “had the greatest overall increase in energy expenditure,” he says. But those working out only twice a week “weren’t far behind.”

Read More..

Health insurer WellPoint picks Joseph Swedish as its new CEO









INDIANAPOLIS — Health insurance giant WellPoint Inc., parent of Anthem Blue Cross, is picking a veteran hospital executive who has never run a public company to become its next chief executive.


The Indianapolis insurer says Trinity Health CEO Joseph Swedish will take over March 25, replacing interim CEO John Cannon.


WellPoint, the nation's second-largest health insurance company, has been searching for a new leader since Angela Braly resigned in August amid investor frustration over disappointing financial results.








The company runs Blue Cross Blue Shield plans in 14 states, including Anthem — the largest for-profit insurer in California. It also runs CareMore clinics in California and other states.


Swedish, 61, has been CEO at Trinity Health in Livonia, Mich., since December 2004. Under his leadership, revenue at the nonprofit Catholic healthcare system increased from $5.7 billion in 2005 to $8.9 billion in 2012, and total assets increased from $7.5 billion to $11.7 billion. The organization's community benefit ministry, which includes care for the poor and community heath activity, increased from $265 million in 2005 to $615 million in 2012.


Swedish's resume includes work with HCA, the nation's largest hospital chain. He also has served as a director for another insurer, Coventry Health Care.


In his new job, Swedish's tasks will include helping WellPoint prepare for coverage expansions that start next year under the federal healthcare overhaul.





Read More..

Dorner may have had help in trying to flee to Mexico









A fugitive former Los Angeles police officer wanted in connection with a deadly shooting rampage may have had help in his efforts to flee to Mexico as a massive manhunt was gearing up to capture him, according to federal court records obtained Monday by The Times.


The records state how authorities developed "probable cause" that Christopher Jordan Dorner, 33, was possibly trying to escape to Mexico and provide new details on his actions since he allegedly killed three people, including a police officer, in a shooting rampage that police say began Feb. 3 in Irvine.


Dorner may have been helped by an associate identified only as "JY" in the criminal complaint filed in U.S. District Court in Los Angeles late last week after the former police officer was suspected of fleeing from authorities.





Federal authorities told The Times on Monday night that the court papers, filed late last week, reflected their thinking at the time, but they stressed that Dorner could be anywhere.


As the manhunt continued Monday, the Riverside County district attorney's office filed murder and attempted murder charges against Dorner, who is accused of killing one police officer and wounding two others in that county before his burning pickup was found near Big Bear.


Dorner allegedly attempted to steal a boat in San Diego and, after subduing the captain, said he was taking the vessel to Mexico, according to an affidavit filed with the federal complaint. Dorner is accused of telling the captain that he could recover his boat in Mexico.


"The attempt failed when the bow line of the boat became caught in the boat's propeller, and the suspect fled," according to the affidavit by Inspector U.S. Marshal Craig McClusky.


After authorities interviewed the boat captain early Thursday, they found Dorner's wallet and identification cards "at the San Ysidro Point of Entry" near the U.S.-Mexico border, according to the court records. That same day, a guard at the Point Loma Naval Base told authorities he had spotted a man matching Dorner's description trying to sneak onto the base, according to the filing.


The possibility that Dorner received help from the associate was raised in McClusky's affidavit. The Marine Corps and San Bernardino County Sheriff's Department investigators were conducting a surveillance operation of an Arrowbear Lake property owned by a family member of the associate Thursday and discovered a burning vehicle nearby that matched the gray Nissan pickup used by Dorner.


The charges filed Monday in Riverside County on Monday accuse Dorner of opening fire, unprovoked, on Riverside police Officer Michael Crain, 34, a married father of two who served two tours in Kuwait as a rifleman in the U.S. Marines.


Dorner faces three additional counts of attempted murder of a peace officer for allegedly shooting and critically injuring Crain's partner and firing upon two Los Angeles police officers stationed in Corona to protect an LAPD official named in an online manifesto authorities attribute to Dorner. One of the LAPD officers was grazed on the head by a bullet.


Riverside County Dist. Atty. Paul Zellerbach said the murder charge includes two special circumstance allegations that make Dorner eligible for the death penalty — killing a peace officer and discharging a firearm from a vehicle.


