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Opinion: U.S. Should Double Global Maternal, Child Health Spending; Ban, Chan Want 'Global Solidarity'; Res For Diabetes, HIV/AIDS
U.S. Should Double Newborn, Maternal Health Spending, Encourage Other G8 Countries To Do The Same
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What Is Bursitis? What Causes Bursitis?
Bursitis happens when the bursa is inflamed. The burse acts as a cushion between bones, tendons, joints and muscles - bursae are fluid-filled sacs (the plural of bursa is bursae). People with bursitis will feel pain at the site of inflammation. The medical word "bursa" comes from the Latin bursa, meaning a purse, which is what a bursa resembles. According to Medilexicon"s medical dictionary, bursitis is "inflammation of the bursa".
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Teens Need To Hear About 'More Than Abstinence,' Philadelphia Inquirer Editorial Says
Although it is "important for other young people to hear" Bristol Palin"s message "about how hard it is to be a teenage mother," her "lesson falls short by suggesting that any teen can successfully avoid premarital sex," a Philadelphia Inquirer editorial says. Palin, who gave birth in December 2008 after an unintended pregnancy and is the daughter of Alaska Gov. Sarah Palin (R), has "changed her tune" since she said in a February interview that teen abstinence is ""not realistic at all,"" the editorial states. It adds that Bristol Palin -- now an "abstinence ambassador" for the Candie"s Foundation -- recently said that abstinence is "realistic" and that it is the "harder choice, but it"s the safer choice."The editorial continues that Palin is correct that "[a]bstinence is the only foolproof way to avoid pregnancy" and sexually transmitted infections. However, "any viable lesson about avoiding teen pregnancy should include methods besides avoiding sex, including the use of condoms," the editorial says. Recent studies have shown that abstinence-only sex education programs have had "no measurable impact on delaying teens from having sex for the first time," according to the editorial, which adds that teen pregnancy rates rose 5% between 2005 and 2007 after years of declines. Additionally, three out of 10 U.S. girls will get pregnant by age 20, a figure that increases to more than 50% for Hispanics and blacks. The editorial concludes that teens "need frank talk about premarital sex that includes all of the viable options to avoid pregnancy" (Philadelphia Inquirer, 5/15).
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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. Cross sectional imaging is now accurate at demonstrating the absence of adrenal involvement but still carries a significant risk of false positives. Disease-specific and overall survival of those patients undergoing radial nephrectomy, with or without adrenalectomy, is very similar. However, several characteristics on preoperative evaluation are associated with a greater risk of adrenal tumor involvement and these include both upper pole location of the renal tumor and size > 7 cm, multi-focality of the disease, venous thrombosis particularly at the level of the adrenal vein, and CT or MRI adrenal abnormality such as non-visualization, irregular borders, nodule, enlargement or contiguous infiltration. Therefore it would appear that in the majority of patients, the apparent benefit of ipsilateral adrenalectomy does not support it as a standard practice in all patients who have otherwise normal imaging preoperatively. However in the 2% of patients who have isolated adrenal metastasis, the concomitant adrenalectomy may provide a survival advantage. O"Malley RL, Godoy G, Kanofsky JA, Taneja SS J Urol. 2009 May;181(5):2009-17. doi:10.1016/j.juro.2009.01.018 Written by UroToday.com Contributing Editor Elspeth M. McDougall, MD, FRCSC, MHPE 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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