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Advances In Genomic Medicine Will Mean Massive Changes For The NHS It Is Now Time To Prepare For Them - Lords Science Committee
The House of Lords Science and Technology Committee has published a report on Genomic Medicine which argues that recent developments in genomic science stemming from the sequencing of the human genome represent a unique opportunity for real advances in medical care and that the Government and the NHS must take a range of steps to ensure that these advances are realised.
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GP Bodies Support Guidelines For Use Of Patient Records In Medical Research
The two leading bodies representing GPs in the UK have backed a call by the Wellcome Trust for clearer guidance for GPs to ensure medical records can be safely used in research.
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Michigan Legislature Considering Insurance Reform Bills
"There"s support in Michigan"s Legislature for eliminating insurance practices that deny coverage and charge high rates for people with chronic health problems. But the Michigan reforms face a tight timetable as lawmakers focus on the state"s worsening budget crisis," The Detroit Free Press reports. One Republican plan in the state Senate would address the problem of lost coverage from rising unemployment in Michigan by requiring "businesses -- including self-insured enterprises such as General Motors Corp. and Chrysler Group LLC, now exempt from state regulations, -- to pay to expand health care for poor people. The Detroit Regional Chamber and others oppose new taxes in the Senate plan, particularly when so many businesses are hurting" (Anstett, 7/6).
Endocrinology

Special Reconstruction Method Improves Postoperative Quality Of Life In Gastric Cancer Patients

Given equivalent results with regards to survival, the impact of anastomotic methods on QOL becomes even more important. There is still no consensus on how to choose a reconstruction method for proximal gastrectomy in patients with upper third gastric cancer. A research article published in the World Journal of Gastroenterology addresses this question. The research team led by Professor Xu from the State Key Department of General Surgery, Department of Surgical Oncology, First Affiliated Hospital of China Medical University, investigated QOL of 149 patients with upper third gastric cancer, who were treated with proximal gastrectomy with additional reconstruction. QOL assessments that included functional outcomes (a 24-item survey about treatment-specific symptoms, largely gastrointestinal function) and health perception (Spitzer QOL Index) were performed in 149 patients with gastric cancer. When QOL for the three reconstruction methods was compared, the EA procedure showed the best postoperative QOL, such as recovery of body weight, less postprandial discomfort, and less heart burn or belching at 6 and 24 mo postoperatively. However, the survival rates and Spitzer QOL index were similar among the three groups. These results demonstrated that, to avoid postoperative symptoms and improve QOL for patients with upper third gastric cancer after proximal gastrectomy, the EA procedure using a stapler is a safe and feasible procedure for reconstruction. Reference: Zhang H, Sun Z, Xu HM, Shan JX, Wang SB, Chen JQ. Improved quality of life in patients with gastric cancer after esophagogastrostomy reconstruction. World J Gastroenterol 2009; 15(25): 3183-3190 http://www.wjgnet.com/1007-9327/15/3183.asp Correspondence to: Dr. Hui-Mian Xu, State Key Department of General Surgery, Department of Surgical Oncology, First Affiliated Hospital of China Medical University, Shenyang 110001, Liaoning Province, China. Lin Tian World Journal of Gastroenterology


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