Tips to Celebrate Halloween Safely From The Scariest Place of All - The Emergency Department

Each year, 9.2 million babies, children, and teens are injured severely enough to need treatment in emergency departments all across America, reports the Centers for Disease Control and Prevention. "Nothing is scarier than a trip to the emergency room," said Mark Cichon, DO, chair, Department of Emergency Medicine, Loyola University Health System. "In a season devoted to frights, it is our goal to keep everyone safe."

Here are Dr. Cichon's top tips to avoid going bump in the night and for a healthy, happy Halloween:
Invest in a pumpkin carving kit and avoid knives. "Manipulating a sharp knife in a rigid pumpkin rind without injury is almost impossible for an adult or child," said Dr. Cichon. "Proper tools make sure you carve the jack o' lantern and not yourself or a loved one."

Supervise anything that is burning, from scented candles to carved pumpkins to firepits. "Fires can happen in a flash and get quickly out of control," said Dr. Cichon. "The colder temperatures invite the warm glow of candles to the excitement of an end-of-season bonfire. Watch out for burning leaf piles."

Use extra precaution when climbing ladders to hang decorations inside and outside. "Falls from ladders are one of the top reasons adults come to the emergency room and they are largely avoidable," said Dr. Cichon. "Use the right-sized ladder, and one that is safe, and work with a partner to do the job right."

Make sure Halloween costumes offer visibility and ease of movement. "Masks, hats, wigs, glasses, hoods -- costumes often include headgear that can obstruct vision and lead to trips and falls," said Dr. Cichon. "And make sure it is easy to walk in the costume without tripping or catching on things."

Dress for the weather. "It is easy to get overheated or too cold in the Midwest at this time of year, without the addition of wearing a costume," said Dr. Cichon. "Check skin temperature and watch for signs such as shivering or lethargy. Don't forget to wear waterproof footgear that has treads for sure footing."

Have one adult in the trick-or-treating group wear a reflective safety vest and give each child a glow stick or flashlight to increase visibility. "You want to be able to see where you are going and also for others to see you, especially around moving vehicles," said Dr. Cichon. Stay in a group and put kids on the buddy system.

Avoid alcohol use when supervising children. "Don't drink and accompany your kids as they trick-or-treat," said Dr. Cichon. "If you choose, enjoy a beer or cocktail at the end of the night after kids are safely indoors, or better yet, in bed."

Avoid over-tiring children. "Fatigue can lower resistance, leading to illness and injury," said Dr. Cichon. Make sure a good night's sleep starts Halloween day and rest up before the night's activities. Eat healthy meals and drink plenty of water to stay hydrated. Maintain regular bedtimes.

Inspect treats when you get home. "Make sure candy and goodies are age-appropriate; avoid smaller pieces for younger children that could be a choking hazard," said Dr. Cichon.

Balance candy consumption with healthy foods. "When my four children were younger my wife and I would hide their candy and allow them each to choose two pieces after dinner to limit over-consumption," said Dr. Cichon.

Be aware of the potential for loud and scary noises. "Playful scaring antics by enthusiastic celebrants and even barking dogs can frighten children and cause them to react suddenly," said Dr. Cichon. "Falling down porch stairs, tripping over curbs and even colliding with others can result in harm."

Drive vehicles slowly and cautiously on Halloween, especially on sidestreets. "Watch for trick-or-treaters but also be aware of any flying eggs or other debris that could impede vision," said Dr. Cichon.

Since 1995, annual patient volumes in Loyola's emergency division have increased from 29,000 to 53,000 patients. The Loyola emergency medicine division is classified as a Level 1 Trauma Center, providing the highest level of surgical care to trauma patients. The division also has been recognized by groups such as The Joint Commission, the Commission on Accreditation of Medical Transport Systems, the American College of Surgeons for Trauma and the Illinois Department of Public Health for Trauma, Burns, Pediatric and Emergency departments.

Cell Growth Discovery by UCSF Team Has Implications for Targeting Cancer

 to support growth, to repair damaged tissues, or simply to maintain our healthy adult functioning — is controlled in previously unsuspected ways UC San Francisco researchers have discovered. The findings, they said, may lead to new ways to fight cancer.

