Distressed Debt & Asset Update - Commercial Property Executive

By Steven Bandolik and Mark Wojteczko

Hard on the heels of the United States? economic recession, the nation?s commercial real estate market appears to be on a gradual but uneven path to recovery. Increased transaction flow, driven by real estate investment trusts and distressed deals?in turn aided by improved access to debt and equity capital?has helped revive the commercial real estate markets as property fundamentals continue to improve across sectors.

A bright spot in the commercial real estate recovery process is transaction activity, led by REITs, foreign investors and distressed assets. Net positive acquisitions of $34.1 billion by REITs and $6.1 billion by foreign investors have significantly impacted investment recovery post-recession (2008), according to Real Capital Analytics Inc.

Distressed property transactions continue to rise due to improved financing conditions and favorable convergence of bid-ask spreads. Real Capital Analytics data found that during the first half of 2011, distress-driven sales increased 125 percent year-over-year, to $15.7 billion, and comprised 17 percent of total U.S. commercial real estate sales.

Distressed assets may be nearing a peak, as new additions to the inventory decreased for the sixth consecutive quarter in second quarter 2011, to their lowest level since 2008. Total loan workouts also exceeded new distress additions during the first half of 2011.

However, transaction opportunities still exist for distressed assets, with nearly $182 billion in troubled assets estimated in the marketplace, according to Real Capital Analytics. Indeed, an increase in real estate owned by lenders will help feed these trades, as these entities seek to permanently resolve troubled mortgages.

However, a broad-based transaction market recovery, requiring increased demand for ?non-trophy? assets, may be delayed in light of current economic uncertainty. Transaction growth appears to be moderating, as global economic uncertainty begins impacting investor appetite and real estate debt availability and pricing.

A Pause in the Recovery Momentum

The U.S. economic recovery appears to be stalling, following Standard & Poor?s Corp.?s sovereign debt rating downgrade, the Eurozone sovereign debt crisis and concerns over U.S. fiscal policy.

The continued economic uncertainty has resulted in lower consumer confidence and business expectations; consequently, unemployment may remain high, and housing demand could stay muted. In addition, the U.S. residential real estate market appears to be years away from a full recovery. The mortgage market faces significant uncertainty amid continuous change, and looming debt maturities through 2017 continue to act as a potential impediment to the recovery of commercial real estate. A constant theme of the recent downturn was the ?amend and extend? strategy, in which lenders were willing to extend terms for troubled loans at below-market interest rates.

But lenders have gradually moved away from this strategy as a result of a rise in commercial real estate values due to higher transaction activity and a boost in distressed-debt resolution through loan sales, refinancing and foreclosures. This uptick in loan restructuring and improved property fundamentals has decreased commercial real estate loan delinquencies: to 7.1 percent in the second quarter of 2011, compared to 8.8 percent in the second quarter of 2010, according to the Federal Reserve.

Adding further uncertainty to the recovery of commercial real estate is the residential housing and mortgage market. The residential mortgage market was the root cause of the sub-prime crisis and a major contributor to the 2008 economic recession. While mortgage debt levels continue to drop, new non-agency securitization issuances remain at record lows. Further, delinquencies hover at historic highs despite several bank and government loan modification efforts. The residential mortgage market may continue to evolve significantly over the next few years as a result of the regulatory environment, declining home prices, foreclosure practices and troubled-loan resolution.

Despite improved financing conditions due to availability of capital from increasingly diverse sources, issuance continues to be focused primarily on high-quality, stable assets, especially in gateway cities like New York, Washington, Boston, Chicago, San Francisco and Los Angeles. Prospects for a broad commercial real estate market recovery likely will be enhanced when lenders resume loan originations for non-trophy as- sets and refinancing options increase to respond to growth in debt maturities. According to Trepp L.L.C., at least $1.8 trillion in commercial real estate debt matures prior to 2015, with nearly 60 percent of this debt estimated to be ?underwater,? as the amount of existing debt exceeds the market value of the property itself.

Slower recovery of non-prime properties and continued economic un- certainty remain challenges for the commercial real estate market. The industry will need to take on these challenges in 2012.

For further information, see Deloitte?s ?Commercial Real Estate Out- look: Top Ten Issues in 2012?A Potential Pause in Recovery Momentum.? A copy of the report is available from Deloitte.

Steven Bandolik is a director for Deloitte Financial Advisory Services L.L.P. and Mark Wojteczko is a senior manager for Deloitte & Touche L.L.P. This article contains general information only and is based on the experiences and research of the authors. Deloitte Financial Advisory Services L.L.P. and Deloitte & Touche L.L.P. are not, by means of this article, rendering professional advice or services.

Related Posts:

Source: http://www.cpexecutive.com/finance/distressed-debt-asset-update-rough-path-to-recovery/

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China trade falls amid weak demand, holiday (AP)

BEIJING ? China's imports and exports fell sharply in January amid weak demand and a Lunar New Year holiday break that idled many Chinese companies.

Trade data on Friday showed exports were down 0.5 percent from a year earlier while imports fell 15 percent.

That was in line with forecasts by analysts who expected a big decline due to the holiday. Chinese exporters rushed orders out the door in December and then closed for two weeks or more in January.

China's politically sensitive global trade surplus tripled compared with a year earlier to $27.3 billion.

Source: http://us.rd.yahoo.com/dailynews/rss/china/*http%3A//news.yahoo.com/s/ap/20120210/ap_on_bi_ge/as_china_trade

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How To Choose Fat Burning Workouts | Dating Advice Singles

Whether or not we prefer it or not, many people are carrying too much fats round with us on a every day basis. Whether or not on the hips or on the belly, you will need to include fat burning workouts in any fitness routine since excess physique fat could cause vital well being points ? particularly with obesity now being the number one reason for demise in the United States. Nonetheless, when you begin to look for exercise packages that will take off that fats, it is simple to be overwhelmed by the process.

The primary and most important point to make clear is that elimination of fat needs to be both an train and dietary combination. Depending on the type of food regimen that you are concerned with, it?s possible you?ll prefer to embark upon a comprehensive food regimen program such as the Atkins diet or a calorie counting weight loss plan such as the Weight Watchers program, or simply take the time to look at the fat content material on packaging and minimize down on the quantity of fat that you ingest.