Filing criminal charges will ensure that if Dorner is caught, either out of the state or out of the country, the outstanding arrest warrant would clear the way for a rapid extradition.


"I want to cover all my bases. I want to make sure when he is located and arrested, he can be extradited back to California as soon as possible," Zellerbach said after holding a noon news briefing.


The district attorney believes that Dorner, if he is still alive, is not done with his quest for revenge and thirst for the public's attention.


"Even though he may have gone underground now, given the nature of his conduct and his words and his actions, he's going to reappear," Zellerbach said. "I don't think he's done.... He's trying to send a message, and it would be my belief that his message is not completed yet.''


Riverside Police Chief Sergio Diaz has called Dorner's attack on his two officers early Thursday a "cowardly ambush." Dorner allegedly opened fire as the officers sat in a patrol car, stopped at a red light.


The surviving officer, 27, who was being trained by Crain, continues to recover from surgery. He has been with the department less than a year.


"He's in a lot of pain. He's going to be facing a lot of surgeries in the coming weeks and months," Diaz said. "We don't know if he'll be able to return to active duty. We certainly hope so."


Dorner's alleged rampage began with the Feb. 3 shooting deaths of Monica Quan, a Cal State Fullerton assistant basketball coach, and her fiance, Keith Lawrence, a USC public safety officer.


Quan was the daughter of a retired LAPD captain whom Dorner apparently accused online of not representing him fairly at a hearing that led to his firing. In what police said was his posting on a Facebook page, Dorner allegedly threatened the retired captain and others he blamed for his firing.


More than 50 LAPD families remained under police guard Monday.


A scaled-down search for Dorner continued Monday in woods west of Big Bear Lake, where his burning truck was found on a forest road Thursday.


About 30 officers are searching vacation homes and cabins in "an even more remote area," and the search will resume Tuesday with the same number of law enforcement personnel, according to the San Bernardino County Sheriff's Department.


On Sunday, Los Angeles officials announced a $1-million reward for information leading to the capture and arrest of Dorner. The reward — raised from local governments, police departments, civic organizations, businesses and individuals — is thought to be the largest ever offered locally.


kate.mather@latimes.com


phil.willon@latimes.com


Times staff writer Robert J. Lopez contributed to this report.





Read More..

Young Afghan musicians in NY for date at Carnegie


SCARSDALE, N.Y. (AP) — For these young people from Afghanistan, it's the perfect trip to America. They get to scarf down New York pizza, go ice skating — and take the stage at Carnegie Hall.


The Afghan Youth Orchestra, many of whose members are not far removed from eking out a living on the streets of Kabul, is on the New York leg of a U.S. tour that melds Western classics with traditional Afghan music.


About 50 players held a joint rehearsal Monday with 25 members of the Scarsdale High School orchestra, which meant that young musicians from a war-torn country where music was banned for several years by the Taliban were playing alongside those from one of New York's toniest suburbs.


"This is all providing a model for the future of Afghanistan," said William Harvey, the Afghan orchestra's American conductor and arranger. "The recomposed music, taking the best from both worlds, and the cooperation between the Afghan kids and the Scarsdale kids, shows what has to happen for Afghanistan."


Among the pieces rehearsed in advance of Tuesday night's Carnegie program were adaptations of Vivaldi's "Four Seasons" and Ravel's "Bolero," both incorporating Afghan instruments and rhythms.


A handful of people in the Scarsdale auditorium got to hear familiar melodies perked up with such instruments as the sitar, dilruba and ghichak. Some of the Afghan musicians were barefoot.


"I love the 'Bolero,'" said Milad Yousofi, 18, a pianist from Kabul who, like the rest of the orchestra, attends the Afghanistan National Institute of Music, which was founded just three years ago.


Yousofi is hoping the orchestra's U.S. visit — it played in Washington last week and is headed for Boston — will help him find a way to continue his musical education in America.


"I'm very excited and amazed that we are going to Carnegie Hall," he said. "New York is my dream city. I want to come here as soon as possible. But then I want to go back to Afghanistan and teach."


Hojat Hameed, 21, a violinist who also plays electric guitar in a rock band, said he became interested in music when he heard a Celine Dion recording.


"That made me want to become a musician," he said. "I could feel I wanted to come home to music."


Some of the Afghans may have been saved from desperate lives by the music school.


