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Economy Squeezing Access To Health Care
As unemployment rises, many Florida women are "turning to federally subsidized mammograms and pap smears, and county health officials are worried they could be overwhelmed," The Orlando Sentinel reports. "Since 1990, the Centers for Disease Control [and Prevention] has provided free and low-cost mammograms and pap smears to uninsured or underinsured women between 40 and 64 years old. In Florida, only women 50 to 64 years old qualify. Although the number of women screened in Florida through this federal program has increased through the years, unemployment in women 55 to 64 years old has nearly doubled, from 3.4 percent in 2008 to 6.3 percent now. Demand always has exceeded available services - only 15 percent of eligible women get the breast exams, according to the CDC - but the number of women who will now qualify for the free tests is expected to outstrip the funding provided by Congress" (Maza, 7/15).
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Long-Suffering Rohingya In Bangladesh Face Unacceptable Abuse
Thousands of unregistered Rohingya refugees living in the Kutupalong makeshift camp, Bangladesh, are being forcibly displaced from their homes, in an act of intimidation and abuse by the local authorities. The international medical organization Doctors Without Border/Mç©decins Sans Frontiç¨res (MSF) has treated numerous people for injuries, of which the majority were women and children. Furthermore, MSF has witnessed countless destroyed homes and heard many reports of people being warned to remove their own shelters or face the consequences.
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News of the day
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.
Oncology

What Is The Relationship Between Hepatocellular Carcinoma And Type 2 Diabetes Mellitus?

Hepatocellular carcinoma (HCC) is the fifth most common malignancy worldwide and the third leading cause of cancer-related deaths. Type 2 diabetes mellitus has been associated with HCC. However, the relationship between type 2 diabetes mellitus and the underlying liver cirrhosis, and the effects of antidiabetic therapy on HCC risk have not yet been fully evaluated. A research team led by Dr. Valter Donadon from Pordenone Hospital addressed this question. Their study was published in the World Journal of Gastroenterology. Enrolled in this study were 465 HCC patients, 618 cirrhosis patients and 490 control subjects. They evaluated the odds ratio (OR) for HCC by univariate and multivariate analysis. Moreover, OR for HCC in diabetic subjects treated with insulin or sulphanylureas and with metformin were calculated. The prevalence of diabetes mellitus was 31.2% in HCC, 23.3% in cirrhotic patients and 12.7% in the Control group. By univariate and multivariate analysis, the OR for HCC in diabetic patients were respectively 3.12 (95%CI: 2.2-4.4, P World J Gastroenterol 2009; 15(20): 2506-2511 Correspondence to: Dr. Valter Donadon, Department of Medicine, Internal Medicine 3rd, Pordenone Hospital, Via Montereale 24, Pordenone 33170, Italy. Lai-Fu Li World Journal of Gastroenterology


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