Judge weeps at "Dating Game" serial killer's 'horrific acts'

California serial killer Rodney Alcala was sentenced to additional prison time in New York for the murders of two more women, a case that brought a veteran judge to tears during the hearing.

Alcala, who is already on death row in California for the murders of four women and a girl, pleaded guilty in December to the 1971 murder of Cornelia Crilley and the 1977 murder of Ellen Hover, both in New York. On Monday, New York Supreme Court Judge Bonnie Wittner handed down a sentence of 25 years to life in prison, the Wall Street Journal reported.

"This kind of case is something I've never experienced, hope to never again. I just want to say I hope these families find some peace and solace for these inexplicably brutal and horrific acts," Wittner said, according to the Journal.

PHOTOS: California serial killers

Wittner then dissolved into tears. "As I said, in 30 years I've never had a case like this," she said.

Alcala raped and strangled Crilley, a 23-year-old TWA flight attendant, inside her Upper East Side apartment in 1971. Six years later, he killed Hover, also 23 and living in Manhattan. Her body was found in Westchester County, not far from her family's estate. 

The Journal reported that many in attendance at Monday's sentencing wore stickers bearing the black-and-white photograph that initially appeared in stories about Crilley's death. "Cornelia Always in Our Hearts," the stickers read.

Crilley's sister, Katie Stigell, spoke to the court, using most of her time talking about her sister, who "was in her prime" and "wouldn't hurt anybody." But Stigell also had words for Alcala.

"Mr. Alcala, I want you to know you broke my parents' hearts," Stigell said. "They never really recovered."

Hover's stepsisters declined to appear in court. Instead, prosecutor Alex Spiro read a letter on their behalf, the Journal reported.

"Ellen was a sweet, kind, generous, compassionate, loving and beautiful young woman. She chose to see the good in everyone she met because she had a huge and open heart," the letter read. "Her senseless murder irreparably damaged our family."

Alcala, a self-styled playboy who once appeared on "The Dating Game" TV match-making show, spent much of the 1970s eluding police by changing identities and locales. He has been behind bars since 1979, when he was arrested in the death of 12-year-old Robin Samsoe of Huntington Beach.

Twice he was sent to death row for murder, but both convictions were overturned on appeal. In February 2010, he was convicted again for Samsoe's murder and for the murders of four women in Los Angeles County. He is now awaiting execution.

At a news conference after Monday's hearing, Manhattan Dist. Atty. Cyrus Vance said Alcala would be returned to California, where he is appealing his death-penalty conviction. Should that conviction be overturned, Vance said, Alcala would return to New York for his sentence.

The extent of Alcala's crimes were revealed as a task force formed by the Los Angeles Police Department and other agencies that was examining cold cases tied him to slayings across Southern California. New York police had long considered Alcala a suspect in the slayings of Crilley and Hover and had taken impressions of his teeth in 2003. Alcala had lived in New York periodically between 1968 and 1977. 

During that period, Crilley was found raped and strangled with her nylon stockings in her Manhattan apartment. Around that time, Alcala was working at a summer camp for girls in New Hampshire, authorities said.

Hover went missing in July 1977 and her body was discovered the following year. Before she disappeared, she had written the name "John Berger" in a planner, a name police believe Alcala used as an alias while in New York.

The Southern California killings began just a few months later.

THE ALCALA CASE: A TIMELINE

---

1972 — Alcala is convicted in the 1968 rape and beating of an 8-year-old girl.

Nov. 10, 1977 — The body of 18-year-old Jill Barcomb is found in the Hollywood Hills. She had been sexually assaulted, bludgeoned and strangled with a pair of blue pants.

Dec. 16, 1977 — Georgia Wixted, 27, is found beaten to death at her home in Malibu. She had been sexually assaulted and strangled.

1978 — Alcala appears in an episode of “The Dating Game” as Bachelor No. 1.

June 24, 1978 — Charlotte Lamb, a 32-year-old legal secretary from Santa Monica, is found in the laundry room of an El Segundo apartment complex. She had been sexually assaulted and strangled with a shoelace. 

