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News

New Docs to Blame for Spike = in Fatal=20 Medical Errors Each July

Print Email This=20

By Alyssa=20 Sparacino Jun 3rd 2010 1:00PM

Categories: News

In communities with teaching hospitals, there is an annual and = significant=20 peak in fatal medication mistakes during the = month of July --=20 when new med students begin taking on more active roles in patient = care.

Sociology professor David Phillips and student Gwendolyn Barker from = the University of California, = San Diego=20 studied the relationship between lack of experience and the = altered=20 number of errors caused by medication = mistakes in=20 July when it's known that thousands of new students began their = residencies at=20 teaching hospitals across the country.

These mistakes included: accidental overdose, wrong drug=20 given or taken by mistake, drug taken = inadvertently and situations involving the wrong use of drugs in medical=20 and surgical procedures.

Phillips and Barker inspected 244,388 U.S. death certificates with a = cause of=20 death linked to medication errors issued between 1979 and 2006. To test = their=20 theory that July was a particularly dangerous month due to an influx of = new med=20 students, they compared the recorded number of deaths in July with the = number of=20 anticipated deaths in a given month for a given year. They also analyzed = whether=20 there were less deaths in counties without teaching hospitals.

Their findings showed that not only did the rates of death caused by=20 medication errors spike in July by 10 percent, but that this was the = only month=20 in the given year to see such a dramatic increase. Likewise, this = finding held=20 true solely in areas where there was a teaching hospital present, and = only with=20 cause of death linked to a drug = mistake.

The authors write that their results "provide fresh evidence for 1.=20 Re-evaluating responsibilities assigned to new residents; 2. Increasing=20 supervision of new residents; and 3. Increasing education concerned with = medication safety. Incorporating these changes might reduce both fatal = and=20 non-fatal medication errors and thereby reduce the substantial costs = associated=20 with these errors."

The study's findings are published in the Journal of=20 General Internal Medicine, from the Society of General Internal Medicine.

More On=20 Medications:
Drug = Interaction=20 Checker
= Medication=20 Mistakes That Can Kill

Print Email This=20

Reader Comments (Page 1 of 2)

<= SPAN=20 class=3Drownum>1

Sicko 6-04-2010 @ = 7:27AM

Let some more foreigners in our schools and hospitals who can't speak = English.

= =

= 2

dicksdogfarm 6-04-2010 @ 12:52PM

I heard that!!

= =

= 3

Anne Harrington 6-04-2010 @ 7:43AM

I think there is more to it than doctors and nurses blindly = administering=20 these medications. The FDA approval doesnt't mean anything anymore and = there is=20 no caution or intelligent decision making when prescribing these = "medications"=20 which have so many deadly side effects in plain sight. I also believe = that yes=20 foreign doctors are not as health concerned as professional American = doctors and=20 I believe their cultures and beliefs stand in the way of getting = healthy.=20 Whatever the reason for these deaths which basically go uninvestigated = and told=20 to family members the hospital "did all it could", it should be a = concern of=20 trust and honesty in the medical profession which in all cases has been=20 forgone.

= =

<= SPAN=20 class=3Drownum>4

Jan 6-04-2010 @ 9:56AM

Yep, you are so right! I worked in a hospital and a regional center = where=20 deaths & injuries caused by negligent doctors were COVERED UP as a = routine=20 practice. Doctors NEVER own up to mistakes, and will evade questioning = and=20 outright lie to get out of responsibility. And even OTHER doctors who = know will=20 lie too to help each other not be found out. It's close knit = brotherhood, and=20 they all protect each other that way.
IF you suspect there was any = negligence=20 that resulted in a death or injury, the BEST thing to do is to get a = nurse=20 alone, and ask her what happened. Nurse always know what is going on, = and she=20 almost always will tell you. She may not tell you outright, but she will = indirectly confirm your suspicions so you can go to a lawyer. Then he = will=20 investigate for you. Don't ask the nurse where other staff are nearby, = becuase=20 she won't tell you anything becuase she has to protect her job. Aske her = where=20 no one can see her talking to you.

= =

= 5

Anna 6-04-2010 @ 8:15AM

I have to agree with this study. My family was in a car wreck on July = 1 2005.=20 by some mircle all of us survived, but I had serious fractures in my = neck back=20 and skull that were missed by the er docs. I found out later by 2 = individules=20 that worked at the hospital that it was the first day of the new = rotation of new=20 doctors. I was unable to move so they said that i had muscle spsams and = admited=20 me for observation. if i had moved at all during the night I would now = be a=20 quadraplegic or dead.

= =

= 6

trish 6-04-2010 @ = 8:40AM

Hey I know of a hospital where there isnt just 1 month thats deadly, = its=20 everyday thats deadly. Do you ever think about the nurses in the = emergency room=20 who deal with trama daily, stressed out, and tired. Think about how = easily they=20 have access to drugs. Stop and think before going to the e.r. and go to = a=20 regular doctor first if you can because there are so many nurses who = work under=20 the influence of prescription drugs and here you are putting your life = in their=20 hands. I know a few and believe me I would never if possible go to one = if I can=20 avoid it. I want to live not die cause of their addictions.

= =

= 7

stinkypetesmama 6-04-2010 @ 8:45AM

There's a reason seasoned nurses in teaching hospitals hate to work = the=20 beginning of July. We are the ones guiding the new interns through their = first=20 few patients and we have to be on our guard at all times. I think that = having a=20 requirement that all new interns must have their orders signed off by an = attending or senior resident would reduce these errors tremendously.

