St. Jude Medical gets FDA warning about problems at Sylmar plant









Medical device maker St. Jude Medical said Monday it received a warning letter from the Food and Drug Administration about manufacturing and quality-control problems at its plant in Sylmar where it makes implantable heart defibrillators.


The company said in a regulatory filing that it is working to correct the problems at its plant and does not expect the citation to affect its financial results.


The warning was expected after St. Jude announced in October that FDA inspectors had visited the plant. The staffers found inconsistencies in how the company manufactured and documented defibrillators, devices implanted in the chest to correct dangerous heart rhythms.











St. Jude said it is working to fix the problems cited by the government. Under the terms of the warning letter, the FDA will not approve any new product lines to be manufactured at the plant until the problems are corrected.


However, the company said the FDA is not asking the company to recall any of its products. St. Jude also said it can continue manufacturing and shipping products from the facility.


St. Jude, based in St. Paul, Minn., has struggled in recent years to address quality issues with wires used to attach the defibrillator to the heart.


St. Jude stopped selling its Riata wires in late 2010 because of concerns about their insulation, and it recalled the devices in late 2011. Last year the company recalled two other wires, QuickSite and QuickFlex. Around 79,000 Riata leads are implanted in U.S. patients, and the FDA ordered St. Jude to conduct a three-year study to learn more about the risk of insulation failure.





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Egyptian court orders new trial for Mubarak









CAIRO—





An Egyptian court granted an appeal by former President Hosni Mubarak and ordered a new trial into the killings of hundreds of protesters during the 2011 uprising, a move certain to inflame the political unrest that has upset the country’s democratic transition.

The ruling was a victory for the ailing Mubarak and his Interior minister, Habib Adli, who also won his appeal. Both men, who had been sentenced to life in prison, face other criminal charges and are likely to remain in detention until a new trial in the deaths by security forces of more than 800 protesters.

“The previous ruling was unfair and illegal,” said Yousry Abdelrazeg, one of Mubarak’s lawyers, who accused the judge in the first trial of political bias. “The case was just a mess and there was no evidence against Mubarak.”

No date has been set for the new trial.

The court’s decision comes amid turmoil over an Islamist-backed constitution and outrage over the expanded powers of Islamist President Mohamed Morsi. It means a bloody chapter in Egypt’s 2011 revolt will be revisited with the prospect that Mubarak, whose police state ruled for 30 years, may be absolved in a case that deepened the nation’s political differences and impassioned the Arab world.

Mubarak was convicted in June of not preventing the deaths of hundreds of protesters attacked by police and snipers during the uprising, which began on Jan. 25, 2011, and ended 18 days later when he stepped aside and the military seized power.

Mubarak argued that he had not ordered the crackdown and was unaware of the extent of the violence. A recently completed government-ordered investigation into the killings, however, reportedly found that Mubarak had monitored the deadly response by security forces in Tahrir Square via a live television feed.

The appeals court ruling came a day after prosecutors announced an investigation into allegations that Mubarak, 84, received about $1 million in illicit gifts from Al Ahram, the country’s leading state-owned newspaper. The former president has reportedly been in a military hospital since December after he fell in a prison bathroom and injured himself.

Last year’s trial riveted the nation with images of the aging Mubarak wheeled into the defendant’s cage on a stretcher, his arms crossed and his eyes hidden behind sunglasses.

jeffrey.fleishman@latimes.com  

(Special correspondent Reem Abdellatif contributed to this report)

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Facebook search leads to Iowa man, sister reunion






DAVENPORT, Iowa (AP) — An Iowa man has been reunited with his sister 65 years after the siblings were separated in foster care thanks to a 7-year-old friend who searched Facebook.


Sixty-six-year-old Clifford Boyson of Davenport met his 70-year-old sister, Betty Billadeau, in person on Saturday. Billadeau drove up from her home in Florissant, Mo., with her daughter and granddaughter for the reunion.






Boyson and Billadeau both tried to find each other for years without success.


Then 7-year-old Eddie Hanzelin, who is the son of Boyson‘s landlord, got involved.


Eddie managed to find Billadeau by searching Facebook with her maiden name. He recognized the family resemblance when he saw her picture.


Near the end of their tearful reunion Boyson and Billadeau presented Eddie with a $ 125 check in appreciation of his detective work.


