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Recurso de Internet en Inglés | LIS - Localizador de Información en Salud | ID: lis-35118


Now in production for Volume 7.2, the Health Law and Policy Brief is a print and online publication run by law students at American University Washington College of Law. The Health Law & Policy Brief invites original paper submissions for the Fall 2013 issue (Volume 7, Issue II)

17550 , Política de Salud , Células Germinales Embrionarias , Derecho Sanitario
Am J Sports Med ; 42(5): 1197-203, 2014 May.
Artículo en Inglés | MEDLINE | ID: mdl-24569704


BACKGROUND: Increasing attention has been paid to concussions and especially sports-related concussions in youth. To prevent an inappropriate return to play while symptomatic, nearly all states have now passed legislation on youth sports-related concussions. PURPOSE: To determine (1) the incidence of sports-related concussions in high school athletes using a unique system to collect reports on concussions, (2) the proportion of athletes with concussions who play with concussive symptoms, and (3) the effect of the type and modality of coach education on the likelihood of athletes reporting symptoms to the coach or playing with concussive symptoms. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: This study was conducted with high school football and girls' soccer athletes playing in fall 2012 and their coaches and parents in 20 urban or rural high schools in Washington State. The main outcome was the incidence of concussions per 1000 athlete-exposures (AEs), the proportion of concussed athletes who played with concussive symptoms, and the association of coach concussion education with coach awareness of athletes with concussive symptoms. RESULTS: Among the 778 athletes, the rate of concussions was 3.6 per 1000 AEs and was identical for the 2 sports studied. The cumulative concussion incidence over the course of the season was similar in girls' soccer (11.1%) and football (10.4%). Sixty-nine percent of concussed athletes reported playing with symptoms, and 40% reported that their coach was not aware of their concussion. Most measures of coach concussion education were not associated with coach awareness of concussions in their athletes, although the modalities of a video and quiz were associated with a lower likelihood of coach awareness. CONCLUSION: More objective and accurate methods are needed to identify concussions. Changes in athlete attitudes on reporting concussive symptoms will likely not be accomplished through legislation alone.

Atletas/estadística & datos numéricos , Traumatismos en Atletas/epidemiología , Conmoción Encefálica/epidemiología , Docentes/estadística & datos numéricos , Autoinforme , Medicina Deportiva/educación , Adolescente , Adulto , Estudios de Cohortes , Femenino , Fútbol Americano/lesiones , Fútbol Americano/estadística & datos numéricos , Conocimientos, Actitudes y Práctica en Salud , Humanos , Incidencia , Masculino , Persona de Mediana Edad , Población Rural , Fútbol/lesiones , Fútbol/estadística & datos numéricos , Encuestas y Cuestionarios , Población Urbana , Washingtón/epidemiología , Adulto Joven
Am J Sports Med ; 42(5): 1190-6, 2014 May.
Artículo en Inglés | MEDLINE | ID: mdl-24510067


BACKGROUND: Most states in the United States have passed laws regarding concussions, but little is known regarding the implementation of these laws. Hypothesis/ PURPOSE: The purpose of this study was to survey high school coaches 3 years after the passage of a concussion law to evaluate the variation in concussion education and knowledge in the context of this law as well as measure the effects of sport (football vs soccer) and urban versus rural locations. The hypothesis was that concussion education and knowledge would be more extensive in football compared with soccer and in urban locations compared with rural locations. STUDY DESIGN: Descriptive epidemiology study. METHODS: A mixed-methods (paper and online) survey was conducted in 2012 to 2013 on a random sample of public high school football, girls' soccer, and boys' soccer coaches in Washington State, stratified by urban and rural locality. The survey covered the extent of concussion education for coaches, athletes, and parents as well as coaches' concussion knowledge and experience. RESULTS: Of 496 coaches contacted, 270 responded (54.4%). Nearly all coaches answered concussion knowledge questions correctly, and nearly all coaches received education via ≥2 modalities (written, video, slide presentation, test, and in person). Athlete education was less extensive, with 34.7% exposed to ≥2 modalities and 29.5% only signing a concussion information form. Parent education was even more limited, with 16.2% exposed to ≥2 modalities and 57.9% only signing a concussion information form. Significantly more football than soccer coaches gave their athletes an in-person talk about concussions (59.1% vs. 39.4%, respectively; P = .002) and provided concussion education to athletes via ≥2 modalities (44.1% vs. 29.7%, respectively; P = .02). Concussion education for coaches and parents was similar between sports, and concussion education for all parties was similar in urban and rural localities. CONCLUSION: Three years after the passage of a concussion law in Washington State, high school football and soccer coaches are receiving substantial concussion education and have good concussion knowledge. Concussion education for athletes and parents is more limited. Football players receive more extensive concussion education than do soccer players. CLINICAL RELEVANCE: Clinicians should be aware that athletes and parents may not be receiving significant concussion education.

