Worshippers in safety hats attend Notre-Dame's first mass since fire

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PARIS (Reuters) - A small congregation in white hard hats attended mass at Notre-Dame Cathedral in Paris on Saturday, the first service since fire devastated the Gothic landmark two months ago.

The Archbishop of Paris Michel Aupetit leads the first mass in a side chapel two months to the day after a devastating fire engulfed the Notre-Dame de Paris cathedral, in Paris, France June 15, 2019. Karine Perret/Pool via REUTERS

Church leaders are keen to show life goes on at the cathedral as donations for rebuilding trickle in.

Less than 10% of the 850 million euros ($953 million) pledged by billionaires, business leaders and others has been received so far, the French government said.

The mass, which commemorates the cathedral’s consecration as a place of worship, was held in a side-chapel left undamaged by the April 15 fire, with attendance limited to about 30 people wearing protective headgear.

Priests in ceremonial garb of white robes and yellow stoles briefly parted with their hard hats during the communion.

“It is with much emotion that we are here to celebrate the consecration of the cathedral,” said Paris’s archbishop Michel Aupetit, who led the service.

“It is a message of hope and thanks to all those who were moved by what happened to this cathedral,” he added, acknowledging afterwards it was “a bit strange” to celebrate mass with a helmet.

The service was broadcast live on a religious TV channel that showed poignant images of the blue sky through the collapsed roof and the black rubble still clogging the building.

On Friday, France’s Culture Minister Franck Riester said the cathedral was still in a fragile state, especially the vault.

The blaze caused the roof and spire of the architectural masterpiece to collapse, triggering worldwide sadness.

Among those who promised to donate to the rebuilding effort were luxury goods tycoons Bernard Arnault and François-Henri Pinault.

“There could be people who promised to donate then in the end did not,” Riester told France 2 television, without giving further details. “But more importantly, and this is normal, the donations will be paid as restoration work progresses.”

President Emmanuel Macron has set a target of five years for restoring the cathedral, though Riester was more cautious.

“The president was right to give a target, an ambition,” he said. “But obviously what matters in the end is the quality of the work. So it does not mean that work will be totally finished in exactly five years.”

($1 = 0.8923 euros)

Editing by Helen Popper and Mike Harrison

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One trapped miner in Chile rescued, one dead, one remains missing

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SANTIAGO (Reuters) - Chilean authorities found alive one of three Bolivian miners trapped beneath the rubble at a small copper mine early on Saturday, while another was found dead, Chile´s mining ministry said.

Authorities have yet to locate the third miner. The three men had gone missing late Thursday after a small landslide blocked the entrance to the mine, trapping the miners nearly 70 meters (230 feet) beneath the surface.

“Our rescue teams found one of the miners in good physical condition, and he has been transferred to the hospital,” mining minister Baldo Prokurica said in a statement on Saturday. “We will continue to look for the third person that has not been found.”

The mining ministry said authorities had worked for nearly 40 hours at the Directorio 8 mine near Tocopilla on the northern Chilean coast before locating two of the three men.

Chile is the world’s top copper producer, and mining accidents, while uncommon, are closely followed by the Chilean public and politicians.

In 2010, a mining accident in Copiapo, northern Chile, led to 33 miners being trapped underground for nearly 10 weeks before being rescued, an event that made world headlines.

Reporting by Dave Sherwood, Editing by Franklin Paul

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Worshippers in hard hats to attend Notre-Dame's first mass since fire

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PARIS (Reuters) - A small congregation wearing hard hats will attend mass at Notre-Dame Cathedral in Paris on Saturday, the first service to be held since fire devastated the Gothic landmark two months ago.

FILE PHOTO: A picture shows bells gathered during preliminary work at the Notre-Dame Cathedral one month after it sustained major fire damage in Paris, France May 15, 2019. Philippe Lopez/Pool via REUTERS

Church leaders are keen to show life goes on at the cathedral as donations to help rebuild it trickle in. Less than 10% of the 850 million euros pledged by billionaires, business leaders and others has been received so far, the French government said.

Saturday’s mass, which commemorates the cathedral’s consecration as a place of worship, is due to be held at 1600 GMT in a side-chapel, with attendance limited to about 30 people who will wear the protective headgear for safety reasons.