Social Media News Headlines – Yahoo! News





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Stars begin arriving at Golden Globes Awards


BEVERLY HILLS, Calif. (AP) — Looking beautiful but feeling frigid, stars from film and television began arriving Sunday for the Golden Globes ceremony, battling crisp temperatures on the red carpet.


Debra Messing from "Smash" came in a strapless black gown and goosebumps. Asked how she was coping with the cold, she replied, "Not well." Melissa Rauch of "The Big Bang Theory" also shivered in her strapless red gown. "I'm absolutely freezing!" she said.


Hayden Panettiere of "Nashville," Ariel Winter of "Modern Family" and TV personalities Nicole Ritchie and Kelly Osbourne also were spotted walking near heat lamps as the mercury stayed in the high 50s.


The Globes are in a rare place this season, coming after the Academy Award nominations, which were announced earlier than usual and threw out some shockers that have left the Globes show a little less relevant.


Key Globe contenders lined up largely as expected, with Steven Spielberg's Civil War saga "Lincoln" leading with seven nominations and two CIA thrillers — Kathryn Bigelow's "Zero Dark Thirty" and Ben Affleck's "Argo" — also doing well.


All three films earned Globe nominations for best drama and director. Yet while "Lincoln," ''Argo" and "Zero Dark Thirty" grabbed best-picture slots at Thursday's Oscar nominations, Bigelow and Affleck were snubbed for directing honors after a season that had seen them in the running for almost every other major award.


The Globe and Oscar directing fields typically match up closely. This time, though, only Spielberg and "Life of Pi" director Ang Lee have nominations for both. Along with Spielberg, Lee, Bigelow and Affleck, Quentin Tarantino is nominated for directing at the Globes. At the Oscars, it's Spielberg, Lee, "Silver Linings Playbook" director David O. Russell and two surprise picks: veteran Austrian filmmaker Michael Haneke for "Amour" and first-time director Benh Zeitlin for "Beasts of the Southern Wild."


That forces some top-name filmmakers to put on brave faces for the Globes. And while a Globe might be a nice consolation prize, it could be a little awkward if Affleck, Bigelow or Tarantino won Sunday and had to make a cheery acceptance speech knowing they don't have seats at the grown-ups table for the Feb. 24 Oscars.


That could happen. While "Lincoln" has the most nominations, it's a purely American story that may not have as much appeal to Globe voters — about 90 reporters belonging to the Hollywood Foreign Press Association who cover entertainment for overseas outlets.


The Bigelow and Affleck films center on Americans, too, but they are international tales — "Zero Dark Thirty" chronicling the manhunt for Osama bin Laden and "Argo" recounting the rescue of six U.S. embassy workers trapped in Iran amid the 1979 hostage crisis.


Globe voters might want to make right on a snub to Bigelow three years ago, when they gave their best-drama and directing prize to ex-husband James Cameron's sci-fi blockbuster "Avatar" over her Iraq war tale "The Hurt Locker."


Bigelow made history a month later, becoming the first woman to win the directing Oscar for "The Hurt Locker," which also won best picture.


Globe voters like to be trend-setters, but they missed the boat on that one. Might they feel enough chagrin to hand Bigelow the directing trophy this time?


Spielberg already has won two best-director Globes, so that might be a further inducement for the foreign-press members to favor someone else this time.


Their votes were locked in before the Oscar nominations came out. Globe balloting closed Wednesday, the day before the Academy of Motion Picture Arts and Sciences announced its awards lineup.


The Globes feature two best-picture categories — one for drama and one for musical or comedy. Most of the Globe contenders also earned Oscar best-picture nominations, including all of the drama picks: "Argo," ''Lincoln," ''Life of Pi," ''Django Unchained" and "Zero Dark Thirty."


Yet only two of the Globe musical or comedy nominees — "Les Miserables" and "Silver Linings Playbook" — are in the running at the Oscars. That's not unusual, though, since Oscar voters tend to overlook comedy. The other Globe nominees for musical or comedy are "The Best Exotic Marigold Hotel," ''Moonrise Kingdom" and "Salmon Fishing in the Yemen."