"One of my violinists used to sell chewing gum on the street," said Harvey, who spoke to the musicians in English and Dari, one of Afghanistan's two main languages. "She had to. The Taliban had beaten her father paralyzed and he couldn't work."


"The return of music to Afghanistan is a victory of the human spirit," Harvey said.


Ahmad Sarmast, who founded the school, said hearing the orchestra play was "a touching experience."


"The Taliban deprived children of their music," he said. "It was like a genocide of music. Now this is an incredible way of showing pride in our people, our youth, our school, our country."


He said the school, which is funded by the World Bank and others, is free and provides enough of a stipend to keep the musicians off the streets. And it accepts boys and girls, another reversal of Taliban orders.


Amedee Williams, who heads the Scarsdale music program, said he heard last year that the Afghan school was trying to raise funds for a tour. He contacted the school and suggested their orchestra members could save on New York hotels by staying with Scarsdale families. That turned out not to be necessary, but it forged a partnership that resulted in the Scarsdale orchestra joining the Afghans at Carnegie Hall.


Before the joint orchestra rehearsed on Sunday, he said, all the youngsters had pizza. Afterward, they went ice skating, which was a new activity for the Afghans "and some of the Scarsdale kids," Williams said.


"There was a lot of hand-holding, supporting each other," he said. "It was good to see."


Read More..

Bloomberg Lauds Companies for Cutting Salt Content





Mayor Michael R. Bloomberg, in the midst of a long-running campaign to change the eating habits of New Yorkers and consumers across the country, declared a victory against salt on Monday, as 21 companies, from Kraft and Goya to FreshDirect, said they had met the first stage in reductions in salt content in foods.




After focusing on reducing trans fats and smoking, Mr. Bloomberg turned his attention to salt in 2010, announcing that about 30 companies had signed up to reduce salt in foods by 25 percent within five years, as a way of lowering consumers’ blood pressure and saving lives lost to heart attack and stroke.


“These companies have a huge presence on our shelves and in our diets,” Mr. Bloomberg said at a news conference at City Hall as he announced the results, surrounded by a half-dozen executives of food companies.


The first stage focused on the low-hanging fruit — salsa, dips, bacon, ketchup, barbecue sauce, cold cuts, processed cheese, salad dressing, canned beans and pizza — foods whose salt content is so high that reducing it up to a point probably would not be noticed by many consumers.


Mr. Bloomberg called them “some of America’s most beloved and iconic foods,” suggesting that the cuts might have a disproportionately salutary effect. But Dr. Thomas A. Farley, the city’s health commissioner, said he did not know how much salt the results so far had removed from the average person’s diet.


One side effect of the salt reduction drive is that food companies are looking for salt substitutes to make food taste better.


The main way to do that is to add potassium chloride instead of sodium chloride, said Russ Moroz, vice president for research at Kraft Foods. But because potassium tends to have a bitter, mineral taste, other ingredients have to be added. He said these were proprietary secrets, and he declined to name them.


Potassium is good, Dr. Farley said, because it lowers blood pressure and most people do not get enough of it. It is removed from fruits and vegetable during processing, he said. Mr. Bloomberg said he thought fears of additives were overdone.


But a salt industry scientist said Monday that too much potassium could be bad for the kidneys, and that the “cocktail of chemical constituents” added to balance the bitterness and enhance the salty taste could present unknown risks, as those ingredients were undisclosed.


“They do it with one eye on the lab and the other eye on the label,” said Morton Satin, vice president for science and research at the Salt Institute, a trade association. “They make sure it’s below the level that the F.D.A. requires for it to be on the label.”


Mr. Satin said that the link between high blood pressure and salt was just “a theory,” and that reducing salt too much could have harmful effects, like iodine deficiency in children, a cause of mental retardation, and diabetes.


Some companies said reducing salt proved to be a popular marketing tool. Goya reported that it had reduced salt in its regular canned beans by 5 or 6 percent, without any drop in sales. “We tasted them, and you really wouldn’t notice the difference,” Joseph Perez, senior vice president of Goya Foods, said Monday.


Mr. Bloomberg said it might surprise many people to know that bread and rolls were the “biggest contributor” to salt in the diet. Eating a muffin, he said, could be worse than eating a small bag of Lays potato chips.