“It is a nice symbol. A very small group of people will attend and one can understand why as there are still major safety issues,” Culture Minister Franck Riester told Europe 1 radio.

He told France 2 television on Friday the cathedral was still “in a fragile state, namely the vault, which has not yet been secured. It can still collapse”.

The April 15 blaze caused the roof and spire of the architectural masterpiece to collapse, triggering a worldwide outpouring of sadness as well as the multi-million-euro pledges for reconstruction work.

Among the high-profile people who promised to donate to the rebuilding effort were luxury goods tycoons Bernard Arnault and François-Henri Pinault.

“There could be people who promised to donate then in the end did not,” Riester said, without giving further details. “But more importantly, and this is normal, the donations will be paid as restoration work progresses.”

French President Emmanuel Macron has set a target of five years for restoring the cathedral, though Riester was more cautious.

“The president was right to give a target, an ambition. But obviously what matters in the end is the quality of the work,” he said. “So it does not mean that work will be totally finished in exactly five years.”

The archbishop of Paris, Michel Aupetit will lead Saturday’s service, which will be broadcast live on a religious TV channel.

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Grueling Himalayan effort to retrieve bodies of avalanche-hit climbers

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MUMBAI (Reuters) - Two weeks after an avalanche swept up and probably killed a group of climbers in the Himalayas, Indian authorities mounted efforts to pluck their bodies from an exposed mountain face, braving harsh weather and treacherous terrain.

FILE PHOTO: Snow-covered Nanda Devi mountain is seen from Auli town, in the northern Himalayan state of Uttarakhand, India February 25, 2014. Picture taken February 25, 2014. REUTERS/Stringer

The peaks in the 2,400-km (1,500-mile) -long range are among some of the world’s tallest and most dangerous, drawing thousands of adventurers who risk their lives scaling them each year.

This year alone, more than two dozen climbers have been killed on peaks in India, Nepal and Pakistan.

“It could be very frightening up there and it’s definitely going to snow,” said Purmal Dharmshaktu, 61, who has climbed Himalayan peaks for 35 years.

“It’s summer and the crevasses would have widened. This is an incredibly tough task.”

The retrieval could take days, if not weeks, said officials who have been forced to abort aerial recovery bids because of the rugged terrain.

(Graphic link: tmsnrt.rs/2X594cE)

The Indian air force, border police and state and national disaster officials have been drafted into the recovery plans. A team of 32 launched a fresh ground and aerial effort on Tuesday that is expected to run 25 days.

“It is difficult for a helicopter to hover for long in that area,” said Vijay Kumar Jogdande, a government official in India’s northern state of Uttarakhand, adding that a three-sided bowl-shaped geographic configuration complicated the task.

The eight feared killed in the avalanche had targeted Nanda Devi East, a sister mountain of the Nanda Devi peak that is 7,816 m (25,643 ft) tall. Both rank among the world’s most challenging peaks, conquered by only a handful of people.

In an effort to acclimatize before that bid, however, the group, led by expert Martin Moran, set out to scale an unclimbed 6,477-m (21,250-ft) -high peak, said deputy leader Mark Thomas.

Thomas, and three others on the expedition, survived because they did not attempt that climb.

Moran and his companions did not return to their base camp on May 29 as planned, with five bodies being spotted by a helicopter on June 3, at a height of about 5,000 m (16,404 ft).

Climbing regulator the Indian Mountaineering Foundation (IMF) is sending a separate expedition of 12 on Wednesday. It will take an alternate route to reach the bodies by June 19, IMF spokesman Amit Chowdhury told Reuters.

The eight missing climbers have been identified as Moran, John Mclaren, Rupert Whewell and Richard Payne, all from Great Britain; Anthony Sudekum and Ronald Beimel from the United States; Ruth McCance from Australia; and Chetan Pandey, an Indian, who was the IMF’s liaison officer.

Reporting by Sankalp Phartiyal; Editing by Euan Rocha and Clarence Fernandez

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Pharmacies may not stock naloxone, despite statewide orders

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(Reuters Health) - More than three years after Pennsylvania issued a statewide order expanding access to the life-saving opioid antidote naloxone, the product was still hard to purchase in Philadelphia pharmacies, researchers found.

In 2017, two-thirds of pharmacies in Philadelphia either did not stock naloxone, or they still insisted on a physician’s prescription, which the law said was no longer required.

