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Ohio Supreme Court Rulings Deny Request For Clinic Records, Address Mifepristone Use
The Ohio Supreme Court on Wednesday ruled that a clinic operated by Planned Parenthood-Southwest Ohio Region does not have to release 10 years of child abuse reports and medical records of minors who received abortions, the AP/Middletown Journal reports. The lawsuit was filed by parents of a 14-year-old girl who allegedly had an abortion at the clinic in 2004 after being impregnated by a 21-year-old man (Cornwell, AP/Middletown Journal, 7/1). The clinic provided the girl"s medical records in the case but refused the parents" request to release records on other patients, citing physician-patient privilege. Ohio law at the time required parental notification for minors, and the girl provided the phone number of the man, who pretended to be her father. The state now requires parental consent.The court, in a split decision, ruled that the need to protect confidentiality of medical records "trumps" the parents" claims that Planned Parenthood "systematically ignored claims of sexual abuse by its patients," according to the Columbus Dispatch (Nash, Columbus Dispatch, 7/2). The decision upholds a 2007 state appeals court ruling that said other patients" records are not necessary for the parents" lawsuit. The Supreme Court said that the parents may still sue for damages over their allegations related to whether the abortion was unlawful, whether the girl"s consent to the procedure was proper and whether the clinic had a duty to report suspected abuse.Becki Brenner, CEO of PPSOR, said the court"s decision reaffirms the importance of maintaining the confidentiality of medical records. She said, "Our perspective is that third-party records of people who are not involved in the lawsuit should not be shared with the plaintiff and their attorney." Brian Hurley, a lawyer for the parents, said that the court"s decision not to turn over the medical records "has significantly weakened the protection Ohio has provided to sexually abused children and undermined parents" rights to protect their minor children" (AP/Middletown Journal, 7/1).Court Rules In Favor of State Restrictions on MifepristoneThe state Supreme Court also ruled on Wednesday that Ohio can restrict the use of mifepristone, which is used in medication abortion, the Dispatch reports. A 2004 Ohio law required providers to comply with FDA guidelines regarding the drug"s use, which allow use of the drug up to the seventh week of pregnancy. However, doctors sometimes prescribe the drug up to nine weeks" gestation. The Ohio law has not been enforced pending a lawsuit by Planned Parenthood. The state Supreme Court in its decision interpreted the 2004 law as barring physicians from prescribing the drug beyond seven weeks" gestation and limiting its dosage. The case can be appealed to the Sixth U.S. Circuit Court of Appeals to determine if the law is constitutional (Columbus Dispatch, 7/2).
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Pregnant Women With H1n1 Flu Should Start Antiviral Treatment As Soon As Possible, While Those Who Are Well Should Be Vaccinated
An Article published Online First (http://www.thelancet.com) and in an upcoming edition of The Lancet shows that pregnant women could be at increased risk for complications from H1N1 flu. Furthermore, the study, from the USA, shows that the rate of hospitalisation for pregnant women is more than four times that of the general population. Pregnant women with H1N1 flu should start antiviral treatment as soon as possible, while those who are well should be vaccinated once a vaccine becomes available. The Article is written by Dr Denise J Jamieson, Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA, USA, and colleagues.
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Policymakers Search For Ways To Anchor Ballooning Health Costs
In 1993, when President Clinton attempted to overhaul the health care system, America"s total health spending amounted to $912 billion and left 40 million uninsured, Bloomberg reports. President Obama faces a worsening situation: national health spending has more than doubled to $2.5 trillion, and the number of uninsured people has increased to around 50 million. Critics say the reforms Obama and congressional Democrats are pushing - which carry a $1 trillion price tag - would make the system cost even more. But, "[t]he experience of the 15 years since Bill Clinton failed to win passage of legislation suggests that the price of inaction may be even higher than the cost of Obama"s plan" (Benjamin and Faler, 7/28).
Public Health

For DNA Analysis, Aluminum-Oxide Nanopore Beats Other Materials

Fast and affordable genome sequencing has moved a step closer with a new solid-state nanopore sensor being developed by researchers at the University of Illinois. The nanopore sensor, made by drilling a tiny hole through a thin film of aluminum oxide, could ultimately prove capable of performing DNA analysis with a single molecule, offering tremendous possibilities for personalized medicine and advanced diagnostics. "Solid-state nanopore sensors have shown superior chemical, thermal and mechanical stability over their biological counterparts, and can be fabricated using conventional semiconductor processes," said Rashid Bashir, a Bliss Professor of electrical and computer engineering and bioengineering, and the director of the university"s Micro and Nanotechnology Laboratory. "The aluminum-oxide nanopore sensors go a step further," Bashir said, "exhibiting superior mechanical properties, enhanced noise performance and increased lifetime over their silicon-oxide and silicon-nitride counterparts." The researchers describe the fabrication and operation of the aluminum-oxide nanopore sensor in a paper accepted for publication in Advanced Materials, and posted on the journal"s Web site. To make the sensor, the researchers begin by using a technique called atomic layer deposition to produce a very thin film of aluminum oxide on a silicon substrate. Next, the central portion of the substrate is etched away, leaving the film as a suspended membrane. An electron beam is then used to create a very tiny hole - a nanopore - in the membrane. The process of making the nanopore resulted in an unexpected bonus, Bashir said. "As the electron beam forms the nanopore, it also heats the surrounding material, forming nanocrystallites around the nanopore. These crystals help to improve the mechanical integrity of the nanopore structure and could potentially improve noise performance as well." The nanopore sensors described in the paper had pore diameters ranging in size from 4 to 16 nanometers, and a film thickness of approximately 50 nanometers. Thinner membranes are possible with atomic layer deposition, Bashir said, and would offer higher resolution of the detection. "Thinner membranes can produce less noise as a molecule travels through the nanopore," said Bashir, who is also affiliated with the university"s Beckman Institute, the Frederick Seitz Materials Research Laboratory, and the Institute for Genomic Biology. "Ultimately, we"d like to make our membranes as thin as biological membranes, which are about 5 nanometers thick." To demonstrate the functionality of the aluminum-oxide nanopores, the researchers performed experiments with pieces of DNA containing approximately 5,000 base pairs. Bashir"s team verified the detection of single molecules, with a signal-to-noise performance comparable to that achieved with other solid-state nanopore technology. "More work must be done to achieve single base resolution, however," Bashir said. "Our next step is to detect and measure significantly shorter molecules." With Bashir, co-authors of the paper are graduate students Bala Murali Venkatesan (lead author), Brian Dorvel, Sukru Yemenicioglu and Nicholas Watkins, and principal research scientist Ivan Petrov. Funding was provided by the National Institutes of Health. James E. Kloeppel University of Illinois at Urbana-Champaign


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