Bread makers are hard to spot on the list of companies that have pledged to reduce salt, perhaps, Mr. Satin said, because it is more difficult to make bread without salt. However, some companies, like Au Bon Pain, have reduced salt in some baked goods.


On an irreverent note, Mr. Bloomberg said that he loved Subway sandwiches and would eat his favorite, the Italian B.M.T. — it includes salami, pepperoni and ham — regardless of the salt content, but that he was glad that it now contained 27 percent less.


Read More..

Domino's hopes customers flock to 'pizza theater'









A pair of mustachioed pizza makers in blue aprons — visible from behind a glass display at a new Domino's store in Seattle — tossed dough into the air as a handful of corporate executives looked on.


Domino's calls the concept "pizza theater" because customers now can come in and watch their orders being made.


The new look is part of a four-year effort to freshen the pizza chain's image and boost its growing ranks of carryout customers.








The open-kitchen format includes seating for a dozen or so people, a chalkboard where customers can leave comments, and a refrigerated section for grab-and-go items such as salads and milk.


"This is the way we always made our pizzas. A lot of people just had no idea," said Domino's Chief Executive Patrick Doyle, who was in Seattle last week to see the new store. "It was sort of one of those lightning-bolt moments where we said, 'Gee, maybe we should show them.' "


Founded in 1960, Domino's long has been known for inexpensive pizza delivered to your doorstep. Its 30-minute guarantee helped make it the world's largest pizza-delivery company in the 1980s (though it later had to drop the pledge amid charges that it led to reckless driving).


Today, the Ann Arbor, Mich., company holds a 22% share of the U.S. pizza-delivery market and ranks No. 2 overall among U.S. pizza chains.


More than two-thirds of U.S. consumers buy carryout pizza at least once a month, making carryout the most popular pizza format, according to research firm Technomic Inc. Nearly half of all pizza orders are for carryout, while a third are for delivery and a fifth are for eat-in.


Experts say that if a Domino's store is nearby, many consumers prefer to pick up their orders and save a few dollars that otherwise would go to a delivery fee and tip.


Domino's jumped on the trend last year when it began offering a weekday pickup promotion of a large three-topping pizza for $7.99. It also redesigned its logo, dropping the word "pizza" to reflect a larger menu, including sandwiches, pasta and chocolate "lava" cakes.


Doyle said the plan is to redo the greater Seattle area's 74 franchised locations by midyear, which would make Seattle the first market to be completely overhauled.


Doyle said Domino's also is setting out to hire 800 new full-time and part-time employees in that area — something he attributed to new store openings, as well as solid sales growth.


Domino's has about 4,500 U.S. franchised stores, as well as 390 company-owned stores. Its U.S. sales at stores open at least a year rose 3.3% in the third quarter, and its stock has been trading at the upper end of a 52-week range of $28.17 to $47.91. Its shares rose 8 cents Monday to $46.81.


Pizza Hut is the largest U.S. pizza chain, with an 18% market share, followed by Domino's, at 11%, and Papa John's, at 7%, according to Technomic.


In late 2009, Domino's rolled out a new recipe promising a garlic-seasoned crust, bolder tomato sauce and tastier cheese. The new store format builds on that push to be more transparent, Doyle said.


"Consumers want to see what they're eating," he said. "We've always been known as delivery experts, but a third or more of our orders now are for carryout. We're proud of these pizzas, and we want people to see it."


Seattle resident James Johnson, 28, a longtime Domino's customer, said he welcomes the changes. Johnson stopped by the revamped Domino's on his way home from work last week to pick up dinner.


"You can watch the pizza being made from beginning to end," he said. "It's kind of cool to see, depending on whether you're engaged and not on your cellphone."


Martinez writes for the Seattle Times.





Read More..

Venice program gives the homeless a place to keep belongings









Bone-chilling fog swirled along Venice Beach one recent afternoon when Robert and Nani Valencia and Ana Maria Reyes stopped by the long, metal storage container beside the sand.


After they showed IDs and claim checks, a volunteer wheeled out two blue recycling bins in which the three recent arrivals from Texas had stashed their suitcases. They pulled out toiletries, sweaters and blankets and stuffed them into reusable grocery bags.


"It makes us feel a lot better to store our things here," said Nani Valencia, 37. "When you have all your [suitcases] with you, people treat you like you have rabies."