In the wake of the opioid addiction crisis that has claimed thousands of lives, many U.S. states have passed laws like Pennsylvania’s, which allow the drug to be dispensed without a prescription and mandate that every drugstore carry it.

Laws that let pharmacists sell naloxone without prescription have been associated with a nearly 30% drop in the number of opioid overdose deaths, a separate team of researchers reported last month. (reut.rs/2WM3qMa)

Yet this study is not the first to find that drugstores are slow to comply. Research has shown that most pharmacies in California and Texas, for example, do not carry the drug or make it readily available.

The new results add to the growing body of evidence that these laws are not being enforced, experts said.

“While policy can be put in place, it’s not sufficient and has to be followed up with education, and reinforcement at the county and pharmacy level, and not just assume that the policy itself will ensure access to anyone who needs it,” Dr. Michael Lynch, a toxicologist and emergency medicine physician who was not involved in the study, told Reuters Health.

For the current study, Dima Qato of the University of Illinois, Chicago and colleagues contacted 418 drugstores in Philadelphia between February and August 2017 and found that only about 34% had naloxone in stock - and 38.5% of those drugstores required a physician’s prescription to dispense the drug.

People living in communities with elevated rates of opioid overdose deaths were the least likely to have access to naloxone without a prescription and had to pay more to buy the drug, the researchers wrote in JAMA Network Open.

“Areas that need this policy enforced the most are areas that lack it and that’s a concern,” Qato told Reuters Health by phone.

An overdose of opioids like morphine or heroin slows breathing, reducing the supply of oxygen to the body. Naloxone helps reverse the effects of an overdose and saves lives.

Lynch, who is also the medical director of the Pittsburgh Poison Center at the University of Pittsburgh Medical Center, notes that the high importance of naloxone may not necessarily translate to high demand.

“If patients or individuals are not coming in and asking for it, pharmacies, especially a local independent pharmacy with pretty narrow margins, may not continue to stock a medication that isn’t being dispensed,” he added.

However, Mel Brodsky, executive director of PARD, an association of community pharmacies in Philadelphia, disputes the study’s findings.

“It is from 2 years ago - a lot has changed. Philadelphia mandates that every pharmacy have 2 doses of naloxone in stock. As I travel to my stores, I see 95% having naloxone in stock,” he told Reuters Health by email.

Dr. Michael Fingerhood, of Johns Hopkins Bayview Medical Center in Baltimore, Maryland, told Reuters Health that the low numbers in the study may be partly due to a shortage of naloxone in 2017.

“I would do a similar study now, (when) we don’t have a shortage of naloxone, and see if there has been any difference, two years later,” he said.

SOURCE: bit.ly/2IEd5LZ JAMA Network Open, online June 7, 2019

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'Flying objects' damaged Japanese tanker in Gulf of Oman: shipping company president

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A picture of the Kokuka Courageous, one of two that were hit in suspected attacks in the Gulf of Oman, is displayed during a news conference by the ship owner Kokuka Sangyo Ltd. at the company office in Tokyo, Japan June 13, 2019, in in this photo released by Kyodo. Mandatory credit Kyodo/via REUTERS

TOKYO (Reuters) - Two “flying objects” damaged a Japanese tanker in a suspected attack on Thursday in the Gulf of Oman, but there was no damage to the cargo of methanol, the president of the shipping company said on Friday.

The Kokuka Courageous was sailing toward the port of Khor Fakkan in the United Arab Emirates after the crew, which had evacuated after the incident, returned, President Yutaka Katada of Kokuka Sangyo told a press conference. It was being escorted by the U.S. Navy, he said.

“The crew told us something came flying at the ship, and they found a hole,” Katada said. “Then some crew witnessed the second shot.”

Katada said there was no possibility that the ship, carrying 25,000 tons of methanol, was hit by a torpedo.

The crew saw an Iranian military ship in the vicinity on Thursday night Japan time, Katada said.

The United States blamed Iran for attacking the Kokuka Courageous and another tanker, the Norwegian-owned Front Altair, on Thursday, but Tehran denied the allegations.

Japanese Industry Minister Hiroshige Seko said on Friday that the incidents will be discussed at a meeting of G20 energy and environment ministers this weekend.

