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Laparoscopic Radical Versus Partial Nephrectomy For Tumors >4cm: Intermediate-term Oncologic And Functional Outcomes
UroToday.com - Nephron-sparing surgery has become the well-accepted method for treating patients with localized tumor disease of the kidney. Laparoscopic partial nephrectomy (LPN) has evolved such that it is considered equivalent to open partial nephrectomy for tumors 4 cm. They had 110 patients with Stage T1b-T3N0M0 renal cell carcinoma treated with LRN (N=75) or LPN (N=35). As expected the LRN group had larger tumors and more T3a tumors with clear cell pathologic features. The median follow up was 57 months in the LRN group and 44 months in the LPN group. There was no difference between the two treatment groups with regards to overall mortality, cancer-specific mortality, or recurrence rates. However, the LPN group had significantly less reduction in estimated glomerular filtration rate compared to the LRN group. None of the LPN group patients developed second stage chronic kidney disease compared to 12% in the LRN group.
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Secretary Sebelius Makes Recovery Act Funding Available To Bolster Health Care In Needy Communities, Relieve Providers' Student Debt
HHS Secretary Kathleen Sebelius announced the availability of nearly $200 million from the American Recovery and Reinvestment Act to support student loan repayments for primary care medical, dental and mental health clinicians who want to work at National Health Service Corps (NHSC) sites. In exchange for the loan repayments, clinicians serve for two years with the Corps. The new funds are expected to double the number of Corps clinicians and make 3,300 awards to clinicians that serve in health centers, rural health clinics and other health care facilities that care for uninsured and underserved people. Secretary Sebelius made the announcement prior to touring the Tufts Floating Children"s Hospital in Boston, Mass., where she was joined by members of the National Health Service Corps. Following the tour, Sebelius held a discussion with health care experts and Massachusetts Governor Deval Patrick on the importance of health reform.
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What Is Crohn's Disease? What Causes Crohn's Disease?
Crohn"s disease is an ongoing condition that causes inflammation of the digestive tract, or the GI (gastrointestinal) tract (the gut). Crohn"s disease may also be called ileitis or enteritis. Crohn"s disease can affect any part of the gut, from the mouth all the way down to the anus. In the majority of cases the lower part of the small intestine - the ileum - is affected. Patients with Crohn"s disease can feel pain; the condition makes the intestines empty frequently, resulting in diarrhea.
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New Research Reveals Shocking Lack Of Dementia Awareness In UK

Research released by Alzheimer"s Society this Dementia Awareness Week has shown widespread misunderstanding about dementia and the factors that put people at risk. Results from a new survey show that only half (52%) of the population realise there is no cure for dementia. Approximately a third (32%) mistakenly agreed that dementia was a "natural part of ageing" and a quarter (26%) thought there was no way to reduce risk. The survey of 2,004 people also revealed a large degree of confusion about risk factors. The vast majority (72%) thought family history put people at greater risk of dementia despite the fact this is only true in relatively few cases. 45% thought history of mental illness increased risk even though there is no evidence to support this. Well-established risk factors were actually rated much lower with only 35% believing that smoking increased risk and 25% linking obesity with greater risk. Sarah Day, Head of Public Health at Alzheimer"s Society, says, "Clearly there is still a shocking lack of understanding when it comes to dementia. The truth is dementia is not a natural part of ageing; it is caused by diseases of the brain and robs people of their lives. The good news is anyone can reduce their risk by making simple lifestyle choices. Alzheimer"s Society"s top tips for reducing risk are: stay active; eat healthily; don"t smoke; keep a healthy weight and get regular blood pressure & cholesterol checks." Darren Jones, a keen runner from Manchester explains why he stays in shape to reduce his risk of dementia, "A member of my family has been directly affected by dementia so I know the impact the condition can have. By getting regular exercise and keeping a healthy weight I can reduce my own risk, which is really important to me. I find running really helps but there are plenty of other things people can do to stay fit like walking or dancing. So whatever your age - get active and be head strong this Dementia Awareness Week!" Notes - GfK NOP interviewed 2,004 adults (16+) between 15 - 24 May 2009. Data was weighted to bring it in line with national profiles. - Dementia Awareness Week runs from 5 - 11 July 2009 and the theme is be headstrong. The aim is to make people aware of how they can take action to reduce their risk of dementia. - Alzheimer"s Society top tips for reducing risk are: stay active, eat healthily, keep a healthy weight, don"t smoke and get regular blood pressure & cholesterol checks. - 1 in 3 people over 65 will die with dementia. - Dementia is not a natural part of ageing; it is caused by diseases of the brain and robs people of their lives. - Alzheimer"s Society champions the rights of people living with dementia and those who care for them. Alzheimer"s Society works in England, Wales and Northern Ireland. Alzheimer"s Society


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