June 14, 1979 — Jill Parenteau, 21, of Burbank is found strangled on the floor of her Burbank apartment.

June 20, 1979 – Robin Samsoe, 12, disappears near the Huntington Beach Pier. Her body is found 12 days later in the Sierra Madre foothills.

July 24, 1979 — Rodney James Alcala, an unemployed photographer, is arrested at his parents’ Monterey Park home.

September 1980 – Alcala is convicted of the 1978 rape of a 15-year-old Riverside girl and sentenced to nine years in state prison.

June 20, 1980 — Orange County Superior Court Judge Philip E. Schwab sentences Alcala to death after he is convicted of Samsoe's murder.

July 11, 1980 — The Los Angeles County district attorney’s office files murder, burglary and sexual assault charges against Alcala in the slaying of Parenteau.

April 15, 1981 — The L.A. district attorney’s office tells a judge that prosecution of Alcala in the Parenteau case could not proceed because a key witness admitted that he had committed perjury in another case.

Aug. 23, 1984 — The state Supreme Court reversed Alcala’s murder conviction in connection with Samsoe, ruling that the jury was improperly told about Alcala’s prior sex crimes.

June 20, 1986 — For the second time, Alcala is convicted for Samsoe’s murder and sentenced to death in Orange County Superior Court.

Dec. 31, 1992 — The California Supreme Court unanimously upholds Alcala’s death sentence.

April 2, 2001 — A federal appellate court overturns Alcala’s death sentence in the Samsoe case, ruling that the Superior Court judge precluded the defense from presenting evidence “material to significant issues.”

June 5, 2003 — The Los Angeles County district attorney’s office files murder charges against Alcala alleging that he killed Wixted during a burglary and rape.

Sept. 19, 2005 — Additional murder charges are filed against Alcala in connection to the deaths of Barcomb, Wixted and Lamb.

Jan. 11, 2010 — Alcala’s trial for the five murders begins. He represents himself.

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Photo: Convicted serial killer Rodney Alcala appears in a New York courtroom on Monday, where he was sentenced for two murders in the 1970s. Credit: David Handschuh / Associated Press

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India Ink: In Maharashtra, Fight Over Restaurant Bill Erupts into Riot

What started out as a skirmish over a restaurant bill escalated into riots that left five people dead from police gunfire and injured over 200 in Dhule, a city about 350 kilometers northeast of Mumbai.

“It all happened within a span of about 30 minutes,” said Mohan Pawar, the additional superintendent of police for Dhule, who was among those injured in the weekend violence.

Mr. Pawar said by telephone that the incident began on Sunday after a group of four men between the ages of 20 and 25 refused to pay their bill at a restaurant in Dhule’s Machhi Bazaar Chowk (Fish Market Square). The young men began to argue with their waiter, and then the argument quickly turned serious as the restaurant owner and others in the area got involved.

Mr. Pawar said the violence was fueled by religious tensions, as the owner of the restaurant was Hindu while the four customers were Muslim. According to local media reports, the police are looking at the inflammatory content of speeches made by a few Muslim politicians in October that might have inflamed the rioters.

Dhule is normally a peaceful city but has some history of communal violence. In October 2008, riots between the Hindu and Muslim communities shook the city for several days.

Mr. Pawar said that the four men had left restaurant but returned with a crowd from their neighborhood. In the meantime, the restaurant owner had also gathered a crowd, Mr. Pawar said, and within 20 minutes a mob had gathered. Stones were pelted, houses and shops were burned, and motorcycles, bicycles and hand-drawn carts were destroyed.

Two police officers at the nearby station arrived at the scene, but they were unable to curb the violence, Mr. Pawar said.

The riots then spread in the Machhibazar, Palabazar and Madhapura areas of the city. The police sent two platoons of the riot control police, along with a larger police force. Rioters heaved stoned, bricks, acid and soda water bottles at the police officers, according to a statement from the chief minister of Maharashtra, Prithviraj Chavan.

The police tried to use batons and tear gas to control the crowd and then resorted to opening fire on the rioters, killing five. Four died on Sunday while one succumbed to injuries on Tuesday, said Mr. Pawar.