Seko declined to comment on American officials blaming Iran, saying Japan is still investigating the incident, which occurred while Japanese Prime Minister Shinzo Abe was in Tehran trying to help ease rising tensions between the United States and Iran.

Reporting by Junko Fujita; writing by Malcolm Foster; editing by Richard Pullin

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Tanker attack to be discussed at G20 ministerial meeting: Japan industry minister

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TOKYO (Reuters) - Japan’s industry minister, Hiroshige Seko, said on Friday an attack on two tankers in the Gulf of Oman this week will be discussed at a meeting of G20 energy and environment ministers this weekend.

FILE PHOTO - Japan's Minister of Economy, Trade and Industry Hiroshige Seko leaves the European Commission headquarters after a meeting on steel overcapacity, in Brussels, Belgium March 10, 2018. REUTERS/Francois Walschaerts

The ministerial meeting of the Group of 20 major economies will be held in Karuizawa, northwest of Tokyo, in the run up to the G20 summit to be held in Osaka, western Japan, on June 28-29.

Two tankers, one operated by a Japanese shipping company, were attacked in the Gulf on Thursday. The United States blamed Iran for the attacks, raising concerns about a new U.S.-Iranian confrontation and driving up oil prices. Tehran denied involvement.

“Maintaining energy security is something we can share with other ministers and is an important policy issue to be discussed at the G20 energy ministerial meeting,” Seko said at a regular press conference.

“The Middle East is a key area for global energy security. We want to talk with other ministers about our concerns about global security and threats,” he said.

Seko declined to comment when asked about whether Japan would send its armed forces to the Gulf to protect tankers.

He also declined to comment on remarks by U.S. officials blaming Iran for the attacks, saying Japan was still investigating details of the incident.

The attacks happened while Japanese Prime Minister Shinzo Abe was in Tehran trying to help ease rising tensions between the United States and Iran.

Seko said Abe told Iranian leaders that Japan wanted to maintain economic cooperation with Iran, including buying crude oil when international circumstances allowed. Japan stopped purchases earlier this year after the reimposition of U.S. sanctions on Tehran.

Seko said the attack would not affect Japan’s energy supplies.

The other ship that was attacked was an oil tanker chartered by Taiwan’s state oil refiner, CPC Corp, to carry fuel from the Middle East.

GRAPHIC: Attacks in Gulf of Oman IMG - tmsnrt.rs/2X8ePpU

Reporting by Yuka Obayashi; writing by Aaron Sheldrick; editing by Richard Pullin

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China flood death toll hits 61, 350,000 evacuated: ministry

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SHANGHAI (Reuters) - As many as 61 people have been killed and 356,000 evacuated from their homes as heavy rain and floods swept through large parts of southern and central China this week, Chinese rescue authorities said.

In a notice published late on Thursday, China’s Ministry of Emergency Management said 9,300 homes have collapsed and 3.71 million hectares of farmland damaged during the floods, with direct economic losses now estimated at 13.35 billion yuan ($1.93 billion).

It said more than 4,300 people had been rescued from floodwaters, which have affected regions stretching from Guangdong province in the southeast to southwest China’s Chongqing on the upper reaches of the Yangtze river.

During the summer, China routinely suffers from droughts in the far north and floods in the south. The emergency ministry has warned that northern regions face even lower precipitation levels this year, while heavy rains are expected to raise flood risks on the Yellow river’s upstream.

Reporting by David Stanway; Editing by Michael Perry

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Many epinephrine self-injectors still potent long after expiration date

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(Reuters Health) - EpiPens and other autoinjectors filled with epinephrine to treat severe allergic reactions may still be potent enough to work many months past their labeled expiration date, according to a new study that concludes patients might need expensive refills less often.

These autoinjectors contain a pre-set dose of epinephrine, a life-saving drug used by people at risk of experiencing anaphylaxis, a severe allergy attack. Untreated, anaphylactic shock can be fatal because blood pressure can drop suddenly and airways can narrow, making it difficult to breathe.

Patients who need these life-saving devices must carry at least one with them at all times and have access to one everywhere they go. Soaring prices and out-of-pocket costs for the autoinjectors have made it increasingly difficult for many patients to keep throwing out and replacing unused devices when they expire, researchers note in the Journal of Allergy and Clinical Immunology: In Practice.