The steps leading a quiet cell to make and divvy up new parts to form daughter cells rely on some of the cell’s most complex molecular machines. Different machines play key roles at different stages of this cell cycle. Each of these cellular machines consists of many proteins assembled into a functioning whole. They carry out such tasks as repairing DNA in the newly replicated gene-bearing chromosomes, for instance, or helping pull the chromosomes apart so that they can be allocated to daughter cells. 

In a study published online on October 10, 2013 in the journal Molecular Cell, UCSF researchers led by molecular biologist Davide Ruggero, PhD, associate professor of urology, and computational biologist Barry Taylor, PhD, assistant professor of epidemiology and biostatistics, found that the production of entire sets of proteins that work together to perform such crucial tasks is ramped up together, all at once — not due to the transcription of genes into messenger RNA, a phenomenon scientists often study to sort out cellular controls — but at a later stage of gene expression that occurs within the cell’s protein-making factories, called ribosomes.

“We have found that these proteins are regulated specifically and exquisitely during the cell cycle,” Ruggero said. When this regulation falters, it wreaks havoc in the cell, he added. “Cell-cycle control is a process that is most often misregulated in human disease,” he said. 

More specifically, the researchers found that this coordinated timing of protein production during the cell cycle is largely governed at the tail end of gene expression, within the ribosome, where cellular machinery acts on messenger RNA to churn out the chains of amino acids that eventually fold into functional form as proteins.

In 2010 Ruggero reported key evidence suggesting that this stage of protein production, called “translation,” might be an often-neglected process in many tumors, ranging from lymphomas, multiple myeloma and prostate cancer.

In the new study, the researchers examined translation of messenger RNA into protein at the classic phases of the cell cycle, before the cell actually divides. These are the G1 phase, when cells grow and make lots of proteins before replicating their DNA; the S phase, when cells replicate their DNA; and the G2 phase, when cells make internal components known as organelles, which they divvy up along with the chromosomes when the cell actually divides during mitosis.

The scientists used a technique know as ribosome profiling, originally developed for yeast cells in the lab of Jonathan Weismann, PhD, Howard Hughes Investigator at UCSF and professor of cellular and molecular pharmacology, to figure out which messenger RNA was being translated into protein by the ribosome during human cell division. They then used computational techniques developed by Taylor’s lab team along with the lab team of Adam Olshen, PhD, professor of epidemiology and biostatistics, to better quantify which genes had been translated into proteins.

By conducting a genome-wide investigation of translation and interrogating the data with sophisticated computer algorithms, the researchers discovered that different groups of protein were made in abundance at a particular phase, only to be quieted during another phase of the cell cycle. Previous studies of translation of messenger RNA into protein focused on only one or just a few genes at a time, according to Ruggero and Taylor.

“We hope these methods will be helpful to others who study gene regulation at the translational stage in various diseases, and those who want to identify specific targets for drug development based on discoveries of aberrant translation,” Taylor said.

Ruggero has been a pioneer in probing the ability of tumor cells to make extraordinary amounts of protein to sustain their rapid growth and immortality. He also is exploring ways to therapeutically target this excess protein production in cancer.

One striking finding from this new UCSF study is the discovery that production of a protein called RICTOR is boosted due to increased translation during the S phase of the cell cycle. RICTOR serves as a signal to help the cell cycle run like finely tuned clockwork, but several studies suggest that RICTOR often is constitutively turned on in cancer, Ruggero said.

The biochemical signaling cascade within the cell that RICTOR is a part of is under extensive investigation for experimental cancer therapies, and these new findings may point to novel strategies for drug development Ruggero said. Ruggero and Craig Stumpf, PhD, a postdoctoral fellow with his lab and the first author of the Molecular Cell paper, now are tracking down the upstream trigger that coordinates timing of many of the other suites of proteins that are produced simultaneously during the different cell-cycle phases.

UCSF technician Melissa Moreno also worked on the study. The research was funded by grants from the National Institutes of Health.

UCSF is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It includes top-ranked graduate schools of dentistry, medicine, nursing and pharmacy, a graduate division with nationally renowned programs in basic biomedical, translational and population sciences, as well as a preeminent biomedical research enterprise and two top-ranked hospitals, UCSF Medical Center and UCSF Benioff Children’s Hospital.