If you are not sure in regards to the amount of fats that you?ve in your physique, many gymnasiums have particular fats measuring instruments which will give you exact readings. Nonetheless, in your own house you may simply gently pinch utilizing your index finger and thumb around the stomach area. If you?ll be able to seize roughly one quarter to half an inch of pores and skin then your fat stage is satisfactory. In case you are pinching an inch or extra, then you must take action, whether or not this is dietary or exercise or preferably, a mix of both.

The best fats burning workouts are these which contain aerobic train through which your body is burning off fat. There are a huge range of cardio exercises accessible at your native fitness center or in DVD kind, starting from Tai Bo and excessive affect aerobics to extra conventional aerobics. Many gyms offer free trial classes so that you could choose the exercise of your choice, so make the most of these whenever possible.

In addition, chances are you?ll prefer to complement your general cardio train with particular exercises which target problematic areas. Callanetics is a whole exercise program which purely focuses upon firming and eliminating fats from specific areas.

The benefit of these exercises is that they do not require aerobic exercise, and thus might be achieved at any time by anyone of any age. Books and DVD?s are readily available.

Total, fats burning exercises are available in a wide variety of types and activities. It does not really matter the way you lose the load, with the emphasis instead being upon the fat being lost. By combining a sensible food regimen and structured exercise, it is relatively simple to focus on your areas of excess fats and through sustained exercise, obtain the body of your dreams.

for more about Fat Burning Furnace Review for more about Pregnancy Miracle Review visit my blog

Source: http://datingadvicesingles.com/love/?p=45826

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The Man From Nowhere: This Is Why You Don't Mess with the Quiet Ones [Movie Night]

Imagine a man with Chuck Norris' tenacity, Jason Bourne's fighting prowess, Vlad the Impaler's viciousness, and Bryan Mills' motivation. That man pales compared to the single-minded destruction factory that is Tae-Sik Cha, a former CIA spook frantically searching for a missing child. More »

Source: http://feeds.gawker.com/~r/gizmodo/full/~3/Wr6JVZXkhGc/the-man-from-nowhere-this-is-why-you-dont-mess-with-the-quiet-ones

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Join Laurie for HGTV's ?House Hunters? Viewing Party!! ? Tip Junkie

Guess what!?!? HGTV has asked me to host a LIVE chat and viewing party on Facebook during the House Hunters TV show on Thursday, February 16th. ?{{squealing with delight}} ?So, mark your calendars and RSVP to join me?for an hour of house-hunting fun!

House Hunters is an old favorite of mine. ?Each episode of?House Hunters?focuses on a different individual or family as they search for and decide on a home that is right for them. ?The show focuses on ?the emotional experience of finding and purchasing a new home?. ? Three homes are showcased and I love trying to guess which house the home buyers will pick. ?It?s always so much fun at the end of the show to see how the buyers make their new house a home, too.

As you may know, I recently moved to Ohio {from Texas} and I know all too well the stress associated with finding a new home. ?It can be so emotionally taxing trying to find the perfect house to raise the family. ?There are so many factors that come into play?.neighborhood, home layout, yard, schools, proximity to necessities, etc.

I looked at beautiful homes, ugly homes, dirty homes, immaculate homes, and homes with crazy/weird floor plans. ?I viewed homes with amazing yards, and yards that left a lot to be desired. ? I toured homes that would have been perfect if only they had a, b and c. ? In the end I made the decision to move into the home that was best suited to my family, and let me tell you, the choice was emotional.

Just like an episode of House Hunters. ?{smile}

I wonder how it would be different to go house hunting in the?place that we had chosen out of all other places in the world to live rather than the place our jobs take us?

If you could live anywhere in the world,
where would it be?

{Image Credit}

Oh how I dream of owning a home in Lake Como, Italy. ?If I could chose just one place to live, this is where I?d chose. ?Located just north of Milan, there?s a reason is the most popular lake for vacationing in Italy. ?It?s GORGEOUS. ?Not only is the lake deep and beautiful, the area has?artistic and cultural gems that I?d love to explore on a regular basis. Plus, I wouldn?t mind owning a lake front villa or palace. ?{snicker} ?I?d even learn Italian. {smiling}

Be sure to tell me where you?d live if you could live anywhere in the world. ?Who knows? ?Maybe you?ll introduce me to a new place that I?ll have to research. {wink}

Join the Party To Win an iPad:

LIVE House Hunters Viewing Party on Facebook!
Thursday, February 16th at 7:00pm PST

Everyone is? invited to enter to win an iPad loaded with the new HGTV House Hunters app just by watching live on 2/16 10:30 PST/9:30CST.? Details for how to win the iPad will be given to you when you ?show up? to party with me during the LIVE House Hunters viewing party.? So be sure to come back next week to enter to win!!

I am so honored to have the opportunity promote the new season of HGTV?s House Hunters! {squeal}??RSVP here if you want to Party with me!

Help Spread the Word:

Source: http://www.tipjunkie.com/house-hunters/

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Electronic Cigarettes vs. Pure nicotine Patch vs ... - Nilsenn's Blog

With the identified outcomes of cigarette smoking to a person, health and fitness specialists strongly encourage smokers to quit smoking. Ironically, even suppliers promote the campaign towards cigarette smoking by adding health warnings on tobacco cigarette packages.

Bad health effects of cigarette smoking are widely publicized and reported. Smokers are made aware to make sure they quit the habit of smoking. However as the favorite maxim says, It is easier said than done. Several cigarette smokers are actually serious in giving up the habit however drawback symptoms put smokers in dilemma causing the desire of giving up to fail.

To address the battle towards cigarette smoking, many choices have already been discovered to ease drawback signs and symptoms and stop smokers to smoke again and again. Three of the most popular include the following:

Nicotine Patch

Nicotine patch was in fact developed in 1993 and is referred to as a approach to stop or lessen cigarette smoking. It emits nicotine into the body. Nevertheless, side effects observed in smokers who use nicotine patches in place of tobacco are exactly like nicotine withdrawal symptoms. Allergic reactions to materials of the patch and skin irritability are typical on the spot of the patch. Patches are generally cheaper than cigarettes but in a few nations in which patches be more pricey per week compared with smoking.

Nicotine Gum

Nicotine gum is a temporary help to quit smoking. One must give up smoking fully before using this treatment which is often a drastic method. This works in a way that a smoker will have to chew a piece of gum when he feels the desire to smoke. The potential risk of cigarette smoking again is high with this particular type of alternative. Additionally, mouth sores, indigestion, enhanced saliva production and headache are expected during the first phase. Strict measures are essential before using nicotine gum.

