Date   
SPORTS MEDICINE : CONCUSSIONS : INJURIES : SPORTS SPECTATORS : SPORTS: BASEBALL: PROFESSIONAL : COUNTRIES: UNITED STATES, CANADA: Baseball Teams Need to Protect Fans from Foul Balls - and US Courts Need to Lift MLB's Special Liability Exemption

David P. Dillard
 

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SPORTS MEDICINE :

CONCUSSIONS :

INJURIES :

SPORTS SPECTATORS :

SPORTS: BASEBALL: PROFESSIONAL :

COUNTRIES: UNITED STATES, CANADA:

Baseball Teams Need to Protect Fans from Foul Balls -
and US Courts Need to Lift MLB's Special Liability Exemption


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Baseball Teams Need to Protect Fans from Foul Balls -
and US Courts Need to Lift MLB's Special Liability Exemption

The Conversation

https://tinyurl.com/yaxwg7nb

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Tens of thousands of fans are gathering at Major League Baseball ballparks around the country for hot dogs, home runs, their favorite players autographs and the fresh grass on the field.

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Few fans will consider the possibility that they could be blinded or suffer a serious head injury by a ball or bat leaving the field of play. In reality, such injuries occur much more frequently than many may realize, with a 2014 analysis finding that more than 1,750 fans are hurt each year by batted balls at MLB games.

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Who should be held responsible legally when injuries like this occur?

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In a new paper, University of Georgia business student Zachary Flagel and I argue that its time for courts to abolish an outdated rule that has historically immunized baseball teams from liability.
The Baseball Rule

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Under a century-old legal doctrine commonly known as the Baseball Rule, U.S. courts have almost uniformly held that professional baseball teams are not liable for these kinds of injuries to fans, who are stuck with the medical and rehab costs.

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Specifically, as long as a team takes basic precautions such as putting nets immediately behind home plate and ensuring that there are enough screened seats to meet anticipated demand, then under the Baseball Rule it will not be held legally responsible for fans injuries.


ADDITIONAL TOPICS COVERED IN THIS ARTICLE:


Closer, stronger, faster

The role of tort law

The right incentives to reduce injuries

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The complete article may be read at the URL above.

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SOME ADDITIONAL SOURCES


Augustine, Leigh.
"Who is responsible when spectators are injured while attending
professional sporting events."
U. Denv. Sports & Ent. LJ 5 (2008): 39.
https://tinyurl.com/ybzpbqrd


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Myles, W. Michael, John D. Dickinson, and G. Robert LaRoche.
"Ice hockey and spectators' eye injuries."
New England Journal of Medicine 329, no. 5 (1993): 364-364.
https://tinyurl.com/ybkyj2b3


*


Kastenberg, Joshua E.
"A Three Dimensional Model of Stadium Owner Liability in Spectator Injury Cases."
Marq. Sports LJ 7 (1996): 187.
https://tinyurl.com/y8o24epm


*


Champion Jr, Walter T.
"At the Ol'Ball Game and Beyond: Spectators and the Potential for Liability."
Am. J. Trial Advoc. 14 (1990): 495.
https://tinyurl.com/y8egy89b


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Spaite, Daniel W., Elizabeth A. Criss, Terence D. Valenzuela, Harvey W. Meislin, Roger Smith, and Allie Nelson.
"A new model for providing prehospital medical care in large stadiums."
Annals of emergency medicine 17, no. 8 (1988): 825-828.
https://tinyurl.com/y9ecwh3c


*


Fried, Gil, and Robin Ammon Jr.
"Baseball spectators' assumption of risk: Is it fair or foul."
Marq. Sports L. Rev. 13 (2002): 39.
https://tinyurl.com/ybueqm6m


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Perkins, Charles H.
"The Liability of the Proprietor of a Baseball Park for Injuries
to Spectators Struck by Batted or Thrown Balls."
Wash. ULQ (1951): 434.
https://tinyurl.com/y9sofe63


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Ludden, Matthew J.
"Take Me out to the Ballgame-but Bring a Helmet: Reforming the Baseball Rule in Light of Recent Fan Injuries
at Baseball Stadiums."
Marq. Sports L. Rev. 24 (2013): 123.
https://tinyurl.com/y8qsuavu



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Celedonia, Brett.
"Flying objects: Arena liability for fan injuries
in hockey and other sports."
Sports Law. J. 15 (2008): 115.
https://tinyurl.com/yaz9o55s


*


Zollmann, Carl.
"Injuries from Flying Baseballs to Spectators at Ball Games."
Marq. L. Rev. 24 (1939): 198.
https://tinyurl.com/y9swlar4


*


Carbonneau, Thomas E.
"The liability for injuries to sports participants and spectators:
a consideration of the relevance of assumption of risk principles
in sports litigation."
Potomac L. Rev. 2 (1979): 65.
https://tinyurl.com/ybkm9urc



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Ishikawa, Hideki, Shingo Hori, and Naoki Aikawa.
"The incidence of sickness / trauma in spectators of professional
baseball at the Meiji Jingu Baseball Stadium."
The Keio journal of medicine 56, no. 3 (2007): 85-91.
https://tinyurl.com/ybhrtwlq


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Wakamatsu, Aaron.
"Spectator injuries: Examining owner negligence
and the assumption of risk defense."
Willamette Sports LJ 6 (2009): 1.
https://tinyurl.com/y8r92bqg


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St John, Mary C.
"Strike One, You're Out: Should Ballparks be Strictly Liable
to Baseball Fans Injured by Foul Balls."
Loy. LAL Rev. 19 (1986): 589.
https://tinyurl.com/y9j25f89



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WEBBIB1718
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Sincerely,
David Dillard
Temple University
(215) 204 - 4584
jwne@...


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SPORTS MEDICINE : SPORTS INJURIES : MEDICAL CONDITIONS: CONCUSSIONS : CHILDREN : ADOLESCIENTS : MEDICAL: TREATMENT : PREVENTION: How to Avoid, Recognize and Treat Concussion in Sports

David P. Dillard
 

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SPORTS MEDICINE :

SPORTS INJURIES :

MEDICAL CONDITIONS: CONCUSSIONS :

CHILDREN :

ADOLESCIENTS :

MEDICAL: TREATMENT :

PREVENTION:

How to Avoid, Recognize and Treat Concussion in Sports


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How to Avoid, Recognize and Treat Concussion in Sports

The Conversation

https://tinyurl.com/ydz2lbcm


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Recognize, remove, rest and recover before returning to sport. Those are key points about sport-related concussion stated in the 5th International Consensus Statement on Concussion in Sport.

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The Canadian Guidelines on Concussion in Sport have been developed based on this statement and were recently released by Parachute Canada, a charitable organization focused on injury prevention, and its expert advisory group.

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The good news is that most people who suffer a concussion will recover in the initial days and weeks following injury. However, some will have ongoing symptoms. While concussions may occur in sport, there are many benefits to physical activity and sport participation for both youth and adults.

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I am a physiotherapist and researcher (assistant professor and clinician scientist) at the Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary. My research focuses on the prevention and treatment of sport-related concussion in children, youth and adults, with special emphasis on the role of the neck and balance systems.

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A concussion is a type of a brain injury that occurs following a trauma to the head or body. Symptoms can come on immediately or may take hours to gradually evolve. The most common symptom following concussion is a headache. However, a number of other symptoms such as dizziness, nausea, fatigue, difficulty with concentration, neck pain and other complaints may also occur. Lying motionless, clutching the head, being slow to get up, wobbling and appearing dazed are some of the observable signs.



Additional Topics Covered in This Article:

How are concussions treated?

Is there any way to prevent a concussion?


Links provided in this article:

5th International Consensus Statement on Concussion in Sport.
http://bjsm.bmj.com/content/51/11/838


The Canadian Guidelines on Concussion in Sport
http://www.parachutecanada.org/injury-topics/item/
canadian-guideline-on-concussion-in-sport

OR

https://tinyurl.com/y7ckmdmf


Parachute Canada
http://www.parachutecanada.org/


Sport Injury Prevention Research Centre
https://www.ucalgary.ca/siprc/


My Research
https://ucalgary.ca/siprc/node/131


Concussion Recognition Tool 5 (CRT5)
http://bjsm.bmj.com/content/51/11/872


Research led by Carolyn Emery
https://ucalgary.ca/siprc/node/125



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.


The complete article may be read at the URL above.


.


.




Sincerely,
David Dillard
Temple University
(215) 204 - 4584
jwne@...



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CHILD SEXUAL ABUSE : LARRY NASSAR : MICHIGAN STATE UNIVERSITY : OLYMPIC COMMITTIES : SPORTS MEDICINE : UNITED STATES: Impacts and Aftermath of Larry Nassar from News Videos

David P. Dillard
 

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CHILD SEXUAL ABUSE :

LARRY NASSAR :

MICHIGAN STATE UNIVERSITY :

OLYMPIC COMMITTIES :

SPORTS MEDICINE :

UNITED STATES:

Impacts and Aftermath of Larry Nassar from News Videos


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CBS/AP March 28, 2017, 2:11 PM

Olympic stars testify to Congress about sex abuse at USA Gymnastics program
Share Tweet Reddit Flipboard Email
Last Updated Mar 28, 2017 3:23 PM EDT

WASHINGTON -- Three retired star gymnasts have told a Senate committee of being sexually abused by USA Gymnastics officials.

Olympic gold medalist Dominique Moceanu, bronze medalist Jamie Dantzscher and national champion rhythmic gymnast Jessica Howard were among those to testify Tuesday at a Senate Judiciary Committee hearing on protecting young athletes from sexual abuse.


https://tinyurl.com/yd7tgwr7



A List Of People Accused Of Enabling Larry Nassar

Laura Wagner
1/29/18 6:09pm

Deadspin

https://tinyurl.com/y9f6267m



Gymnast McKayla Maroney files lawsuit against
US Olympic Committee over sexual abuse

ABC 7 NY News

https://tinyurl.com/y72f3dut


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Congress looking into alleged sexual abuse in USA Swimming and other

Olympic sports

By ELIZABETH BROWN KAISER May 23, 2018, 4:42 PM ET

ABC News

https://tinyurl.com/yc6z6ude



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Gymnasts' wrenching testimonies detail doctor's sexual abuse, cast light on dark Olympic secret

PBS Newshour


https://www.youtube.com/watch?v=wytGedr1KTk



Nassar victim says gymnastics ranch was 'perfect place for abusers and molesters'

M Live

https://www.youtube.com/watch?v=YEsHD0yc9sM

Mattie Larson talks about how the gymnasts were treated at the USA gymnastics Karolyi Ranch training facility in Texas during the sixth day of Larry Nassars sentencing in Lansing Mich., on Tuesday, Jan. 23, 2018. The Karolyi Ranch was shut down last week



Olympian Simone Biles: Larry Nassar Took A Part Of Me That I Cant Get Back

| Megyn Kelly TODAY

https://www.youtube.com/watch?v=9d-Z7V5kZvQ



Aly Raisman On Dr. Larry Nassars Medical Treatment: I Didnt Know It Was Abuse | Megyn Kelly TODAY

https://www.youtube.com/watch?v=DVAMKnfrQBk



The Brian Lehrer ShowThe Brian Lehrer Show

Published by

The Brian Lehrer Show

Sexual Abuse in Elite-Level Sports

Listen 30 min

https://www.wnyc.org/story/sexual-abuse-olympics/



Teen gymnast confronts Larry Nassar and said shes still billed for their sessions

By Herman Wong

January 22, 2018

Washington Post

https://tinyurl.com/y8b9mdaq



Figure skater to Congress: I reported sexual abuse and was ignored

BY ABC News Radio

April 18, 2018

KYBE

https://tinyurl.com/y86z5ske



CBS NEWS January 26, 2018, 7:19 AM

Olympic Committee gives USA Gymnastics board less than a week to resign

The U.S. Olympic Committee is demanding all USA Gymnastics board members resign over the Larry Nassar sexual abuse scandal. More than 150 women and girls, including numerous athletes and Olympic gymnasts, have accused the former U.S. gymnastics team doctor of abuse. A judge sentenced Nassar to up to 175 years in prison this week.

The Olympic Committee says if board members don't resign by Wednesday, USAG will lose its status as a national governing body, reports CBS News' Jon LaPook. Four of the 21 board members have already stepped down. USAG said it "embraces the requirements."

https://tinyurl.com/y7nsa3vt



U.S. Olympic Officials Did Not Heed Sexual Abuse Warnings as Early as 2004: Report

People

https://people.com/sports/us-olympic-sex-abuse-warnings-swimming/


Gymnast: MSU official scoffed at allegations
New Day

Former gymnast Rachael Denhollander, the first woman to publicly accuse Larry Nassar of sexual assault, says a Michigan State University official mocked her report of sexual abuse. The university has said that "any suggestion that the university covered up this conduct is simply false."Source: CNN


https://tinyurl.com/yarz23qd



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WEBBIB1718


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Sincerely,

David Dillard

Temple University

(215) 204 - 4584

jwne@...


Need research help?

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CHILD SEXUAL ABUSE : CHILDREN : SPORTS PARTICIPATION : COLLEGE ATHLETES : UNITED STATES OLYMPICS : MICHIGAN STATE: UNIVERSITY: What Can Be Done to Prevent Child Abuse in Sports? Experts Weigh In

David P. Dillard
 

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CHILD SEXUAL ABUSE :

CHILDREN :

SPORTS PARTICIPATION :

COLLEGE ATHLETES :

UNITED STATES OLYMPICS :

MICHIGAN STATE UNIVERSITY:

What Can Be Done to Prevent Child Abuse in Sports? Experts Weigh In


.

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What Can Be Done to Prevent Child Abuse in Sports? Experts Weigh In

Updated: May 21, 2018 9:00 AM EDT

by John Smallwood

Philadelphia Inquirer

https://tinyurl.com/yblxfw5f


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In the wild, adult animals instinctually try to shield and protect their young from predators.

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Human beings, however, add an element of thought and contemplation to most situations. The human wolf will infiltrate into the company of parents to gain their confidence, all with the secret agenda of gaining unsupervised access to children.

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Thats a fabulous way to put it, said Susan B. Sorenson, a professor of social policy and executive director of The Ortner Center on Violence & Abuse in Relationships at the University of Pennsylvania. Weve seen the process occur whether its been through churches, schools or through sports. The trusted adult, not just by the kids but by the parents and the family, and the community can end up taking advantage of kids. That becomes devastating for the kids as well as the families.

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Abuse of athletes by coaches has again exploded into the American conscience. Last week it was announced Michigan State settled lawsuits filed by the victims of Larry Nassar, the disgraced sports doctor who worked for the university, after more than 300 women accused him of sexual abuse. In January, more than 150 of those women including several Olympic-medal winning gymnasts testified in a hearing. He was sentenced to, essentially, life in prison.

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snip

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Studies have shown that 90 percent of children who are abused know their abuser.

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snip

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Through his work as president and CEO of the Cal Ripken Sr. Foundation, Steve Salem says his organization has developed safety guidelines that all organizations that involve work with children should adopt as a preventative tool against child abuse. It includes background checks for all coaches.

.

He says that sometimes the people in those organizations, including parents, become their own worst enemies.

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The kind of responses we get is, We know there is a problem, but we dont have a problem, Salem said. It can become so disappointing. Theyre in denial.



The complete article may be read at the URL above.


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Sincerely,
David Dillard
Temple University
(215) 204 - 4584
jwne@...



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SPORTS MEDICINE : SPORTS INJURIES: CONCUSSIONS : SPORTS: FOOTBALL : AFTERMATH: Micro Concussions May Alter Football Players' Brains

David P. Dillard
 

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SPORTS MEDICINE :

SPORTS INJURIES: CONCUSSIONS :

SPORTS: FOOTBALL :

AFTERMATH:

Micro Concussions May Alter Football Players' Brains


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Micro Concussions May Alter Football Players' Brains

By Tim Newman

Published Monday 9 April 2018

Medical News Today

https://www.medicalnewstoday.com/articles/321430.php


.

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A new study finds that players of contact sports have differences in their brain activity when compared with people who play non-contact sports. The authors ask whether micro concussions are to blame.

.

There has been a significant drive, over recent years, to push the issue of concussion to the front of people's minds.

.

It's now common knowledge that someone who is concussed should not return to the field of play and should take care to rest.

.

The study that we are discussing today relates to a more common but much less understood phenomenon: subconcussive impacts, which are also known as micro concussions.

.

The study authors define micro concussions as "impacts to the skull, including those that do not produce acute concussion but nevertheless result in clinical signs and symptoms."

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Across a college football season, a player might pick up well over 1,000 micro concussions. And, as research intensifies, scientists are growing increasingly concerned that they may have a significant cumulative effect.

.

snip

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Overall, though, the study only adds to the pile of inconclusive findings. Although differences were seen footballers' visual centers were busier accurate interpretation is impossible at this stage.


*

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.

The complete articles may be read at the URLs provided for each.

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.



*


Links to additional sources with content about microconcussions from database search results.



https://tinyurl.com/y94u49lm


https://tinyurl.com/y7m4xrng


https://tinyurl.com/ycoc3wrl






Sincerely,
David Dillard
Temple University
(215) 204 - 4584
jwne@...


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CHILD SEXUAL ABUSE : CHILDREN : SPORTS PARTICIPATION : COLLEGE ATHLETE : UNITED STATES OLYMPICS : MICHIGAN STATE UNIVERSITY: Michigan States $500 Million for Nassar Victims Dwarfs Other Settlements

David P. Dillard
 

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.


CHILD SEXUAL ABUSE :

CHILDREN :

SPORTS PARTICIPATION :

COLLEGE ATHLETES :

UNITED STATES OLYMPICS :

MICHIGAN STATE UNIVERSITY:

Michigan States $500 Million for Nassar Victims Dwarfs Other Settlements

.

.


Michigan States $500 Million for Nassar Victims Dwarfs Other Settlements

By Mitch Smith and Anemona Hartocollis

May 16, 2018

New York Times

https://tinyurl.com/y9jexcuf


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Victims of Lawrence G. Nassar, the Michigan State University physician who sexually abused young women under the guise of medical treatment, would receive $500 million from the university in a settlement that is believed to be the largest ever reached in a sexual abuse case involving an American university.

.

It dwarfed the size of the settlement reached in the sex abuse scandal at Pennsylvania State University. And it was larger than many of the settlements that followed the child sex abuse crisis in the Roman Catholic Church.

.