Healthier Diets Possible in Low-Income, Rural Communities in America

children don’t eat enough fruits, vegetables and whole grains. Instead, their diets typically include excessive amounts of sugars and solid fats, counter to the 2010 Dietary Guidelines for Americans recommendations, increasing the risk of obesity and diabetes. A team of investigators implemented a two-year intervention study in low-income, rural areas where a disproportionately higher risk of overweight and obesity habits among children persists, leading to increased risk of diabetes and heart disease in adulthood. The children enrolled in the study consumed significantly more fruits and vegetables. The results are published in the Journal of the Academy of Nutrition and Dietetics.

To evaluate students’ diet quality at the beginning and after the study, researchers designed the CHANGE (Creating Healthy, Active and Nurturing Growing-up Environments) study, a two-year randomized, controlled, community- and school-based intervention to prevent unhealthy weight gain among rural school-aged children.

“Our primary objectives were to improve the diets, physical activity levels, and weight status of rural children based on the successful model developed by Tufts University researchers for the Shape Up Somerville study,” says lead investigator Christina Economos, PhD, Friedman School of Nutrition Science and Policy, Tufts University, Boston . “The objective of our analysis was to examine changes in fruit, vegetable, legume, whole-grain and low-fat dairy consumption among rural elementary students who were exposed to the CHANGE study intervention compared with students in control schools,” says lead author Juliana F. W. Cohen, ScM, ScD, Department of Nutrition, Harvard School of Public Health, Boston. The team wanted to test its hypothesis that students exposed to the study would improve their diet quality due to healthier food environments.

Eight communities in rural California, Kentucky, Mississippi, and South Carolina participated in the study between 2007 and 2009. Two communities in each state were randomly assigned to either an intervention or control group. Students in the intervention sample were given daily access to healthier school foods and weekly educational curriculum which incorporated the goals of the Shape Up Somerville model: at least five servings of fruits and vegetables; no more than two hours of television or other screen time; and at least one hour of physical activity. The mean age of the 1,230 participating students was 8.6 and about 85-95 percent were nonwhite.

A baseline analysis revealed that students in CHANGE schools:
• Ate similar amounts of fruits, vegetables, whole grains, dairy, potatoes/potato products, saturated fats, and sugars as students in control schools
• Consumed significantly more legumes

As a result of the intervention, food consumption of students in CHANGE schools was significantly different than students in the control schools with the following results:
• Eating 0.08 cups of vegetables per 1,000 kcal more per day
• Eating 0.22 cups combined fruits and vegetables per 1,000 kcal more per day
• Had a significantly lower glycemic index

There was a trend toward more fruit consumption in the CHANGE study intervention with 0.15 cups per 1,000 kcal per day.

Dr. Cohen concludes, “The outcomes of the CHANGE study provide evidence that a multi-component intervention targeting low-income children living in rural communities in America can improve their diet quality. Overall, students consumed significantly more vegetables and combined fruits and vegetables after exposure to the CHANGE study intervention compared with students in control schools and communities.”

Drs. Cohen and Economos and colleagues call for more research to examine ways to improve other aspects of children’s diets using this community-based model.

# # #

NOTES FOR EDITORS
“The CHANGE Study: A Healthy-Lifestyles Intervention to Improve Rural Children’s Diet Quality,” Juliana F.W. Cohen, ScM, ScD; Vivica I. Craak, MS; Silvina F. Choumenkovitch, PhD; Raymond R. Hyatt, PhD; and Christina D. Economos, PhD. Journal of the Academy of Nutrition and Dietetics, DOI: 10.1016/j.jand.2013.08.014, published by Elsevier.

Full text of this article is available to credentialed journalists upon request. Contact Eileen Leahy at 732-238-3628 or andjrnlmedia@elsevier.com to obtain copies. Journalists wishing to set up interviews with the authors should contact Andrea Grossman, Assistant Director, Public Relations, Tufts University Health Sciences Campus, at 617-636-3728 or Andrea.Grossman@tufts.edu.

ABOUT THE AUTHORS
Juliana F.W. Cohen is a postdoctoral research fellow, Department of Nutrition, Harvard School of Public Health, Boston, MA.
Vivica I. Craak is a doctoral candidate, Deakin Population Health Strategic Research Centre, School of Health and Social Development, Deakin University, Burwood, Victoria, Australia.
Silvina F. Choumenkovitch is a research associate, Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA.
Raymond R. Hyatt is an associate professor, Department of Public Health and Community Medicine, Tufts University, Boston, MA.
Christina D. Economos is an associate professor, Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA.