With bags in hand, she, her husband and his 64-year-old mother joined dozens of others waiting for a bus to take them to a shelter. The three would rest, eat dinner and have a shower that night at the West Los Angeles National Guard Armory on Federal Avenue; most of their meager possessions would remain locked up at the beach.


In the wake of court rulings that bar cities from randomly seizing and destroying homeless people's property, communities such as Venice are seeking long-term storage options to keep their streets and alleys clean.


"We're not going to let [homeless people] keep items on the beach anymore," said Los Angeles Councilman Bill Rosendahl, who represents Venice. "We're going to bag and tag [them]. We want to make it inconvenient but within the law."


Contributing to the problem was a rule governing use of the city's Westside winter shelter.


Homeless individuals who choose to sleep at the shelter are allowed to take with them only the items they can carry on their laps. And some were reluctant to leave their possessions for fear they would be stolen or seized. That meant many of the shelter's 160 beds went unused.


Rosendahl and a local social services agency — Venice Community Housing Corp. — launched a pilot program late last month called Check-in Storage. The initiative allows individuals to store personal belongings in the container for a week at a time and retrieve them between 3 and 5 p.m. daily. (The program is slated to end March 1, when the shelter closes.)


To publicize the service, volunteers and social service agencies distributed bright orange fliers: "If your stuff will fit into a big trash can," they read, "bring it to our storage container." The flier noted that the program would not accept medicine, identification, weapons or "anything illegal."


The storage option, said Steve Clare, executive director of Venice Community Housing, is modeled on successful programs in downtown L.A.'s skid row and cities including San Francisco, San Diego and Costa Mesa.


In September, a federal appeals court ruled in a lawsuit filed against the city of Los Angeles that seizing and destroying property left temporarily unattended on public sidewalks was unconstitutional. Personal possessions may be removed only if the items pose an immediate threat to public safety or health or constitute criminal evidence, a panel of the U.S. 9th Circuit Court of Appeals found.


Even then, the city must notify owners where they can pick up their property.


On the afternoon the Valencias and Reyes retrieved some items, about half of the 25 bins were in use. Also there for safekeeping was a Schwinn bicycle. Its owner, Love Sha Un of Nigeria, came by to check on his $215 purchase and thank the volunteers. Without the storage option, he said, "it might have gone missing."


Not everyone is pleased with the program.


Mark Ryavec, a Venice resident who lobbied against overnight parking by RV dwellers, said the city should have sought a permit from the California Coastal Commission before plopping a storage container at the beach. Marc Saltzberg, vice president of the Venice Neighborhood Council, said the program was implemented without a public process that would have enabled residents and other interested parties to weigh in.


Rosendahl said he hoped to notify street denizens of a new location by the end of February and have a new program up and running by March. He said he was working with the Los Angeles city attorney's office to ensure that any seizures of items would be done legally.


martha.groves@latimes.com





Read More..

Varied winners at Grammy Awards


LOS ANGELES (AP) — The Grammys spread the love.


Fun., who anthemic and semi-dark jam dominated the charts in 2012, was named song of the year. Gotye's massive and oddball pop hit, "Somebody I Used to Know," picked up record of the year. And folk-rockers Mumford & Sons won album of the year for their platinum-selling "Babel."


Fun. also won best new artist, besting Frank Ocean in an upset.


The recording academy had a clear message at its 55th annual Grammy Awards on Sunday night: There are a lot of top acts today with both mainstream appeal and an edge to their music, and the academy was happy to reward them all.


"One after the other, it was like, 'And the Black Keys...,' so I think we just sort of resigned ourselves to like, last year was Adele's year and this year would be the Black Keys," said lead singer Marcus Mumford, who thought his band would lose album of the year to the Black Keys.


Then Mumford added in a loud scream once he learned they won: "It's (expletive) awesome!"


Dan Auerbach of the Black Keys, the night's big winner with four trophies, was one of six acts with the most nominations — six each. He won non-classical producer of the year, while the Black Keys earned the best rock album, song and performance honors.


"Thank you to our families and everybody in Akron, Ohio, and everybody in Nashville," the band's drummer, Patrick Carney, said.


The Black Keys dominated the rock category, while Jay-Z and Kanye West did the same in the rap area. But the pop, country and R&B categories were a reflection of the top four honors, with no single act dominating. Winners in those categories ranged from Adele to Paul McCartney, Carrie Underwood to the Zac Brown Band, and Usher to Miguel.


