African Americans experience longer delay between prostate cancer diagnosis and treatment

Public release date: 1-Apr-2013
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Contact: William Davis
william_davis@med.unc.edu
919-966-5905
University of North Carolina Health Care

African American men on average wait a week longer than their Caucasian counterparts between the initial diagnosis of prostate cancer and treatment, according to University of North Carolina researchers.

The study was published online March 28 in Cancer, the journal of the American Cancer Society, by a team led by Ronald Chen, MD, MPH, assistant professor with the UNC Lineberger Comprehensive Cancer Center. The study is the first published population-based examination of racial disparities in prostate cancer treatment delay.

Using data from Medicare patients, Dr. Chen compared the treatment of 2,506 African American and 21,454 Caucasian patients diagnosed with early prostate cancer from 2004 to 2007. The data showed that, on average, African Americans experienced a seven-day longer delay in treatment.

"These are all patients with some form of insurance, i.e. Medicare, so it is not a lack of insurance that delays the care," said Dr. Chen.

Multiple prior studies have found that the disparity in survival rates between African American and Caucasians diagnosed with prostate cancer is the highest of any malignancy with African American men being 2.4 times more likely to die from the disease. Prostate cancer is the most common cancer among all American men, with more than 240,000 diagnoses per year. It ranks as the second leading cause of cancer death among men, killing more than 28,000 annually.

The treatment delay was more pronounced among patients who were diagnosed with aggressive, "high-risk," prostate cancer, where African American patients experienced a 9-day longer delay compared to Caucasians.

"Other studies have shown that African American men are less likely to get screened, they get diagnosed with more advanced cancers, and they are less likely to get aggressive treatment when they are diagnosed. Now we have shown that African American patients also wait longer for treatment. I think all of these disparities together add up to contribute to a worse long-term survival outcomes for African American patients," said Dr. Chen.

While the data did not reveal the impact of the delay on patient's survival, Dr. Chen noted that the Institute of Medicine has identified timely delivery of care as an important indicator of the quality of that care. To determine the reasons behind the delay, further studies will need to focus on the personal and institutional factors that lead to the disparities in treatment.

"What our study does is that it identifies an area of need, an area of disparity. More studies are needed to figure out why and to find ways to address disparities in care," said Dr. Chen.

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AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.

Public release date: 1-Apr-2013
[ | E-mail | Share ]

Contact: William Davis
william_davis@med.unc.edu
919-966-5905
University of North Carolina Health Care

African American men on average wait a week longer than their Caucasian counterparts between the initial diagnosis of prostate cancer and treatment, according to University of North Carolina researchers.

The study was published online March 28 in Cancer, the journal of the American Cancer Society, by a team led by Ronald Chen, MD, MPH, assistant professor with the UNC Lineberger Comprehensive Cancer Center. The study is the first published population-based examination of racial disparities in prostate cancer treatment delay.

Using data from Medicare patients, Dr. Chen compared the treatment of 2,506 African American and 21,454 Caucasian patients diagnosed with early prostate cancer from 2004 to 2007. The data showed that, on average, African Americans experienced a seven-day longer delay in treatment.

"These are all patients with some form of insurance, i.e. Medicare, so it is not a lack of insurance that delays the care," said Dr. Chen.

Multiple prior studies have found that the disparity in survival rates between African American and Caucasians diagnosed with prostate cancer is the highest of any malignancy with African American men being 2.4 times more likely to die from the disease. Prostate cancer is the most common cancer among all American men, with more than 240,000 diagnoses per year. It ranks as the second leading cause of cancer death among men, killing more than 28,000 annually.

The treatment delay was more pronounced among patients who were diagnosed with aggressive, "high-risk," prostate cancer, where African American patients experienced a 9-day longer delay compared to Caucasians.

"Other studies have shown that African American men are less likely to get screened, they get diagnosed with more advanced cancers, and they are less likely to get aggressive treatment when they are diagnosed. Now we have shown that African American patients also wait longer for treatment. I think all of these disparities together add up to contribute to a worse long-term survival outcomes for African American patients," said Dr. Chen.