= =

= 8

Bryan 6-04-2010 @ = 9:15AM

You are the only person so far who has one ounce of sense! Do the = rest of you=20 think foreign students are graded on a different scale or curve? There = is not=20 ONE mention of the ethnic makeup of the participants in this study. =

For=20 the rest of you, if your hatred of foreigners is so damn strong, then = why don't=20 YOU go back to the country where YOU came from! Unless you're Native = American or=20 Native Alaskan, you are American because your relatives came here. So, = how would=20 you feel hearing hateful and violent people telling your grandmother to = get=20 out.

I'd still take a teaching hospital in July than some hick = doctor who=20 never heard of Continuing Education.

= =

= 9

dontfollowblindly 6-04-2010 @ 9:32AM

Pardon, but med students from countries where English is NOT the = first=20 language do create problem especially when prescribing drugs which may = "sound=20 alike" or be spelled similarly as well as the fact that these foreign = students=20 may not be understanding fully what the patient is telling them as they = are not=20 as fluent in English as they need to be. Even the ones who speak the = British=20 version of English have problems so of course those who are from Spanish = speaking countries, or from China or Japan or VietNam or else where are = going to=20 have significant problems. I insist on an English as first language = doctor. It's=20 my right and I make sure I ask. If there is no doctor available who = speaks=20 English as first language, even if it's an ER situation, I will refuse = treatment=20 because I don't trust the other doctore. I've just had too many problems = with=20 such doctors.

= =

<= SPAN=20 class=3Drownum>10

Sabrina 6-04-2010 @ = 10:03AM

You make a good point. They may be excellent doctors and nurses, but = there=20 are too many things that sound alike, look similar, etc., besides strong = accents, that can cause big trouble. I used to live in Miami, FL, and it = was=20 amazing just what happened at the local drug store, so imagine a = hospital. I=20 know many people that are foreign and their English is pretty good, and = for what=20 they do for work or at home or with English speaking friends, there is = no=20 problem, because you try harder, listen harder, and after awhile you = become=20 quite good at understanding what they are trying to say. Writing is a = different=20 story in itself.

Being an intern with so-so English is a disaster = ready=20 to happen. It should be mandatory they be given tests to judge their = speaking,=20 hearing and writing skills, and this should be done prior to their = interning. So=20 what if it takes time and delays their start of their career - if that = could=20 save just one patient a week, it would be great.

Also, tired and=20 overworked doctors and nurses are dangerous. They should rest for a = certain=20 amount of hours, let their colleagues take over, and their should be = laws made=20 to ensure that the 24 and 36 hour continual shifts end.

= =

<= SPAN=20 class=3Drownum>11

EX LB Hospital employee 6-04-2010=20 @ 11:08AM

If you're on your way to the hospital in Long Beach, New York, just = save=20 yourself time and go straight to the cemetery...

= 12

Draconian 6-04-2010 = @ 10:26AM

The Doctors prescribe meds to the patients to consume at the = patients' own=20 risk. Everyone has different reactions to different substances.

= =

<= SPAN=20 class=3Drownum>13

Nancy Garrison 6-04-2010 @ 10:35AM

Our family considers us fortunate. My now 22 year old daughter has = had to=20 date 7 surgeries. The first at 6 months, 2nd at 11 months, 3rd at 2 1/2 = years=20 (due to a severe cleft lip and palate). The 4th at age 11 due to = scoliosis. The=20 5th at age 12 for further oral surgery. The 6th at age 14 again for = scoliosis.=20 The 7th for facial and bite correction due to the lip and palate issue = at age=20 18. The first six were done at Boston Children's Hospital. The final was = done at=20 UNC - Chapel Hill (only because our family moved here). She had the most = wonderful surgeons, dentists and nurses at both hospitals. After surgery = 6, she=20 almost died. We will be forever grateful for everyone who cared for her. = She can=20 be difficult at times, but she is still with us. I will never forget = what all=20 these trained and professional caregivers did for my family.

= 14

Beth 6-04-2010 @ 10:44AM

I had a family physician that hadme on so many medications and so = many=20 contradictory medications that I wound up in the hospital almost on = Dialysis for=20 Kidney Failure. She would not listen to me or to anyone in my family = that the=20 medicines she had me on were not working. All she did was perscribe more = medications that made me sicker. Bye the time I was able to change = Doctors I=20 went from a weight of 183 to 295 from fluid retention and had such = severe=20 Asthma. I was hospitalized for 9 days and thank god they were able to = get my=20 kidneys working again without dialysis treatments.
Everyone in my = family told=20 this doctor that I was getting sicker and she refused to believe it. = When I went=20 to th hospital the Doctors there did ot even beleive that all the = medicines that=20 I had were really coming from my Family doctor until I told him to call = my=20 pharmacy because they were all the correct pill bottles. He was totally = alarmed=20 to hear that this Doctor had me on so many Narcotics and so many = contradictory=20 medications. He was so upset. I only wish that I could have gotten a = doctor here=20 in Delaware to go to court against her and say what she did to me. But = the law=20 down here is so strict that nobody will go to court against another = doctor. It=20 is really ashame that a doctor can get away with this and there is = nothing that=20 the patient can do.

<= SPAN=20 class=3Drownum>15

Barbara Loden 6-04-2010 @ 11:02AM

Why not just change physicians???????????

= =

= 16

leoandtina 6-04-2010 @ 7:42PM

In a famous book written over 30 years ago, "The House of God" it was = stated=20 that you should never go to a teaching hospital in July. It was true = then as it=20 is now. It is however short-sighted to blame the interns. At every level = the=20 resident has just moved up one notch to a new level that he /she is not = familar=20 with. It amazes me that someone has to spend money to do a study to show = what is=20 common knowledge. By the way the sun comes up in the morning and sets at = night.=20 I hope no one will waste money on a study to learn that.