Ocean, Mumford & Sons, Jay-Z, Kanye West and fun. were also the top nominees of the night, and they won multiple Grammys.


But Ocean — who was anticipated to win best new artist — won two trophies and was restricted to the urban categories. It was another year the Grammys dissed a rap or R&B artist from the top awards. Last year, West lost in an upset and in 2011 it was Eminem.


Ocean's official studio debut, "channel ORANGE," did win best urban contemporary album. He also won best rap/sung collaboration for "No Church In the Wild" with West, Jay-Z and The-Dream.


But the R&B singer released one of the year's most critically revered albums last year, which made several best-of-the-year lists. He also made headlines when he revealed his first love was a man shortly before the album's release.


Ocean's loss to fun. for best new artist was a shock, but the band's win was understood. The pop-rock trio had two of the year's biggest hits with "We Are Young" and "Some Nights." Their sophomore album, "Some Nights," is also near-platinum.


"Making music for 12 years — you don't think you'll get Grammy-nominated," lead singer Nate Ruess said backstage. "Radio and mainstream just kind of picked up on (us) and it feels good for us after 12 years of people kind of just ignoring you and always feeling like you're kind of the bridesmaid."


Like fun., Gotye had a monstrous hit with the Kimbra-assisted "Somebody that I Used to Know," and it won record of the year and best pop duo/group collaboration. His album, "Making Mirrors," won best alternative music album.


Gotye's three wins were joined by Black Keys, West, Jay-Z and Skrillex, who picked up the same trophies he won last year.


"You know what, I thought I'd get used to it, but I tripped over every word when I was up there. I felt like I just wanted a pool of ice water and just couldn't even breathe or think," said the electronic-DJ, who won best dance recording, dance/electronica album and remixed recording. "It was crazy. I think it was even crazier than last year."


Double winners included Ocean, fun., Mumford & Sons, Chick Corea, Esperanza Spalding and Matt Redman.


The various winners of the night were hard to predict. Mumford & Sons won album of the year, though the band lost best Americana album to Bonnie Raitt. And fun. won song of the year and best new artist, but lost best pop vocal album to Kelly Clarkson.


The performances — like usual — was also a reflection of diversity in music: Taylor Swift opened with her pop smash "We Are Never Ever Getting Back Together" and Miguel sang his R&B hit "Adorn" onstage and off of it.


"Miguel, I don't know who the hell you are, but we need to sing together," Clarkson said when accepting an award. "I mean, good god. That was the sexiest dancing I've ever seen."


The night's most memorable performance was the tribute to Levon Helm, which featured Elton John, Mumford & Sons, T Bone Burnett and the raspy vocals of Mavis Staples and Brittany Howard of Alabama Shakes.


They earned a standing ovation. Jack White, who was nominated for the album of the year, was also well-received Sunday night.


Justin Timberlake made a return to the Grammy stage, performing his new hit "Suit & Tie" and a new song, the falsetto-heavy "Push Your Love Girl." Jay-Z joined the pop star onstage, and there were more collaborations like it throughout the night.


Alicia Keys joined Maroon 5, Miranda Lambert sang with Dierks Bentley, and Rihanna, Bruno Mars and Sting paid tribute to Bob Marley. They were joined by Damian and Ziggy Marley. The crowd sang along during "Could You Be Loved."


Adele, who was last year's big winner with six trophies, won best pop performance for "Set Fire to the Rain (Live)." She said backstage that she's enjoying motherhood and is at the beginning stages of recording her next album.


"I've been up since 6 a.m. so I'm quite tired. But it's nice, I haven't been as stressed out," she said. "You kind of have to prioritize what you stress about and worry about when you have a child."


___


Online:


http://grammys.com


___


Follow Mesfin Fekadu on twitter.com/MusicMesfin


Read More..

Well: Getting the Right Addiction Treatment

“Treatment is not a prerequisite to surviving addiction.” This bold statement opens the treatment chapter in a helpful new book, “Now What? An Insider’s Guide to Addiction and Recovery,” by William Cope Moyers, a man who nonetheless needed “four intense treatment experiences over five years” before he broke free of alcohol and drugs.

