hicn medical news part cut here once a year for a lifetime video kit this kit includes a minute vhs videotape that presents common misconceptions about mammography it tells of the benefits gains by the early detection of breast cancer jane pauley and phylicia rashad are the narrators kit includes a guide poster flyer and pamphlets on mammography this kit is available directly by writing to modern park street north st petersburg fl additional resources combined health information database chid a computerized bibliographic database developed and managed by agencies of the u s public health service it contains references to health information and health education resources the database provides bibliographic citations and abstracts for journal articles books reports pamphlets audiovisuals product descriptions hard to find information sources and health promotion and education programs under way in state and local health departments and other locations in addition chid provides source and availability information for these materials so that users may obtain them directly at present there are twenty one subfiles on chid the national cancer institute created the cancer patient education subfile in it serves as a resource for the chid user who is interested in identifying patient education programs for specific cancer patient populations as well as for the user who is trying to locate educational resources available for patient or family cancer education citations include the contact person at cancer centers so the user can follow up directly with the appropriate person to access chid check with your local library most medical school university hospital and public libraries subscribe to commercial database vendors hicnet medical newsletter page volume number april final report an integrated oncology workstation revised this book provides a conceptual overview of what a clinical information system for practicing oncologists might include a database of electronic patient chart records combined with access to a knowledge base of information resources such as pdq cancerlit and medline an integration of data and knowledge combined to create a clinical oncology workstation the concept was developed as a means to assist the oncologist and his or her office staff in the daily management of patient care and clinical trials this book can be obtained by contacting dr robert esterhay project officer computer communications branch building room bethesda md scientific information services of the national cancer institute this booklet from the international cancer information center icic describes each icic product or service including scientific journals journal of the national cancer institute and nci monographs specialized current awareness publications cancergrams and oncology overviews and online databases pdq and cancerlit to obtain copies of the booklet write to international cancer information center dept jjj national cancer institute bldg rm bethesda maryland or fax your request to hicnet medical newsletter page volume number april publications for patients available from the nci free copies of the following patient education materials are available in single copy or bulk by calling the nci s publication ordering service cancer cancer prevention chew or snuff is real bad stuff this brochure designed for seventh and eighth graders describes the health and social effects of using smokeless tobacco products when fully opened the brochure can be used as a poster clearing the air a guide to quitting smoking this pamphlet designed to help the smoker who wants to quit offers a variety of approaches to cessation pages diet nutrition cancer prevention the good news this booklet provides an overview of dietary guidelines that may assist individuals in reducing their risks for some cancers it identifies certain foods to choose more often and others to choose less often in the context of a total health promoting diet pages why do you smoke this pamphlet contains a self test to determine why people smoke and suggests alternatives and substitutes that can help them stop early detection breast exams what you should know this pamphlet provides answers to questions about breast cancer screening methods including mammography the medical checkup breast self examination and future technologies includes instructions for breast self examination pages cancer tests you should know about a guide for people and over this pamphlet describes the cancer tests important for people age and older it informs men and women of the exams they should be requesting when they schedule checkups with their doctors it provides a checklist for men and women to record when the cancer tests occur and it describes the steps to follow hicnet medical newsletter page volume number april should cancer be found pages do the right thing get a mammogram this brochure targets black women age or older it describes the importance of regular mammograms in the early detection of breast cancer it states the nci guidelines for mammography once a year for a lifetime this brochure targets all women age or older it describes the importance of regular mammograms in the early detection of breast cancer it states the nci guidelines for mammography questions and answers about breast lumps this pamphlet describes some of the most common noncancerous breast lumps and what can be done about them includes instructions for breast self examination pages questions and answers about choosing