The injured include 11 police officials, 102 police officers and 100 civilians, according to Mr. Chavan’s statement. The district superintendent of police was among those injured. On Tuesday, Mr. Chavan asked Ahmad Javed, the Maharashtra additional director general of police, to visit Dhule.

The city has been under curfew since 4 p.m. on Sunday, but Mr. Pawar said the curfew was likely to be lifted on Wednesday.

Mr. Chavan has asked the additional district magistrate to investigate the riots and submit a report within two months. He has also said that the government will pay for the treatment of the injured and bear the funeral expenses of those killed by the police.

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Disney joins JAKKS, LA billionaire to bring toys to life

LOS ANGELES (Reuters) – Walt Disney toys are sold around the world. Now, children can find them in the cloud as well.

The media giant is teaming up with toy company JAKKS Pacific and Patrick Soon-Shiong, Los Angeles’ wealthiest person, on a new line of toys – with a nifty technological twist designed to link the goodies that kids lug home from the store with Disney’s stable of well-known animated characters.

“DreamPlay“, developed by Soon-Shiong’s NantWorks company, and JAKKS works via an app that can be downloaded on Apple Inc devices like the iPad, or smartphones and tablets running Google Inc Android software. When a device’s camera is trained on any toy specifically designed to work with DreamPlay, it triggers one of thousands of preset animations that appear on the device’s screen and seem to be unfolding in the real world.

With viewers’ eyes locked on the tablet or smartphone screen, fairies appear to glide in and out of buildings, animated critters start playing musical instruments, mythical characters prance on a toy piano’s keyboard.

Disney, which licensed its characters to DreamPlay, and its partners hope that children will take to the new approach, which is intended to extend and expand the life of the toy. But it remains to be seen if the concept will prove to be more than a novelty, and be able to arrest a child’s infamously short attention span.

The three will demo their concept on Tuesday at the Consumer Electronics Show in Las Vegas, but Reuters got a sneak peak at the technology on Monday.

In a showroom in the 20th floor of a Santa Monica, Calif. building, visitors to JAKKS’ demonstration are treated to an animated version of Sebastian – the red Jamaican crab from Disney’s “Little Mermaid” movie – who pops up onscreen on an iPad seconds after the tablet’s camera is trained on a real-life set of toy bongo drums.

The animated crab pounces on the drums and proceeds to bang out a calypso song onscreen, with both Sebastian and the physical drum set appearing together as if the two shared the same cartoon.

REAL, VIRTUAL INTERACTION

DreamPlay allows not just Sebastian, but also Tinker Bell and a host of other well-loved Disney characters to “interact” virtually with specially made toys via image-recognition software. The software was developed by Soon-Shiong, a former cancer surgeon who created drugs to fight diabetes and breast cancer and then sold the companies that produced them for $ 8.6 billion.

Soon-Shiong teamed with JAKKS, a $ 678 million-a-year toy maker and licensee of toys based on the Princess line of dolls, Marvel action figures and other Disney toys, among others.

The technology works via the “cloud” – images and video clips stored on remote servers that are streamed to kids’ mobiles when the app recognizes a particular item.

“It’s a tremendous way to combine great technology and Disney’s magical story telling to extend the time a child can play with a toy,” said Bob Chapek, president of Disney’s consumer products unit. “Kids find out that playing with their toy doesn’t end when they get it home.”

Since taking over in 2011, Chapek has repositioned Disney’s consumer product unit to expand its use of technology with its toys. DreamPlay is the first of what Chapek says are other products that will twin technology with familiar Disney toys, although he won’t name them.

Down the road, Disney may explore new business models, including selling subscriptions to content created specifically to be used with a particular toy, said Chapek.

The market is hardly certain for a product that requires a child to hold up a phone or tablet, and peer through it to play with a toy that’s stationary. Will children want to see Rapunzel endlessly dancing on the keys of a piano or Rosetta, a fairy from Disney’s “Tinker Bell” movies, fly in and out of a cottage?

“The technology may be great, but no one has proven to me yet that a kid will sit in front of an iPhone or iPad instead of playing with a toy that’s right in front of him,” said Sean McGowan, a toy analyst with Needham & Co who downgraded JAKKS to hold in September along with other toy companies, and then downgraded JAKKS to underperform in October.

