BE CAREFUL HOW AND WHERE YOU PLACE INFANT TO SLEEP
Doctors say it's not only how you place the infant to sleep but also where that is important for his well-being and safety. The study, reported in the journal Pediatrics, suggests the prevalence of sudden infant death syndrome among black babies may be due in part to where they are placed to sleep, including adult beds or on surfaces other than cribs, such as sofas. The practice is as dangerous as putting babies to sleep on their stomachs instead of on their backs or sides, the study authors said. "In 1994 we launched a campaign to fight SIDS that encouraged parents to put their infants to sleep on their backs or sides instead of on their stomachs," said Dr. James Kemp, associate professor of pediatrics at Saint Louis University School of Medicine and director of the Sleep Lab at SSM Cardinal Glennon Children's Hospital. "But sleep position is only part of the answer." He noted more than twice as many babies died suddenly while sharing a bed with an adult or when sleeping on a makeshift bed, such as a sofa or pile of pillows, than those placed in cribs. "We must talk about the surfaces babies are allowed to sleep on to address the racial disparity in death rates," Kemp said. "Cribs and other baby beds are the only safe places for a sleeping baby."

FEAR, ANXIETY MAY AFFECT SURGERY OUTCOME
Orthopedic surgeons have found fear and anxiety may play a big part in delaying surgery, resulting in increased pain and poorer function. The findings suggest alleviating fear and anxiety before surgery would encourage women and blacks to undergo arthroplasty procedures sooner, reducing preoperative pain and increasing function, said Dr. Carlos Lavernia, a Miami orthopedic surgeon. "Pursuing arthroplasty surgery during the precise window of opportunity for best surgical outcomes requires the identification and alleviation of the fear and anxiety that patients experience, which may affect their surgical outcomes," he said. The study found women wait longer than do men to have surgery. The study also suggests black arthroplasty patients tend to wait longer than other groups to have hip replacement, knee replacement and other surgical procedures.

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HALF OF AMERICANS WILL BREAK BONE BY AGE 65, STUDY SAYS
One out of every two Americans will fracture a bone and receive treatment from an orthopedic surgeon before reaching his 65th birthday, a study suggests. The study, reported at an annual meeting of orthopedic surgeons, followed more than 135,000 adults and their dependents for three years, counting fractures that required orthopedic treatment, including surgery, casting and bracing. The study found the risk of fracture up to age 65 was several times higher than the risk of stroke, breast cancer, prostate cancer or adult-onset diabetes and is approximately equal to the lifetime risk of coronary artery disease, said Dr. Mark Brinker, lead study author and director of Acute and Reconstructive Trauma at Fondren Orthopedic Group L.L.P. and Texas Orthopedic Hospital in Houston. Children ages 10 to 14 also had high fracture rates, the researchers found. The study showed each year, approximately 1 in 37 boys and 1 in 62 girls in that age group require orthopedic services for a fractured bone. The rates are similar to the fracture rates reported in previous studies for persons over age 65.


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