a mammography facility this brochure lists questions to ask in selecting a quality mammography facility also discusses typical costs and coverage testicular self examination this pamphlet contains information about risks and symptoms of testicular cancer and provides instructions on how to perform testicular self examination the pap test it can save your life this easy to read pamphlet tells women the importance of getting a pap test it explains who should request one how often it should be done and where to go to get a pap test general research reports in depth reports covering current knowledge of the causes and prevention symptoms detection and diagnosis and treatment of various types of cancer individual reports are available on the following topics bone marrow transplantation cancer of the colon and rectum cancer of the lung cancer of the pancreas melanoma hicnet medical newsletter page volume number april oral cancers the immune system how it works this booklet written at a high school level explains the human immune system for the general public it describes the sophistication of the body s immune responses the impact of immune disorders and the relation of the immune system to cancer therapies present and future pages what you need to know about cancer this series of pamphlets discusses symptoms diagnosis treatment emotional issues and questions to ask the doctor includes glossary of terms and other resources individual pamphlets are available on the following topics bladder bone brain breast cervix colon and rectum dysplastic nevi esophagus hodgkin s disease kidney larynx lung melanoma multiple myeloma non hodgkin s lymphoma oral cancers ovary pancreas prostate skin testis uterus patient education anticancer drug information sheets in spanish english two sided fact sheets in english and spanish provide information about side effects of common drugs used to treat cancer their hicnet medical newsletter page volume number april proper usage and precautions for patients the fact sheets were prepared by the united states pharmacopeial convention inc for distribution by the national cancer institute single sets only may be ordered advanced cancer living each day this booklet addresses coping with a terminal illness by discussing practical considerations for the patient the family and friends pages chemotherapy and you a guide to self help during treatment this booklet in question and answer format addresses problems and concerns of patients receiving chemotherapy emphasis is on explanation and self help pages eating hints recipes and tips for better nutrition during cancer treatment this cookbook style booklet includes recipes and suggestions for maintaining optimum nutrition during treatment all recipes have been tested pages facing forward a guide for cancer survivors this booklet presents a concise overview of important survivor issues including ongoing health needs psychosocial concerns insurance and employment easy to use format includes cancer survivors experiences practical tips recordkeeping forms and resources it is recommended for cancer survivors their family and friends pages patient to patient cancer clinical trials and you this minute videocassette provides simple information for patients and families about the clinical trials process produced in collaboration with the american college of surgeons commission on cancer questions and answers about pain control a guide for people with cancer and their families this booklet discusses pain control using both medical and nonmedical methods the emphasis is on explanation self help and patient participation this booklet is also available from the american cancer society pages radiation therapy and you a guide to self help during treatment this booklet addresses concerns of patients receiving forms of radiation therapy emphasis is on explanation and self help pages hicnet medical newsletter page volume number april taking time support for people with cancer and the people who care about them this sensitively written booklet for persons with cancer and their families addresses the feelings and concerns of others in similar situations and how they have coped pages what are clinical trials all about this booklet is designed for patients who are considering taking part in research for new cancer treatments it explains clinical trials to patients in easy to understand terms and gives them information that will help them decide about participating pages when cancer recurs meeting the challenge again this booklet details the different types of recurrence types of treatment and coping with cancer s return pages breast cancer education series breast biopsy what you should know this booklet discusses biopsy procedures it describes what to expect in the hospital and while awaiting a diagnosis pages breast cancer understanding treatment options this booklet summarizes the biopsy procedure and examines the pros and cons of various types of breast surgery it discusses lumpectomy and radiation therapy as primary treatment adjuvant therapy and the process of making treatment decisions pages mastectomy a treatment for breast cancer this booklet presents information about the different types of breast surgery it explains what to expect in the hospital and during the recovery period following breast cancer surgery breast self examination for mastectomy patients is also described pages after breast cancer a guide to followup care this booklet is for the woman who has