I think the number being so large sends a message that is undeniable, that something really terrible happened here and that Michigan State owns it, said John Manly, a lawyer for many of the 332 women who sued the university over abuse by Dr. Nassar. When you pay half a billion dollars, its an admission of responsibility.

.

Women who say they were abused by Dr. Nassar still have lawsuits against U.S.A. Gymnastics, the United States Olympic Committee and others, and the settlement with Michigan State could add pressure in those cases. The settlement by Michigan State, a public university that is the states largest, also sent a loud warning to other colleges about the potentially devastating cost of ignoring misconduct.

.

The agreement comes as officials at the University of Southern California are under fire for failing to report a gynecologist who faced allegations of misconduct for decades, and as other colleges find themselves grappling with a growing number of sexual abuse and assault complaints over the last few years. By late Wednesday, officials at U.S.C. said they had received about 85 complaints about George Tyndall, the gynecologist.


.


.



The complete article may be read at the URL above.



.



.



Sincerely,
David Dillard
Temple University
(215) 204 - 4584
jwne@...


Need research help?

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been terminated by JIGLU and these are dead links.
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[Net-Gold] CHILD SEXUAL ABUSE : CHILDREN : SPORTS PARTICIPATION : COLLEGE ATHLETES : UNITED STATES OLYMPICS : MICHIGAN STATE: UNIVERSITY: Larry Nassar's Ex-Boss at Michigan State Charged with Sexual Assault, Harassment of Students

David P. Dillard
 

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Date: Sat, 2 Jun 2018 18:24:24 -0400 (EDT)
From: David P. Dillard <jwne@...>
Reply-To: Net-Gold@groups.io
To: Net-Gold Groups.IO -- Educator-Gold <Educator-Gold@groups.io>,
HEALTH-RECREATION-SPORTS-TOURISM@...,
K12ADMIN@...,
Nabble Groups Net-Gold <ml-node+s3172864n3172864h56@...>,
"Sean Grigsby OR Keith @ Groups.IO" <Myarchives@groups.io>,
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net-gold@...,
Temple Gold Discussion Group <TEMPLE-GOLD@...>,
PUBMED@...,
Sport-Med -- Sports Medicine at Groups IO <SportMed@groups.io>,
SPORT-MED@..., sport-med@...
Subject: [Net-Gold] CHILD SEXUAL ABUSE : CHILDREN : SPORTS PARTICIPATION :
COLLEGE ATHLETES : UNITED STATES OLYMPICS : MICHIGAN STATE: UNIVERSITY:
Larry Nassar's Ex-Boss at Michigan State Charged with Sexual Assault,
Harassment of Students





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.


CHILD SEXUAL ABUSE :

CHILDREN :

SPORTS PARTICIPATION :

COLLEGE ATHLETES :

UNITED STATES OLYMPICS :

MICHIGAN STATE: UNIVERSITY:

Larry Nassar's Ex-Boss at Michigan State Charged with Sexual Assault,
Harassment of Students


.

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Larry Nassar's Ex-Boss at Michigan State Charged with Sexual Assault,
Harassment of Students

by Will Hobson

March 27, 2018

The Washington Post

https://tinyurl.com/ydf4z953


.


.


The former dean of Michigan State Universitys school of osteopathic medicine sexually assaulted and harassed four female students, and also mishandled a 2014 complaint that Larry Nassar sexually assaulted a patient, allowing further abuses by the disgraced former Olympic gymnastics physician to occur, according to criminal charges unsealed in Michigan Tuesday morning.

.

William Strampel, 70, who led Michigan States medical school from 2002 until late last year, was arrested Monday evening and taken to jail on four charges one felony and three misdemeanors stemming from the Michigan Attorney Generals Offices ongoing investigation of the role others at the school may have played in crimes committed by Nassar, the former Michigan State and USA Gymnastics physician accused by more than 250 girls and women of sexual abuse.

.

Tuesdays criminal charges invited more criticism from Nassars victims and their attorneys of Michigan States board of trustees, who resisted calls for nearly a year to commission an independent investigation of how the serial pedophile accused of abusing children as far back as the mid-1990s was able to escape detection for so long. Until relenting to demands for an inquiry in January, Michigan State board members publicly maintained university officials, including Strampel, didnt deserve blame for Nassars crimes.



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.


The complete article may be read at the URL above.


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.



Sincerely,
David Dillard
Temple University
(215) 204 - 4584
jwne@...



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MEDICAL: DISEASES : PHYSICAL EXERCISE AND FITNESS : CHILDREN: A Teen's Muscle Soreness Turned Out to Be This Life-Threatening Condition

David P. Dillard
 

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*



MEDICAL: DISEASES :

PHYSICAL EXERCISE AND FITNESS :

CHILDREN:

A Teen's Muscle Soreness Turned Out to Be This Life-Threatening Condition

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A Teen's Muscle Soreness Turned Out to Be This Life-Threatening Condition

By Rachael Rettner, Senior Writer

June 4, 2018 05:22pm ET

https://www.livescience.com/62738-teen-muscle-soreness-rhabdomyolysis.html


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A Texas teen who felt extremely sore after a hard gym workout turned out to have a rare and potentially life-threatening condition called rhabdomyolysis. But how do you tell the difference between run-of-the-mill soreness and rhabdomyolysis?

.

The teen, Jared Shamburger, had recently signed up for a gym membership with his family, according to local news outlet KTRK. His older brother and dad had been weightlifting for years, and Shamburger wanted to "catch up" with them. "I have to go hard fast," Shamburger, who is 17, told KTRK.

.

But after a 90-minute weightlifting session, Shamburger said he felt particularly sore. "Everything hurt. It hurt to the touch. It was swollen," he said.

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When the teen's soreness and swelling didn't go away, his mom, Judy Shamburger, looked up his symptoms online, and realized her son might have rhabdomyolysis. Her suspicion was right. The teen was diagnosed with the condition, sometimes referred to as "rhabdo," and hospitalized for five days, KTRK reported.

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snip

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Shamburger is expected to make a full recovery, KTRK reported.

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Rhabdomyolysis - Wikipedia

https://en.wikipedia.org/wiki/Rhabdomyolysis

Rhabdomyolysis is a condition in which damaged skeletal muscle breaks down rapidly.[3] Symptoms may include muscle pains, weakness, vomiting, and confusion.[3][4] There may be tea-colored urine or an irregular heartbeat.[3] Some of the muscle breakdown products, such as the protein myoglobin, are harmful to the kidneys and may lead to kidney failure.[3]

The muscle damage is most often the result of a crush injury, strenuous exercise, medications, or drug abuse.[3] Other causes include infections, electrical injury, heat stroke, prolonged immobilization, lack of blood flow to a limb, or snake bites.[3] Some people have inherited muscle conditions that increase the risk of rhabdomyolysis.[3] The diagnosis is supported by a urine test strip which is positive for "blood" but the urine contains no red blood cells when examined with a microscope.[3] Blood tests show a creatine kinase greater than 1,000 U/L, with severe disease being above 5,000 U/L.[5]

The mainstay of treatment is large quantities of intravenous fluids.[3] Other treatments may include dialysis or hemofiltration in more severe cases.[4][6] Once urine output is established sodium bicarbonate and mannitol are commonly used but they are poorly supported by the evidence.[3][4] Outcomes are generally good if treated early.[3] Complications may include high blood potassium, low blood calcium, disseminated intravascular coagulation, and compartment syndrome.[3]

Rhabdomyolysis occurs in about 26,000 people a year in the United States.[3] While the condition has been commented on throughout history, the first modern description was following an earthquake in 1908.[7] Important discoveries as to its mechanism were made during the Blitz of London in 1941.[7] It is a significant problem for those injured in earthquakes and relief efforts for such disasters often include medical teams equipped to treat survivors with rhabdomyolysis.[7]

Contents

1 Signs and symptoms
2 Causes
2.1 Genetic predisposition
3 Mechanism
4 Diagnosis
4.1 General investigations
4.2 Complications
4.3 Underlying disorders
5 Treatment
5.1 Electrolytes
5.2 Acute kidney impairment
5.3 Other complications
6 Prognosis
7 Epidemiology
8 History
9 Etymology and pronunciation
10 Other animals
11 References
12 External links


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Rhabdomyolysis

Medline Plus

https://medlineplus.gov/ency/article/000473.htm

Rhabdomyolysis
Email this page to a friend Print Facebook Twitter Google+

Rhabdomyolysis is the breakdown of muscle tissue that leads to the release of muscle fiber contents into the blood. These substances are harmful to the kidney and often cause kidney damage.
Causes

When muscle is damaged, a protein called myoglobin is released into the bloodstream. It is then filtered out of the body by the kidneys. Myoglobin breaks down into substances that can damage kidney cells.

Rhabdomyolysis may be caused by injury or any other condition that damages skeletal muscle.

Problems that may lead to this disease include:

Trauma or crush injuries
Use of drugs such as cocaine, amphetamines, statins, heroin, or PCP
Genetic muscle diseases
Extremes of body temperature
Ischemia or death of muscle tissue
Low phosphate levels
Seizures or muscle tremors
Severe exertion, such as marathon running or calisthenics
Lengthy surgical procedures
Severe dehydration

Muscle DisordersMuscle DisordersRead more
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Health Topics A-ZHealth Topics A-ZRead more
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Symptoms

Symptoms may include:

Dark, red, or cola-colored urine
Decreased urine output
General weakness
Muscle stiffness or aching (myalgia)
Muscle tenderness
Weakness of the affected muscles

Other symptoms that may occur with this disease:

Fatigue
Joint pain
Seizures
Weight gain (unintentional)

Exams and Tests

A physical exam will show tender or damaged skeletal muscles.

The following tests may be done:

Creatine kinase (CK) level
Serum calcium
Serum myoglobin
Serum potassium
Urinalysis
Urine myoglobin test

This disease may also affect the results of the following tests:

CK isoenzymes
Serum creatinine
Urine creatinine

Treatment

You will need to get fluids containing bicarbonate to help prevent kidney damage. You may need to get fluids through a vein (IV). Some people may need kidney dialysis.

Your health care provider may prescribe medicines including diuretics and bicarbonate (if there is enough urine output).

Hyperkalemia and low blood calcium levels (hypocalcemia) should be treated right away. Kidney failure should also be treated.
Outlook (Prognosis)

The outcome depends on the amount of kidney damage. Acute kidney failure occurs in many people. Getting treated soon after rhabdomyolysis will reduce the risk of permanent kidney damage.

People with milder cases may return to their normal activities within a few weeks to a month. However, some people continue to have problems with fatigue and muscle pain.
Possible Complications

Complications may include:

Acute tubular necrosis
Acute renal failure
Harmful chemical imbalances in the blood
Shock (low blood pressure)

When to Contact a Medical Professional

Call your provider if you have symptoms of rhabdomyolysis.
Prevention

Rhabdomyolysis can be avoided by:

Drinking plenty of fluids after strenuous exercise.
Removing extra clothes and immersing the body in cold water in case of heat stroke.

Images

Male urinary systemMale urinary system

References

O'Connor FG, Deuster PA. Rhabdomyolysis. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 113.

Parekh R. Rhabdomyolysis. In: Walls RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018:chap 119.

Uduman J, Singasani R. Rhabdomyolysis. In: Ferri FF, ed. Ferri's Clinical Advisor 2018. Philadelphia, PA: Elsevier; 2018:1122-1124.
Review Date 8/1/2017

Updated by: Walead Latif, MD, nephrologist and Clinical Associate Professor, Rutgers Medical School, Newark, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.


A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 1997-2018, A.D.A.M., Inc. Duplication for commercial use must be authorized in writing by ADAM Health Solutions.


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Rhabdomyolysis

PUBMED Health

https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0024696/

Rhabdomyolysis

Rhabdomyolysis is a condition in which damaged skeletal muscle tissue breaks down rapidly. Breakdown products of damaged muscle cells are released into the bloodstream. Some of these, such as the protein myoglobin, are harmful to the kidneys and may lead to kidney failure.

PubMed Health Glossary
(Source: Wikipedia)


About Rhabdomyolysis

Rhabdomyolysis is an extremely rare but serious side effect where muscle tissue gradually breaks down in certain muscles. This can lead to permanent paralysis, and the breakdown products can cause serious kidney damage.

In studies, rhabdomyolysis was found to occur in 1 out of 10,000 people who took statins for longer periods of time.

Signs of this side effect include muscle ache and dark-colored urine, so it is important to seek medical advice if you have these symptoms. Institute for Quality and Efficiency in Health Care (IQWiG)


ults: 1 to 20 of 60

Is continuous renal replacement therapy beneficial for people with rhabdomyolysis?

Rhabdomyolysis is a potentially life-threatening condition where damaged muscle tissue breaks down quickly, and products of damaged muscle cells are released into the bloodstream. Of these products, a protein called myoglobin is harmful to kidney health and can lead to acute kidney injury. There is some evidence to suggest that continuous renal replacement therapy (CRRT) may provide benefits for people with rhabdomyolysis.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.
Version: June 15, 2014

Rhabdomyolysis in bariatric surgery: a systematic review

BACKGROUND: Rhabdomyolysis (RML) is a rare complication of bariatric surgery. A systematic review was performed to identify risk factors and patient outcomes in morbidly obese patients undergoing bariatric surgery who develop RML.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).
Version: 2013

Prevention of kidney injury following rhabdomyolysis: a systematic review

OBJECTIVE: To conduct a systematic literature review to evaluate evidence-based recommendations for the prevention of rhabdomyolysis-associated acute renal failure (ARF).

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).
Version: 2013

Statin-induced rhabdomyolysis: a comprehensive review of case reports

PURPOSE: To identify case reports of statin-induced rhabdomyolysis and summarize common predisposing factors, symptoms, diagnostic findings, functional outcomes, characteristics, treatment, and rehabilitation.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).
Version: 2014

Utility of urine myoglobin for the prediction of acute renal failure in patients with suspected rhabdomyolysis: a systematic review

This review concluded that there was inadequate evidence to evaluate use of urine myoglobin as a predictor of acute renal failure in patients with suspected rhabdomyolysis. There were limitations in the review and included studies, but the overall conclusion reflected the evidence presented.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).
Version: 2009

Systematic review and meta-analysis of clinically relevant adverse events from HMG CoA reductase inhibitor trials worldwide from 1982 to present

PURPOSE: Our objective was to determine the association of clinically relevant adverse events from a systematic review and meta-analysis of statin randomized controlled trials (RCT).

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).
Version: 2007

Statin Use for the Prevention of Cardiovascular Disease in Adults: A Systematic Review for the U.S. Preventive Services Task Force [Internet]

Cardiovascular disease (CVD) is the leading cause of mortality and morbidity in the United States but is potentially preventable with statin therapy. The U.S. Preventive Services (USPSTF) commissioned this review to inform the development of new recommendations on use of statin therapy for prevention of CVD in adults.

Evidence Syntheses - Agency for Healthcare Research and Quality (US).
Version: November 2016
Show search results within this document

Efficacy of statins for primary prevention in people at low cardiovascular risk: a meta-analysis

The review concluded that both low- and high-potency statins were efficacious in preventing death and cardiovascular-related morbidity in people at low risk of cardiovascular events, although the number needed to treat to prevent one adverse outcome was relatively high for any statin. The authors' conclusions reflect the evidence available and appear likely to be reliable.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).
Version: 2011

Adverse events associated with individual statin treatments for cardiovascular disease: an indirect comparison meta-analysis

The use of statin therapy for cardiovascular disease was associated with a relatively low risk of adverse events. High risk of bias within the studies, high clinical and methodological heterogeneity between the studies, and a discrepancy between the initial outcomes stated and those actually reported suggest that the authors' conclusions and recommendations may not be reliable.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).
Version: 2012

Intensive statin therapy in acute coronary syndromes and stable coronary heart disease: a comparative meta-analysis of randomised controlled trials

This review concluded that intensive-dose statin therapy reduced all-cause mortality in patients with recent acute coronary syndrome but not in patients with stable coronary heart disease, compared with moderate-dose statin therapy. The review was well-conducted and these conclusions are likely to be reliable.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).
Version: 2007

Lipid Modification: Cardiovascular Risk Assessment and the Modification of Blood Lipids for the Primary and Secondary Prevention of Cardiovascular Disease

This guideline updates for primary prevention, the NICE technology appraisal, Statins for the prevention of cardiovascular events (TA94, 2007) and reviews and updates the recommendations made in the NICE guideline Lipid Modification (CG67, 2008) for primary and secondary prevention of cardiovascular disease (CVD). The scope for this guideline was limited to the identification and assessment of CVD risk and to the assessment and modification of lipids in people at risk of CVD, or people with known CVD. The guideline development group wishes to make clear that lipid modification should take place as part of a programme of risk reduction which also include attention to the management of all other known CVD risk factors.

NICE Clinical Guidelines - National Clinical Guideline Centre (UK).
Version: July 2014
Show search results within this document

Aerobic training for McArdle disease

McArdle disease is a rare disease of muscle metabolism. Affected people cannot use a starch-like substance called glycogen which is stored in muscle and used for energy at the beginning of activity and during strenuous exercise. The effects of the condition are fatigue and cramping within a few minutes of starting an activity, which can potentially lead to acute muscle damage. After about seven or eight minutes of exercise the muscle can start to use alternative sources of energy from fats and sugars supplied from the liver and so the symptoms ease. This phenomenon is called the 'second wind'. In healthy people, aerobic training is known to improve the ability of muscle to burn fats for energy during exercise. In theory then, aerobic training could be beneficial to people with McArdle disease, as their muscles might be trained to use fats earlier and more efficiently during exercise. The purpose of this review was to identify any randomised controlled trials of aerobic training and assess its effects in people with McArdle disease. There were no randomised controlled trials of aerobic training in people with McArdle disease. There were, however, three small uncontrolled studies (the largest included nine participants). The studies showed that it is possible for people with McArdle disease to undergo exercise training and there were no harmful effects. Whether or not training is beneficial for people with McArdle disease needs further investigation, with randomised controlled trials including larger numbers of people with the condition.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.
Version: December 7, 2011

Statins for acute ischemic stroke

Stroke is a major public health problem than can cause death and severe disability. A limited number of drugs are available for treating patients with stroke. Statins, a group of drugs commonly used to reduce cholesterol levels, are known to be safe and effective when given to patients with an acute heart attack. Therefore, they may also be beneficial in patients with acute stroke. We identified eight relevant trials of statins in acute stroke involving 625 participants. Unfortunately, insufficient information was available to establish whether statins are safe and beneficial for patients with acute ischemic stroke

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.
Version: August 10, 2011

Drug Class Review: HMG-CoA Reductase Inhibitors (Statins) and Fixed-dose Combination Products Containing a Statin: Final Report Update 5 [Internet]

In the United States, coronary heart disease and cardiovascular disease account for nearly 40% of all deaths each year. Coronary heart disease continues to be the leading cause of mortality and a significant cause of morbidity among North Americans. In 2006, coronary heart disease claimed 607 000 lives, translating into about 1 out of every 5 deaths in the United States. High levels of cholesterol, or hypercholesterolemia, are an important risk factor for coronary heart disease. The 3-hydroxy-3-methylglutaryl-coenzyme (HMG-CoA) reductase inhibitors, also known as statins, are the most effective class of drugs for lowering serum low-density lipoprotein cholesterol concentrations. They are first-line agents for patients who require drug therapy to reduce serum low-density lipoprotein cholesterol concentrations. The purpose of this review is to compare the benefits and harms of different statins in adults and children with hypercholesterolemia.

