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Practice Makes Perfect - Motor Memory Possible For Neuroprosthetic Control
"Practice makes perfect" is the maxim drummed into students struggling to
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Blogs Comment On Sotomayor Confirmation Hearings, Health Reform, Other Topics
The following summarizes selected women"s health-related blog entries.~ "Judge Sotomayor Provides Important Testimony on the Constitutional Right to Privacy and Its Application to Reproductive Rights," Marcia Greenberger, Womenstake: "One major line of questions, asked repeatedly throughout the hearings" for President Obama"s Supreme Court nominee Sonia Sotomayor was her "views on the constitutional right to privacy," Greenberger writes, adding, "Given that this right is central to women"s lives, protecting" such "decisions involving whether to bear children ... and having consensual adult sexual relations, it is important to analyze Judge Sotomayor"s answers carefully." According to Greenberger, because Sotomayor "had not ruled directly on the right to privacy as a federal judge, her testimony in this area warrants particular attention." Following questions from senators such as Herb Kohl (D-Wis.), Orrin Hatch (R-Utah) and Dianne Feinstein (D-Calif.), Sotomayor portrayed a "clear agreement with the right to privacy and strong description of the court"s current precedents regarding Roe and women"s health," which "lend[s] further support to the view from her legal record that she would not undermine Roe v. Wade if confirmed to the Supreme Court" (Greenberger, Womenstake, 7/16). ~ "Major Steps Forward for Health Care Reform," Thao Nguyen, Womenstake: Nguyen, outreach manager for the National Women"s Law Center, reports that the health care reform legislation passed by the Senate Health, Education, Labor and Pensions Committee is "particularly important for women because of the critical headway it makes towards women"s ability to secure access to quality, affordable health care throughout their lives." The bill "works towards confronting many of the particular obstacles faced by women in our current health care system," such as banning the "discriminatory" practice of basing insurance premiums on gender, even when maternity benefits are excluded, Nguyen writes. The bill also bans insurance companies from rejecting patients based on medical history, which has prevented many domestic violence survivors and women who have had caesarean sections from obtaining coverage. Nguyen concludes that "the momentum for health care reform could not have come at a more needed time" because women and their families "need quality, affordable and comprehensive health more than ever" (Nguyen, Womenstake, 7/15).~ "Democrats for Life of America Ousts Member Who Supports Contraception," Feministing: Feministing reports that Democrats for Life of America removed Rep. Tim Ryan (D-Ohio) from its advisory board because he supports efforts to improve access to contraception. According to Ryan, he was dismissed from the board after four years after attempting to persuade the group to support contraceptive use as a way to avoid unintended pregnancies. According to the blog, "This is why we call anti-choicers "anti-choice": because they"re not just about making abortion illegal." It adds, "They don"t want women to have access to contraception either -- something that 98% of American women will use at some point in their lives" (Feministing, 7/15). ~ "Umpires, Perspective and the Supreme Court," Jim Wallis, Sojourners" "God"s Politics": "During his opening remarks for his own confirmation hearing in 2005, Chief Justice [John] Roberts made" an analogy between judges and umpires "that has gotten a lot of play in the media and has already been used quite a few times during" Sotomayor"s confirmation hearing, Wallis writes. He adds that "nothing in the world would frustrate me more than an umpire who would call the game differently based upon the color of the jersey that" players were wearing. "But I haven"t seen that happen," Wallis writes, adding, "In fact, the biggest problem we face isn"t an umpire that has favored one team over the other, but umpires who make mistakes in their rulings and judgment because of their lack of perspective." He adds that Sen. Jeff Sessions (R-Ala.) and "others w
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Evidence Challenges Effectiveness Of Embryo Screening For Older Women