completed treatment it explains the importance of checking for possible signs of recurring cancer by receiving regular mammograms getting breast exams from a doctor and continuing monthly breast self exams it offers advice for managing the physical and emotional side effects that may accompany surviving breast hicnet medical newsletter page volume number april cancer pages pediatric cancer education series help yourself tips for teenagers with cancer this magazine style booklet is designed to provide information and support to adolescents with cancer issues addressed include reactions to diagnosis relationships with family and friends school attendance and body image pages hospital days treatment ways this hematology oncology coloring book helps orient the child with cancer to hospital and treatment procedures pages managing your child s eating problems during cancer treatment this booklet contains information about the importance of nutrition the side effects of cancer and its treatment ways to encourage a child to eat and special diets pages talking with your child about cancer this booklet is designed for the parent whose child has been diagnosed with cancer it addresses the health related concerns of young people of different ages it suggests ways to discuss disease related issues with the child pages when someone in your family has cancer this booklet is written for young people whose parent or sibling has cancer it includes sections on the disease its treatment and emotional concerns pages young people with cancer a handbook for parents this booklet discusses the most common types of childhood cancer treatments and side effects and issues that may arise when a child is diagnosed with cancer offers medical information and practical tips gathered from the experience of others pages spanish language publications si desea hablar con un especialista en informacion sobre el cancer por favor llame al cancer cancer prevention hicnet medical newsletter page volume number april a time of change de nina a mujer this bilingual fotonovela was developed specifically for young women it discusses various health promotion issues such as nutrition no smoking exercise and pelvic pap and breast examinations pages datos sobre el habito de fumar y recomendaciones para dejar de fumar this bilingual pamphlet describes the health risks of smoking and tips on how to quit and how to stay quit pages guia para dejar de fumar this booklet is a full color self help smoking cessation booklet prepared specifically for spanish speaking americans it was developed by the university of california san francisco under an nci research grant pages early detection hagase la prueba pap hagalo hoy por su salud y su familia this bilingual brochure tells women why it is important to get a pap test it gives brief clear information about who needs a pap test where to go to get one and how often the pap test should be done hagase un mamograma una vez al ano para toda una vida this bilingual brochure describes the importance of mammograms in the early detection of breast cancer it gives brief information about who is at risk for breast cancer how a mammogram is done and how to get one la prueba pap un metodo para diagnosticar cancer del cuello del utero this booklet in spanish answers questions about the pap test including how often it should be done significance of results and other diagnostic tests and treatments pages lo que usted debe saber sobre los examenes de los senos this booklet in spanish explains the importance of the three actions recommended by the nci to detect breast cancer as early as possible requesting regular mammography getting an annual breast exam from the doctor and performing a monthly breast self exam pages hicnet medical newsletter page volume number april preguntas y respuestas sobre la seleccion de un centro de mamografia this brochure lists questions and answers to ask in selecting a quality mammography facility patient education anticancer drug information sheets in spanish english two sided fact sheets in english and spanish provide information about side effects of common drugs used to treat cancer their proper usage and precautions for patients the fact sheets were prepared by the united states pharmacopeial convention inc for distribution by the national cancer institute single sets only may be ordered datos sobre el tratamiento de quimioterapia contra el cancer this flyer in spanish provides a brief introduction to cancer chemotherapy pages el tratamiento de radioterapia guia para el paciente durante el tratamiento this booklet in spanish addresses the concerns of patients receiving radiation therapy for cancer emphasis is on explanation and self help pages hicnet medical newsletter page volume number april aids news summaries aids daily summary for april to april the centers for disease control and prevention cdc national aids clearinghouse makes available the following information as a public service only providing this information does not constitute endorsement by the cdc the cdc clearinghouse or any other organization reproduction of this text is encouraged however copies may not be sold copyright information inc bethesda md april absence of hiv transmission from an infected orthopedic surgeon journal of the american medical association vol no p von reyn c fordham the risk of hiv transmission from an hiv positive surgeon to patient is extremely low provided that the surgeon strictly adheres to universal infection