Drug Class Reviews - Oregon Health & Science University.
Version: November 2009
Show search results within this document

Single-dose oral celecoxib for postoperative pain

Acute pain is often felt soon after injury. Most people who have surgery have moderate or severe pain afterwards. People with pain are used to test pain killers. They have often had wisdom teeth removed. The pain is often treated with pain killers given by mouth. Results can then be applied to other forms of acute pain.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.
Version: October 22, 2013

Lipid-lowering agents for nephrotic syndrome

Nephrotic syndrome is a relatively rare disease in which the kidneys leak protein into the urine. A common early sign is swelling in the feet and face. Other signs and symptoms of nephrotic syndrome include low levels of protein in the blood, and high levels of fats in the blood, particularly cholesterol and triglycerides.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.
Version: December 10, 2013

Drug and nutritional treatment for McArdle disease

We reviewed the evidence about the effects of drug and nutritional treatment for McArdle disease.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.
Version: November 12, 2014

Statins can help reduce risk of death in people with chronic kidney disease who do not need dialysis

Adults with chronic kidney disease (CKD) have high risks of developing complications from heart disease. It is thought that statin treatment lowers cholesterol and reduces risk of death and complications from heart disease.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.
Version: May 31, 2014

Screening for Lipid Disorders in Adults: Selective Update of 2001 US Preventive Services Task Force Review [Internet]

Both the US Preventive Services Task Force (USPSTF) and the National Cholesterol Education Program (NCEP ATP III) have issued recommendations on screening for dyslipidemia in adults. To guide the USPSTF in updating its 2001 recommendations, we reviewed evidence relevant to discrepancies between these recommendations.

Evidence Syntheses - Agency for Healthcare Research and Quality (US).
Version: June 2008
Show search results within this document

The harmful health effects of recreational ecstasy: a systematic review of observational evidence

Street drugs known as ecstasy have been sold for about 20 years in the UK. The active substance that such tablets contain or purport to contain is 3,4-methylenedioxymethamphetamine (MDMA). Shortly after consumption, MDMA releases chemicals in the brain that tend to bring about a sense of euphoria, exhilaration and increased intimacy with others. It is thought to be the third most commonly used illegal drug in the UK after cannabis and cocaine, with estimates suggesting that between 500,000 and 2 million tablets are consumed each week. Most people who take ecstasy also use other legal and illegal drugs, sometimes at the same time. Ecstasy is commonly taken in nightclubs and at parties and is very often associated with extended sessions of dancing.

NIHR Health Technology Assessment programme: Executive Summaries - NIHR Journals Library.
Version: 2009




A systematic review and economic evaluation of statins for the prevention of coronary events

This study evaluated the use of a group of statins, atorvastatin, fluvastatin, pravastatin, rosuvastatin and simvastatin, for the prevention of cardiovascular events.

NIHR Health Technology Assessment programme: Executive Summaries - NIHR Journals Library.
Version: 2007

Lipid Screening in Childhood and Adolescence for Detection of Familial Hypercholesterolemia: A Systematic Evidence Review for the U.S. Preventive Services Task Force [Internet]

Familial hypercholesterolemia (FH) is an inherited disorder of lipoprotein metabolism characterized by highly elevated total cholesterol (TC) concentrations early in life, independent of environmental influences. Around 1 in 200 to 1 in 500 persons in North America and Europe are estimated to have heterozygous FH. When untreated, FH is associated with a high incidence of premature clinical atherosclerotic cardiovascular disease.

Evidence Syntheses - Agency for Healthcare Research and Quality (US).
Version: August 2016
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Daptomycin for Methicillin-Resistant and Methicillin-Sensitive Staphylococcus Aureus Infection: A Review of Clinical Effectiveness, Cost-Effectiveness and Guidelines [Internet]

The aim of this review is to summarize evidence on the comparative clinical and cost effectiveness of daptomycin to other antibiotics for the treatment of bacteremia and other infections caused by methicillin susceptible staphylococcus aureus (MSSA) or methicillin resistant staphylococcus aureus (MRSA), and to summarize evidence-based guidelines regarding the use of daptomycin for MRSA and MSSA bacteremia or infection.

Rapid Response Report: Summary with Critical Appraisal - Canadian Agency for Drugs and Technologies in Health.
Version: January 21, 2016
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Lipid Screening in Childhood for Detection of Multifactorial Dyslipidemia: A Systematic Evidence Review for the U.S. Preventive Services Task Force [Internet]

For purposes of this report, multifactorial dyslipidemia refers to dyslipidemias involving elevated total cholesterol (TC) or low-density lipoprotein cholesterol (LDL-C) that are not familial hypercholesterolemia (FH). There is evidence that elevated TC and LDL-C concentrations in childhood, and especially adolescence, are associated with markers of atherosclerosis in young adults.

Evidence Syntheses - Agency for Healthcare Research and Quality (US).
Version: August 2016
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Screening for Dyslipidemia in Younger Adults: A Systematic Review to Update the 2008 U.S. Preventive Services Task Force Recommendation [Internet]

This review updates prior reviews on screening for lipid disorders in adults, and will be used by the U.S. Preventive Services Task Force (USPSTF) to update its 2008 recommendation. Unlike prior USPSTF reviews, this one focuses on screening in younger adults, defined as adults ages 21 to 39 years, as there is more uncertainty about the need to perform lipid screening in this population than in older adults.

Evidence Syntheses - Agency for Healthcare Research and Quality (US).
Version: November 2016
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Chronic Kidney Disease (Partial Update): Early Identification and Management of Chronic Kidney Disease in Adults in Primary and Secondary Care

The Renal National Service Framework (NSF), and the subsequent NICE Clinical Practice Guideline for early identification and management of adults with chronic kidney disease (CKD) in primary and secondary care (CG73), served to emphasise the change in focus in renal medicine from treatment of established kidney disease to earlier identification and prevention of kidney disease.

NICE Clinical Guidelines - National Clinical Guideline Centre (UK).
Version: July 2014
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Guidelines for the Prevention, Care and Treatment of Persons with Chronic Hepatitis B Infection

These are the first World Health Organization (WHO) guidelines for the prevention, care and treatment of persons living with chronic hepatitis B (CHB) infection, and complement similar recently published guidance by WHO on the prevention, care and treatment of infection due to the hepatitis C virus (HCV).

World Health Organization.
Version: March 2015
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Management of Gout [Internet]

To review the evidence base for treating patients with gout, both acute attacks and chronic disease. The review specifically focuses on the management of patients with gout in the primary care setting.

Comparative Effectiveness Reviews - Agency for Healthcare Research and Quality (US).
Version: March 2016
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Spinal Injury: Assessment and Initial Management

The scope of this guideline is the assessment, imaging and early management of spinal injury and does not address rehabilitation. It is important to recognise that early management is intrinsically connected to rehabilitation and some later complications may be avoided with changes in early care. Early and ongoing collaborative multidisciplinary care across a trauma network is vital in ensuring that the patient with a spinal injury receives the best possible care.

NICE Guideline - National Clinical Guideline Centre (UK).
Version: February 2016
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Major Trauma: Assessment and Initial Management

This guideline provides guidance on the assessment and management of major trauma, including resuscitation following major blood loss associated with trauma. For the purposes of this guideline, major trauma is defined as an injury or a combination of injuries that are life-threatening and could be life changing because it may result in long-term disability. This guideline covers both the pre-hospital and immediate hospital care of major trauma patients but does not include any management after definitive lifesaving intervention. It has been developed for health practitioners and professionals, patients and carers and commissioners of health services.

NICE Guideline - National Clinical Guideline Centre (UK).
Version: February 2016
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Fractures (Complex): Assessment and Management

Two of the five guidelines in the NICE Trauma Suite relate to fractures. These are titled non-complex and complex fractures. In broad terms the non-complex fractures are those likely to be treated at the receiving hospital, whereas the complex fractures require transfer or the consideration of transfer of the injured person to a specialist centre.

NICE Guideline - National Clinical Guideline Centre (UK).
Version: February 2016
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Topotecan, pegylated liposomal doxorubicin hydrochloride, paclitaxel, trabectedin and gemcitabine for advanced recurrent or refractory ovarian cancer: a systematic review and economic evaluation

The study was unable to compare the clinical and cost-effectiveness of platinum-based therapies with non-platinum-based therapies for platinum sensitive ovarian cancer. In people with platinum-sensitive disease, paclitaxel plus platinum could be considered cost-effective compared with platinum therapies alone at a threshold of 30,000 per additional quality-adjusted life-year. In people with disease which is resistant or refractory to platinum it is unlikely that topotecan would be considered cost-effective compared with pegylated liposomal doxorubicin hydrochloride.

Health Technology Assessment - NIHR Journals Library.
Version: January 2015
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Alcohol Use Disorders: Diagnosis and Clinical Management of Alcohol-Related Physical Complications [Internet]

Alcohol is the most widely used psychotropic drug in the industrialised world; it has been used for thousands of years as a social lubricant and anxiolytic. In the UK, it is estimated that 24% of adult men and 13% of adult women drink in a hazardous or harmful way. Levels of hazardous and harmful drinking are lowest in the central and eastern regions of England (2124% of men and 1014% of women). They are highest in the north (2628% of men, 1618% of women). Hazardous and harmful drinking are commonly encountered amongst hospital attendees; 12% of emergency department attendances are directly related to alcohol whilst 20% of patients admitted to hospital for illnesses unrelated to alcohol are drinking at potentially hazardous levels. Continued hazardous and harmful drinking can result in dependence and tolerance with the consequence that an abrupt reduction in intake might result in development of a withdrawal syndrome. In addition, persistent drinking at hazardous and harmful levels can also result in damage to almost every organ or system of the body. Alcohol-attributable conditions include liver damage, pancreatitis and the Wernickes encephalopathy. Key areas in the investigation and management of these conditions are covered in this guideline.

NICE Clinical Guidelines - National Clinical Guideline Centre (UK).
Version: 2010
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The Management of Lower Urinary Tract Symptoms in Men [Internet]

The guideline covers men (18 and over) with a clinical working diagnosis of lower urinary tract symptoms (LUTS). Options for conservative, pharmacological, surgical, and complementary or alternative treatments are considered in terms of clinical and cost effectiveness.

NICE Clinical Guidelines - National Clinical Guideline Centre (UK).
Version: 2010
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Reslizumab (Cinqair) [Internet]

Asthma is a common chronic respiratory disorder characterized by reversible airway obstruction, pulmonary inflammation, airway hyper-responsiveness, and airway remodelling., Patients with asthma typically present with paroxysmal or persistent symptoms of wheezing, dyspnea, chest tightness, sputum production, and coughing that are associated with airflow limitation and airway hyper-responsiveness to endogenous and exogenous stimuli (e.g., exercise; viral respiratory infections; or exposure to certain allergens, irritants, or gases). Severe eosinophilic asthma is an asthma phenotype characterized by the presence of eosinophils in the airways and sputum, despite compliance with conventional asthma therapy. Severe asthma can have a profound effect on patients day-to-day lives, such as limiting physical activity, reducing performance at work or school, restricting social interactions, and leading to stigma. It may also necessitate frequent physician and emergency room visits.

Common Drug Review - Canadian Agency for Drugs and Technologies in Health.
Version: April 2017
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When To Suspect Child Maltreatment

This guidance provides a summary of the clinical features associated with maltreatment (alerting features) that may be observed when a child presents to healthcare professionals. Its purpose is to raise awareness and help healthcare professionals who are not specialists in child protection to identify children who may be being maltreated. It does not give healthcare professionals recommendations on how to diagnose, confirm or disprove child maltreatment.

NICE Clinical Guidelines - National Collaborating Centre for Women's and Children's Health (UK).
Version: July 2009
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Identification and Management of Familial Hypercholesterolaemia (FH) [Internet]

While the NHS in England and Wales has made spectacular progress in improving the secondary prevention of cardiovascular disease, we now need to work harder to identify those who are at particularly high risk of myocardial infarction.

NICE Clinical Guidelines - National Collaborating Centre for Primary Care (UK).
Version: August 2008
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Lomitapide (Juxtapid) [Internet]

The objective of this review is to evaluate the beneficial and harmful effects of lomitapide added to other lipid-lowering therapy in patients with homozygous familial hypercholesterolemia (HoFH).

Common Drug Review - Canadian Agency for Drugs and Technologies in Health.
Version: July 2015
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Optimal strategies for monitoring lipid levels in patients at risk or with cardiovascular disease: a systematic review with statistical and cost-effectiveness modelling

The study found that regular lipid monitoring in individuals with and without cardiovascular disease is likely to be beneficial to both patients and to the health service, and frequent monitoring strategies appear to be cost-effective.

Health Technology Assessment - NIHR Journals Library.
Version: December 2015
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Noninvasive Testing for Coronary Artery Disease [Internet]

This report evaluates the current state of evidence regarding effectiveness and harms of noninvasive technologies for the diagnosis of coronary artery disease (CAD) or dysfunction that results in symptoms attributable to myocardial ischemia in stable symptomatic patients who have no known history of CAD.

Comparative Effectiveness Reviews - Agency for Healthcare Research and Quality (US).
Version: March 2016
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Major Trauma: Service Delivery

A trauma service provides care for people who have sustained physical injuries. These injuries are often the result of an accident but can be sustained in other circumstances. Injuries range from minor to serious life-threatening trauma. The scope of this guidance is the delivery of services for people with major trauma in the initial phase of care, exploring areas of uncertainty and variation.

NICE Guideline - National Clinical Guideline Centre (UK).
Version: February 2016
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Fractures (Non-Complex): Assessment and Management

Two of the five guidelines in the NICE trauma suite relate to fractures. These are titled non-complex and complex fractures. In broad terms, non-complex fractures are those likely to be treated at the receiving hospital, whereas complex fractures require transfer or the consideration of transfer of the injured person to a specialist.

NICE Guideline - National Clinical Guideline Centre (UK).
Version: February 2016
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Antisocial Behaviour and Conduct Disorders in Children and Young People: Recognition, Intervention and Management

Antisocial behaviour and conduct disorders are the most common reason for referral to child and adolescent mental health services and have a significant impact on the quality of life of children and young people and their parents and carers. Rates of other mental health problems (including antisocial personality disorder) are considerably increased for adults who had a conduct disorder in childhood. This new NICE guideline seeks to address these problems by offering advice on prevention strategies, as well as a range of psychosocial interventions.

NICE Clinical Guidelines - National Collaborating Centre for Mental Health (UK).
Version: 2013
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Meta-analysis of safety of the coadministration of statin with fenofibrate in patients with combined hyperlipidemia

Addition of fenofibrate to statin therapy might represent a viable treatment option for patients whose high risk for coronary heart disease is not controlled by a statin alone. However, safety of coadministration of statin with fenofibrate has been a great concern. The present study tested the safety of coadministration of statin with fenofibrate. We systematically searched the literature to identify randomized controlled trials examining safety of coadministration of statin with fenofibrate. A meta-analysis was performed to estimate safety of coadministration of statin with fenofibrate using fixed-effects models. There were 1,628 subjects in the identified 6 studies. Discontinuation attributed to any adverse events (4.5% vs 3.1%, p = 0.20), any adverse events (42% vs 41%, p = 0.82), adverse events related to study drug (10.9% vs 11.0%, p = 0.95), and serious adverse events (2.0% vs 1.5%, p = 0.71) were not significantly different in the 2 arms. Incidence of alanine aminotransferase and/or aspartate aminotransferase =3 times upper limit of normal in the combination therapy arm was significantly higher than in the statin monotherapy arm (3.1% vs 0.2%, p = 0.0009). In the 6 trials with 1,628 subjects no case of myopathy or rhabdomyolysis was reported. In conclusion, statin-fenofibrate combination therapy was tolerated as well as statin monotherapy. Physicians should consider statin-fenofibrate combination therapy to treat patients with mixed dyslipidemia.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).
Version: 2012

Efficacy and safety evaluation of intensive statin therapy in older patients with coronary heart disease: a systematic review and meta-analysis

PURPOSE: To reveal and evaluate the efficacy and safety of intensive statin therapy in older patients (age = 65 years) with coronary heart disease (CHD).

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).
Version: 2013

A systematic review and economic evaluation of statins for the prevention of coronary events

OBJECTIVES: To evaluate the clinical effectiveness and cost-effectiveness of statins for the primary and secondary prevention of cardiovascular events in adults with, or at risk of, coronary heart disease (CHD).

