Congress over the weekend passed and sent to President Bush a bill (HR 1245) that would authorize $16.5 million over two years to create prevention education materials for gynecologic cancers, the Detroit News reports (Kozlowski, Detroit News, 12/11). The measure would require HHS to use the funding to create public service announcements and written materials about the symptoms and early detection of gynecologic cancers. The money, which would be awarded as HHS grants, also would help to direct information -- including early warning signs and treatment options of gynecologic cancers -- to health professionals and families. About 71,000 women annually are diagnosed with gynecologic cancers, and early detection of the disease can lead to survival rates of between 80% and 90%. Survival rates for women diagnosed with late-stage cancers are about 20%. The bill, known as Johanna's Law, was passed by the House last month (Kaiser Daily Women's Health Policy Report, 11/16). The Senate on Friday approved the bill by unanimous consent, and the measure was cleared to be sent to Bush on Saturday (HR 1245 major actions, 12/12). According to the News, Bush is expected to sign the measure into law. "Knowledge is hope," Rep. Sander Levin (D-Mich.) said, adding, "Knowledge essentially is a cure. This isn't true of all malignancies." Julene Fabrizio, head of the National Ovarian Cancer Coalition, said the measure "not only will help women, it will also help physicians think a little more about (gynecological) cancers" (Detroit News, 12/11).
"Reprinted with permission from kaisernetwork. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at kaisernetwork/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork, a free service of The Henry J. Kaiser Family Foundation . © 2005 Advisory Board Company and Kaiser Family Foundation. All rights reserved
вторник, 30 августа 2011 г.
вторник, 23 августа 2011 г.
Weight Gain Throughout Adulthood Raises Risk Of Breast Cancer
A woman who puts on weight throughout her adult years has a higher risk of developing breast cancer, compared to a woman who has maintained a constant weight, according to an article published in Archives of Internal Medicine (JAMA/Archives), October 22 issue. The researchers explain that this research was carried out among women who did not take hormone therapy after the menopause.
The authors explain that it is already known that an obese woman has a higher risk of developing breast cancer after her menopause, as estrogen may accumulate in fat tissue, increasing the potential for initiating or promoting the growth of cancerous cells in the breast.
Jiyoung Ahn, Ph.D., of the National Cancer Institute, Bethesda, Md., and team looked at information from 99,039 postmenopausal women who had taken part in the National Institutes of Health-AARP Diet and Health Study. Their body measurements, weight and ages 18, 25 and 50 were reported in 1996. The women were deemed to be either underweight, normal weight or overweight according to their BMI (body mass index).
By the end of 2000, 2,111 of them had developed breast cancer. For the women who did not have menopausal hormone therapy, gaining weight was linked to a raised risk of developing breast cancer for those aged 18-35, 35-50, and 50 to their current age (all three age groups), compared to women who maintained stable weights.
The authors explained "Because weight gain during adulthood mainly reflects the deposition of fat mass rather than lean body mass, weight gain potentially represents age-related metabolic change that may be important in breast cancer development. These findings may reinforce public health recommendations for the maintenance of a healthy weight throughout adulthood as a means of breast cancer prevention."
"Adiposity, Adult Weight Change, and Postmenopausal Breast Cancer Risk"
Jiyoung Ahn, PhD; Arthur Schatzkin, MD, DrPH; James V. Lacey Jr, PhD; Demetrius Albanes, MD; Rachel Ballard-Barbash, MD; Kenneth F. Adams, PhD; Victor Kipnis, PhD; Traci Mouw, MPH; Albert R. Hollenbeck, PhD; Michael F. Leitzmann, MD, DrPH
Intern Med. 2007;167:2091-2102.
Click here to view abstract online
The authors explain that it is already known that an obese woman has a higher risk of developing breast cancer after her menopause, as estrogen may accumulate in fat tissue, increasing the potential for initiating or promoting the growth of cancerous cells in the breast.
Jiyoung Ahn, Ph.D., of the National Cancer Institute, Bethesda, Md., and team looked at information from 99,039 postmenopausal women who had taken part in the National Institutes of Health-AARP Diet and Health Study. Their body measurements, weight and ages 18, 25 and 50 were reported in 1996. The women were deemed to be either underweight, normal weight or overweight according to their BMI (body mass index).
By the end of 2000, 2,111 of them had developed breast cancer. For the women who did not have menopausal hormone therapy, gaining weight was linked to a raised risk of developing breast cancer for those aged 18-35, 35-50, and 50 to their current age (all three age groups), compared to women who maintained stable weights.
The authors explained "Because weight gain during adulthood mainly reflects the deposition of fat mass rather than lean body mass, weight gain potentially represents age-related metabolic change that may be important in breast cancer development. These findings may reinforce public health recommendations for the maintenance of a healthy weight throughout adulthood as a means of breast cancer prevention."