Acting contenders include Daniel Day-Lewis, Sally Field and Tommy Lee Jones for "Lincoln"; Hugh Jackman and Anne Hathaway for "Les Miserables"; Joaquin Phoenix, Amy Adams and Philip Seymour Hoffman for "The Master"; Bradley Cooper and Jennifer Lawrence for "Silver Linings Playbook"; Leonardo DiCaprio and Christoph Waltz for "Django Unchained"; Alan Arkin for "Argo"; and Jessica Chastain for "Zero Dark Thirty."


Globe acting recipients usually are a good sneak peek for who will win at the Oscars. All four of last season's Oscar winners — Meryl Streep for "The Iron Lady," Jean Dujardin for "The Artist," Octavia Spencer for "The Help" and Christopher Plummer for "Beginners" — took home a Globe first.


Jodie Foster will receive the Globes' Cecil B. DeMille Award for lifetime achievement at the 70th Globes ceremony, airing live from 8-11 p.m. EST on NBC.


There will be a friendly rivalry between the hosts of the Globe ceremony, Tina Fey and Amy Poehler. The co-stars of the 2008 big-screen comedy "Baby Mama" both are nominated for best actress in a TV comedy or musical series, Fey for "30 Rock" and Poehler for "Parks and Recreation."


The Globes present 14 film awards and 11 television prizes.


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City Room: Cuomo Declares Public Health Emergency Over Flu Outbreak

With the nation in the grip of a severe influenza outbreak that has seen deaths reach epidemic levels, New York State declared a public health emergency on Saturday, making access to vaccines more easily available.

There have been nearly 20,000 cases of flu reported across the state so far this season, officials said. Last season, 4,400 positive laboratory tests were reported.

“We are experiencing the worst flu season since at least 2009, and influenza activity in New York State is widespread, with cases reported in all 57 counties and all five boroughs of New York City,” Gov. Andrew M. Cuomo said in a statement.

Under the order, pharmacists will be allowed to administer flu vaccinations to patients between 6 months and 18 years old, temporarily suspending a state law that prohibits pharmacists from administering immunizations to children.

While children and older people tend to be the most likely to become seriously ill from the flu, Mr. Cuomo urged all New Yorkers to get vaccinated.

On Friday, the Centers for Disease Control and Prevention in Atlanta said that deaths from the flu had reached epidemic levels, with at least 20 children having died nationwide. Officials cautioned that deaths from pneumonia and the flu typically reach epidemic levels for a week or two every year. The severity of the outbreak will be determined by how long the death toll remains high or if it climbs higher.

There was some evidence that caseloads may be peaking, federal officials said on Friday.

In New York City, public health officials announced on Thursday that flu-related illnesses had reached epidemic levels, and they joined the chorus of authorities urging people to get vaccinated.

“It’s a bad year,” the city’s health commissioner, Dr. Thomas A. Farley, told reporters on Thursday. “We’ve got lots of flu, it’s mainly type AH3N2, which tends to be a little more severe. So we’re seeing plenty of cases of flu and plenty of people sick with flu. Our message for any people who are listening to this is it’s still not too late to get your flu shot.”

There has been a spike in the number of people going to emergency rooms over the past two weeks with flulike symptoms – including fever, fatigue and coughing – Dr. Farley said.

Mayor Michael R. Bloomberg and Mr. Cuomo made a public display of getting shots this past week.

In a briefing with reporters on Friday, officials from the C.D.C. said that this year’s vaccine was effective in 62 percent of cases.

As officials have stepped up their efforts encouraging vaccinations, there have been scattered reports of shortages. But officials said plenty of the vaccine was available.

According to the C.D.C., makers of the flu vaccine produced about 135 million doses for this year. As of early this month, 128 million doses had been distributed. While that would not be enough for every American, only 37 percent of the population get a flu shot each year.

Federal health officials said they would be happy if that number rose to 50 percent, which would mean that there would be more than enough vaccine for anyone who wanted to be immunized.

Two other diseases – norovirus and whooping cough – are also widespread this winter and are contributing to the number of people getting sick.

The flu can resemble a cold, though the symptoms come on more rapidly and are more severe.

A version of this article appeared in print on 01/13/2013, on page A21 of the NewYork edition with the headline: New York Declares Health Emergency.
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These fund managers buy and hold, with no apologies









Try telling Bill Frels and Mark Henneman that buy and hold is dead.