Electronic Cigarette

A brand new innovation as opposed to smoking comes in the form of electronic cigarette. It is also referred to as smokeless cigarette and safe cigarette. Electronic cigarette simulate the experience of cigarette smoking an actual cigarette minus the health issues. It does not actually burn tobacco ? it simulates the flavor of cigarettes. Secure cigarette produces the same feeling and oral fixation desired by the cigarette smokers. It?s a more healthy option to smoking since it produces none of the bad facets of traditional smoking. No carcinogenic effects, no chemical additives that lead to respiratory and cardiac illnesses and nor tar. Scientific tests proven that best electronic cigarette is fairly clean and totally free from other probably toxic chemicals. Electronic cigarette is popularized as smoking cessation device. But with the cartridges that are available in various nicotine level which range from heavy to none, from which smokers has the option, it?s implied that electronic cigarette can gradually get the cigarette smokers out from the habit.

Source: http://www.nilssen.biz/archives/3202

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Joe's Health Calendar 2/7/12

Chi Kung Energy Enhancement

Feb. 7 (today) 6:30 to 8:30 p.m.: In this experiential workshop you will learn how to feel, cultivate and circulate Chi (vital energy) to enhance your energy and immune system. In addition, acupressure points for self-healing and ?Tiger?s Breath Chi Kung? to harvest Cosmic Chi will be explored. A healing guided visualization will be blended into this transformational evening. Kaleo Ching is a practitioner of Tai Chi and Chi Kung (35 years) and teaches at the Acupressure Institute in Berkeley. In addition he is a Hawaiian Lomilomi massage therapist, certified acupressure therapist, and certified clinical hypnotherapist. Kaleo?s Hawaiian roots have taught him to cherish the spirit of aloha. Visit www.kaleoching.com. St. Joseph?s Medical Center Mind, Body and Spirit Wellness Series, Auditorium, 1800 N. California St., Stockton. The cost for the entire four-week series is $20 per person. Space is limited and preregistration is required. Information: (209) 461-6889 or SJCancerInfo@chw.edu.

CareVan Provides Daily Free Health Clinic

St. Joseph?s Medical Center CareVan presents a free, walk-in health clinic for low-income and no-insurance individuals or families, 16 years old and older. The hospital?s mobile health-care services will be available to handle most minor urgent health care needs. Diabetes screening and blood pressure screening are offered on special days as noted. If you have questions, contact (209) 461-3471. Clinic schedule is subject to change without notice.

• Feb. 7 (today) 9 a.m. to 5 p.m.: Westwood School, 9444 Caywood Drive, Stockton.
• Feb. 8 (Wednesday) 9 a.m. to 5 p.m.: Rite Aid, 1050 N. Wilson Way, Stockton.
• Feb. 9 (Thursday) 9 a.m. to 4 p.m.: San Joaquin County Fairgrounds, 1658 S. Airport Way, Stockton.
• Feb. 10 (Friday) 9 a.m. to 5 p.m.: Health clinic includes diabetes and blood pressure screening clinics; Food 4 Less, 789 W. Hammer Lane, Stockton.
• Feb. 14 (Tuesday) 9 a.m. to 5 p.m.: Food 4 Less, 789 W. Hammer Lane, Stockton.
• Feb. 15 (Wednesday) 9 a.m. to 5 p.m.: Rite Aid, 1050 N. Wilson Way, Stockton.
• Feb. 16 (Thursday) 9 a.m. to 4 p.m.: San Joaquin County Fairgrounds, 1658 S. Airport Way, Stockton.
• Feb. 21 (Tuesday) 9 a.m. to 5 p.m.: St. George?s Church, 120 W. Fifth St., Stockton.
• Feb. 22 (Wednesday) 9 a.m. to 5 p.m.: West Lane Bowl, 3900 West Lane, Stockton. Sponsored by St. Joseph?s Spirit Club members.
• Feb. 23 (Thursday) 9 a.m. to 4 p.m.: San Joaquin County Fairgrounds, 1658 S. Airport Way, Stockton.
• Feb. 24 (Friday) 9 a.m. to 5 p.m.: Health clinic includes diabetes and blood pressure screening clinics; Rite Aid, 1050 N. Wilson Way, Stockton.
• Feb. 28 (Tuesday) 9 a.m. to 5 p.m.: Wagner Holt School, 8778 Brattle Place, Stockton.
• Feb. 29 (Wednesday) 9 a.m. to 5 p.m.: Rite Aid, 1050 N. Wilson Way, Stockton.
• March 1 (Thursday) 9 a.m. to 4 p.m.: San Joaquin County Fairgrounds, 1658 S. Airport Way, Stockton.
  

San Joaquin General Hospital Interim Board of Trustees

Feb. 8 (Wednesday) 4:30 p.m.: Board meeting at Health Plan of San Joaquin, 7751 S. Manthey Road, French Camp. Items to be discussed include market needs, Old Tower replacement, patient-centered medical home and patient experience results.

Actress Tracey Conway to Speak at Women Wear Red Event

Feb. 9 (Thursday) 11:30 a.m. to 1:30 p.m.: Emmy-Award Winning Actress Tracey Conway will be the keynote speaker at this year?s Women Wear Red event focused on creating awareness about women?s heart health, to be held at the Martin G. Petersen Event Center, 720 12^th St., Modesto. Tickets cost $35 and can be purchased by calling Memorial Hospital Foundation at (209) 530-3600. Conway recalls the day when, minutes after spoofing ?ER? on her sketch-comedy show, she literally dropped dead from Sudden Cardiac Arrest. Her chances of survival were barely one in 20, but after six defibrillator shocks, paramedics brought her back to life. Tracey has turned her story ? her sudden death, her recovery and the insight she has gained ? into a series of hilarious keynotes that will have you laughing until you cry. This event is sponsored by Memorial Medical Center, Sutter Gould Medical Foundation, Memorial Hospital Foundation, Heart Education and Training Program (HEAT) and the Stanislaus County Office of Education.