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).
Version: 2007

Risks associated with statin therapy: a systematic overview of randomized clinical trials

This review evaluated the risk of adverse events among patients taking statins. The authors concluded that statin therapy in carefully selected patients is associated with low adverse event rates in clinical trials. The reliability of the results is unclear given the lack of detail about the review process and potential for bias.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).
Version: 2006

Primary prevention of cardiovascular mortality and events with statin treatments: a network meta-analysis involving more than 65,000 patients

This review concluded that statin treatment used for the primary prevention of cardiovascular disease was effective in reducing cardiovascular death and other major cardiovascular events. The conduct and reporting of the review were good and the conclusions are likely to be reliable.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).
Version: 2008

Intensive statin therapy compared with moderate dosing for prevention of cardiovascular events: a meta-analysis of >40,000 patients

This review found that intensive dosing with statins for prevention of cardiovascular events was associated with significant reductions in non-fatal events. The review was well conducted and the authors' conclusions are likely to be reliable.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).
Version: 2011

Efficacy and safety of cholesterol-lowering treatment: prospective meta-analysis of data from 90 056 participants in 14 randomised trials of statins

This prospective meta-analysis of individual patient data concluded that statin therapy can safely reduce the 5-year incidence of major coronary events, coronary revascularisation and stroke by about 20% per mmol/L reduction in cholesterol, largely irrespective of lipid profile or other characteristics. The authors' conclusions reflect the evidence presented and are likely to be reliable.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).
Version: 2005

Meta-analysis of drug-induced adverse events associated with intensive-dose statin therapy

The authors concluded that intensive-dose statin therapy significantly reduced the risk of a serious cardiovascular event but increased the risk of a statin-induced adverse event, compared with moderate dose therapy. The reliability of these conclusions is uncertain due to methodological weaknesses in the review such as failure to assess study validity or check for heterogeneity between the studies.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).
Version: 2007

Efficacy and safety of statin treatment for cardiovascular disease: a network meta-analysis of 170 255 patients from 76 randomized trials

This review concluded that statin therapies offered clear benefits in reducing cardiovascular outcomes across broad populations. The review appeared generally well conducted. The authors conclusions appear likely to be reliable, although it should be borne in mind that subgroup analysis by population type was conducted only for the primary outcome of cardiovascular disease mortality.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).
Version: 2011

The effect of early, intensive statin therapy on acute coronary syndrome: a meta-analysis of randomized controlled trials

This review investigated the effects of early intensive statin therapy for acute coronary syndrome. It concluded that early treatment reduces cardiovascular events with benefits observed after 6 months, but an analysis of individual patient data is needed to confirm these findings. The pooled results should be regarded with some caution because of limitations such as the variation between study results.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).
Version: 2006

Efficacy and safety of more intensive lowering of LDL cholesterol: a meta-analysis of data from 170 000 participants in 26 randomised trials

This meta-analysis of individual patient data found that reducing low-density lipoprotein cholesterol with statins reduced the annual rate of heart attack, revascularisation and stroke by about 20% for each 1mmol/litre reduction achieved. These conclusions reflected the strong evidence presented and are likely to be reliable and applicable to a wide range of patients.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).
Version: 2010

Meta-analysis of cardiovascular outcomes trials comparing intensive versus moderate statin therapy

The authors concluded that intensive statin treatment offers greater benefits than standard-dose treatment, mainly for nonfatal cardiovascular events. The review appears to support the authors' conclusions, but the poor reporting of review methods and the lack of an assessment of study quality mean that the reliability of the conclusions is uncertain.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).
Version: 2006

The clinical and cost-effectiveness of intensive versus standard lipid lowering with statins in the prevention of cardiovascular events amongst patients with acute coronary syndromes: a systematic review

Early intensive lipid lowering with high-dose/potency statins for high risk acute coronary syndrome (ACS) patients significantly reduced the risk of death or major cardiovascular event in comparison with standard lipid lowering regimens. The authors' conclusion is reasonable, but perhaps should be tempered as it was primarily based on one large trial and generalisability beyond that intervention might be premature.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).
Version: 2007

Strength of evidence for perioperative use of statins to reduce cardiovascular risk: systematic review of controlled studies

This review determined the evidence on the use of statins during the peri-operative period to reduce the risk of cardiovascular events. The authors concluded that there was insufficient evidence for routine administration of statins to reduce peri-operative cardiovascular risk. Given the limitations of the evidence base, this conclusion seems reasonable.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).
Version: 2006

Effects of early treatment with statins on short-term clinical outcomes in acute coronary syndromes: a meta-analysis of randomized controlled trials

This review assessed the effects of starting statin therapy within 14 days of the onset of acute coronary syndrome. The authors concluded that early statin therapy does not reduce death, myocardial infarction or stroke up to 4 months, but may reduce unstable angina. This was a well-conducted and clearly reported review and the authors' conclusions are likely to be reliable.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).
Version: 2006

Comparison of sequential rosuvastatin doses in hypercholesterolaemia: a meta-analysis of randomised controlled trials

This review provided evidence for improved efficacy, as assessed by surrogate markers, in treating patients with hypercholesterolaemia with each sequential titration of rosuvastatin and a generally consistent tolerability profile across the dose range. The authors' conclusions reflect the evidence presented, but the lack of validity assessment and lack of reporting of some data made the reliability of the conclusions uncertain.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).
Version: 2010

Systematic review: comparative effectiveness and harms of combinations of lipid-modifying agents and high-dose statin monotherapy

This review concluded that there was insufficient evidence to support the benefit for mortality, myocardial infarction, stroke, and revascularisation procedures of statin combination therapy over high-dose monotherapy in high-risk patients needing intensive lipid-lowering therapy. The authors' conclusion reflected the evidence presented, but the reliability is potentially compromised by search restrictions and unclear quality of included studies.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).
Version: 2009



Results: 10

Is continuous renal replacement therapy beneficial for people with rhabdomyolysis?

Rhabdomyolysis is a potentially life-threatening condition where damaged muscle tissue breaks down quickly, and products of damaged muscle cells are released into the bloodstream. Of these products, a protein called myoglobin is harmful to kidney health and can lead to acute kidney injury. There is some evidence to suggest that continuous renal replacement therapy (CRRT) may provide benefits for people with rhabdomyolysis.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.
Version: June 15, 2014

When is it worth taking statins to lower high cholesterol?

High cholesterol levels could mean an increased risk of cardiovascular disease. Certain medications called statins lower the amount of cholesterol in the blood. They can prevent related medical conditions and increase life expectancy. Whether or not it's worth taking them will depend on what other risk factors you have, though. If the risk of cardiovascular disease can't be reduced enough through general measures, treatment with medication can be considered. Whether treatment with medication is a good idea will mostly depend on individual risk factors and how you yourself view the pros and cons of the treatment. The main factor is whether you have already had cardiovascular disease, such as coronary artery disease. That may greatly increase the risk of a heart attack or stroke. This risk can be reduced using medication. When deciding whether or not to have a certain treatment, it can help to find out about the advantages and disadvantages of the treatment. Various groups of drugs can be used for the treatment of high cholesterol. But only one group of drugs, known as statins, has been well studied in people who have never had a heart attack, stroke or other type of cardiovascular disease. Many different statins have been approved in Germany, including atorvastatin, fluvastatin, lovastatin, pitavastatin, pravastatin, rosuvastatin and simvastatin.

Informed Health Online [Internet] - Institute for Quality and Efficiency in Health Care (IQWiG).
Version: September 7, 2017

Medication for the long-term treatment of coronary artery disease

The long-term treatment of coronary artery disease (CAD) mainly involves taking medication. Various medications can relieve the symptoms and lower the risk of complications. In order to prevent the development of related medical conditions, all people who have coronary artery disease (CAD) are advised to take two types of medication: Antiplatelets to prevent blood clots, and statins to protect the blood vessels. Beta blockers are sometimes taken too, to reduce the heart's workload, particularly in people who have heart failure or high blood pressure. Good-quality studies have proven that these medications can lower the risk of complications such as heart attacks or strokes. People who have certain other medical conditions too may take other medications such as ACE inhibitors. But even the very best treatment with medications will offer only limited protection from heart disease. All medications can have side effects. Yet it is often possible to avoid them by adjusting the dose or by choosing a different medication in the same group of drugs. The side effects often go away after a while too, once the body has got used to the medication. The risk of side effects may increase when two or more medications are taken together, because they may interact. It is therefore important to tell your doctor what medication you are already taking. Generally speaking, the more risk factors someone has, the more likely it is that he or she will benefit from medication. The important thing is to continue to take your medication and to take it regularly its protective effect lasts only as long as it is taken.

Informed Health Online [Internet] - Institute for Quality and Efficiency in Health Care (IQWiG).
Version: July 27, 2017

Aerobic training for McArdle disease

McArdle disease is a rare disease of muscle metabolism. Affected people cannot use a starch-like substance called glycogen which is stored in muscle and used for energy at the beginning of activity and during strenuous exercise. The effects of the condition are fatigue and cramping within a few minutes of starting an activity, which can potentially lead to acute muscle damage. After about seven or eight minutes of exercise the muscle can start to use alternative sources of energy from fats and sugars supplied from the liver and so the symptoms ease. This phenomenon is called the 'second wind'. In healthy people, aerobic training is known to improve the ability of muscle to burn fats for energy during exercise. In theory then, aerobic training could be beneficial to people with McArdle disease, as their muscles might be trained to use fats earlier and more efficiently during exercise. The purpose of this review was to identify any randomised controlled trials of aerobic training and assess its effects in people with McArdle disease. There were no randomised controlled trials of aerobic training in people with McArdle disease. There were, however, three small uncontrolled studies (the largest included nine participants). The studies showed that it is possible for people with McArdle disease to undergo exercise training and there were no harmful effects. Whether or not training is beneficial for people with McArdle disease needs further investigation, with randomised controlled trials including larger numbers of people with the condition.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.
Version: December 7, 2011

Statins for acute ischemic stroke

Stroke is a major public health problem than can cause death and severe disability. A limited number of drugs are available for treating patients with stroke. Statins, a group of drugs commonly used to reduce cholesterol levels, are known to be safe and effective when given to patients with an acute heart attack. Therefore, they may also be beneficial in patients with acute stroke. We identified eight relevant trials of statins in acute stroke involving 625 participants. Unfortunately, insufficient information was available to establish whether statins are safe and beneficial for patients with acute ischemic stroke

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.
Version: August 10, 2011

Single-dose oral celecoxib for postoperative pain

Acute pain is often felt soon after injury. Most people who have surgery have moderate or severe pain afterwards. People with pain are used to test pain killers. They have often had wisdom teeth removed. The pain is often treated with pain killers given by mouth. Results can then be applied to other forms of acute pain.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.
Version: October 22, 2013

Lipid-lowering agents for nephrotic syndrome

Nephrotic syndrome is a relatively rare disease in which the kidneys leak protein into the urine. A common early sign is swelling in the feet and face. Other signs and symptoms of nephrotic syndrome include low levels of protein in the blood, and high levels of fats in the blood, particularly cholesterol and triglycerides.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.
Version: December 10, 2013

Drug and nutritional treatment for McArdle disease

We reviewed the evidence about the effects of drug and nutritional treatment for McArdle disease.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.
Version: November 12, 2014

Statins can help reduce risk of death in people with chronic kidney disease who do not need dialysis

Adults with chronic kidney disease (CKD) have high risks of developing complications from heart disease. It is thought that statin treatment lowers cholesterol and reduces risk of death and complications from heart disease.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.
Version: May 31, 2014

Comparing Statins and Combination Drugs

How do statins and combination drugs compare in lowering "bad" cholesterol (LDL-c)?

PubMed Clinical Q&A [Internet] - National Center for Biotechnology Information (US).
Version: November 1, 2010


https://www.ncbi.nlm.nih.gov/pubmedhealth/c/pmh_cons/?term=rhabdomyolysis



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What's to know about rhabdomyolysis?

Last reviewed Wed 5 July 2017

By Jennifer Huizen

Medical News Today

https://www.medicalnewstoday.com/articles/318224.php


Article Contents

What is rhabdomyolysis?

Causes

Symptoms

Diagnosis

Treatment

Preventing rhabdomyolysis


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Rhabdomyolysis

Updated: Nov 10, 2017

Author

Eyal Muscal, MD, MS Assistant Professor, Section of Pediatric Immunology, Allergy, and Rheumatology, Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital

Eyal Muscal, MD, MS is a member of the following medical societies: Alpha Omega Alpha, American College of Rheumatology

Disclosure: Nothing to disclose.
Coauthor(s)

Marietta Morales De Guzman, MD Associate Professor, Section of Immunology, Allergy and Rheumatology, Department of Pediatrics, Baylor College of Medicine; Clinic Chief, Pediatric Rheumatology Center, Texas Children's Hospital

Marietta Morales De Guzman, MD is a member of the following medical societies: American Academy of Pediatrics, American College of Rheumatology, Texas Pediatric Society

Disclosure: Nothing to disclose.
Chief Editor

Lawrence K Jung, MD Chief, Division of Pediatric Rheumatology, Children's National Medical Center

Medscape

https://emedicine.medscape.com/article/1007814-overview

In most cases, the history reflects the inciting cause (though in some, it is nonspecific and thus diagnostically unreliable). Possible causes include the following:

Alcohol use and resultant unresponsiveness

Illicit drug use

Use of prescribed medications

Heatstroke

Infection

Trauma

Metabolic disorders

Inflammatory myopathies

Initial physical findings may be nonspecific. The following may be noted:

Muscular pain and tenderness

Decreased muscle strength

Soft tissue swelling

Skin changes consistent with pressure necrosis

Hyperthermia, hypothermia, and electrical injuries

Crush injuries or deformities in long bones


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Rhabdomyolysis and Acute Kidney Injury | NEJM

https://www.nejm.org/doi/full/10.1056/nejmra0801327

by X Bosch - ?2009 - ?Cited by 847 -
May 18, 2011 - Review Article from The New England Journal of Medicine Rhabdomyolysis and Acute Kidney Injury.


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Rhabdomyolysis - Mayo Clinic - YouTube
Video for rhabdomyolysis
? 2:25

https://www.youtube.com/watch?v=Hy0uEPo8-7w

Jun 22, 2011 - Uploaded by Mayo Clinic
Earlier this year, thirteen football players from the University of Iowa were hospitalized with Rhabdomyolysis ...


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Sincerely,
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Temple University
(215) 204 - 4584
jwne@...


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Michigan States Larry Nassar Fallout Has Begun

David P. Dillard
 

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Michigan States Larry Nassar Fallout Has Begun

The university has agreed to pay $500 million to more than 300 victims.

By Jen Kirbyjen

Updated May 16, 2018, 5:21pm EDT

Vox

https://www.vox.com/policy-and-politics/2018/1/30/16934634/
michigan-state-larry-nassar-settlement-investigations

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A shorter URL for the above link:

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https://tinyurl.com/yckva7ap

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Michigan State University said May 16 it had reached a $500 million settlement with more than 300 women and girls who alleged Larry Nassar, the former USA Gymnastics and Michigan State University doctor, sexually abused them.

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The university will pay out $425 million, and set aside another $75 million for survivors who may come forward in the future. The payout far exceeds the $109 million Penn State paid to its more than 30 victims in the case of former assistant football coach Jerry Sandusky, who was convicted of molesting young boys in 2012.

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The settlement should resolve the scores of lawsuits against MSU, and it represents the harshest consequences yet for a university that has grappled with a slow burning crisis for months. MSU president Lou Anna Simon resigned in January, hours after Nassars sentencing. William Strampel, the former dean of MSUs College of Osteopathic Medicine and Nassars former boss, was charged with crimes related to sexual misconduct and abuse of power. The MSU athletic director also retired.

.

The Department of Education has opened a formal investigation into the university. So has the NCAA. Michigan Attorney General Bill Schuette embarked on a full review of the Nassar case and the failures of MSU, appointing a special prosecutor to lead the probe.

.

Families and onlookers have demanded that the university, as well as USA Gymnastics, reckon with its role in the scandal and explain how a doctor accused of molesting about 300 women and girls did not face real consequences for decades.

.

That silence enabled Nassar to become perhaps the worst known sexual predator in American sports history.

.

At Nassars sentencing hearing, 15-year-old Emma Ann Miller told the court Nassar had molested her in August 2016 at MSU. The university suspended him about a week after, she said, and she offered a chilling thought: Im possibly the last child he will ever assault.

.

Her mother, Miller added, was still getting bills from MSU sports medicine bills, she said, for appointments where I was sexually assaulted.

.

Additional Topics Covered in This Article


Women reported Nassar to MSU representatives as early as the 1990s

A 2014 Title IX investigation into Nassar raised red flags

MSU will pay out $500 million to Nassar victims

Multiple investigations into MSU are underway

Nassar has sparked broader concerns about MSUs handling of sexual assault cases

What comes next?



.

.

The complete article may be read at the URL above.

.

.




Sincerely,
David Dillard
Temple University
(215) 204 - 4584
jwne@...



*

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[webdev] Web Design Update: April 5, 2018

David P. Dillard
 



*


*



Laura Carlson <lcarlson@d.umn.edu>

Apr 5

 

 

to webdev

+++ WEB DESIGN UPDATE.
- Volume 16, Issue 41, April 5, 2018.

An email newsletter to distribute news and information about web
design and development.

++ISSUE 41 CONTENTS.

SECTION ONE: New references.
What's new at the Web Design Reference site?
http://www.d.umn.edu/itss/training/online/webdesign/
New links in these categories:

01: ACCESSIBILITY.
02: CASCADING STYLE SHEETS.
03: EVALUATION & TESTING.
04: EVENTS.
05: MISCELLANEOUS.
06: NAVIGATION.
07: TOOLS.
08: USABILITY.
09: XML.

SECTION TWO:
10: What Can You Find at the Web Design Reference Site?

[Contents ends.]


++ SECTION ONE: New references.

+01: ACCESSIBILITY.

The Same, But Different: Breaking Down Accessibility, Universality,
and Inclusion in Design
By Matt May.
"When Wendy Chisholm and I got together over a decade ago to write a
book about web accessibility, the first thing we had to tackle was the
title…"
https://theblog.adobe.com/different-breaking-accessibility-universality-inclusion-design/

Data Tables
By Heydon Pickering.
"The first thing I was told when I embarked on learning web standards
about twelve years ago was, 'don't use tables for layout'…"
https://inclusive-components.design/data-tables/

Tables, JSON, CSS, ARIA, RWD, TLAs…
By Adrian Roselli.
"…I took a different approach here. I am using vanilla JavaScript to
parse a pile of JSON into a table…"
http://adrianroselli.com/2018/04/tables-json-css-aria-rwd-tlas.html

Web Accessibility Complaints Dismissed after Rules Change by DOE
Office of Civil Rights
By C.P. Hoffman.
"Education Advocate Marcie Lipsitt has filed more than 2,400
complaints with the Department of Education Office of Civil Rights
(OCR) against schools and universities with websites that she says
aren't accessible to individuals with disabilities. In mid-March, OCR
changed the rules so that it can ignore Lipsitt's complaints…"
https://www.levelaccess.com/web-accessibility-complaints-dismissed-rules-change-doe-office-civil-rights/

New Rules Let Ed Department Ignore Disability-Related Complaints
By Hannah Lang.
"Since January 2016, Marcie Lipsitt has filed 2,400 complaints with
the U.S. Department of Education's Office for Civil Rights over web
accessibility for people with disabilities…"
https://www.disabilityscoop.com/2018/04/02/new-ignore-disability-complaints/24924/

Website ADA Lawsuits and Personal Jurisdiction
By Klein Moynihan Turco.
"Last week, a federal district court in the Commonwealth of
Massachusetts denied a motion to dismiss based on personal
jurisdiction in a website accessibility lawsuit brought under Title
III of the Americans with Disabilities Act ('ADA')…"
https://www.lexology.com/library/detail.aspx?g=638aca3a-5ba5-4e58-889a-0842af873d2c


+02: CASCADING STYLE SHEETS.

