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By Andrew M. Seaman
NEW YORK (Reuters Health) - While doctors and nurses can make mistakes with medications in hospitals, a new study says drug errors often happen at home and can lead to harm.
Researchers observed 72 medication mistakes at homes where 92 children with cancer were being cared for between November 2007 and April 2011.
"I was surprised by how much we found," said Dr. Kathleen Walsh, the study's lead author from the University of Massachusetts School of Medicine in Worcester.
Previous research by Walsh and her colleagues found that children getting their cancer medicines at home are vulnerable to mistakes. Specifically, they found between 10 percent and 40 percent of oral chemotherapy treatments are missed.
For the new study, Walsh and her colleagues had nurses visit the homes of 92 children with cancer while their parents or guardians were giving them their medicine.
The children were from three medical centers around the U.S. and - on average - about seven years old. Each child took about 10 medications at home. In most cases, mothers were the people responsible for the treatments.
Overall, the researchers reviewed information on almost 1,000 medications and witnessed children getting their medicines 242 times.
There were 72 medication errors recorded, including four that injured the children and 40 that had the potential to cause injury.
The four errors that caused injuries were from children not receiving the proper doses of their medications, which resulted in severe upset stomachs, pain and agitation.
And while 40 were listed as only having the potential to cause injury, some of those were also quite serious.
For example, Walsh told Reuters Health that one family had been sprinkling chemotherapy on their child's food instead of giving the child the pill. Unfortunately, that made the treatment ineffective.
A group of doctors who reviewed the errors found better communication between families and physicians could have prevented over a third of the mistakes.
Walsh also told Reuters Health their new study probably underestimates the actual rate of medication errors among children with cancer, because they only recorded what they saw.
"The way we gathered the data limited the number of errors we were going to find to some extent," she said.
PREVENTION RESEARCH NEEDED
Dr. Christopher Landrigan, who wrote a commentary accompanying the new study, told Reuters Health it's not clear "what will be the best approach outside of the hospital."
Landrigan, an associate professor of medicine and pediatrics at Harvard Medical School in Boston, said that improving communication between doctors, pharmacists and families, and making the information on medication easier to understand, could help.
Last year, a study found that the information sheets included in many medications are too complex for the average person to understand (see Reuters Health article of December 14, 2012 here: http://reut.rs/11Sl0YQ ).
"Clearly we are in need of proactive prevention strategies to reduce the error rate," said Dr. John Maris, director of The Children's Hospital of Philadelphia's Center for Childhood Cancer Research.
Maris, who was not involved with the new research, said one possible strategy is for parents to receive text messages about correct drug doses. He also said the new study is a reminder that doctors shouldn't overprescribe medicine.
"There are a number of medications we use every day that can be dangerous if we don't use them properly," said Walsh.
SOURCE: http://bit.ly/11wIJNN and http://bit.ly/12IS4UD, Pediatrics, online April 29, 2013.
Source: http://news.yahoo.com/medication-errors-happen-home-study-194530664.html
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Since we saw Illumiroom at CES in January, the technology has come quite a ways. But while it's still a spectacular technology display, don't look for it to pop up in any Xbox announcements in the near future. In fact, Microsoft Research's Hrvoje Benko and Brett Jones told us during a interview that while they have Illumiroom technology working well at this point, they're not likely to even demo it to the public until July at Siggraph.
That's not to say that you're not going to want it. The researchers showed in detail exactly how it works: they use a Kinect to scan your living room, then project a series of "illusions" onto it with a wide-screen projector, getting the colors just right using a technique called "radiometric compensation." The projector and Kinect can be mounted in any convenient spot in the room, like the ceiling or a table. While the technology can be used with other forms of entertainment, researchers concentrated on gaming, since they're able to generate source material that works well with the effects. Some of those illusions include "focus," which displays special effects around the images, "segmented focus," to extend the display to portions of the living space (requiring extra material to be generated), and "appearance," changing the look of your room by giving it a cartoon appearance, for instance. Despite the still-early phase of the research, it's definitely whetting our appetite for more -- and you can see a full video of the presentation after the break.
Filed under: Gaming, Science, Microsoft
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Apr. 29, 2013 ? Suppose you hear someone say, "The man gave the ice cream the child." Does that sentence seem plausible? Or do you assume it is missing a word? Such as: "The man gave the ice cream to the child."
