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Side Discrepancy Errors In Radiology Reports Rare But Often Clinically Significant
Side discrepancy errors in radiology reports do occur and it is important that radiologists, referring physicians and patients communicate well to help prevent errors in clinical management, according to a study performed at Massachusetts General Hospital, Boston, MA. "Side discrepancy errors refer to instances when the side of the lesion is incorrectly noted in one or more sections of the radiology report," said Minal Jagtiani Sangwaiya, MD, lead author of the study.
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Abortion Coverage Likely To Be Next Battle In House Health Reform Legislation
Abortion coverage could become the next "sticking point" in debates over health reform between the House leadership and conservative Democrats, the Los Angeles Times reports. During most of the battle over a health care overhaul, abortion-related issues have taken a "back seat" to clashes between House Energy and Commerce Committee Chair Henry Waxman (D-Calif.) and fiscally conservative Blue Dog Democrats over the cost of the House bill (HR 3200). However, reproductive health issues are increasingly coming into play, with some other conservative Democrats threatening to withdraw support for the bill if coverage of abortion services is not explicitly excluded from receiving federal funding. Rep. Bart Stupak (D-Mich.) and 18 fellow Democrats in June wrote a letter to House Speaker Nancy Pelosi (D-Calif.) stating that they "cannot support any health care proposal unless it excludes abortion from the scope of any government-defined or subsidized health insurance plan." According to the Times, Stupak has "vowed" to press Waxman to include restrictions on abortion coverage in the Energy and Commerce Committee"s version of the House bill. Abortion-rights supporter Rep. Louise Slaughter (D-N.Y.), chair of the House Rules Committee, opposes Stupak"s proposal. Slaughter spokesperson Vincent Morris said, "The starting point for Rep. Slaughter of the health care debate was protecting abortion rights."The Hyde Amendment currently prevents the use of federal Medicaid funds for abortion services. The reach of current law restrictions "grows murkier" if the government forms its own health insurance plan to compete with private insurers or creates a new market that allows the public to choose between various private plans, the Times reports. Both options are under consideration in Congress, and abortion-rights opponents fear that abortion services would be covered unless the language of the bill explicitly forbids it.Abortion-rights supporters argue that the bill would maintain the status quo, as insurance companies already are able to choose whether to cover abortion services. New government restrictions could mean that women seeking abortion coverage would have to choose a more expensive private plan rather than a lower-cost, government-subsidized option, according to abortion-rights advocates. Another concern, they say, is that insurers who currently cover abortion would discontinue that coverage to take advantage of government incentives. In a recent statement, the Planned Parenthood Federation of America said, "Opponents of women"s health and health care reform are exploiting health care reform as a way to push for unprecedented prohibitions on abortion coverage in the private marketplace."The Obama administration is attempting to remain neutral on the issue, the Times reports. White House press secretary Robert Gibbs recently said that "a benefit package is better left to experts in the medical field to determine how best and what procedures to cover." The House bill currently establishes a Health Benefits Advisory Committee to recommend which "essential benefits" should be covered under any government-supported insurance plan. In an interview with CBS News last week, President Obama said that he believes it is "appropriate for us to figure out how to just deliver on the cost savings and not get distracted by the abortion debate."According to the Times, the Obama administration"s silence on the issue is "precisely what worries" antiabortion-rights advocates. Rep. John Fleming (R-La.) said that Obama is "actually making an affirmative statement in favor of" federal funding for abortion services by not taking a stand on the issue (Oliphant, Los Angeles Times, 7/28).
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Government Of Canada Acts To Help Ensure Soft Vinyl Toys, Child-Care Articles And Other Consumer Products Are Safer
The Honourable Leona Aglukkaq, Minister of Health, announced today that the Government of Canada is proposing new regulations to prevent the use of six chemicals (phthalates) in soft vinyl toys and child-care articles. Regulations are also being proposed to further reduce lead limits in consumer products.
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National Organization for Rare Disorders (NORD) Sponsors Rare Disease Summit

A shortage of new pharmaceutical products in the pipeline-combined with new scientific tools-has created a climate of opportunity for the rare disease community, a senior Food and Drug Administration (FDA) official said at a conference hosted by the National Organization for Rare Disorders (NORD). "The blockbuster model is no longer viable," said Janet Woodcock, MD, director of the Center for Drug Evaluation and Research at FDA. As a result, she said, companies are more willing to consider new options, including more products for rare diseases. Former National Human Genome Research Institute Director Francis Collins, MD, PhD, agreed, adding that it"s time to "de-risk" orphan drug development, making it a more viable business model for companies. Collins and Woodcock were among several speakers at a "Partners in Progress Summit" hosted by NORD in Washington, DC. NORD represents the nearly 30 million Americans who have rare diseases, or ones affecting fewer than 200,000 people. Peter L. Saltonstall, NORD"s president and CEO, noted that most rare diseases have no FDA-approved treatment and many patients are denied insurance for unapproved treatments. NORD sponsored the summit, he said, to develop a policy agenda for action to spur development of new therapies and ensure that patients have access to them. Former FDA Commissioner David Kessler, MD, moderated the event. Speakers included thought leaders in government and industry working with rare diseases and orphan products. A theme articulated by several speakers was that now is the time for rare disease patients and researchers to press their case. "The healthcare system we know today is going to be completely transformed over the next 12 months," said Tommy Thompson, former governor of Wisconsin and former Secretary of Health and Human Services. "Now is the time for action." NORD Board of Directors Vice Chairman Frank Sasinowski announced the formation of a Rare Disease Congressional Caucus to seek creative solutions to problems faced by patients and to serve as a forum for discussion of issues related to access, research, and increased innovation. The Caucus will also seek to increase funding for two government agencies-the National Institutes of Health Office of Rare Diseases Research and the FDA Office of Orphan Products Development. In addition, it will address regulatory issues facing the pharmaceutical, biotechnology, and medical device industries, Sasinowski said. Social Security Commissioner Michael Astrue described efforts to expedite the process of applying for Social Security disability assistance for people with severely disabling rare diseases. Under Commissioner Astrue, the Social Security Administration last fall launched a new "Compassionate Allowances" initiative to reduce problems encountered by people with certain severe diseases when they apply for assistance. Presentations from the Partners in Progress Summit will be posted soon on the NORD website at http://www.rarediseases.org. National Organization for Rare Disorders (NORD)


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