Atletas/estadística & datos numéricos , Traumatismos en Atletas/diagnóstico , Conmoción Encefálica/diagnóstico , Docentes/estadística & datos numéricos , Conocimientos, Actitudes y Práctica en Salud , Padres , Medicina Deportiva/legislación & jurisprudencia , Adolescente , Adulto , Femenino , Fútbol Americano/educación , Fútbol Americano/lesiones , Educación en Salud , Humanos , Masculino , Persona de Mediana Edad , Población Rural , Fútbol/educación , Fútbol/lesiones , Medicina Deportiva/educación , Encuestas y Cuestionarios , Población Urbana , Washingtón , Adulto Joven
Bull Am Coll Surg ; 82(4): 24-6, 1997 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-10166580


Following an attempted assassination on March 30, 1981, President Reagan had an operation under anesthesia and was seriously ill during the postoperative period. At that time, no one in the Administration suggested that the President invoke Section 3 of the 25th Amendment to the Constitution. That amendment, which was ratified in 1967, provides for voluntary transfer of powers to the Vice-President (Section 3) or for the possibility of involuntary transfer of powers and duties (Section 4). The amendment also defines the Vice-President's role after transfer as that of Acting President so that when the President recovers, he or she can resume the powers and duties of office. Such a transfer of authority did take place in July 1985, when President Reagan had a colectomy for colon carcinoma, but he initially denied that he was using the amendment. This reluctance to employ the mechanisms available for transfer of power led to the formation of a Working Group on Disability in U.S. Presidents under the leadership of a prominent neurologist, James F. Toole, MD, FACS, of Winston-Salem, NC. The working group has held meetings at the Carter Center at the invitation of President Jimmy Carter, at Wake Forest University with the participation of President Gerald Ford, and most recently, at the White House Conference Center in Washington. As a representative of the American College of Surgeons, the author participated in the latter meeting, where agreement was reached on nine specific recommendations that provide guidelines for use of the amendment.

Democracia , Competencia Mental/legislación & jurisprudencia , Política Pública , Evaluación de la Discapacidad , Rol del Médico , Formulación de Políticas , Poder Psicológico , Privacidad/legislación & jurisprudencia , Estados Unidos
Artículo | PAHO-IRIS | ID: phr-36222


Pan American Consultation of Legal and Health Experts. Pan American Health Organization; Apr. 15-16, 1996

. American University

. US. Washington College of Law

Mujeres Maltratadas , Derechos de la Mujer , Violencia Doméstica , América Latina
Artículo | PAHO-IRIS | ID: phr-36160


Pan American Consultation of Legal and Health Experts. American University. Washington College of Law; Apr. 15-16, 1996

. Pan American Health Organization

. Organization of American States

Mujeres , Legislación como Asunto , Sexo , Formulación de Políticas , América Latina
Artículo | PAHO-IRIS | ID: phr-36159


Consulta Panamericana de Expertos en Derecho y en Salud. American University. Washington College of Law; 15-16 abr. 1996

. Organización Panamericana de la Salud. Programa Mujer, Salud y Desarrollo


Mujeres , Política de Salud , Legislación como Asunto , Sexo , Formulación de Políticas , América Latina