A new study by MIT researchers indicates that when we process language, we often make these kinds of mental edits. Moreover, it suggests that we seem to use specific strategies for making sense of confusing information -- the "noise" interfering with the signal conveyed in language, as researchers think of it.
"Even at the sentence level of language, there is a potential loss of information over a noisy channel," says Edward Gibson, a professor in MIT's Department of Brain and Cognitive Sciences (BCS) and Department of Linguistics and Philosophy.
Gibson and two co-authors detail the strategies at work in a new paper, "Rational integration of noisy evidence and prior semantic expectations in sentence interpretation," published today in the Proceedings of the National Academy of Sciences.
"As people are perceiving language in everyday life, they're proofreading, or proof-hearing, what they're getting," says Leon Bergen, a PhD student in BCS and a co-author of the study. "What we're getting is quantitative evidence about how exactly people are doing this proofreading. It's a well-calibrated process."
Asymmetrical strategies
The paper is based on a series of experiments the researchers conducted, using the Amazon Mechanical Turk survey system, in which subjects were presented with a series of sentences -- some evidently sensible, and others less so -- and asked to judge what those sentences meant.
A key finding is that given a sentence with only one apparent problem, people are more likely to think something is amiss than when presented with a sentence where two edits may be needed. In the latter case, people seem to assume instead that the sentence is not more thoroughly flawed, but has an alternate meaning entirely.
"The more deletions and the more insertions you make, the less likely it will be you infer that they meant something else," Gibson says. When readers have to make one such change to a sentence, as in the ice cream example above, they think the original version was correct about 50 percent of the time. But when people have to make two changes, they think the sentence is correct even more often, about 97 percent of the time.
Thus the sentence, "Onto the cat jumped a table," which might seem to make no sense, can be made plausible with two changes -- one deletion and one insertion -- so that it reads, "The cat jumped onto a table." And yet, almost all the time, people will not infer that those changes are needed, and assume the literal, surreal meaning is the one intended.
This finding interacts with another one from the study, that there is a systematic asymmetry between insertions and deletions on the part of listeners.
"People are much more likely to infer an alternative meaning based on a possible deletion than on a possible insertion," Gibson says.
Suppose you hear or read a sentence that says, "The businessman benefitted the tax law." Most people, it seems, will assume that sentence has a word missing from it -- "from," in this case -- and fix the sentence so that it now reads, "The businessman benefitted from the tax law." But people will less often think sentences containing an extra word, such as "The tax law benefitted from the businessman," are incorrect, implausible as they may seem.
Another strategy people use, the researchers found, is that when presented with an increasing proportion of seemingly nonsensical sentences, they actually infer lower amounts of "noise" in the language. That means people adapt when processing language: If every sentence in a longer sequence seems silly, people are reluctant to think all the statements must be wrong, and hunt for a meaning in those sentences. By contrast, they perceive greater amounts of noise when only the occasional sentence seems obviously wrong, because the mistakes so clearly stand out.
"People seem to be taking into account statistical information about the input that they're receiving to figure out what kinds of mistakes are most likely in different environments," Bergen says.
Reverse-engineering the message
Other scholars say the work helps illuminate the strategies people may use when they interpret language.
"I'm excited about the paper," says Roger Levy, a professor of linguistics at the University of California at San Diego who has done his own studies in the area of noise and language.
According to Levy, the paper posits "an elegant set of principles" explaining how humans edit the language they receive. "People are trying to reverse-engineer what the message is, to make sense of what they've heard or read," Levy says.
"Our sentence-comprehension mechanism is always involved in error correction, and most of the time we don't even notice it," he adds. "Otherwise, we wouldn't be able to operate effectively in the world. We'd get messed up every time anybody makes a mistake."
The study was supported by a grant from the National Science Foundation.
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The above story is reprinted from materials provided by Massachusetts Institute of Technology. The original article was written by Peter Dizikes.
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Source: http://feeds.sciencedaily.com/~r/sciencedaily/~3/_IIiQYNk9ww/130429164950.htm
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DALLAS (AP) ? The Dallas Stars fired general manager Joe Nieuwendyk on Sunday after four seasons, two coaches and no playoff appearances.
The dismissal came the day after Dallas completed a 22-22-4 season. The Stars missed the playoffs for the fifth season in a row.
Owner Tom Gaglardi said in a statement that Nieuwendyk represented the Stars "extremely well" and "helped put pieces in place that will once again turn this team into a contender." He added, however, the team must go "in a different direction with our intentions set on returning to the elite" of the NHL.