While the data did not reveal the impact of the delay on patient's survival, Dr. Chen noted that the Institute of Medicine has identified timely delivery of care as an important indicator of the quality of that care. To determine the reasons behind the delay, further studies will need to focus on the personal and institutional factors that lead to the disparities in treatment.

"What our study does is that it identifies an area of need, an area of disparity. More studies are needed to figure out why and to find ways to address disparities in care," said Dr. Chen.

###

---

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?

AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.

Source: http://www.eurekalert.org/pub_releases/2013-04/uonc-aae040113.php

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Happy Easter! Celebrities Bringing Easter Cheer (Photos)

Happy Easter! Celebrities Bringing Easter Cheer (Photos)

Happy Easter to our Stupid Celebrity readers! Let’s check out how celebrities are spending their Easter Sunday, which is sure to include church, Easter family gatherings, lots of candy, and scantily-clad Easter Bunnies! It’s Easter and celebrities have taken to Twitter to send their greetings! Alicia Keys: Happy Sunday!! Happy Easter!! Easter suits and baskets!! ...

Happy Easter! Celebrities Bringing Easter Cheer (Photos) Stupid Celebrities Gossip Stupid Celebrities Gossip News

Source: http://stupidcelebrities.net/2013/03/happy-easter-celebrities-bringing-easter-cheer-photos/

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Extreme algal blooms: The new normal?

Apr. 1, 2013 ? A research team, led by Carnegie's Anna Michalak, has determined that the 2011 record-breaking algal bloom in Lake Erie was triggered by long-term agricultural practices coupled with extreme precipitation, followed by weak lake circulation and warm temperatures. The team also predicts that, unless agricultural policies change, the lake will continue to experience extreme blooms.

The research is published in the online early edition of the Proceedings of the National Academy of Sciences the week of April 1, 2013.

"The perfect storm of weather events and agricultural practices that occurred in 2011 is unfortunately consistent with ongoing trends, which means that more huge algal blooms can be expected in the future unless a scientifically guided management plan is implemented for the region," remarked Michalak.

Fresh water algal blooms can result when excessive amounts of phosphorus and nitrogen are added to the water, typically as runoff from fertilized agriculture. These excess nutrients encourage unusual growth of algae and aquatic plants. When the plants and algae die, the decomposers that feed on them use up oxygen, which can drop to levels too low for aquatic life to thrive. In the beginning, the Lake Erie algae were almost entirely Microcytsis, an organism that produces a liver toxin and can cause skin irritation.

The scientists combined sampling and satellite-based observations of the lake with computer simulations. The bloom began in the western region in mid-July and covered an area of 230 square miles (600 km2). At its peak in October, the bloom had expanded to over 1930 square miles (5000 km2). Its peak intensity was over 3 times greater than any other bloom on record.

The researchers looked at numerous factors that could have contributed to the bloom including land use, agricultural practices, runoff, wind, temperature, precipitation, and circulation.

The use of three agricultural nutrient management practices in the area can lead to increased nutrient runoff: autumn fertilization, broadcast fertilization, and reduced tillage. These practices have increased in the region over the last decade.

Conditions in the fall of 2010 were ideal for harvesting and preparing the fields, increasing fertilizer application for the spring planting. A series of strong storms the following spring caused large amounts of phosphorus to run off into the lake. In May alone rainfall was over 6.5 inches (170 mm), a level more than 75% above the prior 20-year average for the month. This onslaught resulted in among the largest observed spring phosphorus loads since 1975, when intensive monitoring began.

Lake Erie was not unusually calm and warm before the bloom. But after the bloom began, warmer water and weaker currents encouraged a more productive bloom than in prior years. The longer period of weak circulation and warmer temperatures helped incubate the bloom and allowed the Microcytsis to remain near the top of the water column. That had the added effect of preventing the nutrients from being flushed out of the system.

