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Tennessee Nurse-Midwife Honored With Esteemed Award
Frances E. Likis, DrPH, NP, CNM, of Nashville, TN, received the 2009 Kitty Ernst Award, one of the most prestigious honors awarded by the American College of Nurse-Midwives (ACNM), during ACNM"s 54th Annual Meeting & Exposition in Seattle, WA.
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Parents Needed To Help Curb Teenage Births Among Hispanics, Group Says
A coalition of Hispanic organizations on Tuesday urged parents of Hispanic teenagers to talk with their children about sex to curb the high teenage birth rate among the group, the McClatchy/Miami Herald reports. Hispanics are predicted to make up 25% of the teenage population nationwide by 2025 and efforts to curb their teen pregnancy rate is key to reducing unwanted pregnancies among all teenagers, according to the McClatchy/Herald. More than half of Hispanic teenage girls will become pregnant before age 20 -- nearly twice the national average and the highest of any ethnic or racial group in the U.S., according to coalition, which includes MANA, a national Hispanic women"s organization. Ana Sol Gutierrez, a member of the Maryland House of Delegates and a participant in the coalition, said the higher pregnancy rates among Hispanic teenagers can be attributed in part to a "different mind-set" among the group that embraces motherhood even at a young age. She said the key to reducing unplanned teenage pregnancies among Hispanics is to educate them about choosing "when and how" to become parents, while still embracing maternity. The National Campaign To Prevent Teen and Unplanned Pregnancy surveyed more than 1,600 Hispanic teenagers and adults nationwide and found that 76% of teens said their parents most influenced their decisions about sex but that most parents said they did not know how to have such a conversation with their children. The finding was particularly evident among parents who only speak Spanish. Ruthie Flores, a co-author of the study, said the solution is culturally appropriate education (Chung, McClatchy/Miami Herald, 5/19).
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Facing Congressional Squabbling, President Pushes For Reform
The press for health care reform hit a snag this week as Congress sputtered to resolve its differences, but President Barack Obama continues his call, almost daily, to continue to try to change the system, The New York Times reports.
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Role Of Liver Transplantation Techniques In Surgical Management Of Advanced Renal Urothelial Carcinoma With/without Inferior Vena Cava Thrombus

UroToday.com - Large urothelial carcinoma of the renal pelvis poses a diagnostic as well as surgical challenge to the urologist. This type of malignancy is frequently mistaken preoperatively for renal cell cancer due to its low incidence (10% of all renal malignancies) especially when associated with tumor extension into the inferior vena cava. The presence of a large renal mass should therefore not dissuade the urologist to perform cystoscopy and cytology in order to complete hematuria work-up. Opening the specimen in the operating room will provide clues for the origin of the tumor. The surgical management of large urothelial carcinoma of the renal pelvis is radical nephro-ureterectomy, which may be considerably impeded by major desmoplastic reaction and rich collateralization. Particularly in cases of inferior vena cava involvement liver mobilization is required to achieve complete tumor resection. The department of urology and division of transplantation surgery at University of Miami Miller School of Medicine have collaborated for over 10 years on cases of renal tumors where liver mobilization and inferior vena cava exploration is anticipated. Dr. Gaetano Ciancio bridges the two specialties having completed a urology residency and transplant fellowship at University of Miami. His unique interface allowed the use of liver transplantation techniques for the resection of large renal tumors with or without inferior vena cava involvement. While operative times (mean 7.5 hours) and blood loss (mean 1.5 L) were significant in our series, the tumor could be completely and safely resected in all patients. Nevertheless, mean postoperative survival was only 6 months secondary to disease recurrence. Neoadjuvant chemotherapy may significantly improve survival in such patients as shown previously for muscle-invasive urothelial carcinoma of the bladder, however, it relies on accurate preoperative diagnosis. A prospective clinical trial is needed to evaluate the impact of neoadjuvant chemotherapy on respectability and disease-specific survival. Written by Wolfgang H. Cerwinka, MD1, Murugesan Manoharan, MD, Mark S. Soloway, MD, and Gaetano Ciancio, MD 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


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