JAKKS intends to begin selling DreamPlay versions of toys from the Disney Princess line in October. It will then expand its offerings next year, with international sales starting in 2014, said Stephen Berman, JAKKS President and CEO.

DreamPlay toys will be “a couple of dollars” costlier than the regular version, he says.

Target stores and Toys R Us are among the U.S. retailers who will carry the DreamPlay line, Berman says. Top-Toy, the giant Nordic retailer, has also signed on, while Beijing Hualian Group, which operates supermarkets and department stores across China, is coming onboard as well.

“Kids don’t own iPhones or iPads but they all know how to use them,” says Berman. “Kids have so much more imagination than we do. Imagine recording a bunch of the videos and giving the kid an iPad to play with them on a trip to see the grandparents.”

JAKKS will ramp up marketing for the DreamPlay line, said Berman. DreamPlay toys will be prominently displayed at all the partner-retailers, he added, and shoppers will be encouraged to use their smartphones to view them.

Those that aim smartphones at a boxed Tinker Bell, for instance, may get a start as the fairy from “Peter Pan” literally soars out of the box, leaving an empty package behind.

“Technology can help people live better, work better, play better,” said Soon-Shiong as he showed off the line of toys. “This is the way they will play better.”

(Reporting By Ronald Grover; Edited By Edwin Chan)

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How Eva Mendes Helped Ryan Gosling's Mom Get Red Carpet Ready

Stylewatch
Style News Now

01/08/2013 at 11:00 AM ET

Matt Baron/BEImages; Stacie McChesney/NBC/AP

Ryan Gosling looked smokin’ hot in his sleek Gucci suit at Monday night’s Gangster Squad premiere in Los Angeles. But Gosling’s mom Donna (his date for the evening) almost distracted us from his sexiness, because she looked so darn good, too. So what was her secret?

“My mother’s wearing all my girlfriend’s clothes,” Gosling told E! News of his mom’s ruched dress, paisley trench and statement necklace. “I’m wearing Eva Mendes,” Donna confirmed, adding, “She let me raid her closet.”

Gosling and Mendes, who clicked while filming The Place Beyond the Pines together in 2011, were first spotted holding hands in September of that year on a low-key date at Disneyland. Since then, they’ve taken their romance to New York, Los Angeles, Gosling’s native Canada and Paris, with Mendes first meeting Gosling’s mom on a movie date in N.Y.C. last January.

The stars have managed to remain pretty quiet about their relationship to this point, making Gosling’s use of the world “girlfriend” last night all the more poignant. Tell us: Would you ever lend your partner’s mom your clothes? 

–Kate Hogan

PHOTOS: SEE MORE GLAM RED CARPET LOOKS IN ‘LOVE IT OR LEAVE IT?’

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Report: Death rates from cancer still inching down

WASHINGTON (AP) — Death rates from cancer are continuing to inch down, researchers reported Monday.

Now the question is how to hold onto those gains, and do even better, even as the population gets older and fatter, both risks for developing cancer.

"There has been clear progress," said Dr. Otis Brawley of the American Cancer Society, which compiled the annual cancer report with government and cancer advocacy groups.

But bad diets, lack of physical activity and obesity together wield "incredible forces against this decline in mortality," Brawley said. He warned that over the next decade, that trio could surpass tobacco as the leading cause of cancer in the U.S.

Overall, deaths from cancer began slowly dropping in the 1990s, and Monday's report shows the trend holding. Among men, cancer death rates dropped by 1.8 percent a year between 2000 and 2009, and by 1.4 percent a year among women. The drops are thanks mostly to gains against some of the leading types — lung, colorectal, breast and prostate cancers — because of treatment advances and better screening.

The news isn't all good. Deaths still are rising for certain cancer types including liver, pancreatic and, among men, melanoma, the most serious kind of skin cancer.

Preventing cancer is better than treating it, but when it comes to new cases of cancer, the picture is more complicated.

Cancer incidence is dropping slightly among men, by just over half a percent a year, said the report published by the Journal of the National Cancer Institute. Prostate, lung and colorectal cancers all saw declines.

