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The Necessity Of Adrenalectomy At The Time Of Radical Nephrectomy: A Systematic Review
UroToday.com - To take the adrenal or not at the time of radical nephrectomy, that is the question. These researchers from New York University School of Medicine performed an extensive literature search to determine the role of adrenalectomy at radical nephrectomy and discovered that the incidence of solitary, synchronous, ipsilateral adrenal involvement, and therefore potentially curable tumor disease with ipsilateral adrenalectomy occurred extremely infrequently - in only 1% to 5% of cases.
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As They Debate Health Overhaul, Politicians Keep Eye On 2010
"Fifteen months before the midterm congressional election, health care is appearing in candidate stump speeches and interviews - particularly by Republican challengerṣ€¦ running in districts recently claimed by Democrats," USA Today reports. "That dynamic helps explain why a $1 trillion-plus health care bill stalled last week in Congress. ̣€¦ Obama has said he wants lawmakers to finish health care by the end of the year, in part because it could become mired in election-year politics. All 435 members of the House and 36 members of the Senate are up for election in 2010."
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Women With Gestational Diabetes During Pregnancy Have A Substantial And Persistently Elevated Risk Of Type 2 Diabetes Post-Birth
Women who develop gestational diabetes (GD) during pregnancy have a seven-and-a-half times increased risk of developing type 2 diabetes post-birth, which lasts throughout their lifetime. However, there is no agreed policy on the long-term follow up of these women and many do not return for the currently recommended 6-week post-birth diabetes check. An Article in this week"s diabetes special issue of The Lancet says that the strength of the association suggests that both disorders have an overlapping cause-and this should act as an incentive for women to attend the recommended post-birth check. This attendance could be an opportunity to provide advice on diet and exercise, and treatments to delay or prevent onset of diabetes-as well as alerting these women to symptoms of future diabetes, and to alert general practitioners responsible for their long-term care.
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Practice Nurses Pivotal To Easing Primary Care Pressure, Australia

Nurses play a key role in supporting general practice and giving people access to primary health care services, the Australian Practice Nurses Association (APNA) and Australian Nursing Federation (ANF) said after the release today of two reports on general practice and practice nurses in Australia. The Australian Practice Nurse Study, released by the Australian National University (ANU) and the Australian Institute of Health and Welfare (AIHW) report on general practice both show the benefits of using a variety of health professionals, particularly practice nurses in general practice. Lee Thomas, ANF Assistant Federal Secretary, said nurses welcomed evidence that there had been a move towards multidisciplinary care and the use of practice nurses in general practice. "Nurses are a pivotal part of making sure people have access to quality health care in the community. Increasingly general practices are employing practice nurses to carry out chronic and early childhood health checks; sexual health and cancer screening checks - all major parts of the primary health care initiative," she said. Belinda Caldwell, APNA CEO applauded the ANU report saying evidence of a move towards practice nurses in primary health was promising, but she added that more needed to be done by government and policy makers to build on the benefits they bring. "The community increasingly needs and wants access to a range of health professionals to assist them in managing their chronic diseases, lifestyle issues and many other health concerns. Practice nurses are ideally placed to fill this need." Australian Nursing Federation


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