Why Students in Oklahoma Have a Brighter Future

Business & Money

Oklahoma is about to coronate one of the most comprehensive statewide school-based financial education programs in the country. Beginning this May, to graduate from high school students must demonstrate an understanding of 14 wide-ranging money management concepts.

The Class of 2014 can rightfully consider itself Guinea pigs. These students were in the seventh grade when the Oklahoma law kicked in, and for the first time mandated that kids learn about money between the grades of seven and 12. It’s up to the schools to decide when and how. Most deal with the subject in a semester or two, and as graduation approaches this year there has been some scrambling to get these lessens completed.

Six years later, though, the Class of 2014 is about to become the first in state history required to earn a “passport to financial literacy.” It seems far-fetched that any student would be denied their diploma…

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Cardiac Catheterization: A New Route – Johns Hopkins Health Alerts

Cardiac Catheterization: A New Route: Johns Hopkins Health Alerts.

Cardiac Catheterization: A New Route

Doctors use cardiac catheterization to diagnose and treat heart conditions. The technique involves threading a thin tube called a catheter through an artery (usually the femoral artery in the upper thigh or groin) to the heart. Serious complications during cardiac catheterization are rare. But the procedure comes with risks of bleeding and damage to arteries.

Increasingly, cardiologists perform cardiac catheterization from an alternate site — the radial artery in the wrist — an equally effective tactic that’s linked to fewer bleeding and vascular complications, according to a review published in Circulation.

Why the wrist? After patients undergo cardiac catheterization through the femoral artery, they must remain flat on their back with their leg immobile for two to six hours to allow the artery to heal and help prevent both internal and external bleeding. Because the radial artery is smaller and closer to the skin’s surface, there’s no risk of internal bleeding, and external bleeding is easier to stop or prevent, an advantage for obese patients or those taking blood thinners.

Patients who undergo cardiac catheterization through the wrist can sit up, walk and eat immediately after the procedure — good news for people with back problems who find it difficult to lie still. A compression device is worn around the wrist for two hours. Patients must refrain from heavy lifting with the hand for a few days.

Radial cardiac catheterization most benefits patients in the highest risk groups — women, patients 75 and older and people with acute coronary syndrome. Yet doctors have been less likely to use the wrist site for these groups.

The decision to use radial versus femoral artery cardiac catheterization is largely based on the abilities and the experience of the cardiologist who’ll perform the procedure. The radial procedure is more technically challenging, and a greater number of U.S. doctors have more experience with the femoral approach — something that’s likely to change in the near future.

This Is the Absolute Deadliest Country for Drivers

Business & Money

According to a new study from the University of Michigan Transportation Research Institute, Americans are ten times more likely to die of cancer or heart disease than in an auto accident. The study, available here, used World Health Organization data to compare the rates of death by car accidents, heart disease, cancer and cerebrovascular disease in 193 countries.

Overall, auto deaths average 18 per 100,000 people, according to the paper published this month. The most dangerous country to drive in is Namibia at 45 per 100,000. The safest? The Maldives in the Indian Ocean with just 2 fatalities per 100,000 drivers. The U.S. ranks just slightly below the average at 14 per 100,000. (See map below.)

University of Michigan
University of Michigan

The 25 countries with the highest (red) and lowest (green) rates of fatalities per population from road crashes.

The highest rate of fatalities:

University of Michigan
University of Michigan

Fatality rate per…

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