Focusing on Focus Styles
By Eric Bailey.
"Not everyone uses a mouse to browse the internet…"
https://css-tricks.com/focusing-on-focus-styles/

Cropping Images with Object Fit (Video)
By Jen Simmons.
"If we want to create a layout where we specify both the height and
width of an image, creating a flexible layout, we can use 'object-fit'
to crop the image."
https://www.youtube.com/watch?v=5CZyxnCdXuk

Understanding Logical Properties And Values
By Rachel Andrew.
"n the past, CSS has tied itself to physical dimensions and
directions, physically mapping the placement of elements to the left,
right and top and bottom…"
https://www.smashingmagazine.com/2018/03/understanding-logical-properties-values/

From Float to Flexbox
By Amy Carney.
"It only took me until 2018 to finally apply flexbox to a project…"
https://carneydevelopit.wordpress.com/2018/03/29/from-float-to-flexbox/


+03: EVALUATION & TESTING.

Why You Don't Need a Representative Sample in Your User Research
By David Travis.
"Engaging a representative sample of participants in user research
sounds like a good idea but it is flawed…"
https://www.userfocus.co.uk/articles/myth-of-the-representative-sample.html

Content Performance Quotient
By Luke Wroblewski.
(Notes on Jeffrey Zeldman's Event Apart presentation)
"…Content Performance Quotient (Design CPQ) is a metric of how quickly
we can get the right content to solve the customer's problem. The
shortest distance between problem & solution. This tracks your value
to the customer by measuring the speed of usefulness…"
https://www.lukew.com/ff/entry.asp?1988

Beyond Engagement: the Content Performance Quotient by Jeffrey Zeldman.
Notes on Jeffrey's presentation By Jeremy Keith.
"…If a customer spends 30 minutes on our site, was she engaged …or
frustrated? Was it the beautiful typography and copy …or because she
couldn't find what they wanted? If someone spends a long time on an
ecommerce site, is it because the products are so good …or because
search isn't working well?…"
https://adactio.com/journal/13663

10 Things I Learned After 300+ A/B Tests
By George Mavrommatis.
"…I decided to write down my thoughts about my last 2 years of A/B
testing and share my learnings with you…"
https://uxplanet.org/10-things-i-learned-after-300-a-b-tests-aae18f748c7b


+04: EVENTS.

Autism and Accessibility, Design Challenges and Solutions
April 17, 2018.
Online.
https://www.abilitynet.org.uk/news-blogs/upcoming-autism-and-accessibility-webinar

CodeStock
April 20-21, 2018.
Knoxville, Tennessee, U.S.A.
http://codestock.org/

iA Summit
April 21-25, 2018.
Chicago, Illinois, U.S.A.
http://www.iasummit.org/

GOTO Chicago
April 25-26, 2018.
Chicago, Illinois, U.S.A.
https://gotochgo.com/


+05: MISCELLANEOUS.

The Making of 'Stylable - The Musical'
By Bruce Lawson.
"At the reportedly-excellent PerfMatters Conference on Tuesday, our
Stylable - The Musical music video was unleashed in its world
premiere. For those of you who missed this epoch-defining event, here
it is…"
http://www.brucelawson.co.uk/2018/the-making-of-stylable-the-musical/


+06: NAVIGATION.

Designing Accessible Navigations
By Nicholas Kramer.
"Although we almost always think of a site's header when referring to
navigation, it's important to remember that navigating a site is not
only moving from page to page but also from section to section within
individual pages…"
https://uxplanet.org/designing-accessible-navigations-3b1a151d3bd7

Creating Accessible HTML: A Crash Course in ARIA Landmark Regions
By Genevieve Nelson.
"What if I told you there are a set of roles, states, and properties
that enhance HTML for the purpose of accessibility…"
https://c2experience.com/blog/2018/03/creating-accessible-html-a-crash-course-in-aria-landmark-regions/


+07: TOOLS.

A11y Evaluation Tools List
By Jose Hilera.
"…list of tools that can be used to evaluate the accessibility of web
content and non-web content (mobile applications, desktop
applications, documents)…"
https://docs.google.com/spreadsheets/d/10CTezA0iDdaWggaqxuHawj-5u8YXdZeWBJsIkuvJ364/edit#gid=347324347

New Accessibility Tools (in DevTools Chrome 65)
By Kayce Basques.
"Use the Accessibility pane on the Elements panel to investigate the
accessibility properties of the currently-selected element…"
https://developers.google.com/web/updates/2018/01/devtools#a11y


+08: USABILITY.

4 Most Hated UI Tricks
By Nick Babich.
"1.) Pop-Ups… 2.) Infinite Scrolling … 3.) Push Notifications… 4.)
Scroll Hijack…"
https://www.webdesignerdepot.com/2018/03/4-most-hated-ui-tricks/

Here's everything I've learned from designing 10,000+ UI screens as a
lead product designer
By Jon Moore.
"Here's everything I've learned from designing 10,000+ UI screens as a
lead product designer…"
https://medium.com/ux-power-tools/heres-everything-i-ve-learned-from-designing-10-000-ui-screens-as-a-lead-product-designer-7d2810bee810

UX In Contact Forms: Essentials To Turn Leads Into Conversions
By Kate Sipkina.
"…Is it OK to place a form in two columns?…Where should labels be
placed?…Can we use placeholder text instead of a label?…How to lessen
the cognitive load of a form?…Are buttons considered part of a form's
UX?…Is it possible to ease the process of filling a form?…Does the
user's location influence a form's UX?…"
https://www.smashingmagazine.com/2018/03/ux-contact-forms-essentials-conversions/

Trust Versus Use
By Gerry McGovern.
"The recent Facebook personal data controversary raises two questions:
How much is our privacy worth to us? How much is our convenience worth
to us? It seems that we value convenience much more than we value
privacy."
http://gerrymcgovern.com/trust-versus-use/

Do You Really Know Why You Do What You Do?
By Petter Johansson.
"Experimental psychologist Petter Johansson researches choice
blindness -- a phenomenon where we convince ourselves that we're
getting what we want, even when we're not…"
https://www.ted.com/talks/petter_johansson_do_you_really_know_why_you_do_what_you_do


+09: XML.

SVG Filtering for Windows High Contrast Mode
By Adrian Roselli.
"Two nearly back-to-back tweets this weekend reminded me that you can
use CSS filters to mess with the colors of SVGs…"
http://adrianroselli.com/2018/03/svg-filtering-for-windows-high-contrast-mode.html


[Section one ends.]


++ SECTION TWO:

+10: What Can You Find at the Web Design Reference Site?

Accessibility Information.
http://www.d.umn.edu/itss/training/online/webdesign/accessibility.html

Association Information.
http://www.d.umn.edu/itss/training/online/webdesign/associations.html

Book Listings.
http://www.d.umn.edu/itss/training/online/webdesign/books.html

Cascading Style Sheets Information.
http://www.d.umn.edu/itss/training/online/webdesign/css.html

Color Information.
http://www.d.umn.edu/itss/training/online/webdesign/color.html

Drupal Information.
http://www.d.umn.edu/itss/training/online/webdesign/drupal.html

Evaluation & Testing Information.
http://www.d.umn.edu/itss/training/online/webdesign/testing.html

Event Information.
http://www.d.umn.edu/itss/training/online/webdesign/events.html

HTML Information.
http://www.d.umn.edu/itss/training/online/webdesign/html.html

Information Architecture Information.
http://www.d.umn.edu/itss/training/online/webdesign/architecture.html

JavaScript Information.
http://www.d.umn.edu/itss/training/online/webdesign/javascript.html

Miscellaneous Web Information.
http://www.d.umn.edu/itss/training/online/webdesign/misc.html

Navigation Information.
http://www.d.umn.edu/itss/training/online/webdesign/navigation.html

PHP Information.
http://www.d.umn.edu/itss/training/online/webdesign/php.html

Sites & Blogs Listing.
http://www.d.umn.edu/itss/training/online/webdesign/sites.html

Standards, Guidelines & Pattern Information.
http://www.d.umn.edu/itss/training/online/webdesign/standards.html

Tool Information.
http://www.d.umn.edu/itss/training/online/webdesign/tools.html

Typography Information.
http://www.d.umn.edu/itss/training/online/webdesign/type.html

Usability Information.
http://www.d.umn.edu/itss/training/online/webdesign/usability.html

XML Information.
http://www.d.umn.edu/itss/training/online/webdesign/xml.html

[Section two ends.]


++END NOTES.


+ SUBSCRIPTION INFO.

WEB DESIGN UPDATE is available by subscription. For information on how
to subscribe and unsubscribe please visit:
http://www.d.umn.edu/itss/training/online/webdesign/webdev_listserv.html
The Web Design Reference Site also has a RSS 2.0 feed for site updates.


+ TEXT EMAIL NEWSLETTER (TEN).

As a navigation aid for screen readers we do our best to conform to
the accessible Text Email Newsletter (TEN) guidelines.  Please let me
know if there is anything else we can do to make navigation easier.
For TEN guideline information please visit:
http://www.headstar.com/ten


+ SIGN OFF.

Until next time,

Laura L. Carlson
Information Technology Systems and Services
University of Minnesota Duluth
Duluth, MN U.S.A. 55812-3009
mailto:lcarlson@d.umn.edu


[Issue ends.]

Attachments area

Preview YouTube video Cropping images with Object Fit

 

 

 

Attachments area
Preview YouTube video Cropping images with Object Fit

 

 https://docs.google.com/spreadsheets/d/10CTezA0iDdaWggaqxuHawj-5u8YXdZeWBJsIkuvJ364/edit?usp=gmail#gid=347324347

https://www.youtube.com/watch?v=5CZyxnCdXuk&authuser=0



[webdev] Web Design Update: April 12, 2018

David P. Dillard
 




Laura Carlson <lcarlson@d.umn.edu>

Apr 12

 

 

to webdev

+++ WEB DESIGN UPDATE.
- Volume 16, Issue 42, April 12, 2018.

An email newsletter to distribute news and information about web
design and development.

++ISSUE 42 CONTENTS.

SECTION ONE: New references.
What's new at the Web Design Reference site?
http://www.d.umn.edu/itss/training/online/webdesign/
New links in these categories:

01: ACCESSIBILITY.
02: CASCADING STYLE SHEETS.
03: COLOR.
04: EVALUATION & TESTING.
05: EVENTS.
06: HTML.
07: JAVASCRIPT.
08: MISCELLANEOUS.
09: TOOLS.
10: USABILITY.

SECTION TWO:
11: What Can You Find at the Web Design Reference Site?

[Contents ends.]


++ SECTION ONE: New references.

+01: ACCESSIBILITY.

Hand Tremors and the Giant-Button-Problem
By Hampus Sethfors.
"In this article we'll examine an overlooked accessibility problem
that mainly affects users with hand tremors. It's in almost every
interface out there, but barely ever highlighted in accessibility
guidelines or discussions. It's also super easy to fix…"
https://axesslab.com/hand-tremors/

Designing For Accessibility And Inclusion
By Steven Lambert.
"…How do we go about understanding the myriad of users and their
needs? How can we ensure that their needs are met in our design? To
answer these questions, I have found that it is helpful to apply a
critical analysis technique of viewing a design through different
lenses…"
https://www.smashingmagazine.com/2018/04/designing-accessibility-inclusion/

What You're Getting Wrong About Inclusive Design
By Mark Wilson.
"Inclusivity. It's one of the biggest buzzwords inside corporations right now…"
https://www.fastcodesign.com/90166413/what-youre-getting-wrong-about-inclusive-design

The Problem of 'Looks Good' Inclusive Design
By Alastair Somerville.
"This post will seem cruel but it is about an important issue in the
space between accessible and inclusive design… Bad inclusive design
compromises good accessibility…"
https://medium.com/@acuity_design/the-problem-of-looks-good-inclusive-design-741022b4ac44

How to Design Great Alt Text: An Introduction
By Caitlin Geier.
"…In order to write appropriate alt text, you need to understand who
you're writing the alt text for and what the purpose of the image is…"
https://www.deque.com/blog/great-alt-text-introduction/

Recipe for Staying Ahead of the Legal Curve: Bake Accessibility into
Your Organization
By Lainey Feingold.
"…This is a post about a talk that Lainey Feingold and Microsoft
lawyer Sue Boyd gave at the 2018 CSUN Conference…"
http://www.lflegal.com/2018/04/csun-cookies/

Behind the Scenes: The Making of an Accessible Campus at WSU
By Patrick Loftus.
"In April of 2016, Wichita State University (WSU) received a complaint
through the Department of Education's Office for Civil Rights (OCR)
over an accessibility issue in a face-to-face classroom setting. Now,
as a result, the institution is in the middle of a campus-wide
accessibility overhaul…"
https://www.3playmedia.com/2018/04/04/making-of-an-accessible-campus-at-wichita-state/

To Buy or Not: The Amicus Brief in Robles and Winn-Dixie
By William Goren.
"Today's blog entry is analyzing an Amicus brief filed by numerous
folks with respect to the decision in Robles… and Winn-Dixie… where
the lower courts disposed of the matter favorably to the plaintiff
with respect to accessibility of websites."
http://www.williamgoren.com/blog/author/william-goren/


+02: CASCADING STYLE SHEETS.

:focus-visible and Backwards Compatibility
By Patrick H. Lauke.
"Clearly visible focus styles are important for sighted keyboard
users. However, these focus styles can often be undesirable when they
are applied as a result of a mouse/pointer interaction…"
https://developer.paciellogroup.com/blog/2018/03/focus-visible-and-backwards-compatibility/

Creating Themeable Design Systems
By Brad Frost.
"…I think there's a lot of power in combining a systematic approach to
creating UIs with aesthetic flexibility. We can create a lot of
efficiency by sharing components between brands while still honoring
each brand's unique visual identity.…"
http://bradfrost.com/blog/post/creating-themeable-design-systems/

Keep Pixelated Images Pixelated as They Scale
By Chris Coyier.
"This is a little reminder that there is a CSS property for helping
control what happens to images as they scale up: image-rendering…"
https://css-tricks.com/keep-pixelated-images-pixelated-as-they-scale/

Art Directing For The Web With CSS Grid Template Areas
By Andy Clarke.
"…with CSS Grid, we can now be as creative with layout on the web as
we can in print, without compromising accessibility, responsiveness,
or usability…"
https://www.smashingmagazine.com/2018/04/art-directing-web-css-grid/

Graduating to Grid
By Rachel Andrew.
Live blog post of Rachel's An Event Apart presentation.
https://hookedoncode.com/2018/04/graduating-to-grid-rachel-andrew/


+03: COLOR.

Color Contrast Crash Course for Interface Design
By Matt D. Smith.
"…This short guide, written during the creation of the Contrast MacOS
app, will help you achieve the accessibility standards outlined in the
WCAG 2.0, specifically with foreground and background color when it
comes to text on digital screens…"
https://medium.com/@mds/color-contrast-crash-course-for-interface-design-a69c987abe1b

Going Colorblind: An Experiment in Empathy and Accessibility
By Sara Novak.
"…If we create experiences solely based on our own habits and
preferences, we will inevitably fail the user and create useless
designs. And by using empathy, we not only create better designs, but
we expand ourselves and become better designers."
https://blog.prototypr.io/going-colorblind-an-experiment-in-empathy-and-accessibility-98b7003737ca


+04: EVALUATION & TESTING.

5 Techniques to Make your UX Research More Effective
By Jeff Sauro.
"…Here are five techniques we've found that make our UX research more
effective (and often more efficient)…"
https://measuringu.com/effective-research/

Multivariate vs. A/B Testing: Incremental vs. Radical Changes
By Aurora Harley.
"Radical redesigns are best tested using an A/B experiment, while
multivariate tests indicate how various UI elements interact with each
other and support incremental improvements to a design."
https://www.nngroup.com/articles/multivariate-testing/

User Testing Facilitation Techniques (Video)
By Kara Pernice.
"Facilitate better user tests with these 3 techniques: Echo,
Boomerang, and Columbo. These methods allow you to get clarification
from participants with minimal disruption or bias."
https://www.nngroup.com/videos/user-testing-facilitation-techniques/


+05: EVENTS.

Exploring WCAG
April 16, 2018.
Seattle, Washington, U.S.A.
https://www.meetup.com/a11ysea/events/249434611/

Assistive Technology - Beyond Screen Readers
April 18, 2018.
Chicago, Illinois, U.S.A.
https://meetup.com/a11ychi/events/247810000/
Live stream:
https://www.youtube.com/watch?v=jY74SKFZd0k
Live captions:
http://www.streamtext.net/player?event=CDA

A11yFirst Project or Accessible Authoring
April 26, 2018.
Online.
https://www.lireo.com/easi-accessibility-webinar-accessible-authoring/

Accessibility Summit
May 2, 2018.
Online.
https://ithemes.com/web-accessibility-summit/

UX London
May 23-25, 2018.
London, England, United Kingdom
https://2018.uxlondon.com/

Pixel Pioneers Bristol
June 8, 2018.
Bristol, England, United Kingdom
https://pixelpioneers.co/events/bristol-2018

UX Scotland
June 13-15, 2018.
Edinburgh, Scotland
https://uxscotland.net/2018/


+06: HTML.

Make the title attribute visible on keyboard focus (Chrome Bug)
By David Mac Donald.
"…The lack of proper support for this is causing thousands of
developers to implement resourse consuming custom tooltips to overcome
this buggy behaviour in Chrome in order to conform with WCAG."
https://bugs.chromium.org/p/chromium/issues/detail?id=829352


+07: JAVASCRIPT.

