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Segregation Decreases Access To Surgical Care For Minorities, Study Finds
New research published in the June issue of the Journal of the American College of Surgeons reveals that in counties with the highest levels of segregation, an increase in the African-American or Hispanic population was associated with a decrease in the availability and use of surgical services and an increase in the number of emergency room visits. This research supports prior studies that have shown that minority groups in the United States have comparatively poorer access to a range of health care services, often resulting in late diagnosis of illness and delayed treatment.
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Sotomayor Signals Support For Roe V. Wade In Meetings With Senators
Supreme Court nominee Sonia Sotomayor in conversations with senators has indicated her support for Roe v. Wade, even if she has not explicitly stated that she supports abortion rights, the AP/Yahoo! News reports. According to the AP/Yahoo! News, Sotomayor is "following a time-honored tradition" among nominees of assuring senators that she will not aim to impose a certain agenda, while also avoiding firm commitments on how she might rule on certain issues -- such as abortion rights -- if they come before the court. In questioning Sotomayor, senators hope to obtain assurances that she will honor certain precedents, such as Roe, which allows them to justify their votes for her to their constituents, the AP/Yahoo! News reports. Doug Kendall of the Constitutional Accountability Center said, "There"s always a bit of a parlor game that develops in terms of what precisely words said by nominees mean."Because Sotomayor has never directly ruled on the key issues in Roe, advocates on both sides of the abortion-rights debate have speculated over her views on constitutional privacy rights. White House spokesperson Robert Gibbs has said that President Obama and Sotomayor discussed her "views on unenumerated rights in the Constitution and the theory of settled law." The AP/Yahoo! News reports that Gibbs" comments indicate that Sotomayor would be unlikely to overturn Roe, which supporters consider "settled law." Sens. Dianne Feinstein (D-Calif.) and Benjamin Cardin (D-Md.), both of whom support abortion rights, said they spoke with Sotomayor about her position during private meetings and were pleased with her answers. Feinstein said that Sotomayor is "a woman who is well-steeped in the law and well-steeped in precedent, and I believe that she has a real respect for precedent." Sen. Jim DeMint (R-S.C.), an opponent of abortion rights, said that when he privately asked Sotomayor whether she believed a fetus should have any constitutional rights, she responded that she had never considered the issue (Hirschfeld Davis, AP/Yahoo! News, 6/18).
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Inflammation-Regulating Protein May Prove Relevant To Controlling Sepsis
Scientists at Singapore"s Institute of Molecular and Cell Biology (IMCB), under the Agency for Science, Technology and Research (A*STAR), have identified the protein, WIP1, as the molecular "brake" that curbs severe inflammation in the body.
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Minor League Hockey Players Unable To Identify Concussion Symptoms, Study Says

When Chicago Blackhawk"s leading scorer Martin Havlat returned to the ice for game four of the Western Conference Final after sustaining a concussion only two days earlier, questions were raised surrounding his swift return. According to a new study by St. Michael"s Hospital neurosurgeon Dr. Michael Cusimano, similar questions were raised by 25% of minor league hockey players who did not know if an athlete with symptoms of a concussion should continue to play hockey. Nearly a majority of these players were also unable to identify a concussion or its related symptoms. The findings are part of a study by Dr. Cusimano that analyzed the concussion knowledge of 142 adults (coaches, trainers and parents) and 267 players from GTA Atom (10-years-old), Bantam (14-years-old), AA (highly competitive) and house league divisions. The study is published in the May edition of the Canadian Journal of Neurological Sciences. "Serious misconceptions exist among minor league hockey players, athletes, coaches and parents when it comes to understanding the signs and symptoms of a concussion and its treatment," said Dr. Cusimano, a professor of neurosurgery, education and public health at the University of Toronto and vice-president of ThinkFirst Canada, a national injury prevention organization. "While many can identify how a concussion may occur, most cannot identify the symptoms and are under the impression that concussions can be treated with physician-prescribed medication or physical therapy. Many also believe it"s okay to return to play before they have fully recovered from such a brain injury. This is troublesome since repeated brain injuries can lead to long term effects in functions such as memory, behaviour, mood, social relations and school or work performance." Key findings of the study include: * Up to two thirds of players had the mistaken impression that a player does not have to lose consciousness to have suffered a concussion * A quarter of adults and up to half of children could not identify any symptoms of a concussion or could name only one symptom of a concussion. * About one-half of players and a fifth of adults mistakenly believed concussions are treated with medication or physical therapy * About a quarter of all players did not know if an athlete experiencing symptoms of a concussion should continue playing * About 4 in 10 of younger players and 3 in 10 of the older players thought a concussed athlete could return to play when feeling "90% better" or "while experiencing a mild headache for the next game as long as it"s at least two days later." In Canada, ice hockey is the main cause of sports-related traumatic brain injury. Statistics suggest youth 5-17 have about 2.8 concussions per 1,000 player-hours of ice hockey while university and elite amateur players sustain rates of 4.2 and 6.6 concussions per 1,000 player hours. Concussions have forced many NHL players like Brett Lindros and Pat LaFontaine to retire early and others like Eric Lindros and goalie Mike Richter to stay off the ice for an extended time because of repeated head injuries. Concussions can have cumulative and lasting effects on memory, judgment, social conduct, reflexes, speech, balance and co-ordination. Key to preventing repeated injuries is to recognize the symptoms of concussion when they occur and knowing how to deal with their effects. "Motivation to win, the wish to advance in their sport and earning the acceptance of their team-mates often outweigh an athletes" decision, or their parents" or coaches" decision, to play safe. This mind-set, coupled with the influence of media and behaviour of some parents, coaches and officials, unfortunately send a clear message that it is more important to continue to play injured than take someone out of the game," said Dr. Cusimano. "This "win at all costs" attitude places added responsibility on parents, coaches and medical professionals to recognize symptoms of a concussion and take all necessary steps to ensure a culture of healthy attitudes and behaviours among players and in leagues." Changes in rules such as removing fighting and body checking, proper use of helmets, softer shoulder and elbow pads, improved enforcement of rules, educational efforts and recognizing the critical role that professionals and the media have in shaping the culture of the sport would be beneficial, he added. Julie Saccone St. Michael"s Hospital


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