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Alarming Rise In Deadly Skin Cancer Cases, UK
There has been an alarming rise in new cases of the deadliest form of skin cancer in the UK, with binge tanning cited as a main reason, said a
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Special Issue Of Medical Decision Making Explores Bioterrorism And Disaster Preparedness
According to a study in a special issue of Medical Decision Making, a large-scale, covert anthrax attack on a large city would overwhelm hospital res even with an extremely effective public health response, primarily because of expected delays in detecting the attack and initiating a response to it.
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Reports From The White House And Kaiser Family Foundation Address Health Care Disparities
Health and Human Services Secretary Kathleen Sebelius and White House Health Czar Nancy Ann DeParle held a discussion of minority health issues at the White House yesterday, where Sebelius "said the Obama administration is committed to addressing the "alarming disparity in the delivery of quality health care"," which she said was necessary to lower costs, the Associated Press reports. The White House also "issued a summary report on minority health care showing that African-Americans are seven times more likely as whites to have HIV/AIDS, that blacks and Hispanics have diabetes rates nearly twice as high as whites, and that black men are 50 percent more likely than whites to have prostate cancer" (Evans, 6/9).
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Convent Focuses On Different Approach To End-Of-Life Care

A focus on end-of-life care emphasizes social and spiritual elements over aggressive medical intervention. The New York Times reports on the phenomenon by examining end-of-life care at an upstate New York convent: "A convent is a world apart, unduplicable. But the Sisters of St. Joseph, a congregation in this Rochester suburb, animate many factors that studies say contribute to successful aging and a gentle death - none of which require this special setting. These include a large social network, intellectual stimulation, continued engagement in life and spiritual beliefs, as well as health care guided by the less-is-more principles of palliative and hospice care - trends that are moving from the fringes to the mainstream." The Times notes: "For the elderly and infirm Roman Catholic sisters here, all of this takes place in a Mother House designed like a secular retirement community for a congregation that is literally dying off, like so many religious orders. On average, one sister dies each month, right here, not in the hospital, because few choose aggressive medical intervention at the end of life, although they are welcome to it if they want. ... Few sisters opt for major surgery, high-tech diagnostic tests or life-sustaining machinery. And nobody can remember the last time anyone died in a hospital." The paper notes the absence of anxiety and fear among the nuns as well as less pain, depression and use of narcotics to manage symptoms. The Times also contrasts the peaceful convent experience to hospitals" intensive-care units that can be impersonal and wastefully expensive. The nuns suffer from different ailments: none have chronic obstructive pulmonary disease and few have diabetes. It notes: "Laura L. Carstensen, the director of the Center on Longevity at Stanford University, says the convent setting calms the tendency for public policy discussion about end-of-life treatment "to devolve into a debate about euthanasia or rationing health care based on age"" (Gross, 7/8). This information was reprinted from kaiserhealthnews.org with kind permission from the Henry J. Kaiser Family Foundation. You can view the entire Kaiser Daily Health Policy Report, search the archives and sign up for email delivery at kaiserhealthnews.org. © Henry J. Kaiser Family Foundation. All rights reserved.


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