But for women, earlier drops have leveled off, the report found. That may be due in part to breast cancer. There were decreases in new breast cancer cases about a decade ago, as many women quit using hormone therapy after menopause. Since then, overall breast cancer incidence has plateaued, and rates have increased among black women.

Another problem area: Oral and anal cancers caused by HPV, the sexually transmitted human papillomavirus, are on the rise among both genders. HPV is better known for causing cervical cancer, and a protective vaccine is available. Government figures show just 32 percent of teen girls have received all three doses, fewer than in Canada, Britain and Australia. The vaccine was recommended for U.S. boys about a year ago.

Among children, overall cancer death rates are dropping by 1.8 percent a year, but incidence is continuing to increase by just over half a percent a year. Brawley said it's not clear why.

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Serial killer stalked, killed 3 young mothers at bars, LAPD says

Authorities on Monday announced the arrest of a 72-year-old man who they allege is a serial killer responsible for the slayings of at least three women in Los Angeles in the 1980s.

Officials would not elaborate on the backgrounds of the
victims but said all three had children.

Los Angeles Police Department detectives allege that Samuel Little preyed on women in downtown and Central L.A., meeting some at bars before strangling them and dumping their bodies.

Police identified the victims as Carol Alford, 41, found dead on July
13, 1987; Audrey Nelson, 35, whose body was discovered Aug. 14, 1989;
and Guadalupe Apodaca, 46, found Sept. 2, 1989. Their bodies were
discovered in the Central Avenue-Alameda Street corridor, just south of
downtown.

Police allege that Little met women while cruising in his car or in bars.

If the allegations are true, it would mark the discovery of yet another serial killer operating in L.A. during the 1980s. Two years ago, the LAPD arrested a man they said was the notorious “Grim Sleeper,” allegedly responsible for at least 10 slayings in South L.A.

Little has been extradited to California from Kentucky, where he was taken into custody by the U.S. Marshals Service in early September on an unrelated criminal warrant, LAPD officials said. He was charged Monday by the L.A. County district attorney's office with three murder counts and special circumstances for multiple murder.

LAPD detectives Mitzi Roberts and Rick Jackson, who investigated the case, said there is DNA evidence linking Little to the Los Angeles slayings but would not elaborate, citing the ongoing investigation. Roberts and Jackson spent months crisscrossing the country following Little’s path.

Sources said they interviewed four women who said they survived attacks by Little and that they might testify in court.

Little has a long criminal record, dating to the 1950s. Detectives said they believe he committed thefts during the day to make money to finance his bar-hopping.

“It was theft by day and murder by night,” Jackson said.

Little, who also went under the name Samuel McDowell, committed crimes in 24 states but served relatively little time in state prison or county jail, the detectives said. In the early 1980s, he was accused of a two murders and two attempted murders in the Gainesville, Fla., and Pascagoula, Miss., areas.

Little was acquitted by a Florida jury in the strangulation death of Patricia Ann Mount, 26, whose body was discovered Sept. 12, 1982.

He was never brought to trial in the Mississippi cases, which include the strangulation death of Melinda LaPree, 24, on Sept., 14 1982. That case has been reopened by the Pascagoula Police Department in light of new evidence, authorities said.

Little moved from the South to California in the mid-1980s, moving first to San Diego.

He served more than two years in state prison after being convicted of assault and false imprisonment of two San Diego women in separate cases, police said. Shortly after being paroled, he moved to Los Angeles.

Little was being held in Wasco State Prison after being extradited and could not be reached for comment.

The LAPD is now working with other jurisdictions to determine whether Little might be a suspect in additional killings.

“If any law enforcement agencies have similar killings that occurred between 1960 and the present, they should contact LAPD cold case detectives,” Roberts said.

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Photo: Samuel Little. Credit: Los Angeles Police Department

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Court in Bahrain Confirms Jail Terms for 13 Dissidents

CAIRO — A court in Bahrain on Monday upheld prison sentences for 13 of the country’s most prominent dissidents, in a decision that government opponents offered as evidence that the monarchy was ignoring calls to negotiate a political solution that could quiet a nearly two-year-old uprising.

