Elwood V. Jensen, Pioneer in Breast Cancer Treatment, Dies at 92


Tony Jones/Cincinnati Enquirer, via Associated Press


Elwood V. Jensen in 2004.







Elwood V. Jensen, a medical researcher whose studies of steroid hormones led to new treatments for breast cancer that have been credited with saving or extending hundreds of thousands of lives, died on Dec. 16 in Cincinnati. He was 92.




The cause was complications of pneumonia, his son, Thomas Jensen, said.


In 2004 Dr. Jensen received the Albert Lasker Basic Medical Research Award, one of the most respected science prizes in the world.


When Dr. Jensen started his research at the University of Chicago in the 1950s, steroid hormones, which alter the functioning of cells, were thought to interact with cells through a series of chemical reactions involving enzymes.


However, Dr. Jensen used radioactive tracers to show that steroid hormones actually affect cells by binding to a specific receptor protein inside them. He first focused on the steroid hormone estrogen.


By 1968, Dr. Jensen had developed a test for the presence of estrogen receptors in breast cancer cells. He later concluded that such receptors were present in about a third of those cells.


Breast cancers that are estrogen positive, meaning they have receptors for the hormone, can be treated with medications like Tamoxifen or with other methods of inhibiting estrogen in a patient’s system, like removal of the ovaries. Women with receptor-rich breast cancers often go into remission when estrogen is blocked or removed.


By the mid-1980s, a test developed by Dr. Jensen and a colleague at the University of Chicago, Dr. Geoffrey Greene, could be used to determine the extent of estrogen receptors in breast and other cancers. That test became a standard part of care for breast cancer patients.


Scientists like Dr. Pierre Chambon and Dr. Ronald M. Evans, who shared the 2004 Lasker prize with Dr. Jensen, went on to show that many types of receptors exist. The receptors are crucial components of the cell’s control system and transmit signals in an array of vital functions, from the development of organs in the womb to the control of fat cells and the regulation of cholesterol.


Dr. Jensen’s work also led to the development of drugs that can enhance or inhibit the effects of hormones. Such drugs are used to treat prostate and other cancers.


Elwood Vernon Jensen was born in Fargo, N.D., on Jan. 13, 1920, to Eli and Vera Morris Jensen. He majored in chemistry at what was then Wittenberg College in Springfield, Ohio, and had begun graduate training in organic chemistry at the University of Chicago when World War II began.


Dr. Jensen wanted to join the Army Air Forces, but his poor vision kept him from becoming a pilot. During the war he synthesized poison gases at the University of Chicago, exposure to which twice put him in the hospital. His work on toxic chemicals, he said, inspired him to pursue biology and medicine.


Dr. Jensen studied steroid hormone chemistry at the Swiss Federal Institute of Technology on a Guggenheim Fellowship after the war. While there, he climbed the Matterhorn, one of the highest peaks in the Alps, even though he had no mountaineering experience. He often equated his successful research to the novel approach taken by Edward Whymper, the first mountaineer to reach the Matterhorn’s summit. Mr. Whymper went against conventional wisdom and scaled the mountain’s Swiss face, after twice failing to reach the summit on the Italian side.


Dr. Jensen joined the University of Chicago as an assistant professor of surgery in 1947, working closely with the Nobel laureate Charles Huggins. He became an original member of the research team at the Ben May Laboratory for Cancer Research (now the Ben May Department for Cancer Research) in 1951, and became the director after Dr. Huggins stepped down.


He came to work at the University of Cincinnati in 2002, and continued to do research there until last year.


His first wife, the former Mary Collette, died in 1982. In addition to his son, Dr. Jensen is survived by his second wife, the former Hiltrud Herborg; a daughter, Karen C. Jensen; a sister, Margaret Brennan; two grandchildren; and three great-grandchildren.


Dr. Jensen’s wife was found to have breast cancer in 2005. She had the tumor removed, he said in an interview, but tested positive for the estrogen receptor and was successfully treated with a medication that prevents estrogen synthesis.


Read More..

Home of the Week: the Venice landmark Lantern House









The Lantern House, used as a single-family compound but legally a trio of cottages, has become a Venice landmark over the years. The funky vibed, colorful dwelling is being offered fully furnished, including the larger-than-life movie props, artwork and fountains.