"Adiposity, Adult Weight Change, and Postmenopausal Breast Cancer Risk"
Jiyoung Ahn, PhD; Arthur Schatzkin, MD, DrPH; James V. Lacey Jr, PhD; Demetrius Albanes, MD; Rachel Ballard-Barbash, MD; Kenneth F. Adams, PhD; Victor Kipnis, PhD; Traci Mouw, MPH; Albert R. Hollenbeck, PhD; Michael F. Leitzmann, MD, DrPH
Intern Med. 2007;167:2091-2102.
Click here to view abstract online
вторник, 16 августа 2011 г.
United Medical Systems Partners With IceCure For Treatment Of Fibroadenoma
United Medical Systems (UMS) announces it has entered into an exclusive agreement in the United States with IceCure Medical (IceCure), an innovative provider of medical technology from Israel. The agreement provides for the mobile deployment of IceCure's medical product IceSense3 for cryoablation.
IceSense3 is approved by the Food and Drug Administration for the treatment of benign tumors in the breast (fibroadenoma). In the United States alone, approximately 500,000 of these tumors are surgically removed every year. The partnership with IceCure adds a new treatment to UMS's breast care segment. UMS plans to build up the US market for mobile services using IceSense3 in the next six to twelve months by offering onsite mobile cryoablation systems in combination with modern ultrasound technology.
UMS is an international leader in shared medical services providing mobile services to over 650 hospitals and medical centers in 32 states in addition to sites in Canada and South America. Other mobile services include extracorporeal shockwave lithotripsy, stereotactic breast biopsy and laser treatment of BPH.
Source:
United Medical Systems
IceSense3 is approved by the Food and Drug Administration for the treatment of benign tumors in the breast (fibroadenoma). In the United States alone, approximately 500,000 of these tumors are surgically removed every year. The partnership with IceCure adds a new treatment to UMS's breast care segment. UMS plans to build up the US market for mobile services using IceSense3 in the next six to twelve months by offering onsite mobile cryoablation systems in combination with modern ultrasound technology.
UMS is an international leader in shared medical services providing mobile services to over 650 hospitals and medical centers in 32 states in addition to sites in Canada and South America. Other mobile services include extracorporeal shockwave lithotripsy, stereotactic breast biopsy and laser treatment of BPH.
Source:
United Medical Systems
вторник, 9 августа 2011 г.
Nigerian Women's Ministry Develops HIV/AIDS Workplace Policy
The Nigerian Federal Ministry of Women Affairs and Social Development recently developed a policy that provides a framework for addressing HIV/AIDS in the workplace, Health Minister Hajiya Saudatu Usman Bungudu announced over the weekend, Nigeria's Daily Trust reports. She said the policy seeks to protect the rights of HIV-positive workers, as well as foster a safe and healthy work environment for employees.
According to Usman Bungudu, the policy will provide a framework for prevention, care and support for those living with the disease, adding that it will demonstrate zero tolerance of psychological abuse, stigma and discrimination of HIV-positive staff. "The issue of HIV/AIDS has been of great interest to the ministry, and we have committed so much resource into the National Response both humanly and materially," Usman Bungudu said, adding, "Since no drugs have yet been found for the cure of the virus, concerted efforts should be made by all and sundry to check the spread."
In addition, she said that employees' medical records should remain confidential. "Everybody who is in position to obtain any medical information on any individual should respect the confidentiality of such information," Usman Bungudu said. Health Ministry Permanent Secretary Yakubu Nuhu Giwa said the policy will provide information about HIV/AIDS, as well as sexual and reproductive health, to help develop an informed work force and ultimately reduce the spread of HIV.
Giwa added that HIV/AIDS "shall be treated as any other chronic illness in the workplace in terms of employee policies and benefits, including health and life insurance, disability benefits and leave of absence." He added, "Employees living with or affected by HIV infection and AIDS will be treated with compassion and understanding, as with employees with other chronic illnesses" (Shehu, Daily Trust, 12/17).
Reprinted with kind permission from kaisernetwork. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at kaisernetwork/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork, a free service of The Henry J. Kaiser Family Foundation© 2005 Advisory Board Company and Kaiser Family Foundation. All rights reserved.
According to Usman Bungudu, the policy will provide a framework for prevention, care and support for those living with the disease, adding that it will demonstrate zero tolerance of psychological abuse, stigma and discrimination of HIV-positive staff. "The issue of HIV/AIDS has been of great interest to the ministry, and we have committed so much resource into the National Response both humanly and materially," Usman Bungudu said, adding, "Since no drugs have yet been found for the cure of the virus, concerted efforts should be made by all and sundry to check the spread."
In addition, she said that employees' medical records should remain confidential. "Everybody who is in position to obtain any medical information on any individual should respect the confidentiality of such information," Usman Bungudu said. Health Ministry Permanent Secretary Yakubu Nuhu Giwa said the policy will provide information about HIV/AIDS, as well as sexual and reproductive health, to help develop an informed work force and ultimately reduce the spread of HIV.
