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Study Examines Trends In Gallbladder Cancer Over Four Decades
Overall prognosis for gallbladder cancer appears to be improving, although many patients still have incurable disease and poor survival rates, according to a report in the May issue ofArchives of Surgery, one of the JAMA/Archives journals.
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Nearly Half Of Heart Attack Patients Treated By Primary Angioplasty
This year"s results from the Myocardial Ischaemia National Audit Project (MINAP) show that nearly half of heart attack patients are receiving primary angioplasty rather than thrombolytic (clot-busting) drugs. Primary angioplasty is a medical procedure to re-open the blocked coronary artery causing the heart attack, and has better outcomes than thrombolytic drugs.
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For America's Aged, Surgery At Any Price?
When doctors decide whether or not to go ahead with an expensive surgery, "age is no longer the deciding factor, even for invasive treatment such as open-heart surgery," The Philadelphia Inquirer reports. One question is "whether this never-too-old approach is an example of U.S. medical progress, or an example of why Medicare -- federal health insurance for people over 64 -- is headed for insolvency. The answer, experts say, is both. Which is why the current debate over expanding federal coverage to all uninsured Americans is an ethical and economic minefield. "Forty years ago, it was taken for granted that the elderly were not good candidates for organ transplantation, dialysis, or advanced surgical procedures. That has changed," Daniel Callahan, cofounder of the Hastings Center, a bioethics research institute in Garrison, N.Y., wrote recently. "Under the best of circumstances, age should be irrelevant in the Medicare program. But so far, the cost of care has not been considered, and it can hardly remain irrelevant in a program strapped for money.""
Public Health

MU Public Health Program Receives Grant To Combat Human Trafficking

After drug dealing, trafficking of humans is tied with arms dealing as the second largest criminal industry in the world, and it is the fastest growing, according to the U.S. Department of Health and Human Services (HHS). Recently, HHS awarded more than $2 million in grants to state and local organizations, including the University of Missouri, to identify and help victims of human trafficking. "Compared to urban areas, less information exists about the extent of trafficking in rural areas of the U.S.," said Deb Hume, instructor in the MU Masters of Public Health (MPH) Program. "In the rural Midwest, there is the perception that this problem is confined to large cities or the coasts." The MU MPH Program received the grant as part of the HHS Administration for Children and Families (ACF) Rescue & Restore victims of Human Trafficking Regional Program. The purpose of the program is to enhance anti-trafficking efforts in the U.S. by building regional capacity for the identification and service of victims. According to ACF, Human trafficking is a form of modern-day slavery. Victims of trafficking are young children, teenagers, men and women, and are subjected to force, fraud, or coercion, for the purpose of sexual exploitation or forced labor. Approximately 600,000 to 800,000 victims annually are trafficked across international borders worldwide. Identifying victims is difficult because of the covert nature of trafficking operations and minimal understanding of trafficking that occurs in the United States, Hume said. For example, people may think of trafficking as something that happens in other countries, or they may perceive trafficked persons as illegal immigrants, rather than victims. "There is limited awareness of trafficking among the general public and also within professional groups," Hume said. "Police officers, hospital staff, social service agents and others who are most likely to encounter trafficking victims receive minimal or no training for identifying cases. Increased public education, professional training and community outreach can reduce barriers to identifying and helping victims." Faculty and students in the MPH Program will work with members of the Central Missouri Stop Human Trafficking Coalition (CMSHTC) and other local organizations to raise public awareness, conduct surveillance and investigation and provide res for victims. Additionally, the MU MPH Program will be the first in Missouri to address human trafficking as a public health concern. "Trafficking victims are susceptible to many health issues, including infectious diseases, sexually transmitted diseases, injuries from violence, emotional trauma and general poor health due to inadequate nutrition, rest or medical care," Hume said. "There is a need to train public health professionals about these issues and provide information to the public health community." Each year, an estimated 14,500 to 17,500 foreign nationals are trafficked into the United States. The number of U.S. citizens trafficked within the country each year is even higher, with an estimated 200,000 American children at risk for trafficking into the sex industry. Emily Smith University of Missouri-Columbia


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