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Lawmakers Address Nurse And Primary Care Physician Shortages
A pending House bill would aim to address the nursing shortage by allowing "20,000 additional nurses to enter the U.S. each year for the next three years as a temporary measure to fill the gap," Business Week reports. The bill was introduced by Representative Robert Wexler, D-Fla., in May. If it doesn"t "pass on its own, lawmakers may include it in a comprehensive immigration reform package." Hospital administrators in some areas that face nursing shortages support the bill as "temporary relief," but "Wexler"s bill is opposed by labor unions, whose leaders say it would undermine efforts to produce a steady domestic workforce while sapping other nations" nurses. [President Barack] Obama has also expressed skepticism about the idea that the U.S. needs to import nurses, in particular because the U.S. unemployment rate continues to rise." Instead, Obama has said, the focus should be on improving the res to fund education for new American-born nurses. "The $787 billion economic stimulus bill included $500 million to address shortages of health workers in the U.S., with about $100 million to promote nursing and increase capacity at U.S. nurse-training schools."
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Impact Of Medicare Part D On Medical Spending Addressed By NEJM Study
After enrolling in Medicare Part D, seniors who previously had limited or no drug coverage spent more on prescriptions and less on other medical care services such as hospitalizations and visits to the doctor"s office, according to a University of Pittsburgh Graduate School of Public Health study. Published in the July 2 issue of the New England Journal of Medicine, the study also found that seniors who had relatively good drug benefits prior to enrolling in Medicare Part D spent somewhat more on prescriptions and, at the same time, increased their spending on other medical care services.
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Genetic Testing For Breast Or Ovarian Cancer Risk May Be Greatly Underutilized
Although a test for gene mutations known to significantly increase the risk of hereditary breast or ovarian cancer has been available for more than a decade, a new study finds that few women with family histories of these cancers are even discussing genetic testing with their physicians or other health care providers. In a report in the Journal of General Internal Medicine, which has been released online, investigators from the Massachusetts General Hospital (MGH) Institute of Health Policy and Dana-Farber Cancer Institute note that their findings illustrate the challenges of bringing genetic information into real-world clinical practice.
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Link Between Pancreatic Cancer And Dietary Fat

High intake of dietary fats from red meat and dairy products was associated with an increased risk of pancreatic cancer, according to a new study published online June 26 in the Journal of the National Cancer Institute. This study was undertaken because research relating fat intake to pancreatic cancer was inconclusive. To examine the association, Rachael Z. Stolzenberg-Solomon, Ph.D., of the Division of Cancer Epidemiology and Genetics at the National Cancer Institute in Bethesda, Md., and colleagues analyzed a cohort of over 500,000 people from the National Institutes of Health - AARP Diet and Health Study. Participants completed a food frequency questionnaire in 1995 and 1996 and were followed prospectively for an average of 6 years to track a variety of health outcomes, including pancreatic cancer. Men and women who consumed high amounts of total fats had 53% and 23% higher relative rates of pancreatic cancer, respectively, compared with men and women who had the lowest fat consumption. Participants who consumed high amounts of saturated fats had 36% higher relative rates of pancreatic cancer compared with those who consumed low amounts. "[W]e observed positive associations between pancreatic cancer and intakes of total, saturated, and monounsaturated fat overall, particularly from red meat and dairy food s. We did not observe any consistent association with polyunsaturated or fat from plant food s," the authors write. "Altogether, these results suggest a role for animal fat in pancreatic carcinogenesis." In an accompanying editorial, Brian M. Wolpin, M.D., MPH, of the Dana Farber Cancer Institute in Boston and Meir J. Stampfer, M.D., DrPH, of the Harvard School of Public Health, call the study well-performed and a good addition to the understanding of pancreatic cancer. They do note, however, that there is insufficient epidemiological and laboratory evidence to confirm the importance of animal fats or even that meat is the important factor, as opposed to other dietary or lifestyle preferences associated with meat consumption. "[W]ith further investigation, this work has the potential to provide interesting clues to the mechanisms underlying pancreatic tumorigenesis," the editorialists write. Citations: Article: Theibaut et al. Dietary Fatty Acids and Pancreatic Cancer in the NIH-AARP Diet and Health Study. J Natl Cancer Inst 2009, 101: 1001-1011. Editorial: Wolpin B and Stampfer M. D. Defining Determinants of Pancreatic Cancer Risk: Are We Making Progress. J Natl Cancer Inst 2009, 101: 972-973. Steve Graff Journal of the National Cancer Institute


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