Black Children Less Likely to be Treated for Pain in ER

Following on to a number of medical studies the last few years – How race impacts treatment and outcomes…

The pont here being 4 times more black children die due to lack of pre- and post natal care in their first year of life…

Than in all the drive bys by all the so called “Street pirates” in all the cities in the country.

Sp…Why are people abetting this?

Black Children Less Likely to Get Pain Meds in ER

Black children seen in the emergency department for abdominal pain are less likely to receive pain medication than white children, according to a new study.

The research, which also found that black and Hispanic children were more likely to experience an ER stay longer than six hours compared to white children — even when the same tests were ordered — raises questions on how race may affect hospital care when it comes to the youngest patients.

The study was presented Saturday at the Pediatric Academic Societies (PAS) annual meeting in Boston.

Lead study author Dr. Tiffani J. Johnson, pediatric emergency medicine fellow at the Children’s Hospital of Pittsburgh, says she has a strong interest in improving the quality and equity of care that kids receive in the ER.

“If we don’t recognize disparities, we’re never going to be able to close the gaps,” says Johnson.

Johnson and colleagues used data from the CDC’s National Hospital Ambulatory Medical Care Survey, which included more than 2,000 children from 550 hospitals who visited the ER for abdominal pain between 2006 and 2009.

Black children were 39 percent less likely to receive pain medications compared to white children with similar medical situations. When their pain was severe, rated 7 or higher on a pain scale from 0 to 10, an even larger disparity was observed.

Dr. Marilyn Hughes Gaston, a pediatrician and co-director of The Gaston and Porter Health Improvement Center in Potomac, Md., has dedicated much of her professional career to improving the health of poor and minority families.

She said the study’s findings are an essential step towards achieving equality in health care and the focus on kids is especially important.

“Every study like this one gives us more and more information,” says Gaston. “We have to dispel stereotypes and assumptions that interfere with care.”

Children are always at greater risk to be undertreated or mistreated compared to adults because of their limited ability to communicate how they feel. Anything else that negatively impacts their care would be important to identify so that providers can be educated.

So what factors are to blame for this problem? Little is known about pain expression and perception in children, but the issue has been studied extensively in adults.

Past research has shown that race can affect the way that adults express their pain. A 2002 study published in the International Journal of Intercultural Relations found that black patients were less likely to disclose the fact that they were in pain than their white counterparts. When they did discuss their pain they were less likely to describe its intensity.

And doctors might also be less skilled in recognizing the pain of certain races. Specifically, doctors were almost twice as likely to underestimate the pain of black patients compared to other ethnicities in a 2007 study from the University of Tennessee College of Medicine.

Whether either of these findings applies to pain in children is simply not known. Johnson says we need additional studies to find out exactly what factors lead to variations in care.

“Now we need to look at where these differences are coming from,” says Johnson. “Are they at the patient level, the parent level or the physician level?”

In the meantime, Johnson says, her study’s findings offer an important reminder to doctors.

“I hope that providers caring for children will recognize this,” she says, “and make efforts to ensure they are proving appropriate pain control for children of all ethnicities.”

Bill Maher – Who is More Successful – Obama or Romney?

Interesting viewpoint…

 

 

The Death of America – Conservatism

This one from Author E.L. Doctorow. An apt description of what conservatives and conservative have done to America…

It wasn't a foreign enemy that destroyed America..

Unexceptionalism: A Primer

TO achieve unexceptionalism, the political ideal that would render the United States indistinguishable from the impoverished, traditionally undemocratic, brutal or catatonic countries of the world, do the following:

PHASE ONE

If you’re a justice of the Supreme Court, ignore the first sacrament of a democracy and suspend the counting of ballots in a presidential election. Appoint the candidate of your choice as president.

If you’re the newly anointed president, react to a terrorist attack by invading a nonterrorist country. Despite the loss or disablement of untold numbers of lives, manage your war so that its results will be indeterminate.

Using the state of war as justification, order secret surveillance of American citizens, data mine their phone calls and e-mail, make business, medical and public library records available to government agencies, perform illegal warrantless searches of homes and offices.

Take to torturing terrorism suspects, here or abroad, in violation of the Eighth Amendment of the Constitution, which prohibits the infliction of cruel and unusual punishment. Unilaterally abrogate the Convention Against Torture as well as the Geneva Conventions regarding the treatment of prisoners of war. Commit to indeterminate detention without trial those you decide are enemies. For good measure, trust that legislative supporters will eventually apply this policy as well to American citizens.

