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Delayed Muscle Response Complicates Sprained Ankle Rehab, BYU-Michigan Study Finds
Whether on the trail, at the gym, or even on the front-porch steps, what happens inside your ankle in the milliseconds following a single misstep could sentence you to a lifetime of ankle trouble.
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Government-Run Screening Programs Might Lead To Overtreatment Of Breast Cancer, Danish Study Says
One in three breast cancer patients identified in certain nations" public screening programs might have undergone unnecessary treatment, according to a study published Friday in BMJ, the AP/Google.com reports. For the study, Karsten Jorgensen and Peter Gotzsche of Copenhagen"s Nordic Cochrane Centre examined breast cancer trends at least seven years before and after the launch of government-run screening programs in parts of Australia, Canada, Great Britain, Norway and Sweden. The programs usually test women ages 50 to 69.According to the AP/Google.com, effective screening programs should detect more cases and result in a decline in advanced cancer cases detected in older women, whose cancers would have been caught in earlier screenings. However, the study found that the national screening systems simply detected thousands more cases than previously identified.Experts say that overtreatment of cancer occurs wherever there are widespread screening programs, including in the U.S. Some cancers develop too slowly to ever cause symptoms or death, the AP/Google.com reports. However, it is impossible to determine which cancers will be deadly, so all detected cases are treated. Jorgensen said that there is "significant harm in making women cancer patients without good reason" and that the "information needs to get to women so they can make an informed choice."Gilbert Welch of the VA Outcomes Group and the Dartmouth Institute for Health Policy and Research wrote in an accompanying editorial that although mammography "undoubtedly helps some women," it "hurts others." Welch wrote that it is "one of medicine"s "close calls," ... where different people in the same situation might reasonably make different choices."Britain"s National Health Service recently stopped distributing breast cancer screening pamphlets in response to criticism that they included too little information on cancer overtreatment. Laura Bell of Cancer Research UK said that although the organization still urges women to be screened, it is important that they be made aware of potential benefits and harms (Cheng, AP/Google.com, 7/9).
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Comp. Effectiveness Promises Better, Cheaper Health Care But Critics Link It To Rationing
"Federal health agencies, seeking to hand out stimulus funds to research the effectiveness of various medical treatments, said they will include projects that look in part at the cost of drugs and other treatments. The approach -- which was unveiled in a report to Congress this week by the Agency for Healthcare Research and Quality and the National Institutes of Health, both agencies under the Department of Health and Human Services -- could provide more fodder to conservatives worried that the government might use the results of such studies to limit health care to consumers," the Wall Street Journal reports.
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Supreme Court Nominees Should Disclose Views On Constitutional Issues, USA Today Opinion Piece States

One thing that "has been conspicuously absent" from the confirmation hearings for Supreme Court nominee Sonia Sotomayor is "substance," Jonathan Turley, the Shapiro Professor of Public Interest Law at George Washington University, writes in a USA Today opinion piece. According to Turley, "The vast majority of questions and answers remained on a shallow and predictable level where Sotomayor did little more than describe current doctrines and case law -- avoiding disclosures of her own views." He continues, "What is most striking is how Sotomayor"s statements were virtually identical to both her conservative and liberal predecessors," including her comments that Roe v. Wade and Planned Parenthood v. Casey are "the precedent of the court."Turley writes, "The content-light character in these hearings is largely the product of the "Ginsburg rule" -- named after Justice Ruth Bader Ginsburg, who refused to answer questions in her 1993 confirmation hearing about any case or matter upon which she might later vote." According to Turley, "Later nominees for both parties have relied on the Ginsburg rule to turn the hearings into prolonged photo-ops for senators, who largely ask wafer-thin questions to solicit largely scripted answers." The rule "allows nominees to get by with meaningless sound bites that promise to respect precedent, the Framers [of the Constitution] and collegiality in general," he adds. Furthermore, it "tells the public nothing about a nominee"s philosophy or purpose before giving her life tenure on the world"s most powerful court," Turley writes.According to Turley, there is a "simple solution to returning substance to the confirmation process: End the Ginsburg rule by insisting that nominees answer questions about their specific views on constitutional rights." Although "the current system works well for presidents, nominees and senators," it "does little for the public or the system of justice," he writes (Turley, USA Today, 7/16). Reprinted with kind permission from http://www.nationalpartnership.org. You can view the entire Daily Women"s Health Policy Report, search the archives, or sign up for email delivery here. The Daily Women"s Health Policy Report is a free service of the National Partnership for Women & Families, published by The Advisory Board Company. © 2009 The Advisory Board Company. All rights reserved.


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