Total-joint Replacement Class for Hips, Knees

Feb. 9 or Feb. 23 (Thursday) 1 to 3 p.m.: Lodi Memorial Hospital?s Outpatient-Rehabilitation Services offers a free educational class for those planning to have total joint-replacement surgery of the hip or knee at Lodi Memorial Hospital West, 800 S. Lower Sacramento Road, Lodi.? Knee class is at 1 p.m.; hip class is at 2 p.m. Learn about preparations and exercises to do before surgery; the day of surgery and what to expect during the hospital stay; rehabilitation following surgery; techniques to decrease pain and swelling; and ways to promote maximum healing and return to normal function. Call (209) 333-3136 for more information or to sign up for the class.? Family and friends are welcome and encouraged to attend.? For information on other classes available at Lodi Memorial, visit its website at www.lodihealth.org.

Insights in Cardiovascular Care

Feb. 11 (Saturday) 8 a.m. to 3 p.m.: Stockton cardiologist Dr. Ramin Manshadi and St. Joseph?s Medical Center present Insights in Cardiovascular Care, a daylong cardiovascular symposium for health care professionals at Brookside Country Club. Please contact St. Joseph?s Education Department at (209) 461-5061 for more information or visit www.StJosephsCares.org/Heart.

Health Equity in Focus: Implementing Reform, Prioritizing Prevention

Feb. 13 (Monday) 2 to 4 p.m.: State Capitol, Room 112, Sacramento. Reception immediately following in Room 211. Hear about the estimated number of individuals who are projected to enroll in coverage by 2019 and what it means for communities of color. Presentations by: Daphna Gans, research scientist, UCLA Center for Health Policy Research; James Allen Crouch, executive director, California Rural Indian Health Board; Kathy Lim Ko, president & CEO, Asian & Pacific Islander American Health Forum; and Carmela Castellano-Garcia, president & CEO, California Primary Care Association. Learn how to ensure that the expansion of worksite wellness policies promote equity and ?do no harm.? Speakers will also discuss how a ?health in all policies? approach can promote healthier neighborhoods and reduce disparities among communities of color. Presentations by: Jamie Morgan, senior legislative director, American Heart Association; Robert Ogilvie, program director, Public Health Law & Policy; Monica Blanco-Etheridge, executive director, Latino Coalition for a Healthy California; and B. Darcel Lee, executive director, California Black Health Network. Please register at www.cpehn.org. Information: Sarah Mercer with the California Pan-Ethnic Health Network at (916) 999-1229.

Heart Health Educational Event

Feb. 14 (Tuesday) 8 a.m. to 3 p.m.: Think you?re too young to worry about heart disease or having your cholesterol checked? Are you sure you?ll feel signs and symptoms of high blood pressure or even the onset of a heart attack? In fact, heart disease can affect people of any age, and many don?t recognize, or even experience, the signs and symptoms of high blood pressure or high cholesterol. St. Joseph?s Medical Center, 1800 N. California St., Stockton, wants to clear up these common myths and help you learn more about the state of your own heart health at the free St. Joseph?s Heart Faire in the hospital lobby. This free event honoring February Heart Month will feature heart healthy screenings and displays including blood pressure checks, diabetes blood sugar screenings, body mass measurements, cardiac rehabilitation, the Mended Hearts Support Group, medical products and devices such as pacemakers and stents, and much more. Educational information focusing on heart health awareness, women and heart disease, nutrition, smoking cessation, stroke and diabetes will be available. Representatives from St. Joseph?s Heart Center will be on hand to share information about new technology, our STEMI program, and exceptional cardiovascular outcomes.

The Art Of Letting Go ~ And Letting Love In

Feb. 14 (Tuesday) 6:30 to 8:30 p.m.: We let go of many things in our lifetimes. The Art of Letting Go is designed to look gently at the way in which our internal belief system evolves and how we each carry around difficult and sometimes painful baggage that we need to free ourselves from so we can be our authentic self and be free to experience self-love. Powerful tools of Ancient Medicine in Therapeutic Grade Essential Oils, Breath Work and other modalities will be introduced to help you let go and feel lighter and more loving. RobinGayle Egbert has been a medical aromatherapist for 15 years and teaches the use of oils in Mind, Body, Spirit & Vibrational Medicine. She heads the Massage Integrative Therapy Program at the Sutter Cancer Center and Bone Marrow Unit in Sacramento. St. Joseph?s Medical Center Mind, Body and Spirit Wellness Series, Auditorium, 1800 N. California St., Stockton. The cost for the entire four-week series is $20 per person. Space is limited and preregistration is required. Information: (209) 461-6889 or SJCancerInfo@chw.edu.

Stork Tours for Parents-To-Be

Feb. 15 or March 21 (Wednesday) 6 to 7:30 p.m.: Parents-to-be are invited to attend a free stork tour at Lodi Memorial Hospital, 975 S. Fairmont Ave., Lodi. Prospective parents may view the labor, delivery, recovery and nursery areas of the hospital and ask questions of the nursing staff. Call (209) 339-7520 to register.?For more information on other classes available at Lodi Memorial, visit its website at www.lodihealth.org.

Growing GREENS/Eating LEAN

Feb. 16 (Thursday) 11 a.m. to noon (or March 1, 15, 29; April 12, 26; May 10, 24; June 7, 21): This free program at the Nutrition Education Center at Emergency Food Bank, 7 W. Scotts Ave., Stockton, is a combination of vegetable/fruit gardening workshops and nutrition/cooking demonstrations incorporating fruits and vegetables. Information: (209) 464-7369 or www.stocktonfoodbank.org.

Taking Control of Congestive Heart Failure

Feb. 21 (Tuesday) 10 a.m. to noon: ?Taking Control of Congestive Heart Failure? will be held in St. Joseph?s Medical Center Classroom 1, 1800 N. California St. This free class will help those who have been diagnosed with Heart Failure (CHF) ? giving information about the symptoms, the causes, the risks, plus how to control them with diet, rest and activity, and medications. To preregister for this free class, please call (209) 461-5061.

The Immune System ~ To Boost or Not To Boost?

Feb. 21 (Tuesday) 6:30 to 8:30 p.m.: The immune system is the most powerful defense we have against infection and disease. From the common cold to parasites or cancer, learn how your immune system is designed to protect you from illness. You will discover natural strategies to enhance immune system function now and in the many years to come. Pamela Colby, N.D., is a licensed naturopathic doctor in the state of California and maintains family practices in Lodi and Berkeley. She views symptoms and disease as signs of a deeper energetic imbalance. She teaches her patients how to create healthy lifestyle routines while identifying and treating the underlying cause of disease. St. Joseph?s Medical Center Mind, Body and Spirit Wellness Series, Auditorium, 1800 N. California St., Stockton. The cost for the entire four-week series is $20 per person. Space is limited and preregistration is required. Information: (209) 461-6889 or SJCancerInfo@chw.edu.