The managers of the Mairs & Power Growth Fund have owned all but one of their top 25 stocks at least a decade. In an industry that rewards risk takers searching for the next big trend, the St. Paul, Minn., fund managers have big stakes in companies that make Spam canned meat, Scotch tape and a paint sold at Lowe's hardware stores.


Their slow, patient approach to investing has paid off — they were named Morningstar's domestic stock fund managers of the year for 2012. Their fund returned 21% last year, beating the 13.4% gain in the Standard & Poor's 500 index.





Frels said the award was a validation of his firm's strategy, especially at a time when many experts have questioned the wisdom of holding stocks long term.


The fund, with about $2.5 billion under management, is an unusual success story because of something it doesn't own: Apple Inc., one of the hottest growth stocks of 2012.


The vast majority of its holdings are in companies headquartered in Minnesota, many of them a short trip from the fund's offices.


It's not uncommon for chief executives to drop by Mairs & Power for a briefing, or for the fund managers to bump into company employees in the community, Henneman said.


Frels and Henneman say they're fortunate to have many quality companies nearby. Minnesota firms Target Corp., 3M Co., Hormel Foods Corp. and Medtronic Inc. are among their top stocks.


Their No. 1 holding is paint company Valspar Corp., which soared more than 60% in 2012 thanks to strong sales at Lowe's stores across North America.


For Mairs & Power, it's not so much buy and hold as it is lock it up and throw away the key. The fund has a microscopic turnover rate of about 5%, far below the 60% average for large blend funds, according to a Morningstar research report.


The managers find good companies and hold on to them, through good times and bad.


"Their low turnover, that's very critical," said David Falkof, an analyst who covers the fund for Morningstar, which gives it a coveted five-star rating.


Frels, 73, joined Mairs & Power in 1992 and has been lead manager of the growth fund since 2004. Henneman, 51, has been co-manager of the fund since 2006. Both managers hold significant personal investments in the fund, evidence that their interests are aligned with investors', Falkof said.


Since Frels joined the fund as co-manager in 1999, it has gained an average of more than 8% annually — beating the S&P 500 by 6% a year. Although the fund may miss out on some trends, such as technology in the late 1990s, it is built to survive major crises because of its focus on sound companies, many of them in the industrial sector.


In 2008, when most funds suffered devastating losses because of the financial crisis, the Mairs & Power growth fund lost 28.5% — less than 95% of its competitors, which fell 41% on average. The fund holds about 55% in large companies, 30% in mid-caps and 15% in small caps.


What is your fund's strategy?


(Henneman): We're long-term investors. Every mutual fund manager says that, but we really stick to it. When we buy a stock, we're buying a company we expect to be invested in for a long period of time.


Why does your fund invest so heavily in Minnesota companies?


(Henneman): We are blessed to have a number of high-quality companies nearby. The benefits from proximity are huge. We really get to know these companies quite well. We are in the community with people who work for the firms we invest in.


What are the benefits of having so many companies you invest in nearby? Do you just walk over and visit their headquarters?





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Wikipedia, the people's encyclopedia









Wikipedia is the encyclopedia anyone can write and edit (yes, even you!), but most people don't think much about who performs those tasks. With half a billion people around the world relying on Wikipedia for information, we should.


More than 1.5 million people in practically every country have contributed to Wikipedia's 23 million articles. Actually, that last figure isn't quite accurate, since more than 12,000 new entries are created every day. Eight articles were created in the last minute. The authors are poets and professors, baristas and busboys, young and old, rich and poor.


It's crazy. An encyclopedia is one of humankind's grandest displays of collaborative effort, and Wikipedia takes that collaboration to new levels, with contributors from pretty much every ethnicity, nationality, socioeconomic background, political ideology, religion, sexual orientation and gender. The youngest Wikipedian I've met was 7, a boy in Tel Aviv who makes small edits to articles about animals and children's books. The oldest I've met was 73, a retired engineer who writes about the history of Philadelphia, where he's lived for half a century.





My most recent cab driver in San Francisco, a middle-aged guy who I think was Eastern European, told me he edits, although I don't know on what topics. I don't know of a comparable effort, a more diverse collection of people coming together, in peace, for a single goal.


But beneath that surface diversity is a community built on shared values. The core Wikipedia editing community — those who are very, very active — is about 12,000 people. I've met thousands of them personally, and they do share common characteristics.


