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Childhood cancer survivors often forgo screening
Health Day via Modern Medicine    Share   Share on
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Many childhood cancer survivors who are at high risk of second malignancies are not undergoing recommended screening procedures, according to a study in the Annals of Internal Medicine. Paul Craig Nathan, M.D., of the Hospital for Sick Children in Toronto, and colleagues conducted a retrospective cohort study of 4,329 male and 4,018 female survivors of childhood cancer using results of a questionnaire assessing screening and surveillance for new cancers. The purpose of the study was to determine the level of adherence to recommended cancer screening guidelines for survivors at average and high risk for a second malignancy. More

Regimens show promise for neuroblastoma
MedPage Today    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Children with intermediate-risk neuroblastoma had a three-year overall survival of 96 percent when treated with a reduced-duration chemotherapy regimen, data from a multicenter clinical trial showed. Tumors with favorable biologic features were associated with a three-year survival of 98 percent, compared with 93 percent for tumors with unfavorable biology. Treatment was associated with a low risk of serious adverse events, as reported in the New England Journal of Medicine. More

No single standard for faces pain scales for children
Health Day via Modern Medicine    Share    Share on FacebookTwitterShare on LinkedinE-mail article
There is no single faces pain scale for use in children that is superior to the others in all respects, according to an article published in Pediatrics. Deborah Tomlinson, R.N., of the Hospital for Sick Children in Toronto, and colleagues searched the medical literature for studies using faces pain scales for children's self-assessment of pain. The reviewers identified 14 faces pain scales, focusing on four with the most psychometric testing: Faces Pain Scale, Faces Pain Scale-Revised, Oucher pain scale, and Wong-Baker Faces Pain Rating Scale. More

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US Report : Doctor shortage looming? Use nurses.
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Nurses can handle much of the strain that health care reform will place on doctors and should be given both the education and the authority to take on more medical duties, the U.S. Institute of Medicine said. A report from the institute calls for an overhaul in the responsibility and training of nurses and says doing so is key to improving the fragmented and expensive U.S. health care system — President Barack Obama's signature political initiative. "We are re-creating nursing in America," Dr. Risa Lavizzo-Mourey, president and CEO of the nonprofit Robert Wood Johnson Foundation, said at a news conference. More

Biomarkers could predict cancer's sensitivity to radiation
DOTmed News    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Mayo Clinic scientists say they've found biomarkers that could predict how well patients will respond to radiation therapy. In a study published in Genome Research, the scientists say they've identified five genes possibly linked to the sensitivity of cancer cells to radiation. The finding could help tailor therapies to be more effective, the researchers said. Radiation therapy is used to blast cancer in nearly half of all cancer cases. However, some patients' cancers respond more readily to the treatment than others. Radiation dose, volume and fraction influence the responsiveness of the cancer, but likely so do genes. Nearly 80 percent of the variation of the between-individual response of normal tissue to radiation could be due to genetic factors, the researchers said. More

When cancer makes eating a chore, recipe books can help
USA Today    Share    Share on FacebookTwitterShare on LinkedinE-mail
Doctors often instruct cancer patients to eat well to keep up their strength. But for cancer patients, getting through a simple meal can be a challenge. Radiation treatments can burn the throat, making it painful to swallow. Chemotherapy can cause patients to develop mouth sores or leave people nauseated. Other patients find that chemo takes away their sense of smell or alters their sense of taste. Two books from the American Cancer Society aim to help both patients and their caregivers overcome these hurdles. The Complete Guide to Nutrition for Cancer Survivors, explains how good nutrition can help boost the immune system and fight fatigue. More

American Association for Cancer Research: All cancer therapies may impair memory
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About 14 percent of individuals who had undergone therapy for a variety of cancer diagnoses complained of post-therapy memory loss compared with 8 percent of individuals who had not received cancer treatments, according to Pascal Jean-Pierre, PhD, of the University of Miami. "Chemobrain is sort of a misnomer, because we observed this memory-loss phenomenon among people who have undergone chemotherapy, radiation therapy or hormonal therapy for treatment of various types of cancer," Jean-Pierre said. More

American Academy of Pediatrics issues age-based recommendations for iron intake
HemOnc Today    Share    Share on FacebookTwitterShare on LinkedinE-mail
Screening for iron deficiency and tailoring iron supplementation to a child's age may preclude this health problem in children, according to guidelines published online and presented here at the 2010 American Academy of Pediatrics National Conference and Exhibition. "Iron deficiency remains common in the United States," said Frank Greer, M.D., former chair of the American Academy of Pediatrics Committee on Nutrition and co-author of the guidelines. "Now we know more about the long-term irreversible effects it can have on children's cognitive and behavioral development. It is critical to children's health that we improve their iron status starting in infancy." Current protocol recommends that children have their hemoglobin levels checked at 9 and 12 months of age and again at 15 to 18 months of age. The test, however, fails to identify iron deficiency or iron-deficiency anemia in a number of children. More

Health reform implementation has important implications
for individual states

Pediatric SuperSite    Share    Share on FacebookTwitterShare on LinkedinE-mail article
Implementation of the Affordable Care Act will substantially affect state governments, and clinicians should be prepared to advocate change and educate the public about health reform, said a speaker at the 2010 American Academy of Pediatrics National Conference and Exhibition. The goal for the Affordable Care Act is full implementation during the next 10 years, according to Molly Droge, M.D., chair of the American Academy of Pediatrics's Committee on State and Government Affairs. The Affordable Care Act also effectively expands Medicaid eligibility to all nonpregnant, non-Medicare individuals with incomes up to 133 percent of the federal poverty level. Maintenance is also important now that the law has passed because it requires states to maintain Medicaid eligibility standards for children through 2019. Any changes in eligibility or enrollment rules or procedures for either Medicaid or the Children's Health Insurance Plan (CHIP) result in a state's loss of all Medicaid dollars, Droge said. More

APHON Week in Review
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