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Senators Debate Public Plan, Co-ops For Health Overhaul
Senators crafting health reform legislation are debating a number of issues ahead of the revelation of proposal including the inclusion of a cooperative as an alternative to a government-run public plan, Politico reports.
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Chicago Study Looks At HIV Among Gay Men, Finds Many Unaware Of Status
More than 17 percent of gay men in Chicago have HIV, and 39 percent went untested in the last 12 months because of fear of the results, according to a study of nearly 600 gay men in the city by the Chicago Department of Health, the Chi-Town Daily News reports. The study also found that gay black men had an infection rate that was more than twice the rates of gay white and Hispanic men. Jim Pickett, director of advocacy for the AIDS Foundation of Chicago, said the findings indicate that, "We need to incorporate HIV into a broader or more holistic framework (covering) gay men"s health needs from top to toe." The city will formally release the study"s results next week (Parker, Chi-Town Daily News, 6/2).
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How African American Men Decide Whether Or Not To Get Prostate Cancer Screening

UroToday.com - Prostate Cancer Screening among African Americans. Our manuscript that was published in Cancer Nursing, revealed an important topic in how African American men decided whether or not to get a prostate cancer screening. This is particularly important currently due to the controversy of prostate cancer screening. The U.S. Preventive Services Task Force (USPSTF) states that there is insufficient evidence to weigh the benefits and harms of prostate cancer screening in men younger than 75 years of age, and they recommend against prostate cancer screening in men older than age 75. Recently, a report1 related to an early analysis of the National Cancer Institute (NCI) funded Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial revealed that annual prostate cancer screening compared with community-based screening practices had no early mortality benefit by 10 years after screening was started, although more prostate cancers were found. There has been more push for men to be well-informed by their healthcare provider about the advantages and disadvantages of having a prostate cancer screening so that the men will be able to make an informed decision. This decision-making process does not only involve the patient, but includes the family, friends, and healthcare provider as well. Healthcare providers need to continue to be aware to include individuals the patient trusts and are willing to share his health decisions to assist him in making a satisfied choice. One of the major findings from the authors" published study in Cancer Nursing was that family and friends played a major role in the complex decision-making process about prostate cancer screening of African American men. This study reveals some of the complexities within the decision-making process, particularly when it surrounds such a controversial procedure, as with prostate cancer screening. Since the publication of our study, Jones is currently conducting a study focusing on advanced prostate cancer and the difficult decisions that are made. He aims to test a decision-making intervention for its effectiveness in increasing satisfaction and overall better quality of life. Reference: 1. Andriole, G., et al., (2009). Mortality Results from a Randomized Prostate-Cancer Screening Trial. The New England Journal of Medicine, 360(13), 1310-13119. Written by Randy A. Jones, PhD, RN as part of Beyond the Abstract on UroToday.com UroToday - the only urology website with original content written by global urology key opinion leaders actively engaged in clinical practice. To access the latest urology news releases from UroToday, go to: www.urotoday.com Copyright © 2009 - UroToday Copyright: Medical News Today Not to be reproduced without permission of Medical News Today


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