Suspend progressive taxation so that the wealthiest pay less proportionately than the middle class. See to it that the wealth of the country accumulates to a small fraction of the population so that the gap between rich and poor widens exponentially.

By cutting taxes and raising wartime expenditures, deplete the national treasury so that Congress and state and municipal legislatures cut back on domestic services, ensuring that there will be less money for the education of the young, for government health programs, for the care of veterans, for the maintenance of roads and bridges, for free public libraries, and so forth.

Deregulate the banking industry so as to create a severe recession in which enormous numbers of people lose their homes and jobs.

Before you leave office add to the Supreme Court justices like the ones who awarded you the presidency.

PHASE TWO

If you’re one of the conservative majority of a refurbished Supreme Court, rule that corporations, no less than human beings, have the right under the First Amendment to express their political point of view. To come to this judgment, do not acknowledge that corporations lack the range of feelings or values that define what it is to be human. That humans can act against their own interest, whereas corporations cannot act otherwise than in their own interest. That the corporation’s only purpose is to produce wealth, regardless of social consequences.

This decision of the court will ensure tremendous infusions of corporate money into the political process and lead to the election in national and state legislatures of majorities of de facto corporate lobbyists.

PHASE THREE

Given corporate control of legislative bodies, enact laws to the benefit of corporate interests. For example, those laws sponsored by weapons manufacturers wherein people may carry concealed weapons and shoot and kill anyone by whom they feel threatened.

Give the running of state prisons over to private corporations whose profits increase with the increase in inmate populations. See to it that a majority of prisoners are African-American.

When possible, treat immigrants as criminals.

Deplete and underfinance a viable system of free public schools and give the education of children over to private for-profit corporations.

Make college education unaffordable.

Inject religious precepts into public policy so as to control women’s bodies.

Enact laws prohibiting collective bargaining. Portray trade unions as un-American.

Enact laws restricting the voting rights of possibly unruly constituencies.

Propagandize against scientific facts that would affect corporate profits. Portray global warming as a conspiracy of scientists.

Having subverted the Constitution and enervated the nation with these measures,  portray the federal government as unwieldy, bumbling and shot through with elitist liberals.  Create mental states of maladaptive populism among the citizenry to support this view.

PHASE FOUR

If you’re a justice of the Supreme Court, decide that the police of any and all cities and towns and villages have the absolute authority to strip-search any person whom they, for whatever reason, put under arrest.

With this ruling, the reduction of America to unexceptionalism is complete.

Black Hockey Hero Subjected to Racist Slurs

Couple of places in America where black folks are noticeably thin on the ground -Republican and conservative meetings and conventions…

And in the sport of Professional Hockey.

Now – the NHL isn’t doing anything to keep black players out… It’s just a confluence of circumstance which results in few high level black Hockey players being developed to matriculate into the professional level.

I am not a Hockey fan, although to be honest you can’t avoid the hype for the local team, the Washington Capitals, the hoopla when they make the playoffs, or the catchy moniker someone came up with for their former Goalie (Oalie the Goalie) …And under the heading that when a local franchise does well and excels – it is worth everyone in the neighborhood at least giving some recognition – there is the fact that the Capitals made the playoffs this year despite dire predictions to the contrary.

A pleasant surprise last night when turning on the local news was the breathless announcement by the sports announcer lady that the Caps had won a last game, last minute, last second victory to move on in the playoffs against the former champion Boston Bruins.

An even bigger surprise was that the player who sunk the winning goal was a black man.

A very self-depreciating, modest, and well spoken black man.

Think all those Caps fans could give a damn about that last, they are too ecstatic about the fact his goal won the game.

Caps’ Ward: Racist tweets ‘didn’t ruin my day’

Washington Capitals forward Joel Ward said the racial slurs directed at him on Twitter after he scored the series-winning overtime goal to eliminate the Boston Bruins were “shocking to see, but it didn’t ruin my day.”

“It doesn’t faze me at all,” Ward told USA TODAY Sports. “We won, and we are moving on. … People are going to say what they want to say.”

He said he didn’t know about the issue until Washington teammate Jeff Halpern brought it to his attention on the team plane heading home from Boston. Ward said Halpern “apologized” that Ward had to see that.

“Halpern just took offense that people weren’t talking about the goal, (but rather) getting into racist remarks,” Ward said. “I think he was telling me he had my back, and felt bad that (some Twitter users) were talking about the negative side, instead of how we are moving on.”