ABOUT THE JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
The official journal of the Academy of Nutrition and Dietetics (www.eatright.org), the Journal of the Academy of Nutrition and Dietetics (www.andjrnl.org) is the premier source for the practice and science of food, nutrition and dietetics. The monthly, peer-reviewed journal presents original articles prepared by scholars and practitioners and is the most widely read professional publication in the field. The Journal focuses on advancing professional knowledge across the range of research and practice issues such as: nutritional science, medical nutrition therapy, public health nutrition, food science and biotechnology, food service systems, leadership and management and dietetics education.

The Journal has a current Impact Factor of 3.797 in the Nutrition and Dietetics category of the 2012 Journal Citation Reports®, published by Thomson Reuters. It was previously published as the Journal of the American Dietetic Association.

ABOUT THE ACADEMY OF NUTRITION AND DIETETICS
The Academy of Nutrition and Dietetics (www.eatright.org), formerly the American Dietetic Association, is the world’s largest organization of food and nutrition professionals. The Academy is committed to improving the nation’s health and advancing the profession of dietetics through research, education and advocacy.

American Epilepsy Society and the National Association of Epilepsy Centers Debuts Free Online Medical Education Series on Safety - www.EMUCaring.org

 The American Epilepsy Society (AES) and the National Association of Epilepsy Centers (NAEC) are pleased to announce a free online continuing medical education series “Safety in the Epilepsy Monitoring Unit.” This specially structured learning presentation is intended to educate healthcare providers on the best ways to create a culture of safety in the epilepsy unit. Meant for all members of the epilepsy team, including physicians, nurses, EEG technologists, pharmacists, social workers, and other staff in the unit, this program presents best practices as identified by a group of national experts in epilepsy.

“The relationship between how cohesively epilepsy monitoring units function and how effectively they can address the unique needs of their patients should not be understated,” says Patricia O. Shafer, R.N., M.N., Beth Israel Deaconess Medical Center and Content Chair for EMUCaring. “The finer attention that is paid to this relationship the greater probability of improved safety outcomes.”

The online program consists of seven modules addressing topics such as Seizure Observation, Environment and Activity, Managing Seizures and Comorbidities, and Preparing for Transition to Outpatient Care. For ease of learning, each module can be completed independently.

This tool can be used for continuing in-service education and as a training tool for new members of the team. At present, the program has been approved for physicians, nurses and EEG technologists to receive up to a maximum of 3.5 continuing education credits by the Accreditation Council for Continuing Medical Education (ACCME), EduPro Resources LLC (EDUPRO), and ASET – The Neurodiagnostic Society.

About the American Epilepsy Society
The American Epilepsy Society (AES) is the premier professional organization in the United States representing multi-specialty members including physicians, psychologists, nurses, social workers, and research scientists that provide care to people with epilepsy. The Society promotes research, interdisciplinary communication, and education for professionals dedicated to the prevention, optimal treatment, and cure of epilepsy.

About the National Association of Epilepsy Centers
With the goal of no seizures and no side effects, the National Association of Epilepsy Centers (NAEC) strives to make high quality healthcare available and affordable for epilepsy patients across the country. NAEC is a non-profit association with a membership of more than 190 specialized Level 3 and 4 epilepsy centers in the United States. Founded in 1987 by physician-leaders committed to setting a national agenda for quality epilepsy care, the NAEC connects people with epilepsy to specialized epilepsy care and supports epileptologists in the operation of their epilepsy centers.

BIDMC's Young Scientists are Honored

Los BOSTON tres jóvenes científicos del Beth Israel Deaconess Medical Center (BIDMC) cuya investigación es arrojar luz sobre las vías cerebrales subyacentes a la obesidad, el papel de los vasos sanguíneos en un peligroso trastorno de embarazo y maneras de monitorear la sedación para asegurar mejores experiencias pacientes, son los destinatarios del BIDMC inaugural Dvorak joven investigador premios.

Creado a través de un regalo de los donantes BIDMC Sheldon Simon y Ruth Moorman destacar el importante papel de la investigación básica y clínica para asegurar la vitalidad y el éxito futuro de los hospitales de enseñanza académicos, los premios ayudará a avanzar en los programas de investigación de los investigadores BIDMC Mark Andermann, PhD, Zoltan Arany, MD, PhD y Daniel Leffler, MD, MS.

