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Low Priority 'Brain Attack' Patients Missing Out On Life-Saving Surgery
Patients with symptoms of stroke or transient ischemic attack (TIA or brain attack) are missing out on potentially life saving treatment because they are routinely considered by the NHS as low priority cases. Instead of being fast-tracked into hospital for surgery the vast majority of patients are spending weeks and sometimes months on poorly managed referral pathways with the risk of going on to have more severe strokes.
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Health Reform Price Tag Has Dems Scrambling To Lower Cost
The up to $1.6 trillion price tag for one version of health care reform has left Democrats scrambling to find a way to rein in costs while not sacrificing the basic tenets of a plan they favor, The Washington Post reports.
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Republicans Scold HELP Democrats Over Reform Bill's Price Tag, Government Control
"It was particularly devastating on Wednesday when [Sen. Orrin Hatch, R-Utah]" - a longtime friend of Sen. Edward Kennedy, D-Mass., - "warned Democrats on the panel that they have already made some grave errors in their effort to write legislation overhauling the health care system," reports the New York Times in The Caucus Blog. "Now unfortunately we are beginning a partisan exercise on perhaps the most important legislation of our lives," Hatch said during a meeting of the Senate Health, Education, Labor and Pensions Committee yesterday (Herszenhorn, 6/17).
Cardiovascular

Are Imaging Features Of Hepatic Angiomyolipoma Related To Its Clinical Setting?

This study consisted of 10 patients (three male and seven female) with hepatic angiomyolipoma, with a mean age of 55.1 years (age range, 19-78 years). Of these patients, dynamic contrast CT showed hepatic angiomyolipoma as a hypervascular mass with intratumoral fatty density, absence of a capsule, and prominent central vessels in six sporadic cases, and multiple, small hepatic angiomyolipomas, with or without a fat component in four cases with tuberous sclerosis complex (TSC). Lymphangioleiomyomatosis (LAM) and multiple hepatic angiomyolipomas were found in one patient with TSC. The results suggest that imaging features of hepatic angiomyolipoma are correlated closely with its clinical setting. Sporadic hepatic angiomyolipoma often presents as a solitary large nodule with a varying fat component. In the setting of TSC, hepatic angiomyolipoma often presents as multiple small nodules, with or without fatty tissue, in the peripheral liver. Dynamic CT features of hepatic angiomyolipoma are very characteristic, and correct diagnosis can be made in combination with clinical features. When coexisting intravascular lesions and hepatic angiomyolipomas are found in patients with TSC, LAM should be considered. Reference: Yang B, Chen WH, Li QY, Xiang JJ, Xu RJ. Hepatic angiomyolipoma: Dynamic computed tomography features and clinical correlation. World J Gastroenterol 2009; 15(27): 3417-3420 http://www.wjgnet.com/1007-9327/15/3417.asp Lin Tian World Journal of Gastroenterology


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