There is growing evidence that a procedure for identifying chromosomal abnormalities in embryos prior to in vitro fertilization is ineffective at helping older women become pregnant, the Wall Street Journal reports. The procedure -- known as pre-implantation genetic screening, or PGS -- is performed in dozen of U.S. fertility clinics and sometimes marketed to older women as a way to increase the odds of a healthy live birth. PGS involves extracting a single cell from a six-cell embryo and inspecting it for chromosomal abnormalities known as aneuploidies; unaffected embryos can then be implanted through IVF. Women older than age 35 have a higher risk of aneuploidies, in which embryos have fewer or more than the usual number of 23 pairs of chromosomes. Aneuploidies can trigger early miscarriage or certain genetics conditions, such as Down syndrome. Most medical experts agree that embryo screening is capable of significantly reducing the risk of Down syndrome and other serious chromosome-related illnesses. However, evidence from several studies increasingly suggests that the procedure does not increase older women"s chances of healthy live births. The American Society for Reproductive Medicine released an initial opinion about PGS in 2007, saying that available evidence does not support the use of embryo screening to increase live birth rates in older women. Andrew La Barbera, scientific director of the society, said, "Since that time, there have been several more trials that have reached the same conclusion." Another shortcoming is that most clinics can only test for fewer than half of the 23 chromosomes, meaning that many defects can go undetected. However, medical experts say that the use of PGS has increased in the two years since ASRM issued its recommendations. According to the Journal, PGS can add more than $2,000 to the roughly $10,000 cost of one IVF cycle. Very few health insurers cover PGS, though some pay for IVF. Some experts contend that studies showing a lack of clinical benefit from PGS do not use more efficient biopsy techniques that can prevent damage to the embryo. Santiago Munne, scientific director for Reprogenetics, said that the treatment is "effective." In a 2007 study, Munne and colleagues used PGS to reduce the rate at which patients miscarried. However, the chances of a woman getting pregnant largely were unchanged, which the authors said could be attributed to the small number of study participants (Naik, Wall Street Journal, 6/1).
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New System Reveals Whether School Wellness Policies 'Make The Grade'

In an effort to help families and school administrators fight the epidemic of obesity among children, a Yale-led team of researchers has developed a practical coding system to evaluate school wellness policies, which are required of all schools participating in the National School Lunch Program. This coding system was introduced in the July 2009 issue of the Journal of the American Dietetic Association. The Child Nutrition and Women, Infants and Children Reauthorization Act of 2004 required all local education agencies nationwide participating in the National School Lunch Program to create a school wellness policy by the 2006-2007 school year. Early assessments suggest these policies range from strong and specific to weak and vague, but until now no quantitative method existed to measure their effectiveness. "School wellness policies can offer a valuable framework for school districts seeking to make health, nutrition and physical activity a priority, as long as they are comprehensive and strong in the guidelines they set out," said lead author Marlene Schwartz, PhD, deputy director of the Rudd Center for Food Policy and Obesity at Yale University. "This coding system is a reliable and valid measure of the quality of wellness policies." The Yale team"s coding system is based on a 96-category tool developed to evaluate seven goal areas: nutrition education, standards for USDA child nutrition programs and school meals, nutrition standards for competitive and other foods and beverages, physical education, physical activity, communications and promotion and evaluation. "The school wellness coding system will have a huge impact on public policy and the ability to move healthier school policies forward," said Lucy Nolan of End Hunger Connecticut! She added, "We"ve too often had to move policy on faith, and this will show that there is a means to an end." Schools will be evaluated on, among other things, whether goals for nutrition education are designed to promote student wellness; nutrition curriculum is provided for each grade level; the school coordinates nutrition education with the larger community; nutrition education extends beyond the school environment; and whether nutrition is integrated into other subjects beyond health education. Other authors are Anne E. Lund, R.D., M.P.H. and H. Mollie Grow, M.D., M.P.H., of the University of Washington, Elaine McDonnell, M.S., R.D. and Claudia Probart, Ph.D., R.D., of Penn State University, and Anne Samuelson, M.P.H. and Leslie Lytle, Ph.D., R.D., of the University of Minnesota. Yale University


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