The NHL, in a statement, said, “The racially charged comments distributed via digital media following last night’s game were ignorant and unacceptable. The people responsible for these comments have no place associating themselves with our game.”

Ward, 31, a four-year NHL veteran, says he never has before experienced any racist remarks directed toward him at the NHL level.

“Growing up, at a few minor tournaments, you catch a few kids saying things,” Ward said. “But at that age, I didn’t even know what the terminology meant. But (at this level) I’ve never heard anything. I know other guys have, I believe, but I’ve had nothing directed to me like that.”

Ward’s goal at 2:57 of overtime knocked off the defending Stanley Cup champions and put the Capitals into the second round against a still-undetermined opponent. Ward had six goals in 73 games this season. “It was definitely the biggest goal I’ve ever been a part of,” he said.

Said Ward’s teammate, Matt Hendricks: “It was the greatest feeling ever after the game, winning Game 7 in Boston. Then you get on the plane afterward, and have all of this come to life. … It just made me sick to my stomach.”

Hendricks said he couldn’t get the tweets out of his mind. “What we accomplished just went out the window,” he said. “I couldn’t think about that any more. It was very disappointing.”

Philadelphia Flyers winger Wayne Simmonds, who trains with Ward in the offseason, called the tweets disgusting.

“Obviously, things get said,” Simmonds said. “It’s the internet. They can say whatever they want and they don’t have to show their face. It’s disgusting. I’ve had things like that happen to me before.”

During a Flyers-Detroit Red Wings preseason game in London, Ontario last Sept. 22, a 26-year-old hockey fan threw a banana peel onto the ice as Simmonds was attempting a shootout attempt.

“It’s not something that you want to happen, but it’s sad in this day and age that it continues to happen,” Simmonds said. “I’m sure Ward is not even paying attention to it. It is what it is. People can be as gutless as they want and they don’t have to show up. They just throw a comment out there on the internet. It’s getting kind of ridiculous.

“I think social media is not meant for that. It’s to say, ‘Hey, nice goal, congratulations.’ “

Ward said he hasn’t had time to comb through all of the comments on his own personal Twitter account, but he has seen a summary of the racist-tone posts on various website blogs.

“I think it is just kids,” Ward said. “It has no effect on me whatsoever. I’ve been playing this game long enough and I’ve not had any encounters of that nature.”

He said he has always felt comfortable in an NHL dressing room and on the ice.

“There is no lying about it. …I’m definitely the one black guy in a room with 20 white guys,” Ward said. “There are definitely some cultural differences, such as taste in music, but I’ve never heard anything derogatory.”

He says he has no concern about his safety moving forward in the playoffs.

“I’m pretty laid-back and I get along with a lot of people,” Ward said. “I don’t fear anything like that, and I have a good group of guys to protect me.”

Ward said his goal today is to go on his Twitter account and thank the people who came to his defense through social media. Many have gone after those who posted racist remarks. Some who have made racist comments have already closed their accounts. One person apologized.

“I’m definitely getting a lot of support,” Ward said. “There have been a lot of Boston fans who have supported me, which is very cool to see. No hard feelings from me. This is a game.”

Norwegians Sing of Peace and Love to Deny Killer

Now = This is the way to let scumbags like Breivik know exactly how his fellow countrymen feel about him and his despicable acts.

Thousands gather in Norway to denounce Breivik

 Tens of thousands of rose-waving Norwegians gathered in rain-drenched Oslo Thursday to deride mass murderer Anders Behring Breivik by singing a song he hates, viewing it as Marxist indoctrination.

Some 40,000 people, according to police, massed in the rain at a square near the courthouse where Breivik is on trial for his July 22 attacks that killed 77 people, to sing “Children of the Rainbow” by Norwegian folk singer Lillebjoern Nilsen.

Inside the court, the 33-year-old accused right-wing extremist sat listening without showing emotion to powerful testimony from survivors of his bloodbath on the ninth day of his trial.

Last Friday, Breivik had said that Nilsen was “a very good example of a Marxist” who had infiltrated the cultural scene and that his song was typical of the “brainwashing of Norwegian pupils.”

Protesters ranging from elderly in wheelchairs to young school children streamed into Youngstorget Square wearing colourful raincoats and carrying Norwegian flags and roses, which have come to represent Norway’s peaceful response to the horrifying attacks.