The team is to announce its new GM on Monday. While the Stars have not said who it is, Gaglardi is "confident we have found the right general manager to return us to the pathway of success."
The team has refused to comment on reports that Jim Nill, Detroit's longtime assistant GM, will get the job.
The future of coach Glen Gulutzan wasn't addressed by the team in its statement. Dallas holds an option for a third season for Gulutzan, who is 64-57-9 in his two seasons after ending the lockout-shortened season with a 3-0 home loss to Detroit. The Stars dropped their last five games and won only once in their last seven after a five-game winning streak.
When asked about his job after Saturday night's game, Gulutzan said that wasn't under his control. He did praise Nieuwendyk.
"All I can say is that Joe's been tremendous for me. I think he's done a hell of a job," Gulutzan said. "You can see with our farm team and the young guys that we have here."
As a player in Dallas, Nieuwendyk won the Conn Smythe Award as playoff MVP in 1999 when the Stars won their only Stanley Cup.
When hired by Nieuwendyk two years ago to replace the fired Marc Crawford, the 41-year-old Gulutzan had never coached in the NHL. Gulutzan had been a successful minor league coach.
Crawford was hired following Dave Tippett's firing in 2009, after the Stars missed the playoffs a year after making it to the Western Conference finals. Tippett later that year replaced Wayne Gretzky as coach in Phoenix and led the Coyotes to the playoffs. He was honored as the league's top coach.
The Stars weren't eliminated from the playoff chase until Thursday night. They stayed in postseason contention even after longtime captain Brenden Morrow was traded, a week before 41-year-old points leader Jaromir Jagr and Derek Roy were dealt at the trading deadline.
Dallas got several young players and extra draft picks in those deals. Within days after Jagr and Roy were traded, the young Stars went on a season-best five-game winning streak.
Morrow waived his no-trade clause to go to Pittsburgh, which entered the playoffs as the No. 1 seed in the Eastern Conference. Morrow's rookie season in Dallas was 1999-2000, when the Stars were the Stanley Cup runner-up a year after their title.
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What are adaptive sports and recreation programs??
Adaptive and accessible sports and recreation programs are recreational activities that are modified or designed to allow people with disabilities to participate. Almost any type of recreational activity can be adapted or made accessible for people with physical, visual, cognitive, or emotional disabilities.Adaptive and accessible sports and recreation programs include a wide range of activities:
Some programs are disability-specific. Disability-specific programs may limit participation to people with certain types of impairments.
You should check with the programs that interest you to see if they have any restrictions.
How much does it cost?
Many adaptive and accessible sports and recreation programs are free, but some charge fees. Financial aid, scholarships, or sliding fee scales are usually available for families and individuals who need assistance.
You should check with the programs that interest you to see if they charge fees. If they do, ask about financial assistance if you need help paying.
What programs are offered in the state parks and recreation areas?
The Massachusetts Department of Conservation and Recreation (DCR) oversees the state's Universal Access Program. The Universal Access Program provides adaptive and/or accessible outdoor recreation programs for people of all abilities in state parks and recreation areas throughout Massachusetts.
Web site: Department of Conservation and Recreation's Universal Access Program
Parks and programs: Universal Access Brochure
Newsletter: Universal Access Program Newsletter, Registration Form, and Schedule
Schedule of events: Accessible Events
For information about specific activities, visit the following DCR web site pages:
Where can I find adaptive sports and recreation programs?
The Massachusetts Universal Access Program offers a wide range of activities in state parks and recreation areas.
Other adaptive sports and accessible recreation programs in Massachusetts include:
(Note: For additional programs, see Directories below)
AccesSportAmerica
AccesSportAmerica, a national nonprofit organization based in Massachusetts, offers high-challenge sports and training programs for children and adults of all disabilities. Programs are offered year-round in the Greater Boston area. High-challenge sports include adaptive windsurfing, outrigger canoeing, surfing, water skiing, sailing, rowing, wall climbing, tennis, soccer, and cycling.
All Out Adventures
All Out Adventures is a nonprofit organization that provides year-round outdoor activities for people with disabilities and their friends and family. Programs are inclusive, allowing children and adults of all abilities to participate together. All Out Adventures runs programs for the state Universal Access Program and the Statewide Head Injury Program.