The first and most defining is that Wikipedians, almost without exception, are ridiculously smart, as you might expect of people who, for fun, write an encyclopedia in their spare time. I have a theory that back in school, Wikipedians were the smartest kids in the class, kids who didn't care what was trendy or cool but spent their time reading, or with the debate team, or chess club, or in the computer lab. There's a recurring motif inside Wikipedia of preteen editors who've spent their lives so far having their opinions and ideas discounted because of their age, but who have nonetheless worked their way into positions of real authority on Wikipedia. They love Wikipedia fiercely because it's a meritocracy: the only place in their lives where their age doesn't matter.


Wikipedians are geeky. They have to be to want to learn the wiki syntax required to edit, and that means most editors are the type of people who find learning technology fun. (It's also because Wikipedia has its roots in the free software movement, which is a very geeky subculture.) The rise of the dot-com millionaire and the importance of services such as Google, Facebook and Wikipedia have made geekiness more socially acceptable. But geeks are still fundamentally outsiders, tending to be socially awkward, deeply interested in obscure topics, introverted and yet sometimes verbose, blunt, not graceful and less sensorily oriented than other people.


Nine of 10 Wikipedians are male. We don't know exactly why. My theory is that Wikipedia editing is a minority taste, and some of the constellation of characteristics that combine to create a Wikipedian — geeky, tech-centric, intellectually confident, thick-skinned and argumentative, with the willingness and ability to indulge in a solitary hobby — tend to skew male.


Although individual Wikipedians come from a broad range of socioeconomic backgrounds, we tend to live in affluent parts of the world and to be relatively privileged. Most of us have reliable Internet connectivity and access to decent libraries and bookstores; we own laptops and desktops; we're the product of decent educational systems, and we've got the luxury of free time.


Wikipedians skew young and are often students, concentrated at the postsecondary level. That makes sense too: Students spend their reading, thinking, sourcing, evaluating and summarizing what they know, essentially the same skills it takes to write an encyclopedia.


Like librarians and probably all reference professionals, Wikipedians are detail-obsessed pedants. We argue endlessly about stuff like whether Japan's Tsushima Island is a single island or a trio of islands. Whether the main character in "Grand Theft Auto IV" is Serbian, Slovak, Bosnian, Croatian or Russian. Whether Baltimore has "a couple of" snowstorms a year or "several," whether the bacon in an Irish breakfast is fried or boiled, whether the shrapnel wound John Kerry suffered in 1968 is better described as minor or left unmodified. None of this makes us fun at parties, but it does make us good at encyclopedia writing.


As befits an encyclopedia that anyone can edit, Wikipedians tend to be iconoclastic, questioning and curious. Wikipedia is a place where debate is a form of play and people are searching in good faith for the most correct answer. We're credentials-agnostic: We want you to prove what you're asserting; we take nothing on faith (and the article on "Faith" has ample footnotes). We're products of the Enlightenment and the children of Spinoza, Locke and Voltaire. We oppose superstition, irrationalism and intolerance; we believe in science and reason and progress.


The most contentious topics on Wikipedia are the same as those in the rest of the world, like the Israeli-Palestinian conflict, global warming, "intelligent design," the war on terrorism and people such as Adolf Hitler, Ayn Rand and Dick Cheney. We believe it's not our job to edit Wikipedia so that it reflects our personal opinions; instead, we aim to be fair to all sides. Entries need to be neutrally stated, well-documented and verifiable. Editors are asked to avoid stating opinions, or even seriously contested assertions, as facts; instead, we attribute them to their source. We aim for non-judgmental language: We avoid puffery words like "legendary" and "celebrated" and contentious words like "racist" and "terrorist." If we don't know for sure what's true, we say so, and we describe what various sides are claiming.


Does this mean Wikipedia's perfect? Of course not. Our weakest articles are those on obscure topics, where subtle bias and small mistakes can sometimes persist for months or even years. But Wikipedians are fierce guardians of quality, and they tend to challenge and remove bias and inaccuracy as soon as they see it.


The article on Barack Obama is a great example of this. Because it's widely read and frequently edited, over the years it's become comprehensive, objective and beautifully well sourced.


The more eyes on an article, the better it is. That's the fundamental premise of Wikipedia, and it explains why Wikipedia works.


