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Roger Zemek, an emergency medicine specialist at Childrens Hospital of Eastern Ontario. http://newsavannahbrown.azcra.org/2016/08/02/straightforward-answers-on-essential-elements-for-careerAfter a sports-related concussion, kids should always be removed from play and not return that day. To avoid re-injury, kids should generally be sidelined from the sport or activity that led to the concussion until a doctor clears them to return, he said. But the study results suggest they can resume sports or other physical activities sooner than previously thought, he said. The researchers surveyed about 2,400 kids aged 5 to 18 treated for concussions in nine emergency departments in Canada. Most were sports-related injuries and most kids had at least one concussion symptom in the first week. Results from the 2013-2015 study were published Tuesday in the Journal of the American Medical Association . Current guidelines recommend rest until symptoms disappear to avoid additional concussions, which can increase chances for permanent brain damage. But an editorial published with the study says that advice has resulted in some athletes resting for weeks or months, at which point rest may be less helpful and perhaps even harmful. The study authors say resuming physical activity may increase blood flow to the brain, while inactivity may deprive patients of not only that benefit but also the psychological benefits of activities they enjoy. Patients in the study and their parents were asked about symptoms and physical activity at seven and 28 days after the concussion In the early-activity group, 29 percent reported ongoing or worsening symptoms 28 days after concussions versus 40 percent of the group reporting no extra physical activity beyond daily living activities.
For the original version including any supplementary images or video, visit http://www.smdailyjournal.com/articles/sports/2016-12-21/strict-rest-may-not-be-the-best-medicine-for-kids-concussions/1776425173116.html
Community service was above all else when I started here, we also paid attention to the reality of crime, but also residents fear of crime as well, Pangelinan said. This was exactly what I was looking for, to be given the best tools available and as much support as was needed when I was a young officer, and room to grow in the organization. Looking back I worked pretty much everything, patrol, traffic, I was part of the tactical team, I was in field evidence and investigation Ive done every assignment that could be offered in the department, Pangelinan said. Over the years, he eventually worked his way up to the rank of commander. When former Police Chief Dennis Graham retired in 2012, Pangelinan was made the citys interim chief and was permanently appointed to that position later that year. Pangelinan said he could not point to specific cases or instances that he was proud of, but said every time something occurred the department rose to the occasion to keep the community safe. However, he did note the gang slaying of 7-Eleven employee and Milpitas resident Mohammad Moe Reza Sadeghzadeh in 2012 proved to be a challenge. That was the case when I was fairly new as chief and it took a tremendous amount of work, but Im extremely proud of our department for putting nose to the grindstone and bringing that case to conclusion, Pangelinan said, noting four suspects in that case were apprehended later that year. Williams who was on the interview panel that selected Pangelinan as chief called him a rockstar for his outstanding leadership and work on cases like the 7-Eleven murder. Ive known him all 11 years Ive been with the city and always admired the chief and hes always done an outstanding job.
For the original version including any supplementary images or video, visit http://www.mercurynews.com/2016/12/22/milpitas-police-chief-set-to-retire-after-30-years-on-the-force/