Location: 745 Milwood Ave., Venice 90291


Asking price: $5.4 million





Year built: 1923


Last sold: 1988, for $232,000


Cottage sizes: Unit 1: one bedroom, one bathroom; Unit 2: one bedroom, one bathroom; Unit 3: one bedroom, one half-bath


Lot size: 5,399 square feet


Features: Den/office, dining room, living room, eat-in kitchen, vaulted ceilings, skylights, French doors, five fireplaces, lantern-filled trees, extensive decking, outdoor dining room, lighted deck stair risers, decorative wrought-iron gates, outdoor bathtub


About the area: In the third quarter, 59 single-family homes sold in the 90291 ZIP Code at a median price of $1 million, according to DataQuick. That was a 2.8% increase from the third quarter last year.


Agent: Richard Stanley, Coldwell Banker, (213) 300-4567


—Lauren Beale


To submit a candidate for Home of the Week, send high-resolution color photos on a CD, written permission from the photographer to publish the images and a description of the house to Lauren Beale, Business, Los Angeles Times, 202 W. 1st St., Los Angeles, CA 90012. Send questions to homeoftheweek@latimes.com.





Read More..

Medical board appeals to public to combat prescription overdoses









In an appeal for the public's help in stemming the epidemic of prescription drug deaths, the Medical Board of California is asking people whose relatives died of overdoses to contact the board if they believe excessive prescribing or other physician misconduct contributed to the deaths.


Linda K. Whitney, the board's executive director, urged those with information about improper treatment to contact the board without delay. By law, the agency has seven years from the time of the alleged misconduct to take disciplinary action against a physician.


"The sooner we get the information, the sooner we can move forward," she said in an interview.








Whitney also said board investigators would review autopsies and other records on specific overdose deaths described in recent articles in the Los Angeles Times.


She said the board, which licenses and oversees California physicians, was acting in response to reports in The Times that documented the connection between doctors' prescribing practices and fatal overdoses involving OxyContin, Vicodin and other narcotic painkillers.


Whitney said members of the public can report concerns about excessive prescribing by calling 1-800-633-2322 or filling out and mailing a complaint form, which can be downloaded from the agency's website, http://www.mbc.ca.gov.


A revolution in treatment of chronic pain has caused a huge increase in prescriptions for pain and anxiety medications. There has been an accompanying sharp rise in prescription drug deaths over the last decade.


In response, authorities have focused on how addicts and drug dealers obtain such drugs illegally, such as by stealing from pharmacies or relatives' medicine cabinets. The Times articles reported that many fatal overdoses stem from drugs prescribed for the deceased by a doctor.


In nearly half of the prescription drug deaths in four Southern California counties from 2006 through 2011, medications prescribed by doctors caused or contributed to the death, according to an analysis of coroners' records.


Seventy-one doctors, a tiny fraction of all practicing physicians in the four counties, were associated with a disproportionate number of deaths, The Times found.


Sixteen patients of a Huntington Beach pain specialist died of overdoses from 2006 through 2011 after taking medications he prescribed. A San Diego County doctor lost 15 patients to overdoses, a Westminster physician 14, coroners' records show.


All three doctors have clean records with the medical board, and there is no evidence that board officials knew about the deaths.


That medical regulators could be unaware of clusters of fatal overdoses underscores gaps in the state's system of physician oversight.


Drugs fatalities are documented in great detail in county coroners' files, which in many cases list medications found at the scene of death, along with the name of the prescribing doctor. But medical board investigators do not review those files to look for patterns of reckless prescribing or other inappropriate treatment.


Whitney said the board would like to receive reports from county coroners on all prescription overdose deaths. State Sen. Curren Price, (D-Los Angeles), responding to the Times coverage, has promised to introduce a bill that would require such reports.


A fatal overdose does not necessarily mean a doctor did anything wrong, Whitney said. Board investigators must review patient records to determine whether physician misconduct contributed to a death, she said.


Public participation will aid such investigations, she said, because investigators can gain access to a physician's patient files more readily if a family member has granted consent.