And it does work. On Dec. 17, 2001, an editor named Ed Poor started an article called "Arab-Israeli conflict" with this single sentence: "The Arab-Israeli conflict is a long-running, seemingly intractable dispute in the Middle East mostly hinging on the status of Israel and its relations with Arab peoples and nations." Today that article is 10,000 words long, with two maps and six other images and 138 footnotes. It's been edited more than 5,000 times by 1,800 people in dozens of countries, including Israel, Lebanon, Egypt, Denmark, Germany, Australia, Canada, Britain, the United States and Russia.


Since it was founded 12 years ago this week, Wikipedia has become an indispensable part of the world's information infrastructure. It's a kind of public utility: You turn on the faucet and water comes out; you do an Internet search and Wikipedia answers your question. People don't think much about who creates it, but you should. We do it for you, with love.


Sue Gardner is executive director of the Wikimedia Foundation, which operates Wikipedia. She's made 3,000 edits on Wikipedia since 2006, mostly on topics related to media, gender and economics.





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December video game retail sales drop 22 percent






NEW YORK (AP) — U.S. retail sales of video games and gaming systems fell 22 percent in December, capping a year of declining sales for the industry.


Research firm NPD Group said Thursday that overall sales fell to $ 3.21 billion from $ 4.1 billion in December 2011. NPD estimates that sales of new game hardware, software and accessories account for about half of what consumers spend on gaming.






Sales of video games themselves, excluding PC titles, tumbled 26 percent to $ 1.54 billion. Sales of hardware — gaming systems such as the Xbox 360 and the Wii U — fell 20 percent to $ 1.07 billion.


“Call of Duty: Black Ops II” from Activision Blizzard Inc. was December’s top game.


For all of 2012, total game sales dropped 22 percent to $ 13.26 billion.


Gaming News Headlines – Yahoo! News





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Milan Fashion Week starts on somber note


MILAN (AP) — Milan Fashion Week started off on a somber note Saturday, as the design world maintained a vigil for the missing CEO of the family-run Missoni fashion house.


The Italian National Fashion Chamber urged the fashion community to post messages on social networks to keep pressure on authorities not to abandon the search for Vittorio Missoni and five others who disappeared aboard a twin-engine plane near Venezuelan islands on Jan. 5.


Designers expressed their solidarity with the family on the first day of menswear previews Saturday.


"No one better than me can understand the pain and anguish that they are experiencing, the suffering of the sister Angela," Donatella Versace told Italian reporters before her menswear preview. Versace's brother, Gianni, the founder of the company, was killed by a gunman in Miami in July 1997.


Despite the uncertainty, the Missoni fashion house confirmed its menswear preview show for Sunday. In a message posted on Facebook, designer Angela Missoni, Vittorio's sister, expressed gratitude for messages of support. Their brother, Luca, a trained pilot, was in Venezuela helping with the search.


"They did very well to confirm the appointment with the new collection. Vittorio would have done the same," said Mario Boselli, head of the fashion chamber.


Thirty-seven brands were holding fashion shows to present their menswear collections for next winter over four days.


___


DOLCE&GABBANA


Dolce and Gabbana's menswear collection for next winter is pure masculinity, infused with southern romanticism.


With motifs of winter roses, illuminated Madonnas and baroque embossing, the 2014 winter menswear collection evokes the design house's Sicilian roots. And to drive home the point, the designing duo chose ordinary Sicilians as their models, as they have done in the past, filling the runway with men who were more muscular, with more pronounced features and often shorter than those usually seen in fashion.


Cinched high-waist pleated pants strongly suggested a bygone era. Trouser lengths varied from calf to ankle, straight or cuffed, while jacket, coats and vests ranged from short waist cuts to long overcoats.


In its most basic iteration, the collection featured black pants paired with white blousons or dark ribbed sweaters — the clothes of a craftsman, a fisherman, a laborer. Detailing like an overlay of white lace on the blousons elevated the look far above mere utility.


And there were also garments fitting of the merchant class — rich brocade jackets and thick furry overcoats and velvet suits. These more formal clothes, including a dark suit jacket overlayed with white lace and finished with velvet trim, could be worn for business, a personal celebration or to Sunday Mass.


___


BURBERRY PRORSUM


Tradition meets innovation in Burberry Prorsum's new winter looks for men.