control procedures write c fordham von reyn et al of the dartmouth hitchcock medical center in lebanon n h the researchers contacted former patients on whom an hiv positive orthopedic surgeon performed invasive procedures between january and june the orthopedic surgeon voluntarily withdrew from practice after testing positive for hiv a total of former patients underwent hiv testing representing percent of patients on whom the orthopedic surgeon performed invasive procedures during the year period patients were tested from each year and from each category of invasive procedure all patients were found to be negative for hiv by enzyme linked immunosorbent assay two former patients reported known hiv infection prior to surgery the examination of aids case registries and vital records neglected to detect cases of hiv infection among former surgical patients the estimated cost of the initial patient notification and testing was with the single most expensive activity being counseling and testing this accounted for percent of the total expense the patient notification and testing were conducted while maintaining the confidentiality of the orthopedic surgeon who was an active participant in the planning and execution of the study notifying patients of the infected surgeon s hiv status is both disruptive and expensive and is not routinely recommended the researchers conclude investigation of potential hiv transmission to the patients of an hiv infected surgeon journal of the american medical association vol hicnet medical newsletter page volume number april no p smith rogers audrey et al the risk of hiv transmission during surgery is so remote that it will be quantified only by gathering data from multiple methodologically similar investigations writes audrey smith rogers et al of the johns hopkins university school of medicine in baltimore md the researchers identified a total of persons in hospital databases who underwent invasive surgical procedures between and and for whom the hiv positive surgeon was listed as the operating surgeon the aids case registries were reviewed for all patients having undergone invasive procedures and death certificates were obtained among the patients were dead had no address had test results known and did not respond to the questionnaire no study patient name was found in reported aids case registries one newly detected hiv positive patient was determined to have been most probably infected in during a transfusion there was no hiv transmission in person hours of surgical exposure suggesting that hiv transmission to patients is unlikely to occur more frequently than once per person hours of surgical exposure the researchers determined there is no evidence to suggest that the surgeon failed to adhere to standard infection control guidelines over percent of the patients with invasive procedures chose to be tested and of those whose results were revealed only one person was found to be infected with hiv the study patient s infection was probably the result of a tainted blood transfusion received in as a result there is no evidence that the transmission of hiv from the hiv positive surgeon to any patient transpired the researchers conclude april drug concerns to share aids data new york times p c kolata gina a total of major pharmaceutical companies have decided in a highly unusual move to share aids drugs and information while the drugs are undergoing early clinical testing dr edward scolnick president of the merck research laboratory in rahway n j arranged the collaboration he said that cooperation between companies seemed increasingly significant as it had become clear that combinations of drugs were likely to be more effective in fighting hiv than any drug used alone the researchers are hopeful that hiv when faced with a combination of several drugs requiring mutation at different sites for resistance to develop will be unable to evolve all the mutations at the same time therefore several drugs taken together or one after the other could halt the spread of hiv currently the drug companies do not know what other drugs their competitors are developing the new agreement allows companies to routinely exchange animal data and safety data on new aids drugs an agreement like this will greatly facilitate hicnet medical newsletter page volume number april companies ability to choose the best drug combinations much faster and in a much more efficient way said scolnick he also said that the collaboration would not violate antitrust laws in creating the agreement merck spoke frequently to members of aids advocacy groups including act up dr daniel hoth director of the division on aids at the national institute of allergy and infectious disease said we re delighted to see the pharmaceutical industry take this step because we think that increasing the information flow will likely accelerate the discovery of better compounds for aids related stories wall street journal p b philadelphia inquirer p a usa today p b the next step in aids treatment nature vol no p maddox john although azt was found to be ineffective in prolonging the lives of people infected with hiv the findings do not indicate that azt should not be administered in people with full blown aids writes columnist john maddox azt has been used in the united states in asymptomatic hiv positive people on the basis that administration of the drug appeared to abate the decline of t cell counts however a report in the lancet demonstrated that