Why Authors Should Avoid aria-relevant
By Aaron Leventhal and Rob Dodson.
aria-relevant rarely works as intended and does not have a real-world
use case. Therefore, aria-relevant should never be used.
https://medium.com/dev-channel/why-authors-should-avoid-aria-relevant-5d3164fab1e3

No ARIA is Better than Bad ARIA
By W3C.
"Functionally, ARIA roles, states, and properties are analogous to a
CSS for assistive technologies. For screen reader users, ARIA controls
the rendering of their non-visual experience. Incorrect ARIA
misrepresents visual experiences, with potentially devastating effects
on their corresponding non-visual experiences. Before using ARIA or
any of the guidance in this document, please take time to understand
the following two essential principles…"
https://www.w3.org/TR/wai-aria-practices-1.1/#no_aria_better_bad_aria

Here Are Examples of Everything New in ECMAScript 2016, 2017, and 2018
By rajaraodv.
"n this article, I'll cover all 18 features that are listed in the
TC39's finished proposals that were added in ES2016, ES2017, and
ES2018 (final draft) and show them with useful examples."
https://medium.freecodecamp.org/here-are-examples-of-everything-new-in-ecmascript-2016-2017-and-2018-d52fa3b5a70e

5 Things You Didn't Know a Browser Could Do!
By Sam Bellen.
"…By showing you five things that are possible in a browser, I hope
you start to see the potential of the web. Where we used to download
and install heavy, platform-specific software, we are now able to
visit a website. With Progressive Web Apps being the next big thing,
it's also good to know that the web is more than text and forms…"
https://www.heartinternet.uk/blog/5-things-you-didnt-know-a-browser-could-do/


+08: MISCELLANEOUS.

Dear Developer, The Web Isn't About You
By Charlie Owen.
"Put the ego down before somebody gets hurt…"
https://sonniesedge.co.uk/talks/dear-developer

Does My Site Deserve Recognition?
By Adrian Roselli.
"…This is the start of a baseline - a minimum - of what we should
expect from any site that is awarded anything. Sites that either do
not meet the goals below or do not have a reasonable exception should
not be recognized as good examples. If anything, they are examples of
missed potential…"
https://doesmysitedeserverecognition.com/

Interview: Mike Paciello,Founding Partner of the Paciello Group (Video)
By AXSChat.
"Mike has been a pioneer and influential figure in the accessibility
industry for more than two decades. He wrote the first book on web
accessibility and usability (Web Accessibility for People with
Disabilities), and has since achieved many notable milestones."
https://www.youtube.com/watch?v=n44wLyg3vCw

Interview with Eric Eggert - Part 1
By Nic Steenhout.
"Eric is a W3C fellow and works at Knowbility. He also teaches
accessibility at university. He tells us about his work and the
redesign of the WAI site to make things easier to find and
understand…"
https://a11yrules.com/podcast/e35-interview-with-eric-eggert-part-1/


+09: TOOLS.

Force Focus Tools
By Dennis Lembree.
"When testing web accessibility, missing visual focus indicators is a
'violation' of 2.4.7 Focus Visible. And when it fails, it also makes
other checkpoints difficult to test (for sighted testers) such as
focus order. To get around this problem, here are a few tools to help
force a visual indication of keyboard focus."
http://www.webaxe.org/force-focus-tools/

Introducing the Accessibility Inspector in the Firefox Developer Tools
By Marco Zehe.
"The built-in Firefox Developer Tools just received a new family
member. The Accessibility Inspector allows you to inspect your
website's exposure to assistive technologies…"
https://www.marcozehe.de/2018/04/11/introducing-the-accessibility-inspector-in-the-firefox-developer-tools/

ColorBlindSim
By Koen Kivits.
"Color blindness affects approximately 1 in 22 people globally.
Experience the world as they do, right from your browser.
ColorBlindSim will ask for your permission to use your camera…"
https://www.colorblindsim.com/


+10: USABILITY.

Page Parking: Multi-Tab Obsession Common Among Millennials (Video)
By Kate Meyer.
"People open numerous tabs in rapid succession as a strategy to save
time. The tabs serve as a memory aid."
https://www.nngroup.com/videos/page-parking/

Kim Krause Berg Usability Podcasts
By Kim Krause Berg.
"The following podcasts are interviews where I discuss usability,
accessibility, SEO and how it is applied to websites. The podcasts are
lively, informative and contain resources and tips…"
https://creativevisionwebconsulting.com/kim-krause-berg-usability-podcasts/

Occam's Razor: The Simplest Solution is Always the Best
By Mads Soegaard.
"Now that we appreciate the need for simplicity in designs better,
let's see another great concept. You may have heard of Occam's Razor;
did you know that you can apply it to web design…"
https://www.interaction-design.org/literature/article/occam-s-razor-the-simplest-solution-is-always-the-best

Pitfalls of Card UIs
By Dave Rupert.
"An optimistic design choice that ends up compounding complexity…"
https://daverupert.com/2018/04/pitfalls-of-card-uis/

6 Usability Errors that Destroy Learner Experience
By Laura Lynch.
"… 1). Forms… 2). CAPTCHA… 3). Content Organization… 4). Menu
Structure… 5). Quizzes and Course Submissions… 6). Clickability… "
https://www.learndash.com/6-usability-errors-destroy-learner-experience/

How to Turn User Research into Smart Design Decisions
By Nick Babich.
"…To turn research findings into product changes, you follow a 4-step process…"
https://theblog.adobe.com/turn-user-research-smart-design-decisions/


[Section one ends.]


++ SECTION TWO:

+11: What Can You Find at the Web Design Reference Site?

Accessibility Information.
http://www.d.umn.edu/itss/training/online/webdesign/accessibility.html

Association Information.
http://www.d.umn.edu/itss/training/online/webdesign/associations.html

Book Listings.
http://www.d.umn.edu/itss/training/online/webdesign/books.html

Cascading Style Sheets Information.
http://www.d.umn.edu/itss/training/online/webdesign/css.html

Color Information.
http://www.d.umn.edu/itss/training/online/webdesign/color.html

Drupal Information.
http://www.d.umn.edu/itss/training/online/webdesign/drupal.html

Evaluation & Testing Information.
http://www.d.umn.edu/itss/training/online/webdesign/testing.html

Event Information.
http://www.d.umn.edu/itss/training/online/webdesign/events.html

HTML Information.
http://www.d.umn.edu/itss/training/online/webdesign/html.html

Information Architecture Information.
http://www.d.umn.edu/itss/training/online/webdesign/architecture.html

JavaScript Information.
http://www.d.umn.edu/itss/training/online/webdesign/javascript.html

Miscellaneous Web Information.
http://www.d.umn.edu/itss/training/online/webdesign/misc.html

Navigation Information.
http://www.d.umn.edu/itss/training/online/webdesign/navigation.html

PHP Information.
http://www.d.umn.edu/itss/training/online/webdesign/php.html

Sites & Blogs Listing.
http://www.d.umn.edu/itss/training/online/webdesign/sites.html

Standards, Guidelines & Pattern Information.
http://www.d.umn.edu/itss/training/online/webdesign/standards.html

Tool Information.
http://www.d.umn.edu/itss/training/online/webdesign/tools.html

Typography Information.
http://www.d.umn.edu/itss/training/online/webdesign/type.html

Usability Information.
http://www.d.umn.edu/itss/training/online/webdesign/usability.html

XML Information.
http://www.d.umn.edu/itss/training/online/webdesign/xml.html

[Section two ends.]


++END NOTES.


+ SUBSCRIPTION INFO.

WEB DESIGN UPDATE is available by subscription. For information on how
to subscribe and unsubscribe please visit:
http://www.d.umn.edu/itss/training/online/webdesign/webdev_listserv.html
The Web Design Reference Site also has a RSS 2.0 feed for site updates.


+ TEXT EMAIL NEWSLETTER (TEN).

As a navigation aid for screen readers we do our best to conform to
the accessible Text Email Newsletter (TEN) guidelines.  Please let me
know if there is anything else we can do to make navigation easier.
For TEN guideline information please visit:
http://www.headstar.com/ten


+ SIGN OFF.

Until next time,

Laura L. Carlson
Information Technology Systems and Services
University of Minnesota Duluth
Duluth, MN U.S.A. 55812-3009
mailto:lcarlson@d.umn.edu


[Issue ends.]

Attachments area

Preview YouTube video Assistive Technology - Beyond Screen Readers

 

Preview YouTube video AXSChat: Mike Paciello.Founding Partner of the Paciello Group


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[webdev] Web Design Update: March 29, 2018

David P. Dillard
 







Date: Thu, 29 Mar 2018 06:37:38 -0500
From: Laura Carlson <lcarlson@d.umn.edu>
To: webdev <webdev@d.umn.edu>
Subject: [webdev] Web Design Update: March 29, 2018




+++ WEB DESIGN UPDATE.


- Volume 16, Issue 40, March 29, 2018.



An email newsletter to distribute news and information about web
design and development.




++ISSUE 40 CONTENTS.




SECTION ONE: New references.



What's new at the Web Design Reference site?


http://www.d.umn.edu/itss/training/online/webdesign/



New links in these categories:




01: ACCESSIBILITY.

02: CASCADING STYLE SHEETS.

03: COLOR.

04: EVALUATION & TESTING.

05: EVENTS.

06: HTML.

07: INFORMATION ARCHITECTURE.

08: MISCELLANEOUS.

09: USABILITY.




SECTION TWO:



10: What Can You Find at the Web Design Reference Site?



[Contents ends.]




++ SECTION ONE: New references.



+01: ACCESSIBILITY.



Verified Accessibility Samples (Va11yS)

By International Business Machines (IBM).

"Explore the repository of working accessibility code samples and design patterns that can be implemented directly into your design and development…"

https://www-03.ibm.com/able/va11ys.html



Three Developer Behaviors to Eliminate 85 Percent of Accessibility Defects

By Sean Kelly and Thomas F. Dinkel.

Sean and Thomas' CSUN presentation slides.

https://www.slideshare.net/seankelly612/three-developer-behaviors-to- eliminate-85-percent-of-accessibility-defects-91706469



Accessibility Heuristics for Designers (PDF)

By Caitlin Geier and Denis Boudreau.

"10 general rules of thumb for accessible design…"

https://drive.google.com/file/d/1QkURByXUk4NOtl7jw6VtyCUi4_JjlP6d/edit



Survey of Web Accessibility Practitioners #2

By WebAIM.

"The following survey is a follow-up to a previous Survey of Web Accessibility Practitioners conducted July 2014…"

https://webaim.org/projects/practitionersurvey2/



Potholes of Discrimination: A Post-CSUN Legal Update Wrap-Up

By Lainey Feingold.

"…This is a post about what the law is saying about web accessibility…"

http://www.lflegal.com/2018/03/csun18-follow-up/



Making Bulb Accessible - Introducing the New Bulb Site

By Heydon Pickering.

"At the end of last year, Bulb pledged to significantly improve the accessibility of the site…"

https://bulb.co.uk/blog/making-bulb-accessible-introducing-the-new-bulb-site



CSUN 2018 Presentation Links

By Christopher Phillips.

A crowdsourced list of CSUN presentation presentations from last week's conference.

https://docs.google.com/spreadsheets/d/ 1NtrU3K_f1vlfjGTnkFJeSja7_xdI9T8rWAgFz5Y-1w0/edit#gid=0



No Relief in Sight from Website Accessibility Lawsuits

By Matthew P. Horvitz and Andrew J. Ferren.

"…a proactive approach to accessibility should help businesses reduce the risk of being targeted by a lawsuit."

https://www.retaillawadvisor.com/2018/03/21/ no-relief-in-sight-from-website-accessibility-lawsuits/



The Growing Emphasis on Accessibility and Inclusive User Experience

By Kim Krause Berg.


"There is growing interest in web accessibility around the world, with more companies seeking to make their web properties inclusive and user friendly for all people.…"

https://searchnewscentral.com/blog/2018/03/28/ the-growing-emphasis-on-accessibility-and-inclusive-user-experience/



N.Y. Lawyers Sue 40-plus Companies on Behalf of Blind Man in a Month

By Justin Stoltzfus.

"A class action lawsuit on behalf of Queens, N.Y., resident Eugene Duncan and other visually impaired plaintiffs against Popular North America Inc. is one of 43 recent Americans with Disabilities Act cases filed on his behalf…"

https://legalnewsline.com/stories/511366628-n-y-lawyers-sue-40- plus-companies-on-behalf-of-blind-man-in-a-month



New Guidelines Let Civil Rights Office Ignore Cases From Serial Complainers

By Christina A. Samuels.

"The U.S. Department of Education's office for civil rights has started dismissing hundreds of disability-related complaints, following new guidelines that say such cases will be dismissed when they represent a pattern of complaints against multiple recipients…"

https://www.edweek.org/ew/articles/2018/03/22/ new-rule-lets-civil-rights-office-ignore.html




+02: CASCADING STYLE SHEETS.




Good ol' Margin Collapsing

By Chris Coyier.

"Here's a one-sentence blog post about margin collapsing: When two block elements are stacked on top of one another, the vertical space between them is the larger between the one on top's margin-bottom and the one on the bottom's margin-top…"

https://css-tricks.com/good-ol-margin-collapsing/



The Future of Web Layout (Video)

By Aquent Gymnasium.

"A webinar discussing new advances in web layout techniques that will
impact web designers and developers in the near future. Rachel Andrew
and Jason Pamental join Jeremy Osborn to help deconstruct the upcoming
shift in designing for the web."

https://www.youtube.com/watch?v=LUMkgn_xtlg



A CSS Approach to Trap Focus Inside of an Element

By Kushagra Gour.

"…While experimenting, I discovered a neat CSS trick on how to trap
focus within the <dialog> element, a common accessibility requirement
for modals, and a notoriously difficult one…"

https://css-tricks.com/a-css-approach-to-trap-focus-inside-of-an-element/



Nobody Said CSS Is Easy

By Amber Wilson.

"Wait, some people have said this. But I'd like to politely voice the
opinion that they are wrong…"

https://amberwilson.co.uk/blog/nobody-said-css-is-easy/




+03: COLOR.




Designing Systematic Colors

By Jeeyoung Jung.

"How to make themable, flexible, WCAG 2.0 compliant color ramps for a
design system…"

https://uxplanet.org/designing-systematic-colors-b5d2605b15c




+04: EVALUATION & TESTING.




Remote Moderated Usability Tests: How and Why to Do Them

By Kate Meyer and Kara Pernice.

"Remote unmoderated usability testing is so fast and easy that some
teams make it their only evaluation method. But don't shy away from
its more robust alternative, the remote moderated usability test,
which can give you more information and is also inexpensive."

https://www.nngroup.com/articles/moderated-remote-usability-test/



How to Make Usability Testing a Habit

By Stefan Rössler.

"…The best thing about making usability testing a habit is that you
keep getting better at it…"

https://userbrain.net/blog/make-usability-testing-habit



How Large Is the Evaluator Effect in Usability Testing?

By Jeff Sauro.

 "…if you change the person looking for the problems (the evaluator),
do you get a different set of problems?…"

https://measuringu.com/evaluator-effect/




+05: EVENTS.




Getting Started in Accessibility
April 4, 2018.Minneapolis, Minnesota, U.S.A.
https://www.eventbrite.com/e/ getting-started-in-accessibility-tickets-42715561394



What You Need to Know to Get Accessibility Right
April 4, 2018.
Online.
http://apexcovantage.com/resources/ webinar-need-know-get-accessibility-right/



John Slatin AccessU
May 14-16, 2018.
Austin, Texas, U.S.A.
https://knowbility.org/programs/accessu/



This.JavaScript: A11Y
May 17, 2018.
Online.
https://www.thisdot.co/javascript/05-17-2018



UI 21
November 12-14, 2018.
Boston, Massachusetts, U.S.A.
https://ui21.uie.com/



Accessing Higher Ground
November 12-16, 2018.
Westminster, Colorado, U.S.A.
http://accessinghigherground.org/



Agile Accessibility in a Regulated Industry
November 15, 2018.
Online
http://www.accessibilityassociation.org/content.asp?admin=Y&contentid=527




+06: HTML.




Quick Reminder that Details/Summary is the Easiest Way Ever to Make an Accordion

By Chris Coyier.

"Gosh bless the <details> element. Toss some content inside it and you
have an accessible expand-for-more interaction with just about zero
work…"

https://css-tricks.com/quick-reminder-that-
details-summary-is-the-easiest-way-ever-to-make-an-accordion/




Typical/Expected Screen Reader Output

By Steve Faulkner.

"Typical/expected screen reader output


<a href="#">hello</a> hello
<a href="#" title="goodbye">hello</a> hello goodbye
<a href="#" aria-label="goodbye">hello</a> goodbye
<a href="#" aria-label="goodbye"></a> goodbye
<a href="#" title="goodbye"></a> goodbye"


https://twitter.com/stevefaulkner/status/978310635023949830




+07: INFORMATION ARCHITECTURE.




A Guide to Information Architecture

By Miklos Philips.

"…Information architecture (IA) is, like a blueprint, a visual
representation of the product's infrastructure, features, and
hierarchy. …"

https://blog.prototypr.io/ the-comprehensive-guide-to-information-architecture-29b09695fbcb




+08: MISCELLANEOUS.




Using Ethics In Web Design

By Morten Rand-Hendriksen.

"…Even small and seemingly insignificant decisions can have enormous
implications, and though ethics often stand in the way of immediate
rapid innovation, growth, and quick revenue, they help ensure the
longevity of our designs and help us carve paths to better futures for
everyone…"

https://www.smashingmagazine.com/2018/03/using-ethics-in-web-design/



Why Enterprise Software Fails (and what to do about it)

By Gerry McGovern.

"The Canadian government's Phoenix payroll system is no more. It was
supposed to cost about C$300 million and deliver tremendous
efficiencies. Instead, it has cost C$1 billion and delivered nothing
but pain and disaster…"

http://gerrymcgovern.com/ why-enterprise-software-fails-and-what-to-do-about-it/



CSUN 2018 Accessibility Interview: Denis Boudreau

By Vivian Cullipher.

"Vivian interviews Montreal-based Denis Boudreau, Principal Web
Accessibility Consultant and Strategist for Deque, covering everything
from Denis's take on what digital accessibility is, details on a
couple of his upcoming CSUN presentations, how AI might advance
accessibility for people with disabilities, and more…"

https://www.microassist.com/digital-accessibility/ csun-2018-accessibility-interview-denis-boudreau/#intro




+09: USABILITY.




Yes, Icons Need Text Labels (Video)

By Aurora Harley.