The "I Love Classics" collection — or made more technology-friendly, I (heart) Classics — focuses heavily on outerwear, from the classic trench and duffel, to topcoats, Chesterfields and bombers.


While diving deep into Burberry's archives, designer Christopher Bailey managed also to have fun, adding a touch of whimsy with repeating heart motifs and oversizing military-inspired accents.


"I liked the idea of celebrating things that are familiar, classic, the kind of classic Burberry, classic menswear," Bailey said backstage. "But I wanted to be playful as well."


Bailey married innovation and levity in traditional coats made of light-weight transparent rubber with a repeating heart lining. Bailey said Burberry developed the rubber to be silky to the touch. Cashmere also gets special treatment, with new finishes and bonding to alter the texture.


Colors followed the classic line — camel, bone, olive, navy and black — with deep reds and dark royal purple.


Maintaining a light mood, animal prints also accented classic bags, complementing the Burberry check pattern, and also adorned shoes and boots. Animal print sunglasses complete the look.


___


JIL SANDER


Tall, almost Puritan collars gave gravitas to Jil Sander's first winter menswear collection since returning to the label she founded.


The ample lapels made prominent in the collection for next fall/winter often contrasted in tone or texture with the jacket or sweater they accented, and were sometimes layered over more traditional notched lapels. Short-cropped hair kept the focus on neckline.


Suit jackets were kept mostly shorter and allowed to billow slightly in the back. This permitted whimsical layering with longer sweaters underneath — and most of the suits were finished with sweaters, crew necks or mock turtlenecks, rather than shirts. Pants were straight, and ankle-length, giving way to well-polished boots.


While the looks adhered to the line's minimalist credo — simplicity and clean lines — there was nothing austere about it.


The colors and fabrics were both lush and luxurious. Crimson, cobalt and pine contrasted soothingly with more sober grays and black. Even strong shades were easy on the eyes. Materials included chunky corduroy, cashmere knit and leather.


For fun, Sander offered sleeveless pull-over vests, leaving arms and shoulders bare, and sometimes bi-colored in Harlequin fashion. For more serious moments, there were double-breasted pinstripes, distinguished with monochrome panels.


___


ZEGNA


Cyber-kinetic patterns give energy to classic looks by Ermenegildo Zegna.


Zegna signals a push for innovation in the title of the collection: "Style for Change."


Zegna zips up the double-breasted suit with graphic lines, while repeating patterns of dots fused into lines give motion to overcoats.


Gray dominates the collection, giving it an urban flair.


The basic look forms around suits, paired with slim, elegant ties or scoop-neck sweaters. Trousers are straight cut without being tight, and might include a cummerbund that elongate the look.


Much attention is flourished on collars, which when small might be decorated with a clip, or when oversized adorned with a clasp.


Textures operate in contrast. Soft alpaca coats are worn over tailored suits.


Shoes taper to a point, while bags span a range from travel backs to computer totes.


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‘Bodega Clinicas’ Draw Interest of Health Officials


HUNTINGTON PARK, Calif. — The “bodega clinicas” that line the bustling commercial streets of immigrant neighborhoods around Los Angeles are wedged between money order kiosks and pawnshops. These storefront offices, staffed with Spanish-speaking medical providers, treat ailments for cash: a doctor’s visit is $20 to $40; a cardiology exam is $120; and at one bustling clinic, a colonoscopy is advertised on an erasable board for $700.


County health officials describe the clinics as a parallel health care system, serving a vast number of uninsured Latino residents. Yet they say they have little understanding of who owns and operates them, how they are regulated and what quality of medical care they provide. Few of these low-rent corner clinics accept private insurance or participate in Medicaid managed care plans.


“Someone has to figure out if there’s a basic level of competence,” said Dr. Patrick Dowling, the chairman of the family medicine department at the David Geffen School of Medicine at the University of California, Los Angeles.


Not that researchers have not tried. Dr. Dowling, for one, has canvassed the clinics for years to document physician shortages as part of his research for the state. What he and others found was that the owners were reluctant to answer questions. Indeed, multiple attempts in recent weeks to interview owners and employees at a half-dozen of the clinics in Southern California proved fruitless.


What is certain, however, is that despite their name, many of these clinics are actually private doctor’s offices, not licensed clinics, which are required to report regularly to federal and state oversight bodies.


