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NewYork-Presbyterian/Columbia Physician-Scientists Present At 2009 American Transplant Congress In Boston
NewYork-Presbyterian Hospital/Columbia University Medical Center physician-scientists presented new research at the 2009 American Transplant Congress in Boston, May 30 to June 3. Topics included minimizing steroid exposure for liver transplant patients with hepatitis C; hypothermic machine perfusion vs. cold storage for preserving donor livers; and the effectiveness of neutrophil-lymphocyte ratio in predicting colorectal liver metastases in liver cancer patients undergoing transplantation.
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ANA Supports The Independence At Home Act
The American Nurses Association (ANA) applauds the efforts of lawmakers to bring primary care services offered through registered nurses to Medicare beneficiaries in their homes by reintroducing the "Independence at Home Act of 2009" (H.R. 2560/S. 1131). ANA supports this legislation because it provides patients with care options that enhance individual independence and can lead to a better quality of life. This legislation also smartly recognizes the integral role nurses and nurse practitioners play in the delivery of primary care and helps bring the focus of our health care system back where it belongs- on the patient and the community.
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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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General Practices Need More Nurses, Australia

Boosting the number of practice nurses who work with GPs would help improve patient access to care, the AMA said today. AMA Federal President, Dr Andrew Pesce, today used GP Week to renew calls for the Government to increase support for nurses who work in general practices. A recent report funded by the Australian Primary Health Care Research Institute found practice nurses helped take pressure off GPs and increased access to care for patients. "Delegating some tasks to practice nurses frees up GPs to spend more time with patients. Practice nurses are able to perform a range of clinical tasks on behalf of doctors in areas such as diabetes and complex and chronic disease management and preventive screening," Dr Pesce said. "There are currently 8000 Practice nurses employed in around 65% of General Practices. The AMA believes every General Practice should be able to employ a practice nurse. "Only general practices in rural, regional and outer suburban practices are eligible for government general practice nurse subsidies. Removing these geographic restrictions would enable more practices to employ nurses. "The Government should also expand the scope of tasks nurses can perform on behalf of doctors under the Medicare Benefits Schedule (MBS)." Australian Medical Association


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