The researchers' data did not support the idea that land-use and crop choices contributed to the increase in nutrient run-off that fueled the bloom.

To determine the likelihood of future mega-blooms, the scientists analyzed climate model simulations under both past and future climate conditions. They found that severe storms become more likely in the future, with a 50% increase in the frequency of precipitation events of.80 inch (20 mm) or more of rain. Stronger storms, with greater than 1.2 inch (30 mm) of rain, could be twice as frequent.

The authors believe that future calm conditions with weak lake circulation after bloom onset is also likely to continue since current trends show decreasing wind speeds across the U.S. This would result in longer lasting blooms and decreased mixing in the water column.

"Although future strong storms may be part of the new normal," remarked Michalak. "Better management practices could be implemented to provide some relief to the problem."

This material is based upon work supported by the National Science Foundation Water Sustainability and Climate program under Grant No. 1039043, Extreme events impacts on water quality in the Great Lakes: Prediction and management of nutrient loading in a changing climate, see: http://www.miseagrant.umich.edu/nsfclimate. Additional support for some of the co-authors was provided by NSF grant 0927643, the NOAA Center for Sponsored Coastal Ocean Research grant NA07OAR432000, and Lake Erie Protection Fund #SG 406-2011.

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Story Source:

The above story is reprinted from materials provided by Carnegie Institution.

Note: Materials may be edited for content and length. For further information, please contact the source cited above.

---

Journal Reference:

1. Anna M. Michalak, Eric J. Anderson, Dmitry Beletsky, Steven Boland, Nathan S. Bosch, Thomas B. Bridgeman, Justin D. Chaffin, Kyunghwa Cho, Rem Confesor, Irem Dalo?lu, Joseph V. DePinto, Mary Anne Evans, Gary L. Fahnenstiel, Lingli He, Jeff C. Ho, Liza Jenkins, Thomas H. Johengen, Kevin C. Kuo, Elizabeth LaPorte, Xiaojian Liu, Michael R. McWilliams, Michael R. Moore, Derek J. Posselt, R. Peter Richards, Donald Scavia, Allison L. Steiner, Ed Verhamme, David M. Wright, and Melissa A. Zagorski. Record-setting algal bloom in Lake Erie caused by agricultural and meteorological trends consistent with expected future conditions. Proceedings of the National Academy of Sciences, 2013; DOI: 10.1073/pnas.1216006110

Note: If no author is given, the source is cited instead.

Disclaimer: Views expressed in this article do not necessarily reflect those of ScienceDaily or its staff.

Source: http://feeds.sciencedaily.com/~r/sciencedaily/top_news/top_environment/~3/ijhxPzVOmDY/130401151026.htm

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Authorities: $600M scheme incubated in NC town

LEXINGTON, N.C. (AP) ? In the hardware store on South Main Street, the owner pulled Caron Myers aside to tell her about the best thing to happen in years to this once-thriving furniture and textile town.

Did she hear about the online company ZeekRewards? For a small investment, she could make a fortune. He had invested. So had his grandsons. And so were more and more people in Lexington, including doctors, lawyers and accountants.

Skeptical at first, Myers drove a few blocks to the company's one-story, red-brick office and spotted a line of people circling the building. She was sold, and plunked down several thousand dollars. But months later, Myers, like hundreds of thousands of others, discovered the truth: ZeekRewards was a scam.

"I was duped," Meyer said. "We trusted this man. The community is still in shock."

Authorities say owner Paul Burks was the mastermind of a $600 million Ponzi scheme ? one of the biggest in U.S. history ? that attracted 1 million investors, including nearly 50,000 in North Carolina. Many were recruited by friends and family in Lexington, a quintessential small town where neighbors look out for each other.

But what investors didn't know was that regulators had received nearly a dozen complaints about ZeekRewards and the related site Zeekler.com, but failed to take action for months, leaving the company free to recruit tens of thousands of new victims.