Los premios son nombrados en honor del BIDMC científico e investigador pionero del cáncer Harold F. Dvorak, MD y fueron presentados en la reunión anual del BIDMC en el Hotel Four Seasons.

"BIDMC tiene una larga historia de nutrir y apoyar nuevas ideas científicas", dice BIDMC Chief Scientific Officer Vikas Sukhatme, MD, PhD. "con la creación de los premios de investigador joven Dvorak, no sólo mantenemos nuestro compromiso de fomentar y cultivar el trabajo de nuestros científicos jóvenes prometedores, estamos reconociendo la contribución permanente de Hal Dvorak, cuyo trabajo pionero en el campo de la angiogénesis allanó el camino para un enfoque totalmente nuevo a la terapéutica del cáncer".

Fue hace más de 30 años que Dvorak, ex jefe de patología del BIDMC, primero descrito tumores como "heridas que no cicatrizan," una observación que formó la base para el campo de la angiogénesis y condujo a un nuevo medio de tratar el cáncer y otras enfermedades por suministros de sangre en los tumores de hambre.

"La misma curiosidad y la creatividad que llevó Hal para identificar VEGF [factor de crecimiento endotelial vascular] como el combustible detrás de crecimiento tumoral es evidente en los tres científicos que ahora estamos honrando con el joven investigador premios Dvorak," agrega Sukhatme. "DRS. Andermann, Arany y Leffler hacen preguntas del mismo modo provocativo y excitante nueva investigación en su búsqueda de respuestas a algunas de hoy necesita más atención médica urgente.

El Dr. Mark Andermann, un investigador del BIDMC División de Endocrinología, Diabetes y metabolismo, es el destinatario del premio Dvorak joven investigador en ciencias básicas. Su trabajo tiene como objetivo entender cómo hambre y señales externas de alimentos causan cambios en el cerebro y sus posibles consecuencias para la obesidad, atracones y otros trastornos de la alimentación. Utilizando nuevas tecnologías de imagen para evaluar exactamente cómo hambre influye en procesamiento sensorial, trabajo de Andermann proporciona respuestas a preguntas fundamentales para ayudar a guiar el desarrollo de tratamientos para la obesidad.

Como destinatario del premio al investigador joven Dvorak en la investigación traslacional, cardiólogo Dr. Zoltan Arany está centrando su investigación en la comprensión de los mecanismos de regulación del metabolismo en los sistemas esqueléticos y cardiovasculares. Sus estudios están ayudando a explicar el impacto del estrés fisiológicos como el embarazo y ejercicio de la función y el metabolismo cardiaco. Su trabajo más reciente ha llevado al descubrimiento de que la enfermedad cardíaca la miocardiopatía periparto, que ataca a las mujeres en su tercer trimestre del embarazo y puede llevar a la muerte y la discapacidad grave, es un trastorno de los vasos sanguíneos. Arany está ahora investigando los roles que genética o infecciones podrían jugar en el inicio de esta grave enfermedad.

El Dr. Daniel Leffler es el destinatario del premio Dvorak joven investigador en investigación en servicios sanitarios. Trabajo de Leffler se centra atención en la calidad y seguridad de los procedimientos invasivos, incluyendo la necesidad de supervisar la calidad de sedación moderada desde las perspectivas de los pacientes y sus proveedores. Este tipo de investigación en servicios de salud mejora la calidad, seguridad y valor de la atención sanitaria, con el objetivo de garantizar la mejor experiencia posible para los pacientes. Como el Director de investigación clínica en el centro del BIDMC celíaca, Leffler también atiende a pacientes y realiza investigación en enfermedad celiaca.

"Estamos agradecidos a Sheldon Simon y Ruth Moorman por su apoyo a la labor de estos tres jóvenes científicos y, por extensión, apoyo a los avances de investigación que permitan la mejor atención al paciente," dice Sukhatme.

Beth Israel Deaconess Medical Center es una atención al paciente, filial de docencia e investigación de Harvard Medical School y actualmente ocupa el tercer lugar en el National Institutes of Health financiamiento entre hospitales independientes en todo el país.