In addition, family members may be able to contribute information about overdose deaths that is not in coroners' files. Tips from relatives could also be valuable in calling attention to previously overlooked cases, Whitney said.


Julianne D'Angelo Fellmeth, a public interest lawyer who has monitored the medical board for the state Legislature, called Whitney's announcement a "good first step," adding: "They need this information."


But Fellmeth said the board may be hindered in its investigative efforts by the effects of years of budget cuts.


The agency has fewer investigators than it did in 2001 and investigates about 40% fewer misconduct cases per year, according to board data. Over the same period, the number of licensed physicians in California has risen to more than 102,000.


"They should be actively seeking to restore the number of investigators' positions that they had before and increase those to keep up with the increase in the physician population," Fellmeth said. "It's not acceptable to have the ranks of medical investigators decrease in the face of this kind of misconduct and abuse."


From the time the board receives a complaint, it takes nearly a year on average for an investigation to be completed. In some cases, doctors under investigation for excessive prescribing have lost several patients to drug overdoses by the time the board took disciplinary action.


scott.glover@latimes.com


lisa.girion@latimes.com





Read More..

iPad mini met with ‘insatiable’ demand in China







Despite a “soft” launch with few lines and seemingly abundant availability, China is going crazy for the iPad mini according Topeka Capital Markets analyst Brian White. His checks in China and Hong Kong reveal consumers are snapping up iPad minis at rapid rates, causing short supply, even with Apple (AAPL) opening two new retail stores in Hong Kong and three in China. White wrote in a research note on Friday that the iPad mini was sold-out at virtually all Apple Stores in both regions this week and is already more popular than the fourth-generation iPad thanks to the tablet’s smaller size and lower price.


[More from BGR: The Boy Genius Report: The Wii U is Nintendo’s last console]






[More from BGR: Samsung could face $ 15 billion fine for trying to ban iPhone, other Apple devices]


Additionally, White’s research shows iPhone 5 supply has improved to the point where anyone can walk into an Apple Store and buy one on the spot.


“After the Galaxy S III and Galaxy Note I/II became more popular than the iPhone 4S in recent months, our discussions now indicate that the iPhone 5 has recently become the most popular high-end smartphone at the resellers that we spoke with,” White in his note.


This article was originally published by BGR


Gadgets News Headlines – Yahoo! News





Title Post: iPad mini met with ‘insatiable’ demand in China
Rating:
100%

based on 99998 ratings.
5 user reviews.
Author: Fluser SeoLink
Thanks for visiting the blog, If any criticism and suggestions please leave a comment




Read More..

FBI removes many redactions in Marilyn Monroe file


LOS ANGELES (AP) — FBI files on Marilyn Monroe that could not be located earlier this year have been found and re-issued, revealing the names of some of the movie star's communist-leaning friends who drew concern from government officials and her own entourage.


But the records, which previously had been heavily redacted, do not contain any new information about Monroe's death 50 years ago. Letters and news clippings included in the files show the bureau was aware of theories the actress had been killed, but they do not show that any effort was undertaken to investigate the claims. Los Angeles authorities concluded Monroe's death was a probable suicide.


Recently obtained by The Associated Press through the Freedom of Information Act, the updated FBI files do show the extent the agency was monitoring Monroe for ties to communism in the years before her death in August 1962.


The records reveal that some in Monroe's inner circle were concerned about her association with Frederick Vanderbilt Field, who was disinherited from his wealthy family over his leftist views.


A trip to Mexico earlier that year to shop for furniture brought Monroe in contact with Field, who was living in the country with his wife in self-imposed exile. Informants reported to the FBI that a "mutual infatuation" had developed between Field and Monroe, which caused concern among some in her inner circle, including her therapist, the files state.


"This situation caused considerable dismay among Miss Monroe's entourage and also among the (American Communist Group in Mexico)," the file states. It includes references to an interior decorator who worked with Monroe's analyst reporting her connection to Field to the doctor.


Field's autobiography devotes an entire chapter to Monroe's Mexico trip, "An Indian Summer Interlude." He mentions that he and his wife accompanied Monroe on shopping trips and meals and he only mentions politics once in a passage on their dinnertime conversations.