The decision ends all appeals for the dissidents, who were sentenced to between five years and life in prison for their leadership roles in the revolt that began in February 2011, according to a colleague of one of the jailed opposition members. The 13 are part of a group of 20 opposition leaders who were sentenced by a military tribunal on charges that included trying to overthrow the government. Other dissidents were sentenced in absentia.

Since pledging to accept reform recommendations made by an independent panel that investigated the uprising — including to commute sentences of those charged with “political expression” — the government has continued to silence its critics. In November, the government stripped 31 people, including former opposition members of Parliament and exiled dissidents, of their citizenship.

Last month, a judge upheld a prison sentence for a popular human rights advocate, Nabeel Rajab, who was convicted of inciting protests. As the security forces have moved to contain street protests, the contest over freedom in Bahrain has moved to the judiciary. Activists accuse the courts of being little more than arms of the government that endorse charges for political crimes.

On Monday, in an apparent reaction to such allegations, Bahrain’s state news agency carried a statement affirming what it said was the judiciary’s independence and condemning “false defamatory statements.”

The dissidents who lost their appeal on Monday include human rights activists and opposition leaders. Some of the detainees have advocated the creation of a constitutional monarchy in Bahrain, while others have called for the fall of the government. They were arrested as part of a government crackdown on a pro-democracy uprising in 2011 led by members of Bahrain’s Shiite majority, who have protested against what they say is discriminatory rule at the hands of the Sunni monarchs.

As the dissidents have disappeared into jail or exile, their likenesses, in spray paint, have started to fill the walls of Shiite villages, where clashes between youths and the riot police have become the principal interaction between the state and its opponents.

The government has accused many of the dissidents of colluding with Iran to topple the state and has blamed the violence of some protesters for the absence of dialogue. Critics of the monarchy argue that by sidelining the most influential opposition members, government officials are making negotiation impossible.

“They are trying to pull us toward a security solution,” said Radhi Mohsen al-Mosawi, the acting secretary general of the National Democratic Action Society, a leftist opposition group whose leader, Ibrahim Sharif, was among the dissidents who lost his appeal on Monday. Mr. Sharif is serving a five-year sentence.

“They have made things so difficult for them, and for us,” said Mr. Mosawi, who added that his group still favored negotiations for a constitutional monarchy. “Our demand is a peaceful demand. It is a minimum demand.”

This article has been revised to reflect the following correction:

Correction: January 7, 2013

An earlier version of this article incorrectly stated the name of the leader of the National Democratic Action Society. He is Ibrahim Sharif, not Ibrahim Hussein.

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Kuwaiti journalist jailed for Twitter ‘insults’

KUWAIT CITY (AP) — A Kuwait newspaper says an online journalist has been sentenced to two years in prison for posts deemed “insulting” to the Gulf nation’s ruler — the second such ruling this week.

The decision reflects a widening social media crackdown across the Gulf Arab states to quell perceived political dissent.

Kuwait’s pro-government Al Watan newspaper reported Monday that Ayyad al-Harbi, a journalist at news website Sabr, was charged with posting Twitter messages considered offensive to the nation’s Western-allied emir. No other details were given.

Kuwait, which hosts thousands of U.S. troops, has been gripped by months of political unrest led by anti-government groups, including Islamist factions.

On Sunday, Kuwaiti media said a social media activist also has received a two-year prison term for Twitter posts that allegedly insulted the emir.

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Brad Pitt Hints at Return to China - Despite Being Banned

01/07/2013 at 11:35 AM EST

Brad Pitt as Austrian mountaineer in Seven Years in Tibet

David Appleby/AP

Looks like Brad Pitt is about to say "Ni hao" to China ... in person.

The actor – who was reportedly banned from China following the government's disapproval of his 1997 film Seven Years in Tibet, which portrayed harsh Chinese rule in Tibet – has hinted at a return to the country. And he took to social media to do it.

Via China's version of Twitter, called Sina Weibo, the actor posted from his verified account, "It is the truth. Yup, I'm coming ..."