BIDMC cuenta con una red de socios de la comunidad que incluye Beth Israel Deaconess Hospital-Milton, Beth Israel Deaconess Hospital-Needham, Anna Jaques Hospital, Cambridge Health Alliance, Lawrence General Hospital, cuidado de la salud firma, Commonwealth hemato-oncología, Beth Israel Deaconess HealthCare, Alianza de atención comunitaria y la salud de atrio. BIDMC también clínicamente está afiliada con el Joslin Diabetes Center y hebreo Senior vida y es un socio de investigación del centro de cáncer Dana-Farber/Harvard. BIDMC es el hospital oficial de los Boston Red Sox.

St. Jude Children's Research Hospital Names New Chief Legal Officer

Newswise — (MEMPHIS, TENN. – October 10, 2013) St. Jude Children’s Research Hospital has named Robyn Diaz, J.D., as its chief legal officer and senior vice president. With 10 years of health law experience and 15 years of experience in the health care industry, Diaz joined the hospital’s Office of General Counsel as associate general counsel in August 2010 and was promoted to deputy general counsel in May 2012.

“Robyn’s expertise and experience provide a strong foundation upon which she will continue to excel as a member of our senior management team at St. Jude,” said St. Jude director and CEO Dr. William E. Evans.

Diaz has served as an adjunct professor at the Georgetown University School of Nursing and Health Studies, where she taught classes on law and health care administration, and served as an academic preceptor to undergraduates in Georgetown’s program in healthcare management and policy.

A member of the American Health Lawyers Association, American Bar Association, Tennessee Bar Association and the Memphis Bar Association, Diaz also founded the Memphis Bar Association’s Health Law Section and was nominated to serve as its first chair in 2012. Diaz was previously co-chair of the District of Columbia Bar Health Law Section Steering Committee.

A graduate of Brandeis University, Diaz received her Juris Doctorate from Georgetown University Law Center and earned a certificate in executive leadership for health care professionals from Cornell University. Prior to joining St. Jude, Diaz was associate general counsel at MedStar Health and an attorney in the health care practice group at Crowell & Moring, LLP, both located in Washington, D.C.

Diaz has been published in a variety of health-related publications, including the Health Lawyer, the Journal of Health Care Law and Policy, the American Bar Association Health eSource, the Pittsburgh Journal of Environmental and Health Law, and the American Health Lawyers Association HMOs & Health Plans Newsletter.

Jersey Shore University Medical Center welcomes Romeo Lucas, D.O. The Department of obstetrics and Gynecology

University Medical Center is proud to welcome Romeo Lucas, D.O. Dr. Lucas provides OB/GYN care for women in Monmouth and ocean counties and provides a specialized surgical experience to extend coverage in the Department of obstetrics and Gynecology of Jersey Shore.

Dr. Lucas recently completed her residency in obstetrics and Gynecology at Jersey Shore. During his residency, won numerous honors and awards, including the Rutgers Robert Wood Johnson Medical teaching Student Award for Obstetrics and Gynecology. Dr. Lucas is trained in laser surgery; PlasmaJet system; and robotic Gynecologic Surgery, including laparoscopic hysterectomy. He has participated in a series of presentations in conferences and more recently discussed "Group G Streptococcus in pregnancy" at the annual meeting of the Central Association of Obstetricians and Gynecologists.

Dr. Lucas joins Jonathan D. Baum, M.D., FACOG; Kristen LoRe, D.O.; Ginja Massey, M.D.; and Meghan I. Rattigan, D.O. in Jersey Shore of obstetrics and Gynecology at the Plaza of Juniper in Freehold.

About Jersey Shore University Medical Center:
Jersey Shore University Medical Center, a member of the Meridian Health family, is a teaching hospital nonprofit and the Hospital of K. Hovnanian children - the first children hospital in Monmouth and ocean counties. Jersey Shore is the regional provider of cardiac surgery, a program that has been classified among the best in the Northeast and is home to the only trauma center and center of rescue of stroke in the region. Jersey Shore University Medical Center specializing in cardiovascular care, orthopedics and rehabilitation, treatment of cancer, neuroscience, and special services for women. For more information about Jersey Shore University Medical Center call the 1-800-DOCTORS, or visit www.JerseyShoreUniversityMedicalCenter.com.