"Universal icons are rare. To help overcome the ambiguity that almost
all icons face, a text label must be present alongside an icon to
clarify its meaning."

https://www.nngroup.com/videos/icon-text-labels/



In Defense of Post-its

By Sarah Gibbons.

"Sticky notes strengthen team dynamics and represent an egalitarian,
concise means for expressing ideas in UX design projects."

https://www.nngroup.com/articles/post-it-in-ux/



When Making Design Tradeoffs, Don't Forget Hidden Costs (Video)

By Kathryn Whitenton.

"When making design decisions, analyze the alternatives to identify
hidden costs before you get stuck paying for them."

https://www.nngroup.com/videos/design-tradeoffs-hidden-costs/





[Section one ends.]





++ SECTION TWO:



+10: What Can You Find at the Web Design Reference Site?




Accessibility Information.
http://www.d.umn.edu/itss/training/online/webdesign/accessibility.html



Association Information.
http://www.d.umn.edu/itss/training/online/webdesign/associations.html



Book Listings.
http://www.d.umn.edu/itss/training/online/webdesign/books.html



Cascading Style Sheets Information.
http://www.d.umn.edu/itss/training/online/webdesign/css.html



Color Information.
http://www.d.umn.edu/itss/training/online/webdesign/color.html



Drupal Information.
http://www.d.umn.edu/itss/training/online/webdesign/drupal.html



Evaluation & Testing Information.
http://www.d.umn.edu/itss/training/online/webdesign/testing.html



Event Information.
http://www.d.umn.edu/itss/training/online/webdesign/events.html



HTML Information.
http://www.d.umn.edu/itss/training/online/webdesign/html.html



Information Architecture Information.
http://www.d.umn.edu/itss/training/online/webdesign/architecture.html



JavaScript Information.
http://www.d.umn.edu/itss/training/online/webdesign/javascript.html



Miscellaneous Web Information.
http://www.d.umn.edu/itss/training/online/webdesign/misc.html



Navigation Information.
http://www.d.umn.edu/itss/training/online/webdesign/navigation.html



PHP Information.
http://www.d.umn.edu/itss/training/online/webdesign/php.html



Sites & Blogs Listing.
http://www.d.umn.edu/itss/training/online/webdesign/sites.html



Standards, Guidelines & Pattern Information.
http://www.d.umn.edu/itss/training/online/webdesign/standards.html



Tool Information.
http://www.d.umn.edu/itss/training/online/webdesign/tools.html



Typography Information.
http://www.d.umn.edu/itss/training/online/webdesign/type.html



Usability Information.
http://www.d.umn.edu/itss/training/online/webdesign/usability.html



XML Information.
http://www.d.umn.edu/itss/training/online/webdesign/xml.html



[Section two ends.]




++END NOTES.




+ SUBSCRIPTION INFO.



WEB DESIGN UPDATE is available by subscription. For information on how
to subscribe and unsubscribe please visit:


http://www.d.umn.edu/itss/training/online/webdesign/webdev_listserv.html


The Web Design Reference Site also has a RSS 2.0 feed for site updates.




+ TEXT EMAIL NEWSLETTER (TEN).




As a navigation aid for screen readers we do our best to conform to
the accessible Text Email Newsletter (TEN) guidelines.  Please let me
know if there is anything else we can do to make navigation easier.
For TEN guideline information please visit:


http://www.headstar.com/ten




+ SIGN OFF.




Until next time,




Laura L. Carlson

Information Technology Systems and Services

University of Minnesota Duluth

Duluth, MN U.S.A. 55812-3009

mailto:lcarlson@d.umn.edu




[Issue ends.]




*


*




DATABASE SEARCH RESULTS : DATABASE COMPARISONS : DATABASES: MEDICAL: Finding Database Content, Comparisons, Evaluations and the Nature of Content Shared in Selected Medical Databases from Database Search Results

David P. Dillard
 



*


*


DATABASE SEARCH RESULTS :

DATABASE COMPARISONS :

DATABASES: MEDICAL:

Finding Database Content, Comparisons, Evaluations
and the Nature of Content Shared
in Selected Medical Databases from Database Search Results


*


*


These links may help with this question.  I also believe that the value of
databases is not just determined by the content provided, but also by the
search features of the platform it is found on as finding content is as
important as the content being available in a database.  Search capabilities
are particularly important in the worlds of evidence based, systematic
reviews and the meta-analysis as the quality and thoroughness of search
results for projects involving these.  Expect many false drops in these
results, but there also seems to be a substantial collection of on topic
sources as well.  The first group of links compares Embase with
Pubmed and the second group adds Web of Science and Scopus to the mix.
There will also be comparisons of PubMed to Medline and Pubmed Central
which may be helpful to some users of this post. Methods sections of
publications that discuss specific topics may also provide clues to
comparative database usefulness in searches for the content shared in
those research studies.


Google Scholar
https://tinyurl.com/y8c37oaj

Content Sample

Optimal search strategies for detecting clinically sound prognostic studies in EMBASE: an analytic survey

NL Wilczynski, RB Haynes - Journal of the American Medical …, 2005 - academic.oup.com

… regression approaches to developing search strategies did not improve performance compared
with search … search strategies.17 We would welcome head-to-head comparisons of machine … other
approaches with our new “brute force” strategies in MEDLINE, EMBASE, or other …

Cited by 79 Related articles All 11 versions


*

[HTML] Comparison of top-performing search strategies for detecting clinically sound treatment studies
and systematic reviews in MEDLINE and EMBASE

SSL Wong, NL Wilczynski… - Journal of the Medical …, 2006 - ncbi.nlm.nih.gov

… 2 present top-performing search strategies that allow for meaningful comparisons between
MEDLINE … and MEDLINE filters generally performed a little better than EMBASE filters. Considering
the unique content coverage and search terms available in MEDLINE and EMBASE …

Cited by 92 Related articles All 6 versions


*


Should meta-analysts search Embase in addition to Medline?

M Sampson, NJ Barrowman, D Moher… - Journal of clinical …, 2003 - jclinepi.com

… We identified meta-analyses that searched Medline and Embase. A random-effects
weighted mean method was used to estimate the intervention effect in articles indexed
only in Embase compared with those indexed elsewhere …

Cited by 142 Related articles All 8 versions


*


[HTML] EMBASE search strategies for identifying methodologically sound
diagnostic studies for use by clinicians and researchers

NL Wilczynski, RB Haynes - BMC medicine, 2005 - bmcmedicine.biomedcentral.com
… fail' according to explicit criteria for scientific merit. Candidate search strategies were
run in EMBASE, the retrievals being compared with the hand search data. The
proposed search strategies were treated as "diagnostic tests …

*


[HTML] Developing optimal search strategies for detecting
clinically sound treatment studies in EMBASE

SSL Wong, NL Wilczynski… - Journal of the Medical …, 2006 - ncbi.nlm.nih.gov

Compared with the 3-term strategy with the best sensitivity, this represented an absolute increase
in … in indexing practices and thesaurus terms, and use of different search engines) make direct
comparisons of our top-performing treatment filters for EMBASE with those for …

Cited by 152 Related articles All 8 versions


*


EMBASE search strategies achieved high sensitivity and specificity
for retrieving methodologically sound systematic reviews

NL Wilczynski, RB Haynes - Journal of clinical epidemiology, 2007 - jclinepi.com

… combinations. Candidate search strategies were run in EMBASE, the retrievals being
compared with the hand search data. The sensitivity, specificity, precision, and
accuracy of the search strategies were calculated. Results …

Cited by 84 Related articles All 8 versions

 

*

[HTML] Developing optimal search strategies for detecting
clinically sound and relevant causation studies in EMBASE

RB Haynes, M Kastner… - BMC medical …, 2005 - bmcmedinformdecismak …

Compared with the best sensitivity single-term strategy, "exp general aspects of disease", the
combination strategy resulted in an absolute increase in both sensitivity (19 … Unfortunately, we
were only able to do limited comparisons between EMBASE and MEDLINE …

Cited by 44 Related articles All 8 versions


*

Developing optimal search strategies for retrieving clinically relevant
qualitative studies in EMBASE

LA Walters, NL Wilczynski… - Qualitative Health …, 2006 - journals.sagepub.com

… We previously tested similar search strategies in MEDLINE, identifying 49,028 articles from
matching hand searches with downloaded data in MEDLINE, of which 366 (0.75%) were
qualitative, compared to 27,769 articles identified in EMBASE, of …

Cited by 61 Related articles All 6 versions


*


Comparison of CINAHL, EMBASE, and MEDLINE databases for the nurse researcher

J Burnham, B Shearer - Medical Reference Services Quarterly, 1993 - Taylor & Francis

… Several studies have compared the coverage of EMBASE and MEDLINE for specific subject^.^-^
A study reported by Grfith, White, Drott, and Saye in 1988 focused on the coverage of six
databases, including MEDLINE and EMBASE, for the literature of medical behavioral …

Cited by 32 Related articles All 4 versions


*


Accuracy of physician self-assessment compared
with observed measures of competence: a systematic review

DA Davis, PE Mazmanian, M Fordis, R Van Harrison… - Jama, 2006 - jamanetwork.com

ContextCore physician activities of lifelong learning, continuing medical education credit,
relicensure, specialty recertification, and clinical competence are.

Cited by 1599 Related articles All 17 versions


*

[HTML] Optimal search strategies for detecting cost and economic studies in EMBASE

RJ McKinlay, NL Wilczynski… - BMC Health …, 2006 - bmchealthservres.biomedcentral …

… The best evidence currently available from research regarding both cost and economic
comparisons will continue to expand as this … search strategies were developed for economic and
cost studies, then run in the 55 EMBASE journals, the retrievals being compared with the …

Cited by 37 Related articles All 8 versions


*

Nicotine dependence versus smoking prevalence: comparisons
among countries and categories of smokers.

KO Fagerström, M Kunze, R Schoberberger… - Tobacco …, 1996 - tobaccocontrol.bmj.com

… Nicotine dependence versus smoking prevalence: comparisons among countries and categories
of smokers … we con- ducted a search of the electronic database EMBASE (formerly Excerpta … the
quitting percentage was higher among less dependent smokers compared with the …

Cited by 367 Related articles All 11 versions


*

Identifying randomized controlled trials of cognitive therapy for depression:
comparing the efficiency of Embase, Medline and PsycINFO bibliographic databases

RJD Watson, PH Richardson - Psychology and Psychotherapy …, 1999 - Wiley Online Library

… decrease. It is possible that the low sensitivity of PsycINFO searches, compared with
Embase and Medline, may be offset by PsycINFO's wider coverage of psychiatric and
psycho- logical journals than either Embase or Medline. To …

Cited by 52 Related articles All 5 versions


*


Cochrane reviews compared with industry supported meta-analyses
and other meta-analyses of the same drugs: systematic review

AW Jørgensen, J Hilden, PC Gøtzsche - Bmj, 2006 - bmj.com

… reviews in the Cochrane Database of Systematic Reviews 2003, issue 1 for drug comparisons …
When we found no match in PubMed, we searched Embase (WebSPIRS 5) (1980 to … recommended
only with reservations.3 As our data were paired, we compared quantitative data …

Cited by 420 Related articles All 22 versions


*

The comprehensiveness of Medline and Embase computer searches

J Kleijnen, P Knipschild - Pharmaceutisch weekblad, 1992 - Springer

… Thus, all in all, the Embase search and consequent checking of references yielded 42 … For our
three comparisons, and for the comparisons made by Hofmans [6] (the exhaustive … The yield of
Medline searches as compared with comprehensive reviews or other registers was 17 …

Cited by 96 Related articles All 6 versions



Google Books
https://tinyurl.com/y8698e24


CONTENT SAMPLE

Drug Information: A Guide to Current Resources - Page 395


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Anaemia Management in Chronic Kidney Disease: National Clinical ...


Embase 1980–2005 Cochrane 1800–2005 Cinahl 1982–2005 BNI 1985–2005 PAT2 Is the effectiveness
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and comparative Embase 1980–2005 ...

The Evidence Base of Clinical Diagnosis: Theory and Methods of ...

J. André Knottnerus, ‎Frank Buntinx - 2011 - ‎Preview - ‎More editions
Compared to MEDLINE Additional publications on nursing and allied health subjects
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Systematic reviews, RCTs Medline 1966–2008 Embase 1980–2008 Cochrane 1800–2008
Cinahl 1982–2008 LIPID 1 In ... fibrates, fish oils) decrease cardiovascular disease risk
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https://library.fiu.edu › ... › Embase Guide | Guía de Embase
ADDITIONAL COMPARISONS. Embase ... PubMed, MEDLINE, and Embase all let you
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Apr 1, 2018 - We hypothesized that studies that used Embase but not MEDLINE ....
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index and .... 2) The volume, issue, and page were missing in EMBASE.
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Off-label useInformation retrievalEMBASEMEDLINESensitivity ... We compared the
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((inappropriate us* and indication) not (antibiotic* or antimicrobial)).af. .... has also failed to
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Jan 20, 2014 - PubMed, Ovid Medline and Embase can be filtered for articles .... 26],
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Page 1 ... Detailed search strategies of PubMed, Scopus, EMBASE, and Web of Science ...
antithrombins) AND TITLE(smoke)) ... P < 0.05 compared to controls.




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WEBBIB1718

http://tinyurl.com/yaevofzf

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MSU to NCAA: Nassar Sexually Assaulted 25 Student-Athletes, but 'no NCAA Rules Violations'

David P. Dillard
 

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MSU to NCAA: Nassar Sexually Assaulted 25 Student-Athletes,
but 'no NCAA Rules Violations'

Matt Mencarini

Lansing State Journal

Published 8:17 p.m. ET May 2, 2018

Updated 12:24 p.m. ET May 3, 2018

Lansing State Journal

https://tinyurl.com/y9qrsjrb


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EAST LANSING - Larry Nassar sexually assaulted at least 25 MSU student-athletes, but there were no NCAA violations, the university has told the college athletics governing body.

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In January, during Nassar's Ingham County sentencing hearing, the NCAA sent Michigan State University a letter regarding potential rules violations related to Nassar's crimes.

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The university responded on March 22 in a letter from attorney Mike Glazier, of the law firm Bond, Schoeneck & King, PLLC, to the NCAA's vice president of enforcement. Glazier listed the current ongoing investigations of the university, including those by the Michigan Attorney General's Office, U.S. Congress and the U.S. Department of Education.

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(Read the letter at the bottom of this story.)

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"I trust that you will see that the University is in no way attempting to sidestep the issues facing it, and that if the University had any reason to believe the criminal conduct of Nassar also implicated NCAA rules violations, the University would accept responsibility in that area as well," Glazier wrote in the letter, which MSU released on Wednesday.

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"However, after a thorough and analytic examination of NCAA legislation, and an application of the known facts associated with the Nassar matter to NCAA legislation, the University finds no NCAA rules violations."

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Glazier said Nassar's criminal conduct was "abhorrent and a violation of every standard of conduct expected of university of employees."

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The letter recapped a meeting and phone calls involving MSU and NCAA officials that refined the issues the university needed to address in its response. It also stated that the university is committed to NCAA Bylaw 20.9.1.6, which covers the well-being of student athletes including their health and safety, but notes that bylaw is a guide and not subject to enforcement.



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The complete article may be read at the URL above.

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.




Sincerely,
David Dillard
Temple University
(215) 204 - 4584
jwne@...


Need research help?

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House: Alarming Findings in MSU, Nassar Inquiry

David P. Dillard
 

*


*



House: Alarming Findings in MSU, Nassar Inquiry

Jonathan Oosting and Kim Kozlowski,

The Detroit News

Published 3:57 p.m. ET April 5, 2018

Updated 8:30 a.m. ET April 6, 2018

https://tinyurl.com/yaraeuow


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Lansing Larry Nassar was able to brazenly abuse women for decades because Michigan State University failed to properly pursue complaints, destroyed vital documents and allowed the disgraced doctor to exploit loopholes in university policies to avoid scrutiny, Michigan House lawmakers said Thursday.

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A months-long inquiry by the House into how MSU handled accusations of sexual assault by the former gymnastics doctor produced alarming findings that were forwarded to the attorney generals office for further investigation.

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While some of those findings remain under wraps because of an ongoing criminal investigation, bipartisan committee leaders disclosed several significant findings in a letter to House Speaker Tom Leonard, highlighting failures by MSU.

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Nassar seems to have spent decades developing his ability to abuse patients without detection by identifying and exploiting loopholes in the policies that governed his professional conduct and patient relationships, wrote lawmakers, describing their review of MSU documents and question responses.

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Medical records were never kept for many of Nassars treatments, they found. MSU did not have an adequate informed consent policy in place for much of the time he worked there, which Nassar methodically exploited, lawmakers said, and university policies did not require a chaperone to be in the room during sensitive examinations of minors.

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In some cases, MSU had destroyed patients medical records by the time they reported Nassar to university police, lawmakers said. While the destruction did not violate state law or university policy, such records may have proven useful to at least one of the survivors seeking justice against Nassar.

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MSU spokeswoman Emily Guerrant said following the inquirys release that MSU will be working with the House on its legislation and shares the joint concern of lawmakers who want to make sure the horrendous abuse that Larry Nassar executed cannot happen again.

.

An attorney for the university answered dozens of questions from lawmakers, which they also released.

.

Miller Canfield attorney Scott Eldridge told lawmakers that the university already has implemented a new privacy and chaperone policy. The universitys 10-year record retention policy exceeds the seven years required by state law, but the health team is conducting a global policy review, and there is potential that the minimum retention time will (be) addressed.

.

The House findings are the result of an extensive inquiry by the Law and Justice Committee and the Appropriations Subcommittee on Higher Education. They requested Nassar-related information from MSU on Jan. 25 and received more than 1,500 pages of documents.




.

.

The complete article may be read at the URL above.

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Sincerely,
David Dillard
Temple University
(215) 204 - 4584
jwne@...



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Nassar-MSU Scandal Puts Professional Licenses of 7 Under Scrutiny

David P. Dillard
 

*


*



Nassar-MSU Scandal Puts Professional Licenses of 7 Under Scrutiny

Updated Jun 14, 12:30 PM; Posted Jun 14, 12:30 PM

By Julie Mack

M Live

http://www.mlive.com/news/index.ssf/2018/06/ nasser-msu_scandal_puts_profes.html


OR


https://tinyurl.com/y9grntgr


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Seven current and former health-care providers at Michigan State University are under investigation by the state Department of Licensing and Regulatory Affairs for their actions related to Larry Nassar, the former MSU doctor who molested patients.

