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Identifying High-Risk Patients By Testing Trauma Cases For Blood Alcohol Levels
Too much alcohol often causes trauma, complicates assessment of injury, and interferes with inpatient care. Even though 20 to 37 percent of accident cases in trauma centers are alcohol-related, some trauma patients are reluctant to self report their drinking. A new study has found that testing for alcohol biomarkers - particularly blood alcohol levels (BALs) - can identify high-risk patients admitted to trauma centers who had denied excessive drinking.

Blogs Comment On Appeals Court Ruling On Virginia Abortion Ban, German Abortion Law, Other Topics
The following summarizes selected women"s health-related blog entries.~ "Another Abortion Case Developing," Lyle Denniston, SCOTUSblog: The decision by the full U.S. Court of Appeals for the 4th Circuit to uphold Virginia"s 2003 law banning what abortion-rights opponents call "partial-birth" abortion -- known medically as intact dilation and extraction -- could send a new abortion-rights case to the U.S. Supreme Court, Denniston writes. He continues that if the case, Richmond Medical Center v. Herring, is appealed to the U.S. Supreme Court, it could be a "sequel" to the court"s 2007 ruling in Gonzales v. Carhart, which upheld a federal ban on the procedure. Denniston notes that the 4th Circuit Court panel twice struck down the Virginia law. A "key factor" in those rulings was that the state law "differs in some significant respects from the federal ban," he writes. Denniston continues that the full appeals court in its opinion said that the Virginia law "is "somewhat different" from the federal ban, but still "provides sufficient clarity as to what conduct is prohibited to enable a doctor of reasonable intelligence to avoid criminal liability under it."" According to Denniston, "The most significant difference between the Virginia ban and the federal ban is that, under the Virginia law, a doctor who intends to perform an abortion that does not violate the law, but the fetus accidentally is delivered intact to a significant degree, and if the mother"s life is not at stake, the doctor has committed a crime" (Denniston, SCOTUSblog, 6/24).~ "More Restrictive Law on Late-Term Abortions Comes to Germany," Anna Wilkowska-Landowska, RH Reality Check: Pregnant German women seeking abortions after the first trimester of pregnancy "will face stringent consultations and will be required to undergo a waiting period of at least three days before a physician can make a final decision allowing the abortion" under a new German law, Wilkowska-Landowska writes. According to a 1995 German law, an abortion performed during the first three months of pregnancy is considered an unlawful act but not a punishable offense if a pregnant woman first visits a counseling center, though the woman is not required to give a reason for seeking the procedure. German law allows abortion after 20 weeks" gestation if there is a risk to the physical or mental health of the pregnant woman. In May, the lower house of the German parliament enacted a law requiring women seeking the procedure after the first trimester to wait at least three days before a physician can make the decision to perform an abortion. Women also must undergo a psychological evaluation. In addition, parliamentarians voted to increase "consultations and support for families with handicapped children considering termination," Wilkowska-Landowska writes. She continues that the medical and psychological consultation requirements are aimed at reducing the number of abortions performed after the first trimester. According to Wilkowska-Landowska, church representatives and lawmakers began discussions on the issue in 2005,when it was reported that the number of abortions performed later in pregnancy were increasing (Wilkowska-Landowska, RH Reality Check, 6/25).~ "Jon Stewart and Mike Huckabee on Abortion," Jim Wallis, Sojourners" "God"s Politics": Wallis writes that he was surprised to see that The Daily Show handled a discussion on abortion between host Jon Stewart and former Republican presidential candidate and former Arkansas Gov. Mike Huckabee with such "nuance and respect" for the topic. According to Wallis, although Stewart and Huckabee "didn"t solve the issue, ... the depth of their dialogue and their respect for the other"s core values and opinions was clear." Wallis writes they "never quite reached common ground, but their dialogue was a great example of the type of civil discourse our country needs to be engaged in." Wallis also includes video clips of the interview (Wallis, "God"s Politics," Sojourners, 6/24).~ "George Tiller: Health Care P
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Scientists Identify Genetic Links To High Blood Pressure

An international scientific study involving researchers from the University of Glasgow has identified eight common genetic differences which may increase the risk of high blood pressure. The University researchers, led by Professor Anna Dominiczak and Professor John Connell, contributed to the global study of genes in high blood pressure through participation in the Medical Research Council"s British Genetics of Hypertension study. High blood pressure - or hypertension - affects at least eighteen million people in the UK and is a major risk factor for heart disease and stroke. Although lifestyle factors such as smoking and diet can raise blood pressure, it also runs in families suggesting a genetic link. The genes identified by the researchers are thought to influence blood pressure in different ways: for example, through the production of chemicals, known as steroids, which affect how the kidneys process salt; or how the blood vessels regulate blood pressure. Although the effect of each of the new gene variants is small, when combined their influence could significantly raise a person"s risk of stroke or heart attack. The role of steroid hormones in controlling hypertension is one of the key areas studied within the British Heart Foundation Glasgow Cardiovascular Research Centre at the University. Prof Connell, a senior researcher and Professor of Endocrinology, whose research group has a particular interest in steroids and blood pressure, said: "This latest study increases understanding of the underlying causes of high blood pressure, why some people are more susceptible to it than others and opens up further avenues for research into potential treatments. "It is important to stress that environmental factors also play a big part so diet, smoking and weight control all important methods of controlling high blood pressure." In the new study, scientists looked at the human genome for genetic variations affecting blood pressure. They compared 2.5 million genetic variants from more than 34,000 people with measurements of their blood pressure. They found eight genetic differences linked to changes in blood pressure. The study, published in Nature Genetics, involved over 150 scientists from 93 centres in Europe and the USA with funding from a variety of s including the Medical Research Council, the British Heart Foundation and the Wellcome Trust. Nexxus, Scotland


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