The Securities and Exchange Commission, which closed the operation Aug. 17, said Burks was selling securities without a license. The Ponzi scheme was using money from new investors to pay the earlier ones.

Burks has agreed to pay a $4 million penalty and cooperate with a federal court-appointed receiver trying to recover hundreds of millions of dollars.

Investigators say Burks, a former nursing home magician, siphoned millions for his personal use. But he has not been charged.

In his first public comments, Burks told The Associated Press he couldn't discuss details because of lawsuits by victims trying to recoup money.

"Everything will come out in time," said Burks, 66, standing in the doorway of his home.

Asked if he had anything to say to victims, he shook his head.

"I never told anyone to invest more money than they could afford," Burks snapped. "I didn't tell them to do that. Never."

He said if they lost money, "it's their fault. Not mine. Don't blame me."

But Cal Cunningham, a former prosecutor representing investors in a lawsuit, slammed Burks ? and regulators for taking so long to act.

"It's why we need a full hearing on what happened in a court of law ? whether that be our civil case or a criminal proceeding. A lot of people were hurt," he said.

____

Burks started Zeekler in early 2010 as an online penny auction site. His business experience included nearly four decades in multilevel marketing programs ? such as Amway ? including failed attempts to launch similar businesses of his own.

In penny auctions, consumers compete to pay pennies on the dollar for name brand products such as iPads. Each bid costs as much as $1, so participating can become expensive and the sites can earn nice profits when multiple users bid against each other.

In January 2011, he incorporated aspects of multilevel marketing into the business when he launched ZeekRewards. The program offered a share of the penny auction's profits to people who invested money, promoted the company on other websites and recruited other participants. Under a complicated formula, investors were issued "profit points" that grew every day.

Investments were capped at $10,000, but people could invest on behalf of their spouses, children or other relatives. Some mortgaged homes to raise their investment.

At first, ZeekRewards complied when investors sought to cash out. And that became the best ad of all: happy investors with their checks in Facebook photos.

People who didn't trust the mail traveled long distances to drop off checks at the cramped office building where security guards allowed only seven inside at a time. Employees collected money and wrote out receipts at the office cluttered with dozens of plastic mail bins stuffed with check-filled envelopes. To withdraw money, investors filed an online request ? or called ? and then had to wait for a check.

By the end of 2011, it seemed like everybody in Lexington was talking about ZeekRewards. Many saw it as a way to make extra cash to pay bills or help family.

"No one was in it to get rich," said Mary Bell, a 75-year-old seamstress from Lexington who scraped together money to invest.

Sarah Chavez wanted extra money for her daughter's frequent hospital visits for leukemia. Her husband worked in a factory, and they invested $7,000.

"It's hard to believe in something like that. But everyone told us it was a sure thing," she said.

Burks mostly kept to himself, and few locals knew anything about the quiet, balding man with thick glasses.

In the 1980s and early 1990s, the Shreveport, La., native toured nursing homes in the South as a magician with country singer David Houston. Burks moved to Lexington in the early 1990s because his wife was from the area.

In 2000, Burks ran for the state House as a Libertarian, but he collected only 330 votes.

Then he became a local celebrity.

Most afternoons, he ate lunch at the same downtown restaurant with an entourage of managers. Conference calls with investors were posted on YouTube. He produced glossy brochures touting the company.

"In addition to the mind-blowing savings, you can create more wealth than you have ever thought possible with ZeekRewards' geometrically progressive matric compensation plan," the brochure said.

Burks also hired some of the industry's top attorneys and analysts to promote his company.

The publicity paid off. When the Association of Network Marketing Professionals held its annual convention in March 2012, it called ZeekRewards the model of legal compliance.

___

But behind the scenes, there were troubling signs, according to documents, company emails and consumer complaints reviewed by the AP.

In early June, the state of Montana gave ZeekRewards the boot. Montana requires multilevel marketing companies to register. But ZeekRewards didn't submit any paperwork ? even after warnings, said Luke Hamilton, a spokesman for the attorney general's office.

