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Risk Of Facial Fractures In Motor Vehicle Crashes Decreasing
Facial fractures from motor vehicle crashes appear to be decreasing, most likely due to design improvements in newer vehicles, according to a report in the May/June issue of Archives of Facial Plastic Surgery, one of the JAMA/Archives journals.
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Fate Of Tiller's Clinic Expected To Be Decided This Week
The family of murdered Kansas abortion provider George Tiller is expected to decide this week whether his Wichita clinic will reopen, NPR"s "Morning Edition" reports. Tiller"s clinic is one of the few in the U.S. that performs abortions later in pregnancy, and many abortion-rights advocates are concerned whether women in need of abortions in the second and third trimester would be able to obtain care if it were not reopened. LeRoy Carhart, a Nebraska abortion provider who worked with Tiller at his clinic for four years, said that although it is a difficult time for abortion providers, he hopes that the family will reopen the clinic. "This is a job that we took, and we were well-aware of the risks when we started, as was Dr. Tiller," he said. Providing abortion services in the second and third trimester is "a service that"s so needed that it"s worth the risks," he added (Lohr, "Morning Edition," NPR, 6/9). Carhart also said that although no decision on Tiller"s clinic has been made, he "want[s] to assure the press and the women of America ... that we will somehow, somewhere continue to provide abortions later in gestation" (Duin, Washington Times, 6/9).According to Carhart, there are only about 10 providers in the U.S. who perform abortions in the second and third trimesters, including a few hospitals that do not advertise the services. "Morning Edition" reports that most women"s health care providers either are not trained or do not want to receive training to perform the procedure later in pregnancy. Providers who do tend to be older and face extreme pressure from antiabortion-rights advocates. Data from the Guttmacher Institute show that about 1% of all abortions performed in the U.S. occur after 21 weeks" gestation. Elizabeth Nash of Guttmacher said that 37 states have laws that limit access to abortion after a certain point in pregnancy, "usually around 24 weeks, which is at the end of the second trimester." She added that most of those states only allow abortions to save the life of the woman or if her physical health is in jeopardy. Pratima Gupta, an ob-gyn in California, said that she is concerned about what will happen to Tiller"s patients. Gupta said Tiller "had patients that were scheduled for Monday morning. What happened to those patients for the rest of the week, the rest of the month? Those patients are the ones who need us" ("Morning Edition," NPR, 6/9).
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RNs Praise House Vote To Permit State Single-Payer Laws
The nation"s largest union and professional association of registered nurses hailed passage of a key amendment in the House Education and Labor Committee to the national healthcare reform bill this morning that would enable individual states to go a step farther and adopt single-payer, Medicare-for-All style reforms.
Mental Health

Memory Impairment Predicts Alzheimer's Disease

Self perceived memory impairment is an indicator of pending Alzheimer dementia but not of vascular dementia, according to results of the LADIS (Leukoaraiosis and Disability) study which explores the impact of brain white matter changes on the functioning of independent elderly individuals over a 3 year period. The study is being presented at the current meeting of the European Neurological Society (ENS), a major meeting in European neurology that is gathering more than 2,900 experts from all over the world in Milan. "The LADIS study examines brain white matter changes and their influence on the intellectual and motor abilities of aging people," noted Professor Franz Fazekas (Department of Neurology, Medical University Graz, Austria), one of the leading LADIS researches. The study involved medical centres in eleven countries. The analysis being presented in Milan covered 639 persons and their subjective complaints of memory dysfunction. After three years, 90 patients had become demented. Of those, there were 34 cases classified as Alzheimer dementia with vascular component, 54 had vascular dementia and 2 frontotemporal dementia. Another 147 patients showed some cognitive impairment but not dementia. "Interestingly memory complaints showed quite different associations with dementia subtypes" stated Professor Fazekas. "Self-perceived memory impairment was a predictor of Alzheimer dementia with vascular component, independent of other risk factors, but not a predictor of vascular dementia." Abstract: ENS abstract O153: Verdelho et al, Self-perceived memory impairment predict Alzheimer"s disease but not vascular dementia in independent elderly with white matter changes. Results from the LADIS study. European Neurological Society


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