"She talked mostly about herself and some of the people who had been or still were important to her," Field wrote in "From Right to Left." ''She told us about her strong feelings for civil rights, for black equality, as well as her admiration for what was being done in China, her anger at red-baiting and McCarthyism and her hatred of (FBI director) J. Edgar Hoover."


Under Hoover's watch, the FBI kept tabs on the political and social lives of many celebrities, including Frank Sinatra, Charlie Chaplin and Monroe's ex-husband Arthur Miller. The bureau has also been involved in numerous investigations about crimes against celebrities, including threats against Elizabeth Taylor, an extortion case involving Clark Gable and more recently, trying to solve who killed rapper Notorious B.I.G.


The AP had sought the removal of redactions from Monroe's FBI files earlier this year as part of a series of stories on the 50th anniversary of Monroe's death. The FBI had reported that it had transferred the files to a National Archives facility in Maryland, but archivists said the documents had not been received. A few months after requesting details on the transfer, the FBI released an updated version of the files that eliminate dozens of redactions.


For years, the files have intrigued investigators, biographers and those who don't believe Monroe's death at her Los Angeles area home was a suicide.


A 1982 investigation by the Los Angeles District Attorney's Office found no evidence of foul play after reviewing all available investigative records, but noted that the FBI files were "heavily censored."


That characterization intrigued the man who performed Monroe's autopsy, Dr. Thomas Noguchi. While the DA investigation concluded he conducted a thorough autopsy, Noguchi has conceded that no one will likely ever know all the details of Monroe's death. The FBI files and confidential interviews conducted with the actress' friends that have never been made public might help, he wrote in his 1983 memoir "Coroner."


"On the basis of my own involvement in the case, beginning with the autopsy, I would call Monroe's suicide 'very probable,'" Noguchi wrote. "But I also believe that until the complete FBI files are made public and the notes and interviews of the suicide panel released, controversy will continue to swirl around her death."


Monroe's file begins in 1955 and mostly focuses on her travels and associations, searching for signs of leftist views and possible ties to communism. One entry, which previously had been almost completely redacted, concerned intelligence that Monroe and other entertainers sought visas to visit Russia that year.


The file continues up until the months before her death, and also includes several news stories and references to Norman Mailer's biography of the actress, which focused on questions about whether Monroe was killed by the government.


For all the focus on Monroe's closeness to suspected communists, the bureau never found any proof she was a member of the party.


"Subject's views are very positively and concisely leftist; however, if she is being actively used by the Communist Party, it is not general knowledge among those working with the movement in Los Angeles," a July 1962 entry in Monroe's file states.


___


Anthony McCartney can be reached at http://twitter.com/mccartneyAP


Read More..

Cedd Moses operates some of the hippest bars in downtown L.A.









The gig: Founder and chief executive of the 213 Nightlife Group, which operates some of hippest cocktail lounges in downtown Los Angeles, including Seven Grand Whiskey Bar, the Golden Gopher and the Broadway Bar. The bars owned by Cedd Moses, 52, are typically converted from dilapidated empty buildings. They have contributed to the revitalization of the downtown area and helped promote an emerging craft cocktail culture in Los Angeles. "People thought I was crazy," Moses said. "I was making a good living at the time, but I left to go pour drinks on skid row."


Background: Moses was born in Bristol, Va., a town in the Blue Ridge Highlands of southwestern Virginia on the border with Tennessee. But he was raised in Venice during the burgeoning art scene of the 1960s, and most members of his family are artists. His father is the famous Abstract Expressionist painter Ed Moses, who taught him to be fearless in professional life. "I saw how successful my father was at doing something he loved," Moses said. "I wanted that in my career."


Investments: After graduating from UCLA with degrees in mechanical engineering and computer science, Moses worked as a money manager for Portfolio Advisory Services, a Los Angeles investment management company. Living in Venice in 1996, Moses and a friend from his high school grew tired of running to Hollywood to hit nightspots. "There were no decent bars on the Westside at that time," he said. "They were either complete dive bars or hotel bars that felt too snooty."