Giwa added that HIV/AIDS "shall be treated as any other chronic illness in the workplace in terms of employee policies and benefits, including health and life insurance, disability benefits and leave of absence." He added, "Employees living with or affected by HIV infection and AIDS will be treated with compassion and understanding, as with employees with other chronic illnesses" (Shehu, Daily Trust, 12/17).
Reprinted with kind permission from kaisernetwork. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at kaisernetwork/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork, a free service of The Henry J. Kaiser Family Foundation© 2005 Advisory Board Company and Kaiser Family Foundation. All rights reserved.
вторник, 2 августа 2011 г.
Royal College Of Obstetricians And Gynaecologists Statement On PMETB's National Trainee Survey 2006, UK
The Royal College of Obstetricians and Gynaecologists (RCOG) is aware of the issues highlighted by PMETB's recent survey . Many of these issues were previously identified in the report A Career in Obstetrics and Gynaecology. Recruitment and Retention in the Specialty (RCOG, 2006).
There are specific reasons for the lack of supervision in obstetrics and gynaecology and the perceived low satisfaction rate among trainees. On the whole, these have been systematically addressed by the RCOG since the publication of the above RCOG report. For instance, the RCOG has set up a network of 170 recruitment champions around the country to ensure that trainees receive the support they require. We have also appointed a junior and senior Careers Advisor and a Recruitment Champion to ensure the momentum needed to carry forward the recommendations of the report and to improve trainees' experience of the specialty.
The bulk of the workload in obstetrics within the hospital is related to the labour ward. The 1999, we recommended 40-hour consultant presence in the labour ward to provide better supervised training and to increase patient safety in the document Towards Safer Childbirth . Only 50% of hospitals were able to fulfil this requirement when audited in 2006. The RCOG has looked at service and training issues and published The Future Role of the Consultant , where we recommended increase consultant numbers to provide better supervision and safer delivery of services.
The RCOG has also been working closely with colleagues in the Royal College of Midwives to explore multidisciplinary team working in maternity services and will publish the report The Clinical Learning Environment and Recruitment: A Report of the Joint RCM/RCOG Working Party in due course. This report will look at better collaboration between the different disciplines to ensure that trainees receive the attention they need.
The RCOG's Trainees Committee is at the moment conducting its own research into trainees' experience and attitudes in obstetrics and gynaecology across the country. This research is expected to be expansive in its data collection, and will include an examination of specific training and supervision issues.
RCOG Vice President Professor Sabaratnam Arulkumaran said "We recognise it is important that trainees have ample support and are satisfied with the supervision they receive. We are doing all we can and are currently surveying our trainees across the regions on their training experiences in order to better understand their needs."
"Better supervision of training in our acute specialty where activity takes place 24hours of the day is only possible with increased consultant presence in the labour ward. We look forward to working with the Department of Health to achieve the aim of safer childbirth."
rcog
There are specific reasons for the lack of supervision in obstetrics and gynaecology and the perceived low satisfaction rate among trainees. On the whole, these have been systematically addressed by the RCOG since the publication of the above RCOG report. For instance, the RCOG has set up a network of 170 recruitment champions around the country to ensure that trainees receive the support they require. We have also appointed a junior and senior Careers Advisor and a Recruitment Champion to ensure the momentum needed to carry forward the recommendations of the report and to improve trainees' experience of the specialty.
The bulk of the workload in obstetrics within the hospital is related to the labour ward. The 1999, we recommended 40-hour consultant presence in the labour ward to provide better supervised training and to increase patient safety in the document Towards Safer Childbirth . Only 50% of hospitals were able to fulfil this requirement when audited in 2006. The RCOG has looked at service and training issues and published The Future Role of the Consultant , where we recommended increase consultant numbers to provide better supervision and safer delivery of services.
The RCOG has also been working closely with colleagues in the Royal College of Midwives to explore multidisciplinary team working in maternity services and will publish the report The Clinical Learning Environment and Recruitment: A Report of the Joint RCM/RCOG Working Party in due course. This report will look at better collaboration between the different disciplines to ensure that trainees receive the attention they need.
The RCOG's Trainees Committee is at the moment conducting its own research into trainees' experience and attitudes in obstetrics and gynaecology across the country. This research is expected to be expansive in its data collection, and will include an examination of specific training and supervision issues.
RCOG Vice President Professor Sabaratnam Arulkumaran said "We recognise it is important that trainees have ample support and are satisfied with the supervision they receive. We are doing all we can and are currently surveying our trainees across the regions on their training experiences in order to better understand their needs."
"Better supervision of training in our acute specialty where activity takes place 24hours of the day is only possible with increased consultant presence in the labour ward. We look forward to working with the Department of Health to achieve the aim of safer childbirth."
rcog
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