It is a distinction that deeply concerns Kimberly Wyard, the chief executive of the Northeast Valley Health Corporation, a nonprofit group that runs 13 accredited health clinics for low-income Southern Californians. “They are off the radar screen,” said Ms. Wyard of the bodega clinicas, “and it’s unclear what they’re doing.”


But with deadlines set by the federal Affordable Care Act quickly approaching, health officials in Los Angeles are vexed over whether to embrace the clinics and bring them — selectively and gingerly — into the network of tightly regulated public and nonprofit health centers that are driven more by mission than by profit to serve the uninsured.


Health officials see in the clinics an opportunity to fill persistent and profound gaps in the county’s strained safety net, including a chronic shortage of primary care physicians. By January 2014, up to two million uninsured Angelenos will need to enroll in Medicaid or buy insurance and find primary care.


And the clinics, public health officials point out, are already well established in the county’s poorest neighborhoods, where they are meeting the needs of Spanish-speaking residents. The clinics also could continue to serve a market that the Affordable Care Act does not touch: illegal immigrants who are prohibited from getting health insurance under the law.


Dr. Mark Ghaly, the deputy director of community health for the Los Angeles County Department of Health Services, said bodega clinicas — a term he seems to have coined — that agree to some scrutiny could be a good way of addressing the physician shortage in those neighborhoods.


“Where are we going to find those providers?” he said. “One logical place to consider looking is these clinics.”


Los Angeles is not the only city with a sizable Latino population where the clinics have become a part of the streetscape. Health care providers in Phoenix and Miami say there are clinics in many Latino neighborhoods.


But their presence in parts of the Los Angeles area can be striking, with dozens in certain areas. Visits to more than two dozen clinics in South Los Angeles and the San Fernando Valley found Latino women in brightly colored scrubs handing out cards and coupons that promised a range of services like pregnancy tests and endoscopies. Others advertised evening and weekend hours, and some were open around the clock.


Such all-hours access and upfront pricing are critical, Latino health experts say, to a population that often works around the clock for low wages.


Also important, officials say, is that new immigrants from Mexico and Central America are more accustomed to corner clinics, which are common in their home countries, than to the sprawling medical complexes or large community health centers found in the United States. And they can get the kind of medical treatments — including injections of hypertension drugs, intravenous vitamins and liberally dispensed antibiotics — that are frowned upon in traditional American medicine.


The waiting rooms at the clinics reflected the everyday maladies of peoples’ lives: a glassy-eyed child resting listlessly on his mother’s lap, a fit-looking young woman waiting with a bag of ice on her wrist, a pensive middle-aged man in work boots staring straight ahead.


For many ordinary complaints, the medical care at these clinics may be suitable, county health officials and medical experts say. But they say problems arise when an illness exceeds the boundaries of a physician’s skills or the patient’s ability to pay cash.


Dr. Raul Joaquin Bendana, who has been practicing general medicine in South Los Angeles for more than 20 years, said the clinics would refer patients to him when, for example, they had uncontrolled diabetes. “They refer to me because they don’t know how to handle the situation,” he said.


The clinic physicians by and large appear to have current medical licenses, a sample showed, but experts say they are unlikely to be board certified or have admitting privileges at area hospitals. That can mean that some clinics try to treat patients who face serious illness.


Olivia Cardenas, 40, a restaurant worker who lives in Woodland Hills, Calif., got a free Pap smear at a clinic that advertises “especialistas,” including in gynecology. The test came back abnormal, and the doctor told Ms. Cardenas that she had cervical cancer. “Come back in a week with $5,000 in cash, and I’ll operate on you,” Ms. Cardenas said the doctor told her. “Otherwise you could die.”


She declined to pay the $5,000. Instead, a family friend helped her apply for Medicaid, and she went to a hospital. The diagnosis, it turned out, was correct.


Health care experts say the clinics’ medical practices would come under greater scrutiny if they were brought closer into the fold.


But being connected would mean the clinics’ cash-only business model would need to change. Dr. Dowling said the lure of newly insured patients in 2014 might draw them in. “To the extent there are payments available,” he said, “the legitimate ones might step up to the plate.”


This article was produced in collaboration with Kaiser Health News, an editorially independent program of the Kaiser Family Foundation.



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