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.”
Lost in Time
August 25, 2015
So, North Korea is establishing its own unique time zone – “Pyongyang time” – named after the nation’s capital city. North Korea will fall 30 minutes behind Japan whose time zone was imposed on the entire Korean peninsula more than 100 years ago.
Actually, North Korea is more than 30 years behind Japan in almost every aspect of civilized life.
This time zone adjustment gesture is of little practical significance because North Koreans have been closed off from global interaction by the impositions of their brutal dictators since the end of World War II. It’s symbolism befitting the backward nation’s isolationism.
The negative effects of this isolationism upon the nation are visible across the Demilitarized Zone from South Korea. Behind visitors to the DMZ is the vibrant mega-city of Seoul, South Korea. Across the river is a bleak, barren landscape with no sign of life. No people, no agriculture. Just a few buildings, without inhabitants. Built only for show.
There are many lessons to be learned from this contrast, on many levels. Of course, we see how people thrive more in an atmosphere of freedom than totalitarianism. We see the benefits of engagement over isolationism. We see that symbols without substance are meaningless.
Lessons for nations, to be sure. But reminders for enterprises of all kinds, including ours.
And a note to North Korea ... Newfoundland Island has had its own time zone for many years. It’s 30 minutes ahead of the rest of North America, and a century ahead of North Korea.