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New Healthcare Video Game Promotes Single-Payer Reforms
When American patients trust their health to a for-profit insurance company, they"re doing nothing less than gambling with their lives. Registered nurses from the National Nurses Organizing Committee and California Nurses Association today announce the launch of a new healthcare video game, based on this idea, called "You Bet Your Health." The game is part of a wide-ranging public education and political mobilization campaign for single-payer health reforms, which is the choice of nurses and doctors. The game can be viewed at http://www.YouBetYourHealth.com
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Sotomayor's Record Contradicts Conservatives' Claims Of Radicalism, Washington Post Columnist Writes
"If Sonia Sotomayor is a radical activist eager to push the law leftward or to rule according to personal whims rather than constitutional commands, she"s done an impressive job of hiding it all these years," Washington Post columnist Ruth Marcus writes, adding that the "amazing thing about the case against Sotomayor is how thin it is." She writes, "If Sotomayor is the judicial radical of conservative imaginings, certainly there ought to be something more in her paper trail."Marcus continues that an "examination of Sotomayor"s decisions shows a careful judge who tends to rule for the government over criminal defendants; who has been skeptical of most civil rights claims that have come before her; and who, to the extent that she has ruled on cases that touch on abortion, has come down against the abortion-rights side." According to Marcus, Sotomayor is "not apt to be David Souter in reverse -- a Democratic pick who turns out to be a close conservative." However, there also is "no evidence that she will be outside the liberal mainstream on the current court," Marcus writes. Marcus notes that Sotomayor "has ruled in favor of abortion protesters who claimed police used excessive force in removing them from outside a clinic," and she "refused to overturn the federal policy barring international family planning funds to organizations that perform or promote abortion," known as the "global gag rule." Marcus concludes, "Perhaps Sotomayor the radical has been biding her time, awaiting the day when the freedom of a Supreme Court seat would liberate her from precedent and moderation," but "the record suggests" that outcome is "unlikely" (Marcus, Washington Post, 6/3).
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Cardiovascular Systems Announces First Patient Enrolled In COMPLIANCE 360 Degree Clinical Trial
Cardiovascular Systems, Inc. (CSI) (Nasdaq: CSII), a medical device company developing and commercializing innovative interventional treatment systems for vascular disease, announced today that the first patient has been enrolled in the COMPLIANCE 360 degree clinical trial. This prospective, randomized study will generate additional data on patient outcomes achieved in treating lesions above the knee with CSI"s Diamondback 360°® Peripheral Arterial System, a minimally invasive catheter for treating peripheral arterial disease (PAD).
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Oxygen Test Has Potential To Detect Some Critical Congenital Heart Defects In Newborns

A test that measures oxygen levels in newborns can detect "critical" congenital heart disease, but there are variables involved with the test that require more study before it is adopted for universal newborn screening, according to a new joint statement from the American Heart Association and the American Academy of Pediatrics. The scientific statement is published online in Circulation: Journal of the American Heart Association and in Pediatrics. A critical congenital heart defect is one a child is born with that requires surgery or catheter intervention in the first year of life, such as tetralogy of Fallot and coarctation of the aorta, among others. The benefits of the oxygen test, called a pulse oximetry screening, outweigh the risks, but the best way to implement pulse oximetry screening is not well established by research. Thus, the organizations affirm that the test can be used at a physician"s discretion, and call for more research to determine whether the test should become part of the routine assessment of all newborns in the United States. In the research reviewed, the test"s ability to detect critical congenital heart disease varied widely, from zero to 100 percent. According to the statement, most studies that have analyzed pulse oximetry in newborn screening were relatively small, and screening protocols differed with respect to both age at screening and cutoff levels for an abnormal screen. A normal oxygen reading is between 97-100 percent. Because oxygen levels in healthy newborns can vary considerably in the first 24 hours of life, the authors note that testing after 24 hours would appear the best strategy. False positive rates were just .035 percent in infants screened after 24 hours. "The statement is important because there hasn"t been any strong guidance so far regarding the use of pulse oximetry as a diagnostic technique in newborns," said William T. Mahle, M.D., FAAP, chair of the writing committee and associate professor of pediatrics at Emory University School of Medicine in Atlanta. "Some hospitals across the country have adopted it and others haven"t, so we wanted to review the available evidence and offer a consensus opinion on the topic." The test potentially can identify significant or life-threatening heart defects that may otherwise go unnoticed or at least unnoticed before a newborn is released from the hospital, Mahle said. Early identification of certain defects is important, and can allow doctors to begin appropriate treatment or transfer to a specialty hospital. Pulse oximetry was developed in the early 1970s, based on the fact that red blood cells that carry oxygen absorb different wavelengths of light vs. those that don"t carry oxygen. Oxygenated blood cells absorb infrared light, while deoxygenated cells absorb red light. The test measures how much oxygen is in blood that flows through the arteries. Arterial blood oxygen levels are measured by a device with a thin wire, tipped by a small red light. The wire is taped to an infant"s foot for a few minutes to obtain a reading. In older children and adults, pulse oxygen is often measured by a device clipped on a finger. The overall cost of the test is reasonable, and is about the same as the cost of other newborn screening tests. As of 2002, the prevalence of congenital cardiovascular defects in the United States is about 9 per 1,000 live births Mahle said. Co-authors include Jane W. Newburger M.D., M.P.H.; G. Paul Matherne, M.D.; Frank C. Smith, M.D.; Tracey R. Hoke, M.D.; Robert Koppel, M.D.; Samuel S. Gidding, M.D.; Robert H. Beekman III, M.D.; and Scott D. Grosse, Ph.D. Author disclosures are on the manuscript. Bridgette McNeill American Heart Association


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