Mobile Medical Clinic for Military Veterans

Feb. 23 (Thursday) 11 a.m. to 3 p.m.: American Legion Karl Ross Post 16, 2020 Plymouth Road, Stockton, will host the VA Rural Health Mobile Medical Outreach Clinic Team. No appointment necessary. There will also be veterans service officers, enrollment specialists, medical and mental health teams on site. The Rural Health Mobile Medical Clinic Team will provide free examinations and consultations, referrals and, prescription renewals for veterans currently enrolled in the VA Health Care System. If you are uncertain about your eligibility for medical or psychological services, members of the team can provide you with information about and assistance with eligibility and enrolment for VA care. VA health care may complement your current insurance coverage. Eligibility requirements have changed, therefore, if you have been denied in the past, please come speak with a team member. Benefits are available for Vietnam and Iraq/Afghanistan veterans. If you are not currently in the VA system, bring a copy of your DD214 to attach to your enrollment form. If you do not have a copy of your DD214, one can be obtained for you. In addition, volunteer veteran service officers will be available to review your benefits, assist with enrollment forms and provide assistance with filing claims. Information: Valerie Gabriel, LCSW, at (209) 588-2604.

Cancer Care Symposium for Health Care Professionals

Feb. 25 (Saturday) 7:30 a.m. to 3 p.m.: This one day symposium ? Cancer Kaleidoscope: The View Keeps Chaning ? will address issues that past participants have requested to better understand and care for those experiencing cancer. Experts from across the region will share their expertise about hormone receptor considerations for treatment of breast cancer, new treatments for prostate cancer, acupuncture for pain control, ethics and the myths regarding cancer and cancer care. This symposium will be a truly eclectic combination of cancer related items to expand your knowledge of cancer care. Who should attend? Physicians, pharmacists, nurses, social workers, laboratory personnel, and anyone involved in cancer care will benefit. This symposium is sponsored by St. Joseph?s Regional Cancer Center in cooperation with the American Cancer Society. Information on fees and registration: (209) 467-6331. Symposium will be held at O?Connor Woods Main Clubhouse, 3400 Wagner Heights Road, Stockton.

Free Eye Clinic at Chinese New Year Festival

Feb. 26 (Sunday) 11:30 a.m. to 5:30 p.m.: Vision Service Plan Mobile Eyes is a deluxe clinic on wheels. It?s outfitted with state-of-the-art exam rooms and dispensaries, plus a finishing lab. Midtown Optometry optometrist Derron Lee has arranged for the lab along with optometry students from the University of California, Berkeley College of Optometry to assist in providing free eye exams and eyeglasses for the needy. The clinic will be outside the Stockton Memorial Civic Auditorium, 525 N. Center St., Stockton, during the Stockton Chinese New Year Festival.

$50,000 in Scholarships for Students Pursuing Health Studies

Feb. 26 (Sunday) deadline: Health Plan of San Joaquin is offering $50,000 in scholarships to graduating high school seniors in San Joaquin and Stanislaus counties for the 2012 academic school year. Health Plan of San Joaquin?s Health Careers High School Scholarship Program provides the opportunity for high school seniors to apply for a $2,500 scholarship based on their desire to pursue a career in the health care industry at an accredited college or university. The scholarship application will be accessible online through www.ScholarshipExperts.com, an online portal for scholarships. Applications may be submitted through Feb. 26. To learn more about the Health Careers High School Scholarship Program, contact Shani Richards at (209) 461-2284 or at srichards@hpsj.com. ?We?re hopeful that students will take advantage of this funding opportunity,? said Richards, HPSJ?s scholarship program coordinator. ?Student financial need remains high, parental support is challenged in the wake of the economy, and the area continues to experience a shortage of new health care graduates. These scholarships really can make a difference for students, and, in the longer term, our community.? The objective of the program is to support education and community health by investing in students who seek to become health care professionals and return to practice in San Joaquin or Stanislaus county. ?The significant deficit of health professionals available in the region is expected to continue into the future, so encouraging students from our local communities to consider health care careers is critical. The HPSJ Scholarship program does just that by offering the potential of sustained financial support for students who may be challenged by educational expenses,? said Dr. Dale Bishop, medical director at Health Plan of San Joaquin.

A Place to Begin

Feb. 28 (Tuesday) 6:30 to 8:30 p.m.: Need a tool to help you stay in the moment? Discover the gift of the present as you design your own personal prayer strand using the Sacred Wheel of Peace, a piece of string, and a pile of beads. In this hands-on experiential workshop you will be guided through a process to create your own prayer beads to use as your personal centering tool. Eleanor Wiley is a bead artist conducting interfaith, health and peace workshops nationally and internationally. She is the author of A String and a Prayer, There Are No Mistakes and Changing Bead By Bead. Eleanor created the Sacred Wheel of Peace that honors all faith traditions and cultures. Visit www.prayerbdzs.com. St. Joseph?s Medical Center Mind, Body and Spirit Wellness Series, Auditorium, 1800 N. California St., Stockton. The cost for the entire four-week series is $20 per person. Space is limited and preregistration is required. Information: (209) 461-6889 or SJCancerInfo@chw.edu.

Advance Directives Forum

Feb. 29 (Wednesday) 10 a.m.: Lodi Memorial Hospital, 975 S. Fairmont Ave., Lodi, offers a community forum on advanced directives. Lodi Memorial social workers will be on hand to talk about the importance of advance directives, answer questions and provide assistance with filling out advance directives. Sample advance directive forms will be provided. This is a complimentary service open to all. Notary services are available. Those interested in learning more about advance directives can visit the hospital?s website, www.lodihealth.org, and click on ?Advance Directive? for a sample form, instructions and other helpful information.

Breastfeeding: Getting Off to a Great Start

March 1 (Thursday) 6:30 to 8:30 p.m.: Lodi Memorial Hospital, 975 S. Fairmont Ave., Lodi, offers ?Breastfeeding: Getting off to a Great Start,? a one-session class covering the advantages of breastfeeding, basic anatomy, the breastfeeding process, common problems and solutions. An additional breastfeeding class for working moms is held Tuesdays, March 13 and May 15, 6:30 to 8 p.m., and is available only to participants who have already attended ?Breastfeeding: Getting off to a Great Start.?? Call (209) 339-7520 to register. For information on other classes available at Lodi Memorial, visit its website at www.lodihealth.org.

