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.”
Tough Love
October 9, 2015
A young Korean woman has lived with my wife and me for two years and will for two years longer. Grace is a graduate of the international school in China where our son and his wife were her teachers; and since living with us, she has graduated from Lansing Community College and moved on to Michigan State University.
Having this student in our home and a son and daughter-in-law as educators in China, living with my wife who once was in charge of refugee resettlement for a large agency in mid-Michigan, and my serving for seven years as president of the board of the Refugee Development Center in Lansing, makes me understanding of and sympathetic to international students.
However, I expect that is not the reputation I enjoy among those who work for student exchange organizations and even among some in our schools who work with the increasing number of international students who are enrolling in Michigan’s secondary schools. They probably view me as an advocate for more restrictive transfer rules for international students, especially regarding F-1 visa students and nonpublic schools.
Guilty as charged. Indeed, I do advocate for higher standards for exchange programs, more vigorous oversight of student placements and more equal application of rules, regardless of the type of visa the student has or the type of school in which that student enrolls.
It is because I see great value in our interaction with people from other nations that I want to assure international student exchanges remain popular in our schools. Nothing jeopardizes the future of international student exchange more than sloppy or shady placements of international students, including last-minute dumping of students by agencies, athletic-related direct placements by agents, and school districts loading up on international students as backfill for declining local enrollments.
As some youth escape brutal hardship in war-torn or impoverished countries and more well-off foreign students stampede to the U.S. to attend U.S. secondary schools, colleges and universities, it will require high doses of tough love. If problems related to athletics increase, so will the chances that all international students will lose all opportunities to participate in varsity level sports in this state.