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Government Of Canada Supports Research To Help Address Medical Isotope Shortage
The Honourable Leona Aglukkaq, Minister of Health, announced recently that the Government of Canada is supporting research to find alternatives to nuclear-produced Technetium-99m, the principal medical isotope affected by the current shutdown at the Chalk River nuclear reactor. Health professionals use medical isotopes in combination with imaging technologies to diagnose and treat conditions such as cancer and heart disease.

Doctor And Nursing Shortage Could Undermine Health Care Reform
A shortage of doctors and nurses could damage health care reform. Analysis finds that more incentives are needed for primary care doctors and that most medical graduates choose better paid specialties. Meanwhile, a nurse temp agency forms in Texas to address the shortages there.
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Daily Women's Health Policy Report Summarizes Research In Breast, Ovarian Cancer
The following summarizes recent articles on breast and ovarian cancer research.~ Breast cancer: For the first time, a large international breast cancer study to determine the effectiveness of radiation therapy after mastectomy will include 200 Chinese women, the New York Times reports. Asian women traditionally have had relatively low breast cancer rates. However, that trend is reversing in China, where breast cancer is on the rise because of rapid urbanization, pollution and diet changes. In addition, China"s one-child policy could be contributing to the trend, as breast cancer is less common in women with more children. Chief researcher Ian Kunkler, a professor at the Edinburgh Cancer Research Center, said that although pharmaceutical companies have done clinical trials of chemotherapy drugs in China, "no patient in China has ever been recruited into a randomized controlled trial for breast radiotherapy." Kunkler"s trial will include about 3,700 participants overall from Australia, Britain and other parts of Europe, Japan and Singapore (Caryn Rabin, New York Times, 8/3).~ Ovarian cancer: Two recently published studies have provided new insight into the early stages of ovarian cancer, potentially increasing the likelihood of developing better diagnostic tests, the Wall Street Journal reports. A study published in the journal Nature Genetics has identified a common gene variation called BNC2. Scientists predict that when BNC2 is combined with other gene variations, the result dramatically increases the risk of ovarian cancer. Researchers involved in a study published in the online journal PLoS have determined that ovarian tumors of the BRCA1 mutation exist in the body for about four years before metastasizing but remain less than one centimeter in diameter during that time. They also found that only about half of the tumors grow to be three centimeters in diameter when they do spread (Beck, Wall Street Journal, 8/4).
Public Health

Hospital Disaster Potential Highighted By Swedish Study

Factors that lead to emergency department overcrowdings, ambulance diversions and other incidents that endanger patient safety have been revealed. A study published in BioMed Central"s open access Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine has shown that reductions in the number of hospital beds and downsizing or closure of emergency departments may create a dangerous loss of "surge capacity". Amir Khorram-Manesh, from the Prehospital and Disaster Medicine Centre, Gothenburg, Sweden, worked with Annika Hedelin and Per Ortenwall to study all data concerning "hospital-related incidents" in Sweden"s Region Vç¤stra Gç¶taland between January 2006 and December 2008. He said, "Disasters seldom occur, but if they strike, a fast and effective response from healthcare services is expected. The incidents we document, where emergency hospitals, for different reasons, could not operate at their normal capacity are a matter of concern for patient safety as well as disaster response preparedness". The researchers found increasing numbers of "incidents" over the three years studied. Bed shortages in intensive care and ordinary wards were the most common, followed by technical dysfunctions in the radiology department. They blame cost-cutting reductions in the size and staffing of emergency departments and increased pressure to treat people on an out-patient basis for the rise. Khorram-Manesh said, "Although these measures seem to be logical steps taken to improve healthcare effectiveness and reduce costs, they also, in a negative way, affect the surge capacity of a hospital". "Hospital-related incidents; causes and its impact on disaster preparedness and prehospital organisations" - Amir Khorram-Manesh, Annika Hedelin and Per Ortenwall - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine (in press) - http://www.sjtrem.com/ Graeme Baldwin BioMed Central


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