Childbirth Preparation

March 3 (Saturday) 9 a.m. to 4:30 p.m.: Lodi Memorial Hospital, 975 S. Fairmont Ave., Lodi, offers an all-day childbirth-preparation class. Cost is $45 per couple. For more information or to register, call (209) 339-7520.? For information on other classes available at Lodi Memorial, visit its website at www.lodihealth.org.

Big-Brother/Big-Sister Class for Kids 3-8

March 21 or May 16 (Wednesday) 3 to 4:30 p.m.: Lodi Memorial Hospital, 975 S. Fairmont Ave., Lodi, offers a big-brother/big-sister preparation class. This class, for children ages 3 to 8, will help youngsters adjust to the arrival of the new baby. The cost is $10 for the first child and $3 for each additional child. Call (209) 339-7520 to register.?For more information, visit the LMH website at www.lodihealth.org.

Heart Medications Help Only If You Take Them

People take their prescribed medications for chronic conditions such as heart disease only about half the time. This high rate of ?nonadherence? leads to an estimated 125,000 preventable deaths in the United States each year and costs the health care system between $100 and $300 billion annually. The February 2012 issue of the Harvard Heart Letter looks at this huge problem and offers practical tips on how to ensure that people take the medications they need, when they should be taking them. Cost is one barrier, of course, but so are complicated dosing regimens, hassles in getting prescriptions filled, and side effects. The February Heart Letter offers some hurdle-clearing ideas:

• Cost ? When you get a new prescription, check with your health plan to make sure it?s the lowest-cost option available. If not, talk with your doctor. Also, take advantage of free medication programs sponsored by pharmaceutical companies and the discount plans at large retailers and pharmacies.
• Complexity ? If you take several medications with different dosing schedules, talk with your doctor about how to streamline your medication regimen. Also, recent studies have shown that using mail-order pharmacies can improve medication adherence, presumably through convenience and cost advantages.
• Side effects ? Heart medications come with non-life-threatening but bothersome side effects, including fatigue, nausea, coughing, and muscle pain. Both doctors and pharmacists can offer effective strategies to ease side effects, but only if you talk with them about it.

The February Heart Letter feature on medication adherence also includes useful tips for establishing personalized memory aids for tracking which medications to take and when. Read the full-length article: ?Medications help the heart ? if you take them?

Kaiser Study Examines Implications of Medi-Cal Role for Diabetics

A new analysis from the Kaiser Family Foundation shows how Medicaid coverage provides access to care for adults with diabetes and how Medicaid (known as Medi-Cal in California) expansions under the Affordable Care Act could improve access for currently uninsured adults with diabetes. In the paper, published Jan. 10 in the journal Health Affairs, Foundation researchers Rachel Garfield and Anthony Damico report that adult Medicaid beneficiaries with diabetes have higher spending and service use than adult beneficiaries without the disease, but comparable access. At the same time, uninsured low-income adults with diabetes have higher out-of-pocket spending, are less likely to use services, and are more likely to report access barriers than those already covered by Medicaid. As they become eligible for Medicaid under health reform they are likely to enter the program with unmet health needs, and covering them is likely to result in both improved access and increased use of health care by this population, the study found. The full study, ?Medicaid Expansion Under Health Reform May Increase Service Use and Improve Access For Low-Income Adults With Diabetes,? can be accessed online at http://www.kff.org/medicaid/kcmu11012oth.cfm.

Creating Safer Sleep Environments for Kids

January through March: First 5 San Joaquin is pleased to present the Quarterly Health Messaging E-Toolkit on ?Safer Sleep Environments.? This quarter?s health messaging toolkit focuses on increasing the awareness about the risk of fatal sleeping accidents and injuries among young children due to unsafe sleep environments. View more information and resources.

Physical Fitness Trumps Body Weight in Reducing Death Risks

If you maintain or improve your fitness level ? even if your body weight has not changed or increased ? you can reduce your risk of death, according to research reported in Circulation: Journal of the American Heart Association. In a study of 14,345 adult men, mostly white and middle or upper class, researchers found that:

• Maintaining or improving fitness was associated with a lower death risk even after controlling for Body Mass Index (BMI) change.
• Every unit of increased fitness (measured as MET, metabolic equivalent of task) over six years was associated with a 19 percent lower risk of heart disease and stroke-related deaths and a 15 percent lower risk of death from any cause.
• Becoming less fit was linked to higher death risk, regardless of BMI changes.
• BMI change was not associated with death risks.

BMI is a measurement based on weight and height (kg/m2). MET measures the intensity of aerobic exercise ? specifically, the ratio of metabolic rate during a specific physical activity to a reference rate of metabolic rate at rest. ?This is good news for people who are physically active but can?t seem to lose weight,? said Duck-chul Lee, Ph.D., the study?s lead researcher and physical activity epidemiologist in the Department of Exercise Science at the University of South Carolina?s Arnold School of Public Health in Columbia. ?You can worry less about your weight as long as you continue to maintain or increase your fitness levels.? Results of the study underscore the importance of physical inactivity as a risk factor for death from heart disease and stroke, said researchers. Researchers also found no association between changes in body fat percentage or body weight and death risk. Participants, who were an average 44 years old, were part of the long-term, large-scale Aerobics Center Longitudinal Study. They underwent at least two comprehensive medical exams. Researchers used maximal treadmill tests to estimate physical fitness (maximal METs), and height and weight measurements to calculate BMI. They recorded changes in BMI and physical fitness over six years.

Questions About Health Reform Law?

• How are small businesses affected by health reform?
• Will everyone have to buy health insurance?
• How will the new provision allowing young adults to remain on a parent?s insurance work?