The culture ministers of the Nordic countries were also at the square to participate, while other similar events were to take place across Norway.

Norwegian Culture Minister Anniken Huitfeldt admitted she had wept as Nilsen led the chorus and the crowd sang along, waving roses in the air.

Afterwards they walked slowly together, still singing the song, to the courthouse to add their roses to the piles of flowers already lining the security barriers outside in memory of Breivik’s victims.

The song is an adaptation of US folk singer Pete Seeger’s “My Rainbow Race” and is very popular in the Scandinavian country. Its chorus goes: “Together, we will live, each sister and each brother, small children of the rainbow and a green earth.”

“The song has never been so beautiful before,” said Lill Hjoennevaag, who was one of people who started a Facebook campaign last Friday in reaction to Breivik’s comments about Nilsen’s song, calling on the public to “reclaim the song” and sing it together near the courthouse.

“The turnout was far better than I had expected,” Hjoennevaag told AFP.

Only around 5,000 people had announced on the social networking site that they would be participating.

150 Girls Poisoned For Going to School in Afghanistan

Sometimes I come to the conclusion that the only way to “solve” the Islamic nutcase problem in Afghanistan is to go “Roman”.

That is, like in Biblical times – go scorched earth and kill every male child over the age of 6 in the country.

Look up “chickenshit” on the Web – Shortly there will be a picture of the punk azz Afghani fathers who let the Taliban who committed this crime live afterwards.

Report: 150 Afghan schoolgirls poisoned

KUNDUZ, Afghanistan – About 150 schoolgirls were poisoned Tuesday after drinking water at their high school that was contaminated, Reuters reports. Local officials blamed the incident on radicals opposed to women attending school.

Reuters said the girls suffered headaches and vomiting, with some in critical condition.

“This is not a natural illness. It’s an intentional act to poison schoolgirls,” Haffizullah Safi, head of Takhar province’s public health department, told Reuters.

The Taliban banned education for women when it controlled Afghanistan, saying it was anti-Islamic.

Girls have gone back to school since the Taliban were toppled, but attacks against female students, teachers and school buildings have occurred, particularly in southern and eastern areas of the country, when Taliban insurgents enjoy more public support.

Juan Williams on Race and This Election Cycle

Juan Williams put together a good article over on “The Hill” – the only problem is it misses the key driver in this election cycle – Women. It isn’t race that is going to drive this election. The white male dominated GOP has done an incredible job of alienating white women, which will undoubtedly pay dividends in terms of local election, House of Representative and even Senate losses.

The Republican party is increasingly looking more like “Custer’s Last Stand” instead of a political entity – damage which done almost exclusively by their own hands.

Yes – blacks, Hispanics, and now Asians are going to vote against them – but if women split 60-40 against Republicans…

It’s over. Perhaps that is why President Obama isn’t sweating the election.

Anyway – Juan makes some good points…

How race may affect this year’s election

Last week several political strategists predicted to me that every racial button is going to get pushed hard in this fall’s presidential campaign. Their forecast is based on racial fears that are already being exposed. White Republican men form the strongest block of opposition to reelection of a black president — who, in turn, has near-unanimous support from blacks, and overwhelming backing from Hispanics and Asians.

Their predictions come against the backdrop of two white male political writers, Pat Buchanan and John Derbyshire, losing their jobs at MSNBC and National Review, respectively, after writing racially charged pieces. Buchanan lamented in a book that immigration and high Hispanic birthrates were leading to the “end of white America.” Derbyshire, writing in a small magazine, advised his children to avoid “concentrations of blacks,” and to not settle in any place run by black politicians.

The 2012 election comes at a time when the country is in the middle of a seismic shift in its demographics. Racial attitudes are also changing, for better or worse, with rising numbers of minorities and immigrants now more than 30 percent of the population. But in political terms, the GOP has failed to bring any substantial part of that growing population into its ranks. The heart of the party remains senior white voters who are resisting the loss of the America they grew up in 50 years ago.

A whole catalogue of racial fears was revealed during the Aspen Institute Symposium on Race in America, attended last week by a number of prominent experts and televised on C-SPAN:

— White fear of the increasing voting power of Hispanics, Asians and blacks. In the GOP primaries, the nation’s first black president was labeled as the “food stamp president.” He was charged with being a “socialist” and wanting to lead the country to become an “entitlement society.” This racially provocative language suggested hard-working white people being ripped off by lazy minorities. The experts see it a warning sign of the approaching racial storm.  Continue reading

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