Epidemiology of yoga-related injuries in Canada from 1991 to 2010: a case series study

The aim is to describe the epidemiology of yoga injuries presenting to select Canadian emergency departments (EDs). Those who presented with a yoga injury to a Canadian ED participating in the Canadian Hospitals Injury Reporting and Prevention Program and had completed a data collection form between 1991 and 2010 were included. Demographic and injury characteristics were tabulated and injury profiles of children were compared to adults. Sixty-six individuals (48 female, 18 male) who sustained 67 injuries were included. The median age was 19 (intraquartile range: 13, 32) and 73% of individuals were injured after 2005 (p = 0.0003). Sprain was the most common injury (23/67, 34%) and the most common body region injured was the lower extremity (27/67, 42%). Significantly more children were injured while being instructed than adults (p = 0.003) but more adults required treatment (p = 0.023). Although yoga-related injuries presenting to an ED are not common, the number of injuries are increasing.     

Focused training boosts revenue cycle skills, accountability

In 2009, the MetroHealth System took its first steps toward creating a comprehensive revenue cycle university, with the goal of developing revenue cycle staff talent and achieving best-in-class revenue cycle operations. MetroHealth became a beta site for HFMA's online Credentialed Revenue Cycle Representative (CRCR) program, and asked its revenue cycle leaders to present classes on key revenue cycle issues. As of June 2011, 62 percent of 122 revenue cycle employees who had taken the CRCR course passed the exam. The CRCR designation is now a prerequisite for career advancement in certain revenue cycle areas at MetroHealth.     

Notes on 'a code for fiscal stability'

This note comments on two central issues for fiscal policy designin the UK, highlighted in the recent 'Code for Fiscal Stability'proposed by the new Labour government. The first concerns themerits of the so-called 'golden rule of public sector investment'- the proposition that, over the cycle, government borrowingshould not exceed government (net) capital formation. The secondconcerns the case for attempting to construct a more comprehensivebalance sheet of public sector assets and liabilities, includingtangible public sector assets and certain contingent claims.The two main conclusions are that the golden rule is withoutmerit but that, subject to some important caveats, the constructionof a more comprehensive government balance sheet is a worthwhileenterprise.