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Prostate Cancer Screening Has Yet To Prove Its Worth
The recent release of two large randomized trials suggests that if there is a benefit of screening, it is, at best, small, says a new report in CA: A Cancer Journal for Clinicians. Authored by Otis W. Brawley, M.D. of the American Cancer Society and Donna Ankerst, Ph.D. and Ian M. Thompson, M.D. of the University of Texas Health Science Center at San Antonio, the review says because prostate cancer is virtually ubiquitous in men as they age, it is clear that a goal of "finding more cancers" is not acceptable. Instead, public health principles demand that screening must reduce the risk of death from prostate cancer, reduce the suffering from prostate cancer, or reduce health care costs when compared with a non-screening scenario. The authors suggest prostate cancer screening has yet to reach one of these standards to date.
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Longer, Stronger HIV Drug Regimen For Breastfeeding Women Cuts Mother-To-Child Transmission Rate, Study Finds
"HIV infection rates among babies are significantly cut when mothers are given prolonged ARV treatment during breastfeeding," according to findings released at the International AIDS Society conference in Cape Town, South Africa on Wednesday, Reuters reports. According to Reuters, "Key findings from the study showed that a stronger drug cocktail administered over a longer period reduced the risk of mother-to-child HIV transmission compared with the current WHO-recommended short-course ARV regimen." Tim Farley, project leader for the "Kesho Bora" study - which was conducted at five sites in Burkina Faso, Kenya and South Africa by the WHO in partnership with several other international agencies - said, "The results of this study show an almost two-fold reduction in the risk of HIV transmission during the breastfeeding period and also [show] there is no short-term toxicity (to mothers or infants)." The WHO "is reviewing its 2006 recommendations on the use of ARVs in pregnant women, including during the breastfeeding period. New guidelines are expected to be published by the end of 2009 and will take into account emerging data," Reuters reports (Roelf, 7/21).
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New Report Advises On How To Reduce Health Inequalities, UK
A new report, "The Intelligent Board 2009: Commissioning to reduce inequalities", produced by an independent reference group of experts, encourages Primary Care Trust (PCT) Boards to review their understanding of health inequalities in their communities so that they can be addressed.
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President's Remarks Point To Value Of Pharmacists On Patient Care Teams

In remarks on health care reform to the American Medical Association"s (AMA) House of Delegates on Monday, President Barack Obama pointed to pharmacists" participation on "multidisciplinary rounds" as an "island of excellence" that should become the "standard in our health care system." In addition to assuring that patients receive the right medicine, at the right time, in the right dose, pharmacists" medication expertise is increasingly relied upon as part of patient care teams in hospitals to: 1. Manage patients" drug therapy in hospitals and outpatient disease management clinics, in collaboration with physicians; 2. Advise physicians and nurses on new medications, effective therapies, and the selection and administration of medications; 3. Monitor patients" responses to medications to make sure their medication therapy is safe and effective; and 4. Educate patients and their families about their medications. American Society of Health System Pharmacists


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