clinicians should assess and identify patients with severe levels of the four prevalent symptoms and offer appropriate interventions. Future study is needed to investigate the factors that contribute to symptom severity and to examine the occurrence of symptom clusters that may place patients at increased risk for poorer outcomes.

The school year began with a sophomore stabbed to death near his high school. The next week, in retaliation, a second student was stabbed in that same high school's parking lot. He survived. Reflecting on the multiple incidents of violence and loss of life that ushered in the start of yet another year for her high school (urban and mostly poor), the director of guidance said:Round and round we go, getting yourself geared up to deal with this stuff. It is never easy to deal with when a student dies. You try to work with the fallout. People who knew him. As counselors, we see the compassionate side. We know how to counsel kids who have been hurt. The harder part I think is the violent side. The gang side is harder to deal with.

Assuming these provocative results regarding self-declared desire to learn about clinical trials can be confirmed by others with similar Internet-associated databases, this analysis suggests Web-based recruitment strategies may be an effective method to communicate with minority populations in the US (and, perhaps, elsewhere) with a specific interest in considering participation in cancer clinical trials.

Efforts to improve the transfer process for injured children should be guided by the experiences of and input from multidisciplinary frontline emergency providers.