The FAQs (Frequently Asked Questions) section of the Kaiser Family Foundation?s new Health Reform Source provides concise answers to common questions about the health reform law. You can search for your question or submit a new question if yours is not addressed. http://healthreform.kff.org/faq.aspx. Additional questions addressing the affordability of health insurance, how programs like Medicare and Medicaid (Medi-Cal in California) will be financed under health reform and others are addressed in a series of Video Explainer clips featuring foundation experts answering specific questions about the law on a variety of health policy topics. http://healthreform.kff.org/video-explainers.aspx. Kaiser?s Health Reform Source, http://healthreform.kff.org, an online gateway providing easy access to new and comprehensive resources on the health reform law, provides these and other new features and tools including an interactive timeline showing when health-reform provisions take effect, all the latest polling data, links to other information resources, and the latest health-reform headlines from Kaiser Health News.

Respiratory Support Group for Better Breathing

First Tuesday of month 10 to 11 a.m.: Lodi Memorial Hospital and the American Lung Association of California Valley Lode offer a free ?Better Breathers?? respiratory-support group for people and their family members with breathing problems including asthma, bronchitis and emphysema. Participants will learn how to cope with chronic lung disease, understand lungs and how they work and use medications and oxygen properly. Pre-registration is recommended by calling (209) 478-1888 or (209) 339-7821. For information on other classes available at Lodi Memorial, visit its website at www.lodihealth.org.

Planned Childbirth Services

Tuesdays 6 to 8 p.m.: Dameron Hospital, 525 W. Acacia St., Stockton, hosts a four-class series which answers questions and prepares mom and her partner for labor and birth. Bring two pillows and a comfortable blanket or exercise mat to each class. These classes are requested during expecting mother?s third trimester. Information/registration: Carolyn Sanders, RN (209) 461-3136 or www.Dameronhospital.org.

Say Yes to Breastfeeding

Tuesdays 6 to 8 p.m.: Dameron Hospital, 525 W. Acacia St., Stockton, offers a class that outlines the information and basic benefits and risk management of breastfeeding. Topics include latching, early skin-to-skin on cue, expressing milk and helpful hints on early infant feeding. In addition, the hospital offers a monthly Mommy and Me-Breastfeeding support group where mothers, babies and hospital clerical staff meet the second Monday of each month. Information/registration: Carolyn Sanders, RN (209) 461-3136 or www.Dameronhospital.org.

Food Addicts in Recovery Anonymous

Are you having trouble controlling the way you eat? Food Addicts in Recovery Anonymous (FA) is a free Twelve Step recovery program for anyone suffering from food obsession, overeating, undereating or bulimia. For more information or a list of additional meetings throughout the U.S. and the world, call (781) 932-6300 or visit www.foodaddicts.org.

• Tuesdays 7 p.m.: Modesto Unity Church, 2547 Veneman Ave., Modesto.
• Wednesdays 9 a.m.: The Episcopal Church of Saint Anne, 1020 W. Lincoln Road, Stockton.
• Saturdays 9 a.m.: Tracy Community Church, 1790 Sequoia Blvd. at Corral Hollow, Tracy.

Adult Children With Aging Relatives

Second Wednesday of month 4:30 p.m.: Lodi Memorial Hospital offers an Adult Children with Aging Relatives support group at the Hutchins Street Square Senior Center. For information, call (209) 369-4443 or (209) 369-6921.

Individual Stork Tours At Dameron

Wednesdays 5 to 7 p.m.: Dameron Hospital, 525 W. Acacia St., Stockton, offers 30 minute guided tours that provide expecting parents with a tour of Labor/Delivery, the Mother-Baby Unit and an overview of the Neonatal Intensive Care Unit. New mothers are provided information on delivery services, where to go and what to do once delivery has arrived, and each mother can create an individual birthing plan. Information/registration: Carolyn Sanders, RN (209) 461-3136 or www.Dameronhospital.org.

Brain Builders Weekly Program

Thursdays 9:30 a.m. to 12:30 p.m.: Lodi Memorial Hospital and the Hutchins Street Square Senior Center offer ?Brain Builders,? a weekly program for people in the early stages of memory loss. There is a weekly fee of $25. Registration is required. Information or to register, call (209) 369-4443 or (209) 369-6921.

Infant CPR and Safety

Second Thursday of month 5 to 7 p.m.: Dameron Hospital, 525 W. Acacia St., Stockton, offers a class to family members to safely take care of their newborn.? Family members are taught infant CPR and relief of choking, safe sleep and car seat safety.? Regarding infant safety, the hospital offers on the fourth Thursday of each month from 5 to 7 p.m. a NICU/SCN family support group. This group is facilitated by a Master Prepared Clinical Social Worker and the Dameron NICU staff with visits from the hospital?s neonatologist. Information/registration: Carolyn Sanders, RN (209) 461-3136 or www.Dameronhospital.org.

Group Meetings for Alzheimer?s Patients, Caregivers

Thursdays 10 to 11:30 a.m.: The Alzheimer?s Aid Society of Northern California in conjunction with Villa Marche residential care facility conducts a simultaneous Caregiver?s Support Group and Patient?s Support Group at Villa Marche, 1119 Rosemarie Lane, Stockton. Caregivers, support people or family members of anyone with dementia are welcome to attend the caregiver?s group, led by Rita Vasquez. It?s a place to listen, learn and share. At the same time, Alzheimer?s and dementia patients can attend the patient?s group led by Sheryl Ashby. Participants will learn more about dementia and how to keep and enjoy the skills that each individual possesses. There will be brain exercises and reminiscence. The meeting is appropriate for anyone who enjoys socialization and is able to attend with moderate supervision. Information: (209) 477-4858.

Clase Gratuita de Diabetes en Espa?ol

Cada segundo Viernes del mes: Participantes aprender?n los fundamentos sobre la?observaci?n de az?car de sangre, comida saludable, tama?os de porci?n y medicaciones. Un educador con certificado del control de diabetes dar? instruccion sobre la autodirecci?n durante de esta clase. Para mas informaci?n y registraci?n: (209) 461-3251. Aprenda m?s de los programas de diabetes en el sitio electronico de St. Joseph?s: www.StJosephsCares.org/Diabetes

Nutrition on the Move Class

Fridays 11 a.m. to noon: Nutrition Education Center at Emergency Food Bank, 7 W. Scotts Ave., Stockton.? Free classes are general nutrition classes where you?ll learn about the new My Plate standards, food label reading, nutrition and exercise, eating more fruits and vegetables, and other tips. Information: (209) 464-7369 or www.stocktonfoodbank.org.