First step: Moses and his buddy decided to fix the problem themselves. With $25,000 each, they opened Liquid Kitty in West L.A. Moses refined the bar into what he liked: low-key lighting, robust underground music selection and martinis that nearly knock customers off their bar stools. "Even back then, I wanted a bar that's less trendy and more timeless," Moses said. It was an immediate hit.


The leap: The success of Liquid Kitty enabled Moses to open a lounge in Beverly Hills, a swanky martini spot called C-Bar. He was still working as a money manager but by then he had moved to Silver Lake and began to look eastward. "It felt like the Eastside was more of my home," Moses said. "I went downtown a lot and saw huge potential."


Major cities such as New York and Chicago have sprawling downtown neighborhoods flush with hip nightspots, but downtown Los Angeles was downtrodden and barren, he said. So in 1999, after the city approved the Adaptive Reuse Ordinance, Moses set up 213 Nightlife Group with the intention of establishing 10 bars in the downtown area. "I wanted to create downtown as more of destination spot," he said, "Somewhere people could bar hop and go from one place to another."


The payoff: Moses quit his day job and dedicated himself to running his latest venture, the Golden Gopher, a former biker bar with a liquor license that was first issued in 1905. His formula proved true once again. The Golden Gopher has muted lighting, exposed brick and glossy black tile, giving it a gritty dive-bar feel. But the drinks are made from top-shelf liquor, drawing a clientele that can afford them.


Today about 200 people work at the 10 bars and two restaurants that comprise 213 Nightlife Group, which Moses owns with Mark Verge and Eric Needleman.


Word to the wise: "A good bar has to feel like it's been there a while. It has to feel like it's part of the fabric of the neighborhood," Moses said. "If you're gearing toward making something cool, you're probably going to fail."


With Cole's French dip restaurant, Moses took a place that had been housed since 1908 in the basement of the Pacific Electric building, once the nerve center of the Pacific Electric railway network. It had fallen on hard times, but Moses restored the original glass lighting, penny-tile floors and 40-foot mahogany bar to get the place back on its feet. "Seeing a place get restored is a great feeling," he said. "That was part of my vision when we first started."


Spare time: When he's not inside a bar or boardroom, Moses can be found playing squash or at the horse racing track. He's also on the board of directors of the Los Angeles Conservancy and chairman of the American Arts Documentary Foundation, a nonprofit organization that documents contemporary art


Next leap: Moses is taking one of his best-known downtown spots, Seven Grand Whiskey Bar, and expanding the brand. The bar, with its hunting-lodge decor and first-rate whiskey selection, has already opened a location in San Diego. Another one is expected to open at Los Angeles International Airport sometime next year.


"You can't be afraid to take risks," Moses said. "In business in general, you must follow your passion. You'll have a better chance of being successful."


william.hennigan@latimes.com





Read More..

Fiscal standoff leaves U.S. payrolls in doubt









WASHINGTON — If the nation goes over the "fiscal cliff," some Americans will wake up Tuesday with financial headaches to rival a New Year's Eve hangover.


More than 2 million long-term jobless would receive their final unemployment benefit check within days. Millions of taxpayers would be unable to file their returns early, resulting in delayed refunds. Taxes would rise immediately on workers across the board. And although some of those increases may eventually be reversed, the first paychecks of the year would be smaller until any legislative fixes kick in.


Even if the crisis is resolved quickly after the new year as pressure mounts on President Obama and lawmakers, it poses a short-term administrative nightmare for businesses. And it would be a financial blow to millions of people struggling to make ends meet in the aftermath of the Great Recession.





"As a working-class person, I would miss any money taken out of my paycheck," said Stephanie Smith, an office administrator in Sacramento. "I just feel that we're already paying high taxes, and it feels like we're still in a recession. Everybody wants to take money out of our paychecks, but nobody wants to put more in."


As the White House and Congress try to avoid the large tax increases and federal spending cuts coming next week, taxpayers, businesses and even the Internal Revenue Service are scrambling to figure out the effects if an agreement is not reached.


The fiscal pain could be averted by a last-minute deal. And even if there is none by Tuesday, Washington policymakers could retroactively reduce tax rates if they ultimately make a deal. But the uncertainty and short-term loss of income could damage an already fragile economy.