"We started getting a lot of complaints," he said.

In August, a North Carolina employees' credit union warned customers not to invest in ZeekRewards because it was a "fraudulent company."

But regulators received complaints long before then.

In a Nov. 23, 2011, complaint filed with the North Carolina Attorney General's office, Wayne Tidderington of Florida called ZeekRewards an "illegal" Ponzi scheme. He said a relative had invested $8,000 and the company guaranteed a return of 125 percent every 90 days.

The attorney general's office can ask a judge to shut down a business because of deceptive trade practices. But it forwarded Tidderington's complaint to the secretary of state's office because it looked like it might involve securities. The secretary of state's office, however, declined to take action because it didn't believe it had the jurisdiction, spokeswoman Liz Proctor said.

The complaint died.

"I put it all together," Tidderington told the AP. "I gave them the roadmap. I said, 'Here's a snake. Here's the gun. Here's the bullets. Shoot the snake.' But they ignored me."

Over the next seven months, the attorney general's office received nearly a dozen more complaints.

But it wasn't until July 6 that it issued an order giving Burks until the end of the month to turn over all Zeek-related documents. He missed that deadline.

Kevin Anderson, senior deputy attorney general for consumer protection, insisted his agency correctly handled the case, saying his office receives thousands of complaints a year.

"We have to have more concrete evidence than a couple of consumer complaints before we go to court," he said.

The SEC received similar complaints during the same period, but the agency didn't begin its investigation until the summer.

SEC spokeswoman Christine D'Amico declined to comment on the investigation, except to say the agency took action "as soon as we believed we had sufficient evidence to obtain an emergency court order to halt the fraud."

___

Months later, people in Lexington are wondering what's next.

Kenneth Bell, the court-appointed receiver, said ZeekRewards may have taken in $800 million. So far, he's recovered $312 million. Hundreds of millions were paid out to investors. Just how much is missing? He doesn't know.

Myers said the community is still recovering ? but the wounds are deep. People are wondering why investigators didn't act more quickly and why no one, including Burks, has been charged.

"There are thousands and thousands of victims who might not have lost a penny had the government intervened more quickly," she said.

Source: http://news.yahoo.com/authorities-600m-scheme-incubated-nc-town-135809168.html

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MIDEAST STOCKS - Factors to watch - Mar 31

DUBAI, March 31 (Reuters) - Here are factors that may affect

Middle East stock markets on Sunday. Reuters has not verified

the press reports and does not vouch for their accuracy.