The U.S. Food and Drug Administration (FDA) requires autoinjector expiration dates to ensure that the devices never contain less than 90% of the original dose of epinephrine, the study team notes.

For the study, researchers tested the contents of 46 different autoinjectors to see how much epinephrine remained after the expiration dates on the labels. Half of the devices were tested at least two years after their labeled expiration date. At this point, 80% of the devices still retained 90% or more epinephrine, indicating they were still effective under the FDA rules.

“If the expiration dating on these devices was changed, this means that patients would not need to replace their auto-injectors as frequently, limiting cost to them, their insurance, and the healthcare system, while still feeling secure that they have access to adequate treatment for anaphylactic reactions,” said lead study author Lynn Kassel of Drake University College of Pharmacy & Health Sciences in Des Moines, Iowa.

Devices six months past their labeled expiration date in the study still had 100% of the original epinephrine dose. One year after the labeled expiration date, devices still had 95% of the original epinephrine dose.

And all of the autoinjectors tested that were up to 30 months beyond their labeled expiration date still had 90% of the dose remaining.

The study tested far too few devices to help determine with certainty whether all epinephrine autoinjectors in the U.S. might be safely used past their expiration dates, Kassel said by email.

The authors also note that they did not test the expired injectors’ effectiveness in stopping an anaphylaxis episode.

“Until the FDA changes the expiration dating guidance for these devices, patients with anaphylactic allergies should carry auto-injectors that have not yet expired,” Kassel advised.

“The greatest risk of using an expired auto-injector is that the epinephrine is no longer potent enough to combat the anaphylactic reaction, and this could result in death or critical illness.”

Right now, the expiration date is 18 months from the time the product is manufactured, a duration that is shorter than the expiration date for most other medications, said Dr. Kao-Ping Chua of the C.S. Mott Children’s Hospital and the University of Michigan Medical School in Ann Arbor.

While the study results build on a growing body of evidence suggesting that expiration dates for epinephrine autoinjectors could be extended, in the meantime, patients should use the devices as labeled, Chua, who wasn’t involved in the study, said by email.

“I don’t think anyone should postpone refilling an epinephrine auto-injector if they can afford it,” Chua said. “In a life-or-death situation, you want to have as much certainty as possible that the rescue medication is going to work.”

SOURCE: bit.ly/2F7WrTT Journal of Allergy and Clinical Immunology: In Practice, online May 28, 2019.

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Musicians lament reported loss of recordings in decade-old Universal fire

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LOS ANGELES (Reuters) - Several big-name musicians voiced dismay on Wednesday that some of their recordings may have been among thousands of original masters that The New York Times Magazine reported were lost in the Universal Studios Hollywood backlot fire of 2008.

FILE PHOTO: A fire truck and firefighters are seen at Gate 2 of Universal Studios as smoke rises (background) from a fire that rages out of control at the backlot filled with movie sets in Universal City, California June 1, 2008. REUTERS/Fred Prouser/File Photo

The blaze, which gutted a popular “King Kong” attraction and a swath of the studio’s fabled outdoor lot, also destroyed nearly all the master recordings stored there in a Universal Music Group archive, a loss that has long gone undisclosed, the magazine reported on Tuesday.

Universal Music estimated in a confidential 2009 report that the loss encompassed about 500,000 song titles, the article said.

In a statement on Wednesday, the company called the incident “deeply unfortunate,” but said the Times story contained “numerous inaccuracies, misleading statements, contradictions and fundamental misunderstandings of the scope of the incident.”

The extent of the loss, documented in litigation and company records the article cited, was largely kept from the public eye through a concerted effort on the part of the music label, the magazine said.

Many of the artists whose own material was reported to have been destroyed expressed shock.

“Oh my Lord ... this makes me sick to my stomach,” singer-songwriter Sheryl Crow wrote on Twitter, posted with a link to the article. “And shame on those involved in the coverup.”

The rock band R.E.M said in a Twitter statement that concerned fans were making inquiries. “We are trying to get good information to find out what happened, and the effect on the band’s music, if any,” the group tweeted.

Original sound recordings of many of the greatest names in popular music since the 1940s - from Louis Armstrong and Judy Garland to Tom Petty and 50 Cent - are believed to have gone up in smoke in what the article described as “the biggest disaster in the history of the music business.”

