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British Medical Journal Group Provides Medical Information For Doctors On The Move
Health professionals across the world can now get on-the-spot access to expert opinion, guidelines and the latest clinical evidence on their mobile phone.
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Advocates Say Rise In Inquires About Adoption, Abortion Linked To Recession
Several large adoption agencies are reporting an increase in the number of women with unintended pregnancies who are considering adoption, a trend that some advocates say is tied to the recession, USA Today reports. Scott Mars of American Adoptions said that he has observed a 10% to 12% increase in the past year in the number of women asking about adoption and a 7% to 10% increase in actual placements. Mars said that the economy has led women to "take a second look at adoption." Adam Pertman of the Evan B. Donaldson Adoption Institute, a research group, said, "Finances are one of the major reasons women feel compelled to place their children for adoption." According to USA Today, more women also are considering delaying pregnancy or inquiring about abortion because of financial factors. A recent Gallup poll found that the economy has prompted one in 10 married women to delay pregnancy. Vicki Saporta of the National Abortion Federation, which represents abortion providers, said that calls to the group"s hotline have increased nearly threefold since 2008 and that many of the calls have come from women who have experienced job loss in their families.According to Joan Jaeger of the Chicago-area adoption agency The Cradle, about 30% more women are asking about placing a child for adoption than in 2008. She noted that many of the women inquiring about adoption are in their 20s and have at least one child. Joseph Sica of Adoption by Shepherd Care said he has seen a "dramatic increase in girls calling us from the hospital" who are interested in placing a child for adoption. Sica said that many of these women expect to receive assistance in raising their infants but inquire about adoption after they give birth and find that little help is available. He said that in 2008 his agency facilitated 14 such adoptions, an increase from 11 in 2007 and four in 2006. However, Chuck Johnson -- chief operating officer of the advocacy group the National Council for Adoption -- said that the percentage of women who place a child for adoption remains low overall, which he attributed to access to legal abortion and greater societal acceptance of single parenthood. Data from the National Center for Health Statistics show that before abortion became legal in 1973, one in five never-married white women and one in 10 never-married women overall placed a child for adoption after giving birth. Since then, that rate has "plummeted," USA Today reports. A 2002 survey, the most recent available, found that only 1% of such women placed a child for adoption (Koch, USA Today, 5/19).
News of the day
CDC Report Examines Sexual Health, AIDS Rates Among U.S. Teenagers, Young Adults
CDC"s latest Morbidity and Mortality Weekly Report (MMWR) examines the sexual health of young adults and teenagers in the U.S., Reuters reports. "The data presented in this report indicate that many young persons in the United States engage in sexual risk behavior and experience negative reproductive health outcomes," the MMWR states (7/16). For the report, CDC compiled data from several different studies involving hundreds of thousands of teenagers and young adults age 10 to 25. Among other findings, the data indicated that AIDS rates among boys age 15 to 19 increased from 1.3 cases per 100,000 in 1997 to 2.5 cases in 2006. The report also said that new HIV and AIDS diagnoses were highest among young blacks across all age groups (Chicago Tribune, 7/17). Kevin Fenton, director of CDC"s National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, said