As the son of Judith and Bill Moyers, successful parents who watched helplessly during a 15-year pursuit of oblivion through alcohol and drugs, William Moyers said his near-fatal battle with addiction demonstrates that this “illness of the mind, body and spirit” has no respect for status or opportunity.

“My parents raised me to become anything I wanted, but when it came to this chronic incurable illness, I couldn’t get on top of it by myself,” he said in an interview.

He finally emerged from his drug-induced nadir when he gave up “trying to do it my way” and instead listened to professional therapists and assumed responsibility for his behavior. For the last “18 years and four months, one day at a time,” he said, he has lived drug-free.

“Treatment is not the end, it’s the beginning,” he said. “My problem was not drinking or drugs. My problem was learning how to live life without drinking or drugs.”

Mr. Moyers acknowledges that treatment is not a magic bullet. Even after a monthlong stay at a highly reputable treatment center like Hazelden in Center City, Minn., where Mr. Moyers is a vice president of public affairs and community relations, the probability of remaining sober and clean a year later is only about 55 percent.

“Be wary of any program that claims a 100 percent success rate,” Mr. Moyers warned. “There is no such thing.”

“Treatment works to make recovery possible. But recovery is also possible without treatment,” Mr. Moyers said. “There’s no one-size-fits-all approach. What I needed and what worked for me isn’t necessarily what you or your loved one require.”

As with many smokers who must make multiple attempts to quit before finally overcoming an addiction to nicotine, people hooked on alcohol or drugs often must try and try again.

Nor does treatment have as good a chance at succeeding if it is forced upon a person who is not ready to recover. “Treatment does work, but only if the person wants it to,” Mr. Moyers said.

Routes to Success

For those who need a structured program, Mr. Moyers described what to consider to maximize the chances of overcoming addiction to alcohol or drugs.

Most important is to get a thorough assessment before deciding where to go for help. Do you or your loved one meet the criteria for substance dependence? Are there “co-occurring mental illnesses, traumatic or physical disabilities, socioeconomic influences, cultural issues, or family dynamics” that may be complicating the addiction and that can sabotage treatment success?

While most reputable treatment centers do a full assessment before admitting someone, it is important to know if the center or clinic provides the services of professionals who can address any underlying issues revealed by the assessment. For example, if needed, is a psychiatrist or other medical doctor available who could provide therapy and prescribe medication?

Is there a social worker on staff to address challenging family, occupational or other living problems? If a recovering addict goes home to the same problems that precipitated the dependence on alcohol or drugs, the chances of remaining sober or drug-free are greatly reduced.

Is there a program for family members who can participate with the addict in learning the essentials of recovery and how to prepare for the return home once treatment ends?

Finally, does the program offer aftercare and follow-up services? Addiction is now recognized to be a chronic illness that lurks indefinitely within an addict in recovery. As with other chronic ailments, like diabetes or hypertension, lasting control requires hard work and diligence. One slip need not result in a return to abuse, and a good program will help addicts who have completed treatment cope effectively with future challenges to their recovery.

How Families Can Help

“Addiction is a family illness,” Mr. Moyers wrote. Families suffer when someone they love descends into the purgatory of addiction. But contrary to the belief that families should cut off contact with addicts and allow them to reach “rock-bottom” before they can begin recovery, Mr. Moyers said that the bottom is sometimes death.

“It is a dangerous, though popular, misconception that a sick addict can only quit using and start to get well when he ‘hits bottom,’ that is, reaches a point at which he is desperate enough to willingly accept help,” Mr. Moyers wrote.

Rather, he urged families to remain engaged, to keep open the lines of communication and regularly remind the addict of their love and willingness to help if and when help is wanted. But, he added, families must also set firm boundaries — no money, no car, nothing that can be quickly converted into the substance of abuse.

Whether or not the addict ever gets well, Mr. Moyers said, “families have to take care of themselves. They can’t let the addict walk over their lives.”

Sometimes families or friends of an addict decide to do an intervention, confronting the addict with what they see happening and urging the person to seek help, often providing possible therapeutic contacts.

“An intervention can be the key that interrupts the process and enables the addict to recognize the extent of their illness and the need to take responsibility for their behavior,”Mr. Moyers said.

But for an intervention to work, Mr. Moyers said, “the sick person should not be belittled or demeaned.” He also cautioned families to “avoid threats.” He noted that the mind of “the desperate, fearful addict” is subsumed by drugs and alcohol that strip it of logic, empathy and understanding. It “can’t process your threat any better than it can a tearful, emotional plea.”