= =

= 17

tramaked 6-04-2010 = @ 11:00AM

This is NOT a new discovery, it has been observed for decades. I am = not=20 convinced that this phenomenon is the fault of the new residents. New = residents=20 are supervised pretty carefully especially during their first year. The=20 explanation should be sought elsewhere.

= =

<= SPAN=20 class=3Drownum>18

Richard Pawley 6-04-2010 @ 11:02AM

In my latest book, "THE LAST DAYS OF THE LATE GREAT UNITED STATES, = and The=20 Great Famine that Followed" I relate the story of a dear friend of many = years=20 who died at the hands of doctors from a major American medical center. = The drugs=20 were experimental and the doctors were all surprised that she died = within two=20 weeks of using them but she was just as dead as if it had been = intentional. She=20 was 40 and left behind two young pre-teens. With the advent of the new=20 socialized medicine or OPRCare (Obama-
Pelosi-Reid Care) things will = only be=20 worse not better. Additionally our beloved Congress is trying to sneak a = bill=20 into the Bank Finance Consumers Protection Bill or whatever they are now = calling=20 it that will give the FDA the power to take over the supplement = industry, throw=20 thousands out of work, and keep us from being able to stay healthy on = our own by=20 buying the things that will keep us out of hospitals and away from = doctors. In=20 this book or my previous one I mentioned how a doctor killed my = grandmother with=20 a misdiagnosis and how my mom was taken to the hospital twice over the = years in=20 different cities and both times due to accident or error in the hospital = ended=20 up in Intensive Care. There are some good doctors but you had better = learn how=20 to stay out of hospitals if you want to live beyond the coming financial = crisis.=20 And some wonder why 15,000 Americans a month leave the country?

= 19

J.J. 6-04-2010 @ 11:55AM

Are there different ways to be dead, indicating less and more = intention?=20
Remind me NOT to buy your book. You sound like a doom-an-gloom=20 hate-mongering conservative who's none-to-credible anyway.

= =

<= SPAN=20 class=3Drownum>20

jeb 6-04-2010 @ 11:06AM

as soon as we have the government sponsered Obamma-care EVERY month = will be=20 the most deadly...Honestly name one thing the government has ever done = that=20 works properly and/or saves money??? c'mon ONE thing...betcha = can't!!!!!!!!!