INTERNATIONAL/REGIONAL

* GLOBAL MARKETS-Record Wall Street boosts sentiment, US

holds key in Q2

* Oil settles higher, U.S. crude up 5.9 percent in Q1

* MIDEAST STOCKS-Saudi shares slip

* MIDEAST DEBT-Gulf's Islamic banks pressed to diversify

money market deals

* Gold falls, down for quarter as safe-haven bid fades

* First commercial flight between Egypt and Iran for 34

years

* Palestinians, Israeli Arabs mark "Land Day" with muted

protests

* Palestinian journalist gets jail term for Abbas insult

* Jordan's king swears in new reformist government

* Iran criticises Qatar for giving embassy to Syrian

opposition

* Mortar strike kills 15 in Damascus University-state media

SAUDI ARABIA

* Saudi Arabia to allow women's sports clubs - paper

* Saudi Arabia may try to end anonymity for Twitter users -

paper

EGYPT

* Prosecutor general orders arrest of well-known satirist

* Egypt blames power cuts on funding squeeze

* Cairo airport to partly close in summer to save power

* Egypt to get help from US, European wheat exporters -

minister

* White House condemns assaults on women at Egyptian

demonstrations

* Suez Canal revenue drops 7.4 pct in Feb vs Jan

* Egypt's Islamic authority asserts role, clashes with

Brotherhood

* Egypt calls in favours as credit crunch hits key imports

* Yields on Egypt T-bills climb at Thursday's auction

UNITED ARAB EMIRATES

* UAE c.bank agrees to soften plans for mortgage caps -

sources

* UAE's Al Dahra to invest $400 mln in Serbian agriculture

* Exxon in talks to sell 5 pct of Iraq field to Mubadala

fund

* Kuwait PM says two Kuwaitis among 94 accused in UAE plot

trial

QATAR

* Qatar economy grew 6.2 percent in 2012, 6.6 pct in last

quarter

* Qatari investors to buy 100 pct of Printemps

* Qatar's QInvest plans range of Islamic funds on new

platform

BAHRAIN

* Bahrain-based bank buys stake in Leeds United

KUWAIT

* Kuwaiti telco Wataniya appoints new CEO

(Compiled by Dubai newsroom)

Source: http://news.yahoo.com/mideast-stocks-factors-watch-mar-31-041432110--sector.html

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Iraqi Catholics celebrate Easter

A worshipper reaches to touch a crucifix during Easter mass at Virgin Mary Chaldean Church in Baghdad, Iraq, Sunday, March 31, 2013. The Chaldean Church is an Eastern Rite church affiliated with the Roman Catholic Church. (AP Photo/ Khalid Mohammed)

A worshipper reaches to touch a crucifix during Easter mass at Virgin Mary Chaldean Church in Baghdad, Iraq, Sunday, March 31, 2013. The Chaldean Church is an Eastern Rite church affiliated with the Roman Catholic Church. (AP Photo/ Khalid Mohammed)

A policeman searches a man outside the Virgin Mary Chaldean Church before Easter mass at Virgin Mary Chaldean Church in Baghdad, Iraq, Sunday, March 31, 2013. The Chaldean Church is an Eastern Rite church affiliated with the Roman Catholic Church. (AP Photo/ Khalid Mohammed)

Iraqi Christians light candles before Easter mass at Virgin Mary Chaldean Church in Baghdad, Iraq, Sunday, March 31, 2013. The Chaldean Church is an Eastern Rite church affiliated with the Roman Catholic Church. (AP Photo/ Khalid Mohammed)

BAGHDAD (AP) ? Iraq's Catholic Christians flocked to churches to celebrate Easter Sunday, praying, singing and rejoicing in the resurrection of Christ behind high blast walls and tight security cordons.

It was the first Easter since the election of Pope Francis in Rome, and worshipers said they hoped their new spiritual leader would help strengthen their tiny community that has shrunk under the joint pressures of militant attacks and economic hardships.

At the St. Joseph Chaldean Church in Baghdad, some 200 worshipers stood and sat during parts of the Easter mass led by Father Saad Sirop.

"We pray for love and peace to spread through the world," said worshiper Fatin Yousef, 49. Like most worshippers she arrived have dressed immaculately for mass, her hair tumbling in salon-created curls, wearing a tidy black skirt, low-heeled pumps and a striped shirt. "We hope Pope Francis will help make it better for Christians in Iraq."

There are an estimated 400,000 to 600,000 Christians in Iraq, with most belonging to ancient eastern churches. There has been no census in Iraq for 16 years, making precise figures difficult to obtain.

An estimated two-thirds of Iraq's Christians are Catholics of the Chaldean church and the smaller Assyrian Catholic church. Worshipers of both churches chant in versions of ancient Aramaic, the language that Jesus spoke, although the dialects would be mutually unintelligible.

Since the 2003 U.S.-led invasion, Iraqi Christians have suffered repeated attacks by Islamic militants. Hundreds of thousands have left the country, with church officials estimating their communities have at least halved. The worst attack was at Baghdad's soaring Our Lady of Salvation church in October 2010. It killed more than 50 worshipers and wounded scores more.

More broadly, decades of immigration have shrunken the size of Christian communities throughout the Middle East, with most leaving for better opportunities and to join families abroad.

Other Christians in the region no longer feel comfortable among majority-Muslim communities that many believe have become more outwardly pious and politically Islamist over the decades.