Resource Network

Mr. Moyer’s book lists nearly two dozen sources of help for addicts and their families. Among them:

Alcoholics Anonymous World Services www.aa.org;

Narcotics Anonymous World Services www.na.org;

Substance Abuse and Mental Health Services Administration treatment finder www.samhsa.gov/treatment/;

Al-Anon Family Groups www.Al-anon.alateen.org;

Nar-Anon Family Groups www.nar-anon.org;

Co-Dependents Anonymous World Fellowship www.coda.org.


This is the second of two articles on addiction treatment. The first can be found here.

Read More..

Dozens of airline fees rose or changed in 2012, study finds









Airline travel fees — including charges to check a bag and to board early — have become so prevalent that travelers almost need an advanced degree in mathematics to calculate overall trip costs.


Last year at least 36 airline fees increased, and 16 others were redefined, bundled or unbundled with other services, according to a recent study by the consumer travel website Travelnerd.


One bright spot in the Travelnerd study of 14 U.S. airlines is that most fee increases were only $5 to $10 each.





In one case an airline had a big fee reduction. The study found that United Airlines reduced its fee for checking an overweight bag to $100 from $200 for bags 50 to 70 pounds and to $200 from $400 for bags 71 to 100 pounds.


"Travelers really have to be extra cautious when booking a flight," said Alicia Jao, vice president of travel media at Travelnerd, who predicts travelers will see even more fees in 2013. "U.S. carriers are becoming creative at charging consumers extra fees."


But some airlines seem to charge fees arbitrarily, said Perach Mazol, a Los Angeles resident who recently flew to Florida with friends from Romania to take a cruise.


On her flight from L.A. to Fort Lauderdale, Fla., on Spirit Airlines, she said the Florida airline did not charge for the carry-on bags she and her friends were carrying, but the carrier asked for $50 each to carry the same bags on the flight back. (Spirit is one of only two airlines in the U.S. that charge passengers for carry-on luggage.)


"I don't understand why they charged us on one flight and they don't on the other," Mazol said. "It's confusing."


A spokeswoman for Spirit said the airline tries to enforce its policies consistently.


"Maybe she got lucky one way and didn't have to pay," Spirit spokeswoman Misty Pinson said.


United offering satellite-based Wi-Fi


United Airlines was one of the last major airlines to offer onboard wireless Internet. But the Chicago carrier is trying to make up for its tardiness.


United offers Wi-Fi in about 3% of its fleet of about 700 planes, one of the lowest rates of any major carrier in the nation, according to a recent study.


But United recently became the first U.S.-based international carrier to offer satellite-based Wi-Fi Internet for passengers traveling on long-haul overseas flights.


The carrier has installed satellite-based Wi-Fi on nearly a dozen planes, with plans to expand the service to more than 300 planes, or about 43% of the fleet, by the end of the year.


"With this new service, we continue to build the airline that customers want to fly," said Jim Compton, vice chairman and chief revenue officer at United.


Satellite-based Wi-Fi is typically as fast as ground-based Wi-Fi, experts say, but the advantage is that it can give passengers Internet access when flying over areas where cellular towers don't exist — such as the Pacific or Atlantic oceans.


But, of course, there is a price to pay for the service.


United is charging $3.99 to $14.99 for standard speed, depending on the duration of the flight, and $5.99 to $19.99 for faster speeds.


United is not the only airline to offer satellite-based Wi-Fi. Southwest Airlines, the nation's largest domestic carrier, offers it through Westlake Village-based Row 44.


Delta to raise fee to access lounges


Airline fees are rising not only for onboard services but for amenities at the airport too.


Delta Air Lines, which has invested more than $20 million in its airport lounges over the last two years, announced that it would raise the cost for annual membership to access its lounges across the country by $50, starting March 1.


The increase means that an annual membership will range from $350 to $450, depending on membership level. (The more miles passengers fly on Delta the less they pay for membership.)


Among the investments Delta has made is the addition of a new luxury bar that opened recently at Delta's lounge at Los Angeles International Airport. Instead of helping themselves at a self-serve bar, members can now belly up to a fully stocked bar and order a drink from a bartender.


hugo.martin@latimes.com





Read More..