Free Diabetes Class in Spanish

Second Friday of every month: Participants will learn the basics about blood sugar monitoring, healthy foods, portion sizes, medications and self-management skills from a certified diabetic educator during this free class. St. Joseph?s Medical Center, 1800 N. California St., Stockton. Information and registration: (209) 461-3251. Learn more on St. Joseph?s diabetes programs at www.StJosephsCares.org/Diabetes.

All Day Prepared Childbirth Class

Third Saturday of month 9 a.m. to 4 p.m.: Dameron Hospital, 525 W. Acacia St., Stockton, offers community service educational class of prebirth education and mentoring. Information/registration: Carolyn Sanders, RN (209) 461-3136 or www.Dameronhospital.org.

Big Brother/Big Sister

Second Sunday of month: Dameron Hospital, 525 W. Acacia St., Stockton, has a one-hour class meeting designed specifically for newborn?s siblings. Topics include family role, a labor/delivery tour and a video presentation which explains hand washing/germ control and other household hygiene activities. This community service class ends with a Certification of Completion certificate. Information/registration: Carolyn Sanders, RN (209) 461-3136 or www.Dameronhospital.org.

Outpatient Program Aimed at Teens

Two programs: Adolescents face a number of challenging issues while trying to master their developmental milestones. Mental health issues (including depression), substance abuse and family issues can hinder them from mastering the developmental milestones that guide them into adulthood. The Adolescent Intensive Outpatient Program (IOP) offered by St. Joseph?s Behavioral Health Center, 2510 N. California St., Stockton, is designed for those individuals who need comprehensive treatment for their mental, emotional or chemical dependency problems. This program uses Dialectical Behavioral Therapy to present skills for effective living. Patients learn how to identify and change distorted thinking, communicate effectively in relationships and regain control of their lives. The therapists work collaboratively with parents, doctors and schools. They also put together a discharge plan so the patient continues to get the help they need to thrive into adulthood.

• Psychiatric Adolescent IOP meets Tuesdays, Thursdays and Fridays from 4 to 7:30 p.m.
• Chemical Recovery Adolescent IOP meets Mondays, Wednesdays and Thursdays from 4 to 7 p.m.

For more information about this and other groups, (209) 461-2000 and ask to speak with a behavioral evaluator or visit www.StJosephsCanHelp.org.

Click here for Community Medical Centers (Channel Medical Clinic, San Joaquin Valley Dental Group, etc.) website.

Click here for Dameron Hospital?s?Event Calendar.

Click here for Doctors Hospital of Manteca?Events finder.

Click here for Hill Physicians website.

Click here for Kaiser Central Valley News and Events

Click here for Lodi Memorial Hospital?Event Calendar.

Click here for Mark Twain St. Joseph?s Hospital Classes and Events.

Click here for San Joaquin General Hospital website.

Click here for St. Joseph?s Medical Center?s?Classes and Events.

Click here for Sutter Gould news.?Click here for Sutter Gould calendar of events.

Click here for Sutter Tracy Community Hospital?events, classes and support groups.

San Joaquin County Public Health Services General Information

Ongoing resources for vaccinations and clinic information are:

1. Public Health Services Influenza website,?www.sjcphs.org
2. Recorded message line at?(209) 469-8200, extension 2# for English and 3# for Spanish.
3. For further information, individuals may call the following numbers at Public Health Services:

• For general vaccine and clinic questions, call?(209) 468-3862;
• For medical questions, call?(209) 468-3822.

Health officials continue to recommend these precautionary measures to help protect against acquiring influenza viruses:

1. Wash your hands often with soap and water or use alcohol based sanitizers.
2. Cover your nose and mouth with a tissue or your sleeve, when you cough or sneeze.
3. Stay home if you are sick until you are free of a fever for 24 hours.
4. Get vaccinated.

Public Health Services Clinic Schedules (Adults and Children)

Immunization clinic hours are subject to chance depending on volume of patients or staffing. Check the Public Health Services website for additional evening clinics or special clinics at?www.sjcphs.org. Clinics with an asterisk (*) require patients to call for an appointment.

Stockton Health Center: 1601 E. Hazelton Ave.; (209) 468-3830.

• Immunizations: Monday 8 a.m.-4 p.m.; Tuesday 1-4 p.m.; Wednesday 10 a.m.-1 p.m.; Thursday 8-11 a.m. and 1-4 p.m.; Friday 8-11 a.m.
• Travel clinic*: Thursday 8-11 a.m. and 1 to 4 p.m.
• Health exams*: Tuesday 1-4 p.m.; Wednesday 10 a.m.-1 p.m.; Friday 8-11 a.m.
• Sexually transmitted disease clinic: Wednesday 3-6 p.m. and Friday 1-4 p.m., walk-in and by appointment.
• Tuberculosis clinic*: Tuesday; second and fourth Wednesday of the month.
• HIV testing: Tuesday 1-4 p.m.; Thursday 1-4 p.m.

Manteca Health Center: 124 Sycamore Ave.; (209) 823-7104 or (800) 839-4949.

• Immunizations: Monday 8-11 a.m. and 1-4 p.m.; Wednesday 10 a.m.-1 p.m. and 3-6 p.m.
• Tuberculosis clinic*: first and third Wednesday 3-6 p.m.
• HIV testing: first Wednesday 1:30-4 p.m.

Lodi Health Center: 300 W. Oak St.; (209) 331-7303 or (800) 839-4949.

• Immunizations: Monday 8-11 a.m. and 1-4 p.m.; Friday 8-11 a.m. and 1-4 p.m.
• Tuberculosis clinic*: Friday 8-11 a.m. and 1-4 p.m.
• HIV testing: second and fourth Friday 1:30-4 p.m.

* * * * * * * * * * * * * * * * * * * *

Have a health-oriented event the public in San Joaquin County should know about? Let me know at?jgoldeen@recordnet.com and I?ll get it into my Health Calendar. I?m not interested in promoting commercial enterprises here, but I am interested in helping out nonprofit and/or community groups, hospitals, clinics, physicians and other health-care providers. Look for five categories: Community Events, News, Ongoing, Hospitals & Medical Groups, and Public Health.

TO THE PUBLIC: I won?t list an item here from a source that I don?t know or trust. So I believe you can count on what you read here. If there is a problem, please don?t hesitate to let me know at (209) 546-8278 or jgoldeen@recordnet.com.?Thanks, Joe

Source: http://blogs.esanjoaquin.com/stockton-health-care/2012/02/07/joes-health-calendar-2712/

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