They included Iraqi Christian worshiper Yousef's son, who moved to live with relatives in Arizona last year. Yousef said she was arranging for her other daughter and son to immigrate.

"There's still fear here, and there's no stability in this country," she said.

Iraqi officials have made efforts to secure churches since the violence of 2010.

High blast walls topped with netting and barbed wire surrounded the St. Joseph Church in Baghdad in the middle-class district of Karradeh. Blue-khaki clad Iraqi police guarded roads surrounding the church and checked papers of passers-by as worshipers filtered inside.

Four Iraqi Christian volunteers, two men and two women, stood at the church entrance to double-check who was coming in.

White-robed church volunteers marched down the church aisle behind Father Sirop, who chanted and waved thickly-scented incense that wafted through the building. The white-painted interior was adorned with three ornate chandeliers and a series of simple paintings illustrating the life of Christ.

Worshipers stood for lengthy passages of Sirop's mass, at one point bursting into applause when he told them, "Celebrate! You are Christians!"

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/cae69a7523db45408eeb2b3a98c0c9c5/Article_2013-03-31-ML-Iraq-Easter/id-26178f2e7087429fb1cd764c38259387

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CBS halts replays of basketball player's injury

NEW YORK (AP) ? After two initial replays, CBS stopped showing footage Sunday of Louisville basketball player Kevin Ware breaking his leg during the first half of his team's NCAA men's tournament game against Duke.

The injury during the nationally televised game, and the shocked reaction of Ware's fellow players, called to mind the gruesome broken leg suffered by Washington Redskins quarterback Joe Theismann in a Monday Night football game in 1985. During Sunday's game, Theismann tweeted his best wishes to Ware.

Ware had leaped to try and block a shot by Duke's Tyler Thornton. His leg landed awkwardly, buckled and flopped as he fell to the ground. The first hint that the injury was out of the ordinary came from Thornton, who put his hands to his face and had an anguished look as he ran back on defense.

CBS commentator Clark Kellogg described the injury was "gruesome."

"If you can bear to watch it, take a look but it's a gruesome-looking injury," Kellogg said.

CBS showed the replay twice in slow motion, although not with a close-up of Ware landing. The network also never showed a close-up of the injury.

CBS then concentrated on reaction shots. Three of Ware's teammates were on the ground near the basket. Wayne Blackshear cried, Chane Behanan knelt on his hands and knees and Peyton Silva sat, a hand covering his mouth.

The network aired a close-up of medical officials working on Ware, showing the player only from the face up.

CBS Sports Chairman Sean McManus said that because of the graphic nature of the injury, the network decided not to show it after the original replays. People could quickly find replays on YouTube, anyway.

"We did not zoom in on the injury when he was taken off," McManus said. "We did not try to highlight it. I think we did the right thing."

At halftime, Greg Gumbel noted that CBS would not show the injury. Its highlight package again focused on the reactions, including Louisville coach Rick Pitino wiping away tears. Pitino answered questions from CBS during the game about Ware, noting the injured player was exhorting his teammates to win the regional final. A Louisville spokesman said Ware was "resting comfortably" at Indianapolis' Methodist Hospital.

As is often the case, the coverage quickly became a hot topic on Twitter. Sports writer Jason Whitlock tweeted that "CBS handled this curveball (Ware injury) masterfully."

The network's decision to stop showing the replay only goes so far. Right after the game ended, the CBS affiliate in Phoenix aired the footage of Ware being injured in a local sports report.

Coverage of the injury represented the second difficult call of the day for CBS. Earlier, the network cut away from the dramatic conclusion of the Sony Open men's final, switching to the tipoff of the NCAA tournament game between Michigan and Florida. The network did alert viewers that if the third set between Andy Murray and David Ferrer went to a tiebreaker, it would switch coverage of the Tennis Channel.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/4e67281c3f754d0696fbfdee0f3f1469/Article_2013-03-31-US-CBS-Basketball-Injury-Coverage/id-01fd67905b56406faa643c8887a13996

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