azt should not be used early in the course of disease while the cd counts of the people given azt were consistently greater than those of patients receiving only placebo the first three years of follow up have shown that the proportions of people in the two groups progressing to overt aids or even to death were not significantly different at roughly percent the conclusions are that azt is not an effective aids drug in hiv infected individuals and that cd cell count may not be a reliable proxy for the progression to aids in infected people but nothing is implied by the study of the utility of azt in the treatment of those in whom symptoms have already appeared there is no case for abandoning that treatment at least on the evidence now available it is much more alarming that the cd count has proven to be an unreliable mark of the efficacy of drug treatment in hiv infection aids researchers should acknowledge hiv is alive from the beginning of infection and turn it into a workable assay of the progress of disease the general application of such an assay will probably in itself provide a better understanding of the pathogenesis of aids concludes maddox infective and anti infective properties of breastmilk from hiv infected women lancet vol no p van de perre philippe et al a vaccine preparation inducing a persistent immune response of the igm type in the mother s body fluids could be valuable to prevent transmission of hiv from mother to child write philippe van de perre et al of the hicnet medical newsletter page volume number april national aids control program in kigali rwanda the researchers hypothesized that transmission of hiv through breastmilk could be favored by the presence of infected cells by deficiency of anti infective substances in breastmilk or both factors a total of hiv infected women were enrolled at delivery in kigali rwanda milk samples were collected days months and months post partum hiv igg secretory iga and igm were assayed by western blot for the latter two after removal of igg with protein g in the day and month samples the researchers sought viral genome in milk cells by double polymerase chain reaction with three sets of primers gag pol and env at days months and months post partum hiv specific igg was detected in percent percent and percent of breastmilk samples iga in percent percent and percent and igm in percent percent and percent in children who survived longer than months the risk of infection was associated with lack of persistence of igm and iga in their mothers milk the presence of hiv infected cells in the milk days post partum was strongly predictive of hiv infection in the child by both univariate and multivariate analysis the combination of hiv infected cells in breastmilk and a defective igm response was the strongest predictor of infection igm and iga anti hiv in breastmilk may protect against postnatal transmission of hiv the researchers conclude april firms to share aids research in global venture journal of commerce p a a total of fifteen u s and european pharmaceutical companies announced tuesday they will swap drug supplies and information on early stage aids research to hasten the search for combination therapies to fight hiv infection and aids the companies said the unusual move resulted primarily from the increasing concentration of aids research on combination therapies since realizing that hiv is likely to develop resistance to every individual aids drug edward scolnick president of merck co research laboratories led the collaborative effort that took a year of negotiations to come together said participants in addition to merck the other companies involved in the inter company collaboration for aids drug development are bristol myers squibb co burroughs wellcome glaxo inc hoffman la roche eli lilly co pfizer inc smithkline beecham ab astra du pont merck syntex inc boehringer ingelheim miles inc and sigma tau the participants said that all companies involved in aids drug development they were aware of had joined the collaboration and that any company actively involved in hiv anti viral development may participate scolnick said the collaborators would most likely meet every couple of months for a daylong scientific meeting where they will review for one another their preclinical hicnet medical newsletter page volume number april and early clinical data the american foundation for aids research amfar was pleased with the news of the collaboration which it hopes will lead to the development of drug combinations that will reduce viral resistance related story financial times p guidance over hiv infected health care workers lancet vol no p horton richard the united kingdom s department of health recently followed the advice of aids experts that there is no scientific reason for routine hiv testing among health care workers following recent highly publicized reports of health professionals who contracted hiv the department issued revised guidelines on the management of such cases dr kenneth calman chief medical officer said doctors dentists nurses and other health care workers have an ethical duty to seek advice if they have been exposed to hiv infection including if appropriate diagnostic hiv testing he said infected health care workers should not perform invasive procedures that carry even a remote risk of exposing patients to the virus the guidelines end of part internet david stat com fax bitnet atw h asuacad fidonet amateur packet ax wb tpy wb tpy az usa na