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The seven -- four physicians, two athletic trainers and a clinical psychologist -- have been identified by Nassar victims as people alerted over the years about Nassar's misconduct.


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Dr. William Strampel, an osteopathic physician who also was dean of MSU's College of Osteopathic Medicine and Nassar's former boss. Strampel is now facing criminal charges for failing to enforce rules set specifically for Nassar, including having a chaperone in the room during exams involving "sensitive areas" and getting patient permission before examining or treating those areas.

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Dr. Jeffrey Kovan, a osteopathic physician at MSU's Sports Medicine Clinic. Kovan was the initial recipient of a complaint by Amanda Thomashow that she was molested by Nassar during a March 2014 appointment at the clinic. Kovan notified his supervisors of the complaint, although Thomashow told MSU Police she felt Kovan wasn't taking it seriously, according to a police report.

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Dr. Douglas Dietzel, an osteopathic physician who supervised the MSU Sports Medical Clinic at the time of the 2014 complaint. An investigation by MSU's Title IX office cleared Nassar in that incident.

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Dr. Brooke Lemmen, a former osteopathic physician at the Sports Medicine Clinic. She resigned in 2017 after Strampel reprimanded her for not telling MSU officials that she was aware Nassar stopped volunteering as a team doctor for USA Gymnastics in 2015 because of allegations of sexual misconduct. After Nassar was fired by MSU in 2016 and at his direction, Lemmen also removed boxes of documents from his office, according to a police report.

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Dr. Gary Stollak, a retired MSU clinic psychologist. One of Nassar's early victims, Kyle Stephens, says that in 2004 when she was age 12, she told Stollak that she had been abused by Nassar over a six-year period. Instead of contacting authorities, she says, Stollak arranged a meeting between Nassar and her parents. Nassar denied the allegations and the parents forced Stephens to apologize. Stollak, who retired in 2010, has said he does not remember the Stephens case and he destroyed his patient records when he retired.

.

Destiny Teachnor-Hauk, a MSU athletic trainer. Tiffany Thomas Lopez, a former MSU softball players who says she was molested by Nassar during treatments for sports injuries in 1999 and 2000, said she complained to Teachnor-Hauk that Nassar's treatments seemed inappropriate.

.

Lianna Hadden, a MSU athletic trainer. Lopez said she also complained to Hadden about Nassar's treatments. Jennifer Rood Bedford, a former MSU volleyball player, says she told Hadden in 2003 that she was uncomfortable about Nassar's treatments, although Bedford said she was not specific about her complaint.

.

MSU colleagues initially defended Nassar, police investigation shows

.

LARA does not comment on pending investigations, said LARA spokesman Pardeep Toor.

.

The agency's investigations are "strictly focused" on whether a license-holder has violated the Michigan public health code, he added.




.

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The complete article may be read at the URL above.

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Sincerely,
David Dillard
Temple University
(215) 204 - 4584
jwne@...


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IMMIGRATION : CRIME AND CRIMINALS: CHILD ABUSE : COUNTRIES: UNITED STATES: GOVERNMENT: Family Separation Is Trump's Immigration Policy. Here's Why He Won't Own It

David P. Dillard
 

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.



IMMIGRATION :

CRIME AND CRIMINALS:

CHILD ABUSE :

COUNTRIES: UNITED STATES: GOVERNMENT:

Family Separation Is Trump's Immigration Policy.
Here's Why He Won't Own It

.

.


Family Separation Is Trump's Immigration Policy.
Here's Why He Won't Own It

June 20, 20185:00 AM ET

Domenico Montanaro - 2015

NPR

https://tinyurl.com/y6u2wfo6

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.


President Trump and administration officials are walking a fine line on family separation at the border.

*

They argue they don't like the policy, but that their hands are tied and instead are pointing fingers at Congress to "fix" it.

*

There may be good reason for that the policy (and it is a Trump administration policy, despite the Homeland Security secretary's claims to the contrary) is unpopular.

*

The president on Tuesday called on Congress to come up with a "third option": for the legal authority to detain and promptly remove families together as a unit. This is similar to a practice used during the Obama administration, when some families were detained together. That, too, was criticized, but it is emerging now as a preferred alternative.

*

Some immigrants under Presidents Obama and George W. Bush were released while they awaited adjudication, but that approach is one Trump and conservative critics chafe at, calling it "catch and release." Trump White House officials say that's not an option this president wants to consider since their stated policy is "zero tolerance" for people who cross the border illegally.

*

A hard line on immigration was a fundamental ideological underpinning of Trump's candidacy. Now, the country is seeing the practical implementation of that ideology, especially after a year in which little got done legislatively on immigration. Trump, though, appears to be looking for a way out of the bad optics and bad politics without looking like he's compromising his principles.

*

Putting Republicans in a jam

*

The president huddled with House Republicans Tuesday afternoon. They're considering several bills, but the strings attached, as always, will be what determines if they pass. Hard-liners and the Trump administration want to see what they can get on the president's other immigration priorities. But there's only so much moderates and Democrats are willing to give on this.

*

Senate Majority Leader Mitch McConnell said he wants a narrow bill that deals strictly with family separation.

*

"In order to fix this problem you can't fix all the problems," he told reporters. "We've wrestled with this issue for a decade."

*

The reality is, you don't need to look very far to see which way the wind is blowing on this issue. Not only is the president declining to take full ownership of the policy, but Democrats see no political reason to capitulate, and that leaves moderate Republicans feeling the most heat. Congressional Republicans, especially those in vulnerable House districts, are the ones who most want this issue off the table quickly.

*

That's why Ohio Rep. Steve Stivers, head of the National Republican Congressional Committee, came out against the policy. He encouraged the Trump administration to "stop needlessly separating children from their parents," he said in a statement on his Facebook page. "If the policy is not changed, I will support other means to stop unnecessary separation of children from their parents."

*

(If you want to see how divided people are on this, just read the comments on Stivers' Facebook post.)





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The complete article may be read at the URL above.

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Press Releases



Stivers Statement on Updated Immigration Executive Order

.

Washington, March 6, 2017 | 0 comments

.

My first priority is the safety of the United States, and I am glad this order seeks to better coordinate with agencies to determine if we are receiving enough information from other countries to effectively vet those who are attempting to come into the United States. I continue to support a more permanent solution to our visa vetting process that also ensures we differentiate between our partners in the region and radical Islamic terrorists."

.

The following statement can be attributed to Congressman Steve Stivers (R-OH) regarding the updated immigration executive order:


.

My first priority is the safety of the United States, and I am glad this order seeks to better coordinate with agencies to determine if we are receiving enough information from other countries to effectively vet those who are attempting to come into the United States. I continue to support a more permanent solution to our visa vetting process that also ensures we differentiate between our partners in the region and radical Islamic terrorists."



Sincerely,
David Dillard
Temple University
(215) 204 - 4584
jwne@...


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Finding News Sources and News on the Internet: Some Tips

David P. Dillard
 




Finding News Sources and News on the Internet: Some Tips



With the deminuation of Google News from a thirty-five year archive of news reports from a large and diverse body of news sources to a very limited
group of sources covering a limited group of sources, finding free news sources on the internet has become a more difficult task.


Finding News Sources and News on the Internet: Some Tips : Using Science News as the Example


Go to Google News and limit your search to the Science section of that news source using the science link on the left sidebar.

Also, in Google News and Google to get different mixes of news topics and reports, in Google News on can search site: science (both) and in Google
search both science and site:news  and also science and site : news

Here are the results to these searches via links in the order they were mentioned.


Google News

https://tinyurl.com/ycx6p2qc


Google Web Search


https://tinyurl.com/y9ejvx46


Content Sample


About 1,050,000 results (0.47 seconds) 
May 9, 2018 - We are paying particular attention to the science and technology (S&T) component of the EPA budget because of the fundamental role that ...
The Computer, Electrical and Mathematical Sciences and Engineering (CEMSE) Division plays a central role in the research, teaching, and outreach
of the University both because its intellectual domains are evolving rapidly. ... Wednesday, May, 02, 2018 ​At KAUST, the Visual Computing ...
Valeriya Chernikova, Ph.D. Graduate – Chemical Science. Valeriya Chernikova's talent was obvious at a young age. At only 15 years old, she was invited to ...
Apr 7, 2018 - Once again, I'm brooding over science's limits. I recently posted Q&As with three physicists with strong opinions on the topic--David Deutsch, ...
May 14, 2018 - Science and technology have developed rapidly in China during the 1990s to 2010s. The Chinese government has placed emphasis through ...

Another Search


https://tinyurl.com/y9uo9wwb

Content Sample


About 1,870,000,000 results (0.79 seconds) 
Sep 22, 2017 - Go beyond flashy headlines and daily news with websites that are ... Below are 12 of our favorite science sites that we think should be on ...
Science News online features daily news, blogs, feature stories, reviews and more in all disciplines of science, as well as Science News magazine archives ...
Jul 30, 2013 - The other science news sites commended by RealClearScience, in descending order, were: Ars Technica, New Scientist, Popular Science, ...
Breaking science news and articles on global warming, extrasolar planets, stem cells, bird flu, autism, nanotechnology, dinosaurs, evolution -- the latest ...
Scientific American is the essential guide to the most awe-inspiring advances in science and technology, explaining how they change our understanding of the ...
The Sciences · ‎Mind · ‎Health · ‎Tech
Breaking science and technology news from around the world. Exclusive stories and expert analysis on space, technology, health, physics, life and Earth.
Awe-inspiring science reporting, technology news, and DIY projects. Skunks to space ... to climates. That's Popular Science, 145 years strong. ... Latest News ...
Latest News; Career News ... More Daily News .... The strength of Science and its online journal sites rests with the strengths of its community of authors, who ...
Get the latest science news and learn about scientific breakthroughs and discoveries from around the world. See how science is making today's news.

All of my guides including guides on how to search databases, statistics sources, how to research and write term papers and on public health, these can be found here:

Research Guides
https://sites.google.com/site/researchguidesonsites/





Also in Google search


"science news"

https://tinyurl.com/yc4f6s7b


In using the site: command, without a space afterward, this will only search the name of a Google database,
which news is.  Without the space, any term or phrase is fair game, such as "physics news" in Google


https://tinyurl.com/yatbdvab

Also the database Access World News is an invaluable news resource if your institution subscribes
to this commercial and expensive database.


These methods will also help teachers of science courses to keep up with a broad range of developments
in science or whatever else one wants to know about as well as publications online that are news sources.

Since every discipline in science uses computers in their research, my new research guide on
Computer Science and Information Science may be helpful to teachers and their students and for
students those in both high school and college.


Computer Science and Information Science

http://guides.temple.edu/compsci


All of my guides including guides on how to search databases, statistics sources, how to research and
write term papers and on public health, these can be found here:

Research Guides
https://sites.google.com/site/researchguidesonsites/


Research Paper Writing
https://sites.google.com/site/howtowriteasuperresearchpaper/

Employment
https://sites.google.com/site/employmentsources/

Internships
https://sites.google.com/site/internshipsarticles/


Also


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David Dillard

Temple University

(215) 204 - 4584

jwne@...


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Research Guides

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Research Paper Writing

https://sites.google.com/site/howtowriteasuperresearchpaper/

Employment

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Internships

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Blog

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Indictments Detail Larry Nassar's Abuse of Gymnasts over 20-Year Period at Karolyi Ranch

David P. Dillard
 

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*



Indictments Detail Larry Nassar's Abuse of Gymnasts
over 20-Year Period at Karolyi Ranch

By David Barron,

Houston Chronicle

Updated 10:36 pm CDT,

Tuesday, July 3, 2018

https://www.chron.com/olympics/article/
Indictment-Larry-Nassar-abuse-Karolyi-Ranch-13046928.php

OR

https://tinyurl.com/y6uxco74


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*


The six indictments of disgraced doctor Larry Nassar returned last week by a Walker County grand jury accuse him of assaulting gymnasts over a period of almost 20 years at the Karolyi Ranch, according to court records provided Tuesday.

.

The indictments alleging sexual assault of a child were issued Friday by a grand jury in Huntsville, a few miles north of the Sam Houston National Forest ranch owned by longtime coaches Bela and Martha Karolyi, as the latest development in the USA Gymnastics sexual abuse scandal.

.



Larry Nassar

Former Elite Gymnast Kamerin Moore Learns To Take Back Her Accomplishments From An Abusive Coach

Dvora Meyers

https://deadspin.com/
former-elite-gymnast-kamerin-moore-learns-to-take-back-1827319050


OR


https://tinyurl.com/y7w2tk3m


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*


Kamerin Moore, former elite gymnast and Larry Nassar survivor, posted a video to Youtube this week discussing her struggles with body image after a lifetime spent as a gymnast. Ive had poor body image, I mean, as long as I can remember, she says close to the start. Like since I hit puberty.

*
Its not the first video that Moore has posted. She first came forward as a victim of Nassars abuse last year in another Youtube video, and also talked about her abuse during her victim impact statement during Nassars sentencing in Michigans Ingham County in January. (Moores younger brother, Jacob, is so far the only male Nassar victim to come forward.)

*

Moore says that she hit puberty at 14, when she underwent shoulder surgery for an injury. That was the first time in her life that she was out of the gym for an extended period of time, which enabled her body to start developing as it naturally would have had the process not been delayed by her arduous training. I wasnt big by any means, she explains. I just got bigger.

*

That, for some reason, wasnt acceptable according to my coach, Moore continued. Moore doesnt name her coach in video, but throughout her gymnastics career she was coached by John Geddert, who owned Twistars USA in Michigan. He was close with Nassar and the former doctor used to treat gymnasts in the backroom of the gym on a regular basis. Many Geddert gymnastsincluding world and Olympic champion Jordyn Wieberwere sexually abused by Nassar. Many former Twistars gymnasts have accused Geddert of being emotionally abusive towards them during their competitive gymnastics careers.

*

Moore talks about how Geddert routinely weighed and measured her, disparaging her if she weighed too much and praising her if she lost weight, which she managed to do only through unhealthy means. Moores story, in this respect, sounds like the stories of many other gymnasts who were shamed and pressured by coaches to lose weight. Its a story that has been told at least since Joan Ryans 1995 book Little Girls in Pretty Boxes.


*


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Larry Nassar and USA Gymnastics cover story: 'Can we just say i am sick?'

Tim Evans and Marisa Kwiatkowski,

IndyStar Published 1:01 a.m. ET May 24, 2018

Updated 1:46 p.m. ET May 24, 2018

https://www.indystar.com/story/news/2018/05/24/larry-nassar-being-
investigated-sexual-abuse-usa-gymnastics-agreed-cover/599381002/


OR


https://tinyurl.com/y8a26c2b


USA Gymnastics officials agreed to provide what Larry Nassar's attorney called "false excuses" for his absence from major gymnastics events in 2015, rather than disclose to parents and gymnasts that Nassar was under investigation for child sexual abuse.

Emails obtained by IndyStar reveal that on two separate occasions, Nassar and a USA Gymnastics attorney negotiated cover stories first that Nassar was sick and later that he was focusing on his private practice to explain why the longtime team physician was not attending two major events in the run-up to the 2016 Olympics.

In one of the emails, Indianapolis attorney Scott D. Himsel told Nassar his medical techniques were under investigation, and "it is in everyone's best interest" that Nassar not attend a gymnastics event that weekend.

Himsel said USA Gymnastics would tell people Nassar was not attending for "personal reasons."

Nassar replied: "Can we just say that i am sick? That would make more sense to everyone. Would that be ok?"

Himsel agreed to have USA Gymnastics use that story.

Out of Balance: An IndyStar investigation into USA Gymnastics

In later emails part of more than 900 pages of documents reviewed by IndyStar Nassar assured Himsel: "I stayed with the story of that I am nauseated, not feeling well and staying home."



.

.

The complete articles may be read at the URLs provided for each.

.

.

















Sincerely,
David Dillard
Temple University
(215) 204 - 4584
jwne@...



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Judge Rosemarie Aquilina Denies Larry Nassars Appeal For New Sentence

David P. Dillard
 
Edited

*


*

THIS COMPLETE SOURCE MAY BE READ AT THE WEB ADDRESS BELOW

https://tinyurl.com/y9grr8jy





Judge Rosemarie Aquilina Denies Larry Nassars Appeal For New Sentence

CRIME

The former USA Gymnastics team doctor was assaulted in prison because hes a convicted child molester, a prosecutor said.

By Alanna Vagianos

Huffington Post

08/03/2018 12:53 pm ET

https://www.huffingtonpost.com/entry/
judge-rosemarie-aquilina-denies-larry-nassar-
sentence-appeal_us_5b646d2de4b0fd5c73d90c1f


.

A shorter URL for the above link:

.


Larry Nassar, the former USA Gymnastics and Michigan State University team doctor imprisoned for serial child sexual abuse, has been denied his motion to appeal his sentence.

Theres nothing Ive done that prejudices me on this case, Judge Rosemarie Aquilina told Nassars attorneys in court Friday morning. Your motion is denied.

.

Nassar and his attorneys filed a motion to appeal his sentence last week, claiming that Aquilina, who presided over Nassars first, widely covered sentence hearing in January, was biased against him. Also, he blamed Aquilina for a recent assault he said he endured at the hands of other inmates at the United States Penitentiary in Tucson, Arizona, where he is serving part of his sentence.

.

Aquilina sentenced Nassar to 40 to 175 years in prison on seven counts of child sexual abuse after a weeklong sentencing hearing during which 169 of his victims and victims and family members read powerful impact statements.

.

At this point, justice cannot be served in terms of the appearance of impropriety, Nassars attorney Malaika Ramsey-Heath said. Dr. Nassar has the right to continue this process. This case is not over. It did not end upon conviction. The appellate process must be allowed to take place.

.

Ramsey-Heath pointed to Aquilinas recent appearance at the ESPY Awards, her public support for sexual abuse survivors on her social media accounts and media interviews before the appeal process took place as evidence of her bias against Nassar.

.

Michigans chief deputy attorney general, Laura Moody, argued that Aquilina used strong but appropriate language throughout the January sentence hearing. She added that if Nassar was attacked in prison, its because hes a convicted child molester, not because of anything Aquilina said during sentencing.



.

.

The complete article may be read at the URL above.

.

.




Sincerely,
David Dillard
Temple University
(215) 204 - 4584
jwne@...


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