The surprising statement is the actor's only "Tweet" on the social network, but it generated more than 24,000 comments from his nearly 160,000 followers.

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Your medical chart could include exercise minutes

CHICAGO (AP) — Roll up a sleeve for the blood pressure cuff. Stick out a wrist for the pulse-taking. Lift your tongue for the thermometer. Report how many minutes you are active or getting exercise.

Wait, what?

If the last item isn't part of the usual drill at your doctor's office, a movement is afoot to change that. One recent national survey indicated only a third of Americans said their doctors asked about or prescribed physical activity.

Kaiser Permanente, one of the nation's largest nonprofit health insurance plans, made a big push a few years ago to get its southern California doctors to ask patients about exercise. Since then, Kaiser has expanded the program across California and to several other states. Now almost 9 million patients are asked at every visit, and some other medical systems are doing it, too.

Here's how it works: During any routine check of vital signs, a nurse or medical assistant asks how many days a week the patient exercises and for how long. The number of minutes per week is posted along with other vitals at the top the medical chart. So it's among the first things the doctor sees.

"All we ask our physicians to do is to make a comment on it, like, 'Hey, good job,' or 'I noticed today that your blood pressure is too high and you're not doing any exercise. There's a connection there. We really need to start you walking 30 minutes a day,'" said Dr. Robert Sallis, a Kaiser family doctor. He hatched the vital sign idea as part of a larger initiative by doctors groups.

He said Kaiser doctors generally prescribe exercise first, instead of medication, and for many patients who follow through that's often all it takes.

It's a challenge to make progress. A study looking at the first year of Kaiser's effort showed more than a third of patients said they never exercise.

Sallis said some patients may not be aware that research shows physical inactivity is riskier than high blood pressure, obesity and other health risks people know they should avoid. As recently as November a government-led study concluded that people who routinely exercise live longer than others, even if they're overweight.

Zendi Solano, who works for Kaiser as a research assistant in Pasadena, Calif., says she always knew exercise was a good thing. But until about a year ago, when her Kaiser doctor started routinely measuring it, she "really didn't take it seriously."

She was obese, and in a family of diabetics, had elevated blood sugar. She sometimes did push-ups and other strength training but not anything very sustained or strenuous.

Solano, 34, decided to take up running and after a couple of months she was doing three miles. Then she began training for a half marathon — and ran that 13-mile race in May in less than three hours. She formed a running club with co-workers and now runs several miles a week. She also started eating smaller portions and buying more fruits and vegetables.

She is still overweight but has lost 30 pounds and her blood sugar is normal.

Her doctor praised the improvement at her last physical in June and Solano says the routine exercise checks are "a great reminder."

Kaiser began the program about three years ago after 2008 government guidelines recommended at least 2 1/2 hours of moderately vigorous exercise each week. That includes brisk walking, cycling, lawn-mowing — anything that gets you breathing a little harder than normal for at least 10 minutes at a time.

A recently published study of nearly 2 million people in Kaiser's southern California network found that less than a third met physical activity guidelines during the program's first year ending in March 2011. That's worse than results from national studies. But promoters of the vital signs effort think Kaiser's numbers are more realistic because people are more likely to tell their own doctors the truth.

Dr. Elizabeth Joy of Salt Lake City has created a nearly identical program and she expects 300 physicians in her Intermountain Healthcare network to be involved early this year.

"There are some real opportunities there to kind of shift patients' expectations about the value of physical activity on health," Joy said.

NorthShore University HealthSystem in Chicago's northern suburbs plans to start an exercise vital sign program this month, eventually involving about 200 primary care doctors.

Dr. Carrie Jaworski, a NorthShore family and sports medicine specialist, already asks patients about exercise. She said some of her diabetic patients have been able to cut back on their medicines after getting active.

Dr. William Dietz, an obesity expert who retired last year from the Centers for Disease Control and Prevention, said measuring a patient's exercise regardless of method is essential, but that "naming it as a vital sign kind of elevates it."

Figuring out how to get people to be more active is the important next step, he said, and could have a big effect in reducing medical costs.

___

Online:

Exercise: http://1.usa.gov/b6AkMa

___

AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com/LindseyTanner

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