Some effects:


Income taxes: Rates would rise on everyone as the George W. Bush-era tax cuts expire. Middle-income households would get hit hard, paying about $1,500 more a year in taxes.


Payroll taxes: Rates would increase by 2 percentage points with the lapse of a temporary, two-year tax cut designed to boost the economy. Workers making $50,000 annually would take home about $40 less every two weeks.


Long-term unemployment benefits: Checks would abruptly end for people receiving extra federal aid — as much as 47 additional weeks of benefits in states such as California. State benefits of up to 26 weeks would still be available, but workers would be out of luck once those run out.


Alternative minimum tax: The number of people facing the provision would skyrocket to about 33 million next year from 4 million this year. The tax, enacted in 1969, was designed to make sure the very wealthy paid some income tax. But it was not indexed to inflation and needs to be fixed each year to avoid ensnaring middle-income households.


Although Congress at some point is expected to spare most of those people from that tax, delays in doing so mean that as many as 100 million people might not be able to file their returns until the end of March or later, according to the IRS. Delays would come as the IRS has to reprogram its system, as well as for taxpayers who would have to do special calculations to determine whether they owe money because of the tax.


Business already are struggling to adjust. They've got to figure out how much in federal taxes to withhold from employee paychecks starting next week. But as of Thursday, the IRS still had not told employers what the 2013 withholding levels would be.


That limbo is particularly vexing for small firms as Golden State Magnetic & Penetrant. The Los Angeles company inspects, cleans and paints aircraft and aerospace components. The firm's president, Joanne Weinoe, does the payroll for herself and her 12 employees. At present, she doesn't know what the withholding should be for the next set of checks she cuts.


"I'm going to tear my hair out of my head and shoot myself," Weinoe joked, adding she'll wait until the morning of Jan. 4, her next payday, before she makes any changes.


"If I have to adjust them, it'll be additional work for me," she said. "Every time they change something, it becomes more work for employers."


The IRS said it continued "to closely monitor the situation" and would "issue guidance by the end of the year."


Workers might not see the new income tax rates immediately reflected in their paychecks. The American Payroll Assn. is advising its members to continue to use 2012 withholding tables until they hear differently from the IRS.


The payroll service Payality Inc., with headquarters in Fresno County, is urging its 700 clients with 25,000 employees throughout the state to hold off on issuing paychecks and making direct deposits for January as long as they can in hopes that lawmakers and the Obama administration will strike a deal.


"We should have some direction by Dec. 31," company President Chet Reilly said. "Then we'll have to scramble as fast as we can."





Read More..

Apple loses another copyright lawsuit in China: Xinhua






SHANGHAI (Reuters) – A Chinese court has fined Apple Inc 1 million yuan ($ 160,400) for hosting third-party applications on its App Store that were selling pirated electronic books, the official Xinhua news agency reported on Friday.


Apple is to pay compensation to eight Chinese writers and two companies for violating their copyrights, the Beijing No.2 Intermediate People’s Court ruled on Thursday, Xinhua said.






Earlier in the year, a group of Chinese authors filed the suit against Apple, saying an unidentified number of apps on its App Store sold unlicensed copies of their books. The group of eight authors was seeking 10 million yuan in damages.


“We are disappointed at the judgment. Some of our best-selling authors only got 7,000 yuan. The judgment is a signal of encouraging piracy,” Bei Zhicheng, a spokesman for the group, told Reuters.


Apple said in a statement that it takes copyright infringement complaints “very seriously”.


“We’re always updating our service to better assist content owners in protecting their rights,” Apple spokeswoman Carolyn Wu said.


China has the world’s largest Internet and mobile market by number of users, but piracy costs software companies billions of dollars each year.


Apple, whose products enjoy great popularity in China, has faced a string of legal headaches this year. In July, Apple paid 60 million yuan to a Chinese firm, Proview Technology, to settle a long-running lawsuit over the iPad trademark in China.


($ 1 = 6.2360 Chinese yuan)


(Reporting by Shanghai Newsroom and Melanie Lee; Editing by Kazunori Takada and Matt Driskill)


Tech News Headlines – Yahoo! News





Title Post: Apple loses another copyright lawsuit in China: Xinhua
Rating:
100%

based on 99998 ratings.
5 user reviews.
Author: Fluser SeoLink
Thanks for visiting the blog, If any criticism and suggestions please leave a comment




Read More..

