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Cardiac Screening
October 31, 2014
Sudden death among 12 to 25-year-olds is “a low event rate occurrence.”
“There is insufficient information to support the view that ECGs in asymptomatic young people for cardiac disease is appropriate or possible on a national basis for the United States, in competitive athletics or in the general population.”
“At present, there is no mechanism available in the United States to effectively create national programs of such magnitude, whether limited to athletics or including the wider population of all young people.”
“There is insufficient evidence that particularly large-scale/mass screening initiatives are feasible or cost effective within the current US healthcare infrastructure . . .”
“The ECG . . . cannot be regarded as an ideal or effective test when applied to large healthy populations.”
“An additional, but unresolved, ethical issue concerns whether students who voluntarily engage in competitive athletic programs should have advantage of cardiovascular screening, while others who choose not to be involved in such activities (but may be at the same or similar risk) are in effect excluded from the same opportunity.”
The AHA’s Sept. 14 AHA writing group “does not believe the available data support significant public health benefit from using the 12-lead ECG as a universal screening tool. The writing group, however, does endorse the widespread dissemination of automated external defibrillators which are effective in saving young lives on the athletic field and elsewhere.”
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Long Days
September 20, 2016
When I read, I prefer three types of literature:
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Fun, fast fiction – so I can read more than one page before I fall asleep at night.
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Well written, lively biographies of historical figures, especially in American history.
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Articles and essays about space.
The pieces about space almost always have the effect of putting my world in humble perspective.
For example, this summer astronomers in Chile discovered Planet HD 131399Ab. It’s 320 light years from Earth, in the constellation Centaurus.
This planet is unlike any other in the known world. It has three suns. And the planet takes 600 of our Earth years to orbit its main sun once.
One day on Planet HD 131399Ab is like 600 years on Earth.
So, if you think you’ve had some long days recently, think again. Ponder Planet HD 131399Ab and its nearly 5 million-hour day.