CHD Disability Resources Adaptive Sports and Activities
CHD Disability Resources' barrier-free sports and recreation programs are open to anyone with physical disabilities or visual impairments in the Springfield MA area. Adult and junior sports programs include sled hockey, swimming, cycling, golf, wheelchair basketball, soccer, and more. Adaptive sports equipment is available for borrowing for personal use.
Kids in Disability Sports (K.I.D.S.)
K.I.D.S. is a volunteer-run non-profit organization based in Lowell MA that provides a wide range of sports and recreation activities for children and young adults with special needs. K.I.D.S. specialized athletic programs serve families throughout the Merrimack Valley, and include team sports such as basketball, baseball, and soccer; as well as swimming, horseback riding, martial arts, golf, bowling, and many other activities.
Little League Baseball ? Challenger Division - Massachusetts
The Challenger Division is a special division of Little League baseball for boys and girls with physical and intellectual disabilities, ages 5 through 18 (or completion of high school). Players are placed on teams according to ability, not age, and volunteer ?buddies? help out as needed.n
Paralympics USA and Paralympic Sport Clubs
U.S. Paralympics is the division of the U.S. Olympic Committee for athletes with physical and visual disabilities. The U.S. Paralympic Team participates in the Paralympics, a competition for elite paralympic sport athletes, held at the same time and place as the Olympics.
Paralympic Sport Clubs are community-based programs where youth and adults with physical and visual disabilities can take part in paralympic sports regardless of skill level.
Special Olympics ? Massachusetts (SOMA)
The Massachusetts Special Olympics offers a wide range of Olympic-style individual and team sports and training for children and adults with intellectual disabilities. Activities are year-round, and include Winter Games, Summer Games, special tournaments, and training. The cost is free.
Sudbury Inclusive and Adaptive Sports and Recreation Program?
TOPSoccer - Massachusetts Youth Soccer?
Ultimate Sports Program
The Ultimate Sports Program (USP) - "Social Inclusion Through Sports" - teaches sports to children with disabilities alongside their friends. The USP runs programs in various Western Massachusetts locations. All programs are free, and include swimming, basketball, sled hockey, baseball, Taekwondo, wiffleball, bowling, rock climbing, and more.
Sports and Recreation Directories
?DisabilityInfo.org
Playgrounds: Accessible and Inclusive Playgrounds
Boundless Playgrounds?
Accessible Playgrounds - Massachusetts
Accessible and inclusive playgrounds are barrier-free playgrounds where children and adults of all abilities can play together.
National Center on Physical Activity and Disability (NCPAD) - Massachusetts
Accessible Programs in Massachusetts
Programs are listed by town, or by keyword search. The NCPAD directory includes fitness programs, competitive and leisure sports, and other physical activities, with an emphasis on health benefits of physical activity.
Spinal Cord Injury Association - Greater Boston Chapter
Directory: Recreation and Sports for People with Disabilities
This directory of adaptive programs for youth and adults with spinal cord injuries includes outdoor activities, high-challenge sports, wheelchair basketball, quad rugby, and many other sports and physical activities.
Sports and Gyms, Winter and Summer Activities - Special Needs Resources for Massachusetts
?Sports and Gyms Posts - Summer Programming ? &? Winter Programming
Special Needs Resources for Massachusetts is an online resource for families of children with special needs, with a focus on autism resources in eastern Massachusetts. The Sports and Gyms, Summer Programming, and Winter Programming posts include a variety of current and seasonal sports and recreation programs.
Therapeutic Horsemanship: PATH centers
Directory: PATH: Find a Center
PATH Therapeutic Horsemanship centers offer equine assisted activities and therapies to help children and adults with a range of physical, cognitive, and emotional challenges. Activities include horseback riding, vaulting, and carriage driving. Financial assistance may be available.
Local YMCAs and ARC Chapters also offer adaptive and accessible recreation and sports programs for their members and the community.
?
What are the laws regarding adaptive and accessible sports and recreation?
The federal Americans with Disabilities Act (ADA) prohibits discrimination on the basis of disability. In Recreation Access Rights Under the ADA, the National Center on Accessibility outlines some of the rights created by the ADA with respect to sports and recreation:
The ADA rules apply to government facilities and programs, nonprofit organizations (such as YMCAs), and private organizations (such as health clubs and gyms). The only exempt organizations are private membership clubs and religious organizations.
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Source: http://newenglandmobilitydealer.blogspot.com/2013/04/adaptive-sports-and-accessible.html
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