Katie Holmes' Broadway play 'Dead Accounts' closes


NEW YORK (AP) — Katie Holmes' return to Broadway will be much shorter than she would have liked.


The former Mrs. Cruise's play "Dead Accounts" will close within a week of the new year. Producers said Thursday that Theresa Rebeck's drama will close on Jan. 6 after 27 previews and 44 performances.


The show, which opened to poor reviews on Nov. 29, stars Norbert Leo Butz as Holmes' onstage brother who returns to his Midwest home with a secret. Rebeck created the first season of NBC's "Smash" and several well-received plays including "Seminar" and "Mauritius."


Holmes, who became a star in the teen soap opera "Dawson's Creek," made her Broadway debut in the 2008 production of "All My Sons." She was married to Tom Cruise from 2006 until this year.


___


Online: http://www.deadaccountsonbroadway.com


Read More..

The New Old Age Blog: United States Lags in Alzheimer's Support

This month, the United States Senate Special Committee on Aging released a report examining how five nations — the United States, Australia, France, Japan and Britain — are responding to growing numbers of older adults with Alzheimer’s disease and dementia.

Every country has a strategy, but some are much further ahead than others. Notably, France began addressing Alzheimer’s disease and dementia in 2001 and is in the midst of carrying out its third national plan. (Scroll down at this link to find the English version of the 2008-2012 French plan.)

By contrast, the United States released its first national plan to address Alzheimer’s in May.

The Senate report highlights several trends under way in all five countries, including efforts to coordinate research more effectively, diagnose Alzheimer’s disease more reliably and improve training in dementia care by medical practitioners.

Most relevant to readers of this blog is another trend with increasing international scope: an accelerating effort to keep patients with Alzheimer’s disease and other forms of dementia at home and arrange for care and treatment there, rather than in institutions.

Anyone who’s followed reader response to Jane Brody’s column this week on aging in place knows the burden that this can place on families, especially if government support for home-based services (companions or home health aides who help with bathing, dressing, toileting and other tasks), adult day care or respite care is scarce or nonexistent, as is the case for most middle-class families in the United States.

Is care at home for patients with Alzheimer’s necessarily more humane? Only if caregivers have the resources — financial, physical and emotional — to handle this draining, exhausting, immeasurably difficult job. And only if the institutions that serve people with more advanced forms of Alzheimer’s disease and other types of dementia are so poorly financed, staffed and operated that we wouldn’t feel comfortable leaving loved ones in their care.

Three charts in the new Senate report underscore the extent to which the United States differs from other countries in what is expected of family caregivers. The first, on Page 60, shows countries’ support for paid long-term care services for residents age 65 and older. This includes all residents who need long-term care, including those with Alzheimer’s disease, other forms of dementia and other disabling chronic illnesses. Not included are services provided by unpaid family caregivers.

Look at where the United States ranks compared with Australia, Japan, France and the 30 other developed countries that belong to the Organization for Economic Cooperation and Development. Paid support for long-term care is much less in our country than in theirs.

The second chart, on Page 64, gives a sense of how much paid support for long-term care is provided in people’s homes. Again, the data is not specific to Alzheimer’s disease or dementia, although these are primary reasons older adults need long-term care.

And again, the United States falls short in terms of the amount of paid care it provides in home settings, even though older people tend to prefer these settings over institutions.

The third chart, on Page 75, brings results in the other two down to the level of families. When paid long-term care support is scarce or unavailable, you would expect a heavier load to fall on unpaid caregivers, and this is what the chart shows. Look at the number of caregivers in the United States who put in 10 to 19 hours a week (34.2 percent) or 20 hours or more a week (30.5 percent), and compare those with similar figures for France, Australia and Britain, all of which provide more paid long-term care than we do. Where are informal caregivers working the hardest? Right here at home in the United States.

For me, the take-away is clear. Other countries with which the United States is closely aligned have embraced long-term care as an essential social responsibility while we have not. Unless and until we do so, caregivers here will be among the most harried, stressed and burdened among wealthy, developed countries in the world.

Read More..