Master recordings are typically owned and controlled by the music labels for the artists in their catalog. But they are seen as vital to musicians’ legacy as they are original, one-of-a-kind recordings considered the truest representation of sounds captured in the studio.

Masters are the source material for all reproductions, including re-releases and remixes, made for distribution, whether on digital medium or vinyl.

Universal Music Group, now owned by French media conglomerate Vivendi, said the fire “never affected the availability of the commercially released music nor impacted artists’ compensation.”

The New York Times article “ignores the tens of thousands of back catalog recordings that we have already issued in recent years, including master-quality, high-resolution, audiophile versions of many records that the story claims were ‘destroyed,’” Universal Music said.

Irving Azoff, manager for the group Steely Dan, said in a statement that the musicians had “been aware of ‘missing’ original Steely Dan tapes for a long time now.”

“We’ve never been given a plausible explanation,” Azoff said. “Maybe they burned up in the big fire. In any case, it’s certainly a lost treasure.”

Krist Novoselic, a founding member of the 1990s grunge band Nirvana, responded to a fan on Twitter asking whether the Times article meant that the masters for the group’s landmark “Nevermind” album were gone. He wrote: “I think they are gone forever.”

Reporting by Lisa Richwine and Steve Gorman in Los Angeles; Editing by Leslie Adler

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Traumatic injuries linked to later social dysfunction

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(Reuters Health) - Nearly half of trauma patients, even those without brain injuries, experience social deficits that make it harder for them to interact with friends and stay involved in the community, a recent study suggests.

Traumatic brain injuries have long been linked to an increased risk of a wide range of short-term and long-term physical and mental health problems that can dramatically reduce quality of life, researchers note in the journal Surgery. But doctors don’t yet have a clear picture of what type of social impairments may follow other types of traumatic injuries.

“Social functioning is considered a critical determinant of quality of life,” said lead study author Dr. Juan Herrera-Escobar of Brigham and Women’s Hospital and Harvard Medical School in Boston.

Broadly speaking, social function includes the ability to participate in organized and informal activities with friends, relatives, and people in the community or the workplace. Serious injuries can lead to physical and emotional issues that contribute to social deficits, and long hospital stays that keep patients away from their daily routines for weeks on end can make matters worse.

For the current study, researchers followed 805 adults hospitalized for moderate to severe traumatic injuries. During the year after the injury, 364 of them, or 45%, reported experiencing social dysfunction.

In the study, researchers assessed social function 6 months and 12 months after injuries. Each time, they asked patients how often physical or emotional challenges interfered with social activities in the previous four weeks.

Compared to patients who reported no social dysfunction, those who did tended to be younger and were more likely to be African American and have no more than a high school education. Patients with social dysfunction were also more likely to have had longer hospital stays, required mechanical ventilation in the hospital and have previous psychiatric illness.

People with a history of a major psychiatric illness, for example, were almost three times more likely to experience social dysfunction. Low education, meanwhile, more than doubled the risk of social dysfunction.

In addition, people with social dysfunction were over 16 times more likely to have post-traumatic stress disorder (PTSD) than those without social dysfunction, and about five and a half times more likely to have not returned to work after their accident.

It’s possible that people with lots of social support from family and friends or from patient support groups might have fewer challenges with social dysfunction after their injuries, Herrera-Escobar said by email.

“A strong family environment fosters resilience, which has been associated with better long-term outcomes after trauma,” Herrera-Escobar added. “We also believe that getting appropriate and timely treatments (rehabilitation, mental health services, etc.) for physical and mental health conditions can also help improve their social outcomes.”

The study lacked data on social functioning before patients’ injuries, and it’s possible that some people had impairments beforehand, the study team notes.

Even so, the results underscore the importance of considering social function in trauma care from the start instead of waiting to address this until after patients go home from the hospital, said Dr. Tim Platts-Mills, an emergency medicine researcher at the University of North Carolina at Chapel Hill who wasn’t involved in the study.

Pain management and treating people for depression, PTSD and other psychiatric issues may help minimize the social dysfunction, Platt-Mills said by email.

“The best approach is not to wait six weeks and then conclude that there is a problem,” Platt-Mills said. “A better approach is to work with the patient’s clinical team to try to address these problems early on.”

SOURCE: bit.ly/2Xb9NsA Surgery, online May 17, 2019.

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