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In Spain Almost 1 Quarter Of Women Take Antidepressants
Psychopharmaceutical use has risen over recent years. This is fact, but what is not clear is the reason why. Researchers from four Madrid-based health centres have shown that family conflict is not a significant factor. However, the results published in the journal AtenciÃön Primaria are striking: in Spain, 24% of women take antidepressants and more than 30% take tranquillisers.

Diabetes Amputees Converge On London's O2 Arena To Campaign For Better Foot Services
Diabetes UK is today bringing together 100 people, including 20 diabetes amputees, at the "Body Worlds and Mirror of Time" exhibition at London"s O2 Arena for a photo call to highlight the fact that diabetes causes 100 amputations a week in the UK.
News of the day
Opinion Pieces React To Obama's Nomination Of Sotomayor To Supreme Court
Several newspapers on Wednesday included editorials and opinion pieces on President Obama"s nomination of Judge Sonia Sotomayor to the Supreme Court. Summaries appear below. ~New York Times: Obama "seems to have made an inspired choice" in selecting Sotomayor as his nominee because she "has an impressive judicial record, a stellar academic background and a compelling life story," a Times editorial states. According to the editorial, "Based on what we know now, the Senate should confirm her so she can join the court when it begins its new term in October." The editorial notes that, "Conservative activists have already begun trying to paint Judge Sotomayor as a liberal ideologue, but her carefully reasoned, fact-based decisions indicate otherwise." The editorial continues, "If Judge Sotomayor joins the court, it will be a special point of pride for Hispanic-Americans," and "will also bring the paltry number of female justices back to two." It adds, "Judge Sotomayor, though, is more than just a distinguished member of two underrepresented groups. She is an accomplished lawyer and judge, who could become an extraordinary Supreme Court Justice" (New York Times, 5/27).~Gerard Magliocca, New York Times: In addition to sharing Obama"s "experience and intellect," Sotomayor "also mirror"s the president"s measured temperament," Magliocca, a law professor at Indiana University, writes in a Times opinion piece. Magliocca writes that he has known Sotomayor for 13 years and notes that although he is a conservative and has at times been "at odds with" Sotomayor professionally, he does not dispute her qualifications. According to Magliocca, "For those of us who think that intellectual rigor and fairness are the crucial factors" to be a Supreme Court justice, "no matter which party the president hails from, there is no question that Judge Sotomayor should be confirmed" (Magliocca, New York Times, 5/27).~USA Today: Upon hearing that Sotomayor was Obama"s nominee, Republican critics "quickly insisted that the Senate assure itself that Sotomayor would not make rulings based on her "personal politics, feelings and preferences,"" a USA Today editorial states. According to the editorial, "To some extent, the entire argument is overblown. People inevitably are the product of their experiences, and they can hardly shed their history and character at the courthouse door." The editorial continues, "That is why the court is enriched by having an eclectic mix of justices who can bring differing perspectives to bear on the case at hand." The editorial concludes, "Sotomayor"s education and experience make her far more than a political twofer who allowed Obama to check the "female" and "Hispanic" boxes. But there"s a limit to the application of empathy and heritage to the law, and her confirmation hearings will be an opportunity for her to spell out exactly where she believes that line falls," (USA Today, 5/27).~ Steven Waldman, Wall Street Journal: "Everyone seems to assume" that Supreme Court nominee Sonia Sotomayor is "ardently for abortion rights," but there is "stunningly little information about her abortion views -- and what we do know hardly paints her as a pro-choice activist," Waldman, president and editor-in-chief of Beliefnet.com and author of "Founding Faith," writes in a Journal opinion piece. He continues that Sotomayor has ruled only on three cases "indirectly related to abortion," and each time ruled in a way preferred by abortion-rights opponents, "albeit for reasons unrelated to the merits of abortion." Although Sotomayor"s decisions in the cases were related "to matters of constitutional law and criminal procedure, ... at a minimum, it showed that whatever her abortion views, it didn"t produce some powerful inclination against the pro-life position," according to Waldman. "Now all of this might not mean anything. She may prove to be a strong advocate of Roe v. Wade. But it"s telling that the abortion interest groups took sides without knowing anything about her abortion
Endocrinology

Study Estimates Radiation Dose, Cancer Risk From Coronary Artery Calcium Screening

A study based on computer modeling of radiation risk suggests that widespread screening for the buildup of calcium in the arteries using computed tomography scans would lead to an estimated 42 additional radiation-induced cancer cases per 100,000 men and 62 cases per 100,000 women, according to a report in the July 13 issue of Archives of Internal Medicine, one of the JAMA/Archives journals. Coronary artery calcification is associated with coronary artery disease. "Computed tomography (CT) has been proposed as a tool for routine screening for coronary artery calcification in asymptomatic individuals as part of a comprehensive risk assessment," the authors write as background information in the article. Evidence suggests that this type of screening may detect the presence of calcium in the arteries of individuals who would be at low risk when assessed by traditional risk factors. "However, the potential risks of screening, including the risk of radiation-induced cancer, have to be considered along with the potential benefits." Kwang Pyo Kim, Ph.D., then of the National Cancer Institute, Bethesda, Md., and now of Kyung Hee University, Gyeonggi-do, Republic of Korea, and colleagues estimated the radiation doses delivered to adult patients undergoing CT screening for coronary artery calcification from a range of available protocols in the literature (there is not yet one agreed-upon standard). "Radiation risk models, derived using data from Japanese atomic bomb survivors and medically exposed cohorts, were used to estimate the excess lifetime risk of radiation-induced cancer," the authors write. Because of differences in scanner models and techniques, radiation dose from a single scan varied more than 10-fold, the authors note. Organs or tissues estimated to receive measurable radiation doses included the breast, lung, thyroid, esophagus, bone surface and adrenal glands. "The wide dose variation also resulted in wide variation in estimated radiation-induced cancer risk," they continue. "Assuming screening every five years from the age of 45 to 75 years for men and 55 to 75 years for women, the estimated excess lifetime cancer risk using the median dose of 2.3 millisieverts was 42 cases per 100,000 men (range, 14 to 200 cases) and 62 cases per 100,000 women (range, 21 to 300 cases)." There are currently no estimates of the benefits of CT screening for coronary artery calcification, but when they become available, they could be compared with these estimates of radiation-induced cancer risk to design appropriate detection and prevention strategies. "Many technical factors influence radiation dose from coronary artery calcification measurement with multidetector CT," the authors write. "Careful optimization of these factors may reduce radiation exposure without detriment to the clinical purpose of the screening examination. Further efforts by professional societies are necessary to standardize protocols in order to decrease unnecessary radiation exposure and to minimize cancer risk." Arch Intern Med. 2009;169[13]:1188-1194. A Archives of Internal Medicine


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