= =

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url(http://www.blogsmithmedia.com/www.aolhealth.com/media/button_sprite.g= if) no-repeat 17px -445px; HEIGHT: 21px; COLOR: #fff; MARGIN-LEFT: -5px; = TOP: -18px; FONT-WEIGHT: bold; PADDING-TOP: 8px; LEFT: 16px } #content P.page-nav A.previous-page { POSITION: relative !important; LEFT: -12px !important } #content P.page-nav A.next-page { FLOAT: right; MARGIN-RIGHT: -5px; TEXT-DECORATION: none } #content P.page-nav A.previous-page { FLOAT: left; TEXT-DECORATION: none } .medrect { PADDING-BOTTOM: 17px; PADDING-LEFT: 0px; PADDING-RIGHT: 8px; = PADDING-TOP: 7px } #col-2 #advertisement { TEXT-ALIGN: left; MARGIN-TOP: 2px; COLOR: #555555; FONT-SIZE: 10px } #subcontent H3 { ZOOM: 100%; FONT-FAMILY: georgia; MARGIN-BOTTOM: 10px; FONT-WEIGHT: = normal } #subcontent H3 SPAN { PADDING-BOTTOM: 3px; PADDING-LEFT: 10px; PADDING-RIGHT: 10px; DISPLAY: = block; PADDING-TOP: 3px } #populararticles { MARGIN: 0px 0.6em } .featuredgalleries { MARGIN: 0px 10px } #subcontent .skyscraper { BORDER-BOTTOM: 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TEXT-DECORATION: none } #sidebar UL LI A.selectNav { BACKGROUND-COLOR: #e3f8fd; TEXT-DECORATION: none } .chModule { TEXT-ALIGN: center; MARGIN-TOP: 15px } .chModule H3 { LINE-HEIGHT: 1.1em; TEXT-TRANSFORM: uppercase; MARGIN-BOTTOM: 7px; = COLOR: #f28435; FONT-WEIGHT: bold } .chModule IMG { BORDER-BOTTOM: #bbe9e6 1px solid; BORDER-LEFT: #bbe9e6 1px solid; = MARGIN-BOTTOM: 0.3em; BORDER-TOP: #bbe9e6 1px solid; BORDER-RIGHT: = #bbe9e6 1px solid } .chModule A { MARGIN: 0px; COLOR: #6ac2df; FONT-SIZE: 1.3em; TEXT-DECORATION: none } .chModule A:hover { BACKGROUND-COLOR: #bbe9e6 } .chModule P { TEXT-ALIGN: center; MARGIN-TOP: 0px; COLOR: #7f6154 } .cmt_reply A:hover { COLOR: #fff; TEXT-DECORATION: none } .topMod H2 { PADDING-BOTTOM: 15px; PADDING-LEFT: 10px; PADDING-RIGHT: 10px; = FONT-FAMILY: georgia,times new roman,serif; COLOR: #5f3827; FONT-SIZE: = 1.83em; FONT-WEIGHT: normal; PADDING-TOP: 11px } .topMod H2 A { COLOR: #5f3827; TEXT-DECORATION: none } .topMod H1 A { COLOR: #5f3827; TEXT-DECORATION: none } .topMod H1 A { FONT-FAMILY: helvetica; COLOR: #555555; MARGIN-LEFT: 35px; FONT-SIZE: = 24px; TEXT-DECORATION: none } #content .searchresults H1 { PADDING-BOTTOM: 0px; MARGIN: 1em 0px 0px; PADDING-LEFT: 0px; = PADDING-RIGHT: 0px; FONT-FAMILY: Arial,Verdana,sans-serif; BACKGROUND: = none transparent scroll repeat 0% 0%; LETTER-SPACING: normal; COLOR: = #5f3827; FONT-SIZE: 1.5em; PADDING-TOP: 0px } #content H1.posttitle { PADDING-BOTTOM: 0px; LINE-HEIGHT: 1.1em; MARGIN: 0px 2px 0.2em; = PADDING-LEFT: 0px; PADDING-RIGHT: 0px; FONT-FAMILY: arial; BACKGROUND: = none transparent scroll repeat 0% 0%; LETTER-SPACING: -1px; COLOR: = #000000; CLEAR: right; FONT-SIZE: 19px; FONT-WEIGHT: normal; = PADDING-TOP: 0.3em } #content H1 A { FONT-FAMILY: Georgia; COLOR: #ea7114 } .post#bloggerBio { BORDER-BOTTOM: #f9d368 1px dashed; PADDING-BOTTOM: 0px; MARGIN: 0px = 17px 0px 0px; PADDING-LEFT: 0px; PADDING-RIGHT: 0px; BACKGROUND: none = transparent scroll repeat 0% 0%; PADDING-TOP: 5px } .post#bloggerBio H3.bloggername { MARGIN: 0px 0px 5px; FONT-FAMILY: georgia; COLOR: #5f3827; FONT-SIZE: = 1.83em } .formlabel { PADDING-TOP: 5px } .form#AuthorName { BORDER-BOTTOM: #dfdfdf 1px solid; BORDER-LEFT: #dfdfdf 1px solid; = PADDING-BOTTOM: 3px; PADDING-LEFT: 3px; PADDING-RIGHT: 3px; = MARGIN-BOTTOM: 7px; BORDER-TOP: #dfdfdf 1px solid; BORDER-RIGHT: #dfdfdf = 1px solid; PADDING-TOP: 3px } .form#AuthorEmail { BORDER-BOTTOM: #dfdfdf 1px solid; BORDER-LEFT: #dfdfdf 1px solid; = PADDING-BOTTOM: 3px; PADDING-LEFT: 3px; PADDING-RIGHT: 3px; = MARGIN-BOTTOM: 7px; BORDER-TOP: #dfdfdf 1px solid; BORDER-RIGHT: #dfdfdf = 1px solid; PADDING-TOP: 3px } .form#ForwardEmail { BORDER-BOTTOM: #dfdfdf 1px solid; BORDER-LEFT: #dfdfdf 1px solid; = PADDING-BOTTOM: 3px; PADDING-LEFT: 3px; PADDING-RIGHT: 3px; = MARGIN-BOTTOM: 7px; BORDER-TOP: #dfdfdf 1px solid; BORDER-RIGHT: #dfdfdf = 1px solid; PADDING-TOP: 3px } #familyHealthFeature { BORDER-BOTTOM: #cccccc 1px solid; BORDER-LEFT: #cccccc 1px solid; = MARGIN: 8px 0px; BORDER-TOP: #cccccc 1px solid; BORDER-RIGHT: #cccccc = 1px solid } #familyHealthFeature H3 { BORDER-BOTTOM: #cccccc 1px solid; PADDING-BOTTOM: 3px; MARGIN: 0px 12px = 13px 10px; PADDING-LEFT: 0px; PADDING-RIGHT: 0px; FONT-FAMILY: georgia; = FONT-WEIGHT: normal; PADDING-TOP: 3px } #familyHealthFeature .featuredgalleries { MARGIN: 0px 10px } #familyHealthFeature .familyGallery { MARGIN-BOTTOM: 30px; CLEAR: both } #familyHealthFeature .familyGallery .photo { POSITION: relative; MARGIN: 0px 3px 0px 0px; FLOAT: left } #familyHealthFeature .familyGallery .photo A { WIDTH: 105px; DISPLAY: block } #familyHealthFeature .familyGallery .photo A IMG { WIDTH: 96px; HEIGHT: 72px } #familyHealthFeature photo IMG { PADDING-RIGHT: 14px; CLEAR: both } #familyHealthFeature .familyGallery P { MARGIN-BOTTOM: 12px } #col-2 #family-health-news { BORDER-BOTTOM: #ccc 1px solid; BORDER-LEFT: #ccc 1px solid; = PADDING-BOTTOM: 0px; MARGIN: 8px 0px; PADDING-LEFT: 10px; PADDING-RIGHT: = 10px; BORDER-TOP: #ccc 1px solid; BORDER-RIGHT: #ccc 1px solid; = PADDING-TOP: 0px } .crossPromoContent { LINE-HEIGHT: normal } #subHubFeature { PADDING-BOTTOM: 4px; PADDING-LEFT: 15px; PADDING-RIGHT: 15px; HEIGHT: = 175px; PADDING-TOP: 10px } #subHubFeature .subHubImage { FLOAT: left; MARGIN-RIGHT: 10px } #subHubFeature .subHubContent { MARGIN-LEFT: 250px } #subHubFeature .subHubContent .subHubTitle { LINE-HEIGHT: 1em; FONT-FAMILY: helvetica; COLOR: #000000; FONT-SIZE: = 20px } #subHubFeature .subHubContent .subHubLink { MARGIN-TOP: 4px; DISPLAY: block } #recentFeature .item .img SPAN { TEXT-ALIGN: right; LINE-HEIGHT: normal; DISPLAY: block; FONT-FAMILY: = arial; COLOR: #b1b1b1; FONT-SIZE: 9px; TEXT-DECORATION: none !important } #subHubFeature .subHubImage SPAN { TEXT-ALIGN: right; LINE-HEIGHT: normal; DISPLAY: block; FONT-FAMILY: = arial; COLOR: #b1b1b1; FONT-SIZE: 9px; TEXT-DECORATION: none !important } #centerWideOptProgMod #optionalProgrammingModule = .optionalProgrammingModuleImg SPAN { TEXT-ALIGN: right; LINE-HEIGHT: normal; DISPLAY: block; FONT-FAMILY: = arial; COLOR: #b1b1b1; FONT-SIZE: 9px; TEXT-DECORATION: none !important } #centerOptProgMod #optionalProgrammingModule = .optionalProgrammingModuleImg SPAN { TEXT-ALIGN: right; LINE-HEIGHT: normal; DISPLAY: block; FONT-FAMILY: = arial; COLOR: #b1b1b1; FONT-SIZE: 9px; TEXT-DECORATION: none !important } #rightRailCrossPromo .rightRailCrossPromoImg SPAN { TEXT-ALIGN: right; LINE-HEIGHT: normal; DISPLAY: block; FONT-FAMILY: = arial; COLOR: #b1b1b1; FONT-SIZE: 9px; TEXT-DECORATION: none !important } #subCategory .subCategoryImg SPAN { TEXT-ALIGN: right; LINE-HEIGHT: normal; DISPLAY: block; FONT-FAMILY: = arial; COLOR: #b1b1b1; FONT-SIZE: 9px; TEXT-DECORATION: none !important } #categoryFeatures .categoryFeature .categoryFeatureImg SPAN { TEXT-ALIGN: right; LINE-HEIGHT: normal; DISPLAY: block; FONT-FAMILY: = arial; COLOR: #b1b1b1; FONT-SIZE: 9px; TEXT-DECORATION: none !important } #recentFeature .item .img SPAN { POSITION: relative; PADDING-BOTTOM: 0px; MARGIN-TOP: -3px; = PADDING-LEFT: 0px; PADDING-RIGHT: 0px; PADDING-TOP: 0px } #centerWideOptProgMod #optionalProgrammingModule .clear { HEIGHT: 0px } #centerOptProgMod #optionalProgrammingModule .clear { HEIGHT: 0px } #categoryTools .categoryTool .clear { HEIGHT: 0px } #centerWideOptProgMod #optionalProgrammingModule .clear { _line-height: 0 } #categoryTools .categoryTool .clear { LINE-HEIGHT: 0 } #centerOptProgMod { ZOOM: 100% } .subHubImage IMG { BORDER-BOTTOM: #46c6c5 3px solid; BORDER-LEFT: #46c6c5 3px solid; = WIDTH: 240px; HEIGHT: 160px; BORDER-TOP: #46c6c5 3px solid; = BORDER-RIGHT: #46c6c5 3px solid } .crossPromoContent { LINE-HEIGHT: normal; COLOR: #555555 } #pollModule { BORDER-BOTTOM: #ccc 1px solid; BORDER-LEFT: #ccc 1px solid; = PADDING-BOTTOM: 10px; PADDING-LEFT: 10px; WIDTH: 46%; PADDING-RIGHT: = 10px; MARGIN-BOTTOM: 8px; BORDER-TOP: #ccc 1px solid; BORDER-RIGHT: #ccc = 1px solid; PADDING-TOP: 10px } #croosPromo { BORDER-BOTTOM: #ccc 1px solid; BORDER-LEFT: #ccc 1px solid; = PADDING-BOTTOM: 10px; PADDING-LEFT: 10px; WIDTH: 46%; PADDING-RIGHT: = 10px; MARGIN-BOTTOM: 8px; BORDER-TOP: #ccc 1px solid; BORDER-RIGHT: #ccc = 1px solid; PADDING-TOP: 10px } #croosPromo { FLOAT: right } #pollModule { FLOAT: left; HEIGHT: 155px } #croosPromo .croosPromoTitle { BORDER-BOTTOM: #ccc 2px solid; MARGIN-BOTTOM: 10px; FONT-SIZE: 18px } #croosPromo .crossPromoImage { FLOAT: left } #croosPromo .crossPromoContent { MARGIN-LEFT: 88px } #croosPromo .crossPromoLinks UL { MARGIN: 0px } #croosPromo .crossPromoLinks UL LI { PADDING-BOTTOM: 2px; PADDING-LEFT: 0px; PADDING-RIGHT: 0px; = PADDING-TOP: 2px } .quigoMod { MARGIN: 10px 0px 0px 3px; CLEAR: both } .errorPagRecentFeature { PADDING-BOTTOM: 13px !important } #subCategoryList { MARGIN-TOP: 1px } #subCategoryList #subCategoryListLeft { MARGIN-RIGHT: 8px } #subCategoryList #subCategory { PADDING-BOTTOM: 10px; PADDING-LEFT: 10px; PADDING-RIGHT: 10px; = PADDING-TOP: 10px } #categoryFeatures { PADDING-BOTTOM: 10px; PADDING-LEFT: 10px; PADDING-RIGHT: 10px; = PADDING-TOP: 10px } #categoryTools { PADDING-BOTTOM: 10px; PADDING-LEFT: 10px; PADDING-RIGHT: 10px; = PADDING-TOP: 10px } #categoryNewsList { PADDING-BOTTOM: 10px; PADDING-LEFT: 10px; PADDING-RIGHT: 10px; = PADDING-TOP: 10px } #rightRailCrossPromo { PADDING-BOTTOM: 10px; PADDING-LEFT: 10px; PADDING-RIGHT: 10px; = PADDING-TOP: 10px } #optionalProgrammingModule { PADDING-BOTTOM: 10px; PADDING-LEFT: 10px; PADDING-RIGHT: 10px; = PADDING-TOP: 10px } .subCategoryCenterRail #categoryFeatures { _position: relative; _top: -10px } #categoryFeatures { PADDING-BOTTOM: 0px; PADDING-LEFT: 0px; PADDING-RIGHT: 20px; = PADDING-TOP: 19px } #categoryTools { PADDING-BOTTOM: 36px; PADDING-LEFT: 0px; PADDING-RIGHT: 0px; COLOR: = #555555; PADDING-TOP: 23px } #categoryNewsList { PADDING-BOTTOM: 2px; PADDING-LEFT: 14px; PADDING-RIGHT: 10px; = PADDING-TOP: 18px } #optionalProgrammingModule { PADDING-BOTTOM: 8px; PADDING-LEFT: 13px; PADDING-RIGHT: 10px; = PADDING-TOP: 15px } #subCategoryList { WIDTH: 645px; MARGIN-BOTTOM: 10px; PADDING-TOP: 15px } #subCategoryList #subCategory { PADDING-BOTTOM: 2px; MARGIN: 3px 6px 7px 0px; PADDING-LEFT: 0px; WIDTH: = 47%; PADDING-RIGHT: 5px; FLOAT: left; PADDING-TOP: 5px } #categoryFeatures .categoryFeature .categoryFeatureImg IMG { DISPLAY: block } #centerWideOptProgMod #optionalProgrammingModule = .optionalProgrammingModuleImg IMG { BORDER-BOTTOM: #d9ecf1 1px solid; BORDER-LEFT: #d9ecf1 1px solid; = PADDING-BOTTOM: 3px; MARGIN: 0px; PADDING-LEFT: 3px; PADDING-RIGHT: 3px; = BORDER-TOP: #d9ecf1 1px solid; BORDER-RIGHT: #d9ecf1 1px solid; = PADDING-TOP: 3px } #centerOptProgMod #optionalProgrammingModule = .optionalProgrammingModuleImg IMG { BORDER-BOTTOM: #d9ecf1 1px solid; BORDER-LEFT: #d9ecf1 1px solid; = PADDING-BOTTOM: 3px; MARGIN: 0px; PADDING-LEFT: 3px; PADDING-RIGHT: 3px; = BORDER-TOP: #d9ecf1 1px solid; BORDER-RIGHT: #d9ecf1 1px solid; = PADDING-TOP: 3px } #rightRailCrossPromo .rightRailCrossPromoImg IMG { BORDER-BOTTOM: #d9ecf1 1px solid; BORDER-LEFT: #d9ecf1 1px solid; = PADDING-BOTTOM: 3px; MARGIN: 0px; PADDING-LEFT: 3px; PADDING-RIGHT: 3px; = BORDER-TOP: #d9ecf1 1px solid; BORDER-RIGHT: #d9ecf1 1px solid; = PADDING-TOP: 3px } #subCategory .subCategoryImg IMG { BORDER-BOTTOM: #d9ecf1 1px solid; BORDER-LEFT: #d9ecf1 1px solid; = PADDING-BOTTOM: 3px; MARGIN: 0px; PADDING-LEFT: 3px; PADDING-RIGHT: 3px; = BORDER-TOP: #d9ecf1 1px solid; BORDER-RIGHT: #d9ecf1 1px solid; = PADDING-TOP: 3px } #categoryFeatures .categoryFeature .categoryFeatureImg IMG { BORDER-BOTTOM: #d9ecf1 1px solid; BORDER-LEFT: #d9ecf1 1px solid; = PADDING-BOTTOM: 3px; MARGIN: 0px; PADDING-LEFT: 3px; PADDING-RIGHT: 3px; = BORDER-TOP: #d9ecf1 1px solid; BORDER-RIGHT: #d9ecf1 1px solid; = PADDING-TOP: 3px } #categoryTools .categoryTool IMG { BORDER-BOTTOM: #d9ecf1 1px solid; BORDER-LEFT: #d9ecf1 1px solid; = PADDING-BOTTOM: 3px; MARGIN: 0px; PADDING-LEFT: 3px; PADDING-RIGHT: 3px; = BORDER-TOP: #d9ecf1 1px solid; BORDER-RIGHT: #d9ecf1 1px solid; = PADDING-TOP: 3px } #centerWideOptProgMod #optionalProgrammingModule = .optionalProgrammingModuleImg { FLOAT: left; MARGIN-RIGHT: 8px } #centerOptProgMod #optionalProgrammingModule = .optionalProgrammingModuleImg { FLOAT: left; MARGIN-RIGHT: 8px } #rightRailCrossPromo .rightRailCrossPromoImg { FLOAT: left; MARGIN-RIGHT: 8px } #subCategory .subCategoryImg { FLOAT: left; MARGIN-RIGHT: 8px } #categoryFeatures .categoryFeature .categoryFeatureImg { FLOAT: left; MARGIN-RIGHT: 8px } #categoryTools .categoryTool IMG { FLOAT: left; MARGIN-RIGHT: 8px } #categoryTools .categoryTool IMG { PADDING-BOTTOM: 2px; PADDING-LEFT: 2px; PADDING-RIGHT: 2px; = PADDING-TOP: 2px } #categoryNewsList .moreNews { TEXT-ALIGN: right; MARGIN-TOP: 5px; DISPLAY: block; FONT-WEIGHT: bold } #subCategory .subCategoryContent .subCategoryText { PADDING-BOTTOM: 3px; LINE-HEIGHT: 1.3em; COLOR: #555555 } #subCategory .subCategoryImg { MARGIN-TOP: 0px !important; MARGIN-LEFT: 1px !important; MARGIN-RIGHT: = 8px !important } #col-2 .healthyLivingTools { PADDING-TOP: 16px } #categoryFeatures { MARGIN: 0px 1px; ZOOM: 100%; CLEAR: both } .subCategoryCenterRail #categoryFeatures { PADDING-BOTTOM: 19px; MARGIN: 0px; PADDING-LEFT: 20px; PADDING-RIGHT: = 20px; TOP: 0px; PADDING-TOP: 19px; _margin-top: 10px } #categoryFeatures .categoryFeature { MARGIN-BOTTOM: 12px } #categoryTools .categoryTool { MARGIN-BOTTOM: 12px } #categoryNewsList .categoryNews { MARGIN-BOTTOM: 12px } #categoryFeatures .categoryFeature { PADDING-TOP: 15px } #optionalProgrammingModule .optionalProgrammingModuleContent = .optionalProgrammingModuleText { LINE-HEIGHT: normal; MARGIN-BOTTOM: 3px; COLOR: #555555 } #rightRailCrossPromo .rightRailCrossPromoContent = .rightRailCrossPromoText { LINE-HEIGHT: normal; MARGIN-BOTTOM: 3px; COLOR: #555555 } #categoryFeatures .categoryFeature .categoryFeatureContent = .categoryFeatureTtitle { POSITION: relative; LINE-HEIGHT: 24px; FONT-FAMILY: helvetica; COLOR: = #000000; FONT-SIZE: 20px; TOP: 3px } #categoryFeatures .categoryFeatureCreated { MARGIN-TOP: 3px } #categoryFeatures .categoryFeature .categoryFeatureContent = .categoryFeatureText { LINE-HEIGHT: 1.3em; MARGIN-TOP: 6px; COLOR: #555555; MARGIN-LEFT: 112px } .post .filed-under { DISPLAY: none } .subCategoryCenterRail .byline { =09 } .postbody .vdo_player { MARGIN: 0px 0px 0px 38px } #dietAtoZ .header H3 { PADDING-BOTTOM: 0px; MARGIN: 0px 0px 3px 9px; PADDING-LEFT: 0px; = PADDING-RIGHT: 0px; PADDING-TOP: 5px } #dietAtoZ .bodyDiet .bdyAtoZCon UL { LINE-HEIGHT: 1.8em; LIST-STYLE-TYPE: none; MARGIN: 0px 5px 0px 0px; = PADDING-LEFT: 40px; WIDTH: 12em; FLOAT: left } #dietAtoZ .bodyDiet .bdyAtoZCon { PADDING-BOTTOM: 24px; MARGIN: 0px 18px 15px; PADDING-LEFT: 0px; = PADDING-RIGHT: 0px; ZOOM: 100%; BACKGROUND: #fff; OVERFLOW: auto; = PADDING-TOP: 10px } #fitnessAtoZ .header H3 { PADDING-BOTTOM: 0px; MARGIN: 0px 0px 3px 9px; PADDING-LEFT: 0px; = PADDING-RIGHT: 0px; PADDING-TOP: 5px } #fitnessAtoZ .bodyDiet .bdyAtoZCon UL { LINE-HEIGHT: 1.8em; LIST-STYLE-TYPE: none; MARGIN: 0px 5px 0px 0px; = PADDING-LEFT: 40px; WIDTH: 12em; FLOAT: left } #fitnessAtoZ .bodyDiet .bdyAtoZCon { PADDING-BOTTOM: 24px; MARGIN: 0px 18px 15px; PADDING-LEFT: 0px; = PADDING-RIGHT: 0px; ZOOM: 100%; BACKGROUND: #fff; OVERFLOW: auto; = PADDING-TOP: 10px } #leftRail { WIDTH: 152px; FLOAT: left; MARGIN-RIGHT: 8px; _width: 142px; = _margin-right: 0px } #leftRail .subCategoryListLeftNav { PADDING-BOTTOM: 2px; PADDING-LEFT: 5px; PADDING-RIGHT: 5px; = PADDING-TOP: 2px } #subsubCategoryListLeftNav { PADDING-BOTTOM: 2px; PADDING-LEFT: 5px; PADDING-RIGHT: 5px; = PADDING-TOP: 2px } #relatedArticlesListLeftNav { PADDING-BOTTOM: 2px; PADDING-LEFT: 5px; PADDING-RIGHT: 5px; = PADDING-TOP: 2px } #leftRail .subCategoryListLeftNav { PADDING-BOTTOM: 40px } #leftRail UL LI A { BORDER-BOTTOM: #dfdfdf 1px solid; PADDING-BOTTOM: 5px; PADDING-LEFT: = 4px; PADDING-RIGHT: 0px; ZOOM: 100%; DISPLAY: block; FONT: 400 1em = Arial; PADDING-TOP: 5px; font-size-adjust: none; font-stretch: normal } #leftRail UL LI A:hover { BACKGROUND: = url(http://www.blogsmithmedia.com/www.aolhealth.com/media/icon_sprite.gif= ) #76b6d2 no-repeat -26px -1991px; COLOR: #fff; TEXT-DECORATION: none } #subsubCategoryListLeftNav UL LI A:hover { BACKGROUND: = url(http://www.blogsmithmedia.com/www.aolhealth.com/media/icon_sprite.gif= ) #76b6d2 no-repeat -26px -1991px; COLOR: #fff; TEXT-DECORATION: none } #leftRail UL LI.selected A { BACKGROUND: none transparent scroll repeat 0% 0%; COLOR: #555 = !important; FONT-WEIGHT: bold !important } #leftRail UL LI.select { COLOR: #fff; FONT-WEIGHT: bold } .titleCat { BORDER-BOTTOM: #dfdfdf 1px solid } .subCategoryListLeftNav A { PADDING-LEFT: 0px; FONT-SIZE: 18px } #subsubCategoryListLeftNav .subcategoryName { BORDER-BOTTOM: #dfdfdf 1px solid; PADDING-BOTTOM: 6px; LINE-HEIGHT: = 1em; PADDING-LEFT: 0px; PADDING-RIGHT: 0px; FONT-FAMILY: helvetica; = COLOR: #555; MARGIN-LEFT: 2px; FONT-SIZE: 18px; PADDING-TOP: 0px } #relatedArticlesListLeftNav .relatedArticleTitle { BORDER-BOTTOM: #dfdfdf 1px solid; PADDING-BOTTOM: 6px; LINE-HEIGHT: = 1em; PADDING-LEFT: 0px; PADDING-RIGHT: 0px; FONT-FAMILY: helvetica; = COLOR: #555; MARGIN-LEFT: 2px; FONT-SIZE: 18px; PADDING-TOP: 0px } .smallLeftOptProModule { WIDTH: 43.9%; FLOAT: left } .smallRightOptProModule { WIDTH: 43.9%; FLOAT: left } .smallLeftOptProModule .optionalProgrammingModuleHeading { LINE-HEIGHT: normal } .smallRightOptProModule .optionalProgrammingModuleHeading { LINE-HEIGHT: normal } .smallLeftOptProModule { MARGIN-RIGHT: 8px } .smallLeftOptProModule UL.lined { _float: right } .bigOptProModule { CLEAR: both } .bigOptProModule .optionalProgrammingModuleContent { MIN-HEIGHT: 78px } #subsubCategoryListLeftNav UL { MARGIN-TOP: 7px; MARGIN-LEFT: -1px; _margin-left: -2px } #relatedArticlesListLeftNav UL { MARGIN-TOP: 7px } #rightRailCrossPromo P { POSITION: relative; LINE-HEIGHT: normal; ZOOM: 100%; MARGIN-BOTTOM: = 4px; TOP: 3px } #loginStatus { MARGIN-TOP: -20px; FLOAT: right; COLOR: #000; MARGIN-RIGHT: 10px } #loginStatus A:link { COLOR: #2864b4; CURSOR: pointer; FONT-WEIGHT: bold } #loginStatus A:visited { COLOR: #2864b4; CURSOR: pointer; FONT-WEIGHT: bold } #loginStatus A:hover { COLOR: #2864b4; CURSOR: pointer; FONT-WEIGHT: bold } #loginStatus A:active { COLOR: #2864b4; CURSOR: pointer; FONT-WEIGHT: bold } #loginStatus #loginLink { COLOR: #2864b4; CURSOR: pointer; FONT-WEIGHT: bold } #loginStatus #logoutLink { COLOR: #2864b4; CURSOR: pointer; FONT-WEIGHT: bold } #loginStatus A:hover { CURSOR: pointer; TEXT-DECORATION: underline } #loginStatus #loginLink:hover { CURSOR: pointer; TEXT-DECORATION: underline } #loginStatus #logoutLink:hover { CURSOR: pointer; TEXT-DECORATION: underline } #userName { COLOR: #000; FONT-SIZE: 1em; FONT-WEIGHT: bold } #openAuthIframe { Z-INDEX: 999999999; BORDER-BOTTOM: #ccc 1px solid; POSITION: absolute; = TEXT-ALIGN: left; BORDER-LEFT: #ccc 1px solid; BACKGROUND-COLOR: #fff; = WIDTH: 47em; DISPLAY: none; HEIGHT: 31em; CLEAR: left; BORDER-TOP: #ccc = 1px solid; BORDER-RIGHT: #ccc 1px solid; LEFT: 427px } #openAuth #openAuthIframe IFRAME { BORDER-BOTTOM-STYLE: none; BORDER-RIGHT-STYLE: none; BACKGROUND-COLOR: = #fff; WIDTH: 100%; BORDER-TOP-STYLE: none; HEIGHT: 28em; = BORDER-LEFT-STYLE: none } #logoutLink { BORDER-LEFT: #999999 1px solid; PADDING-LEFT: 10px; MARGIN-LEFT: 10px } .posttags { BORDER-BOTTOM: #e0f5f3 1px solid; POSITION: relative; PADDING-BOTTOM: = 15px; MARGIN: 10px 0px 0px; COLOR: #969696; CLEAR: both; TOP: -12px; = PADDING-TOP: 30px; _padding-top: 10px } #closeMe { Z-INDEX: 5; TEXT-ALIGN: right; PADDING-BOTTOM: 0px; BACKGROUND-COLOR: = #fff; MARGIN: 0px auto; PADDING-LEFT: 0px; PADDING-RIGHT: 0px; = PADDING-TOP: 0.5em } #closeMe A { BORDER-BOTTOM-STYLE: none; LINE-HEIGHT: 1.2em; BORDER-RIGHT-STYLE: = none; BORDER-TOP-STYLE: none; BORDER-LEFT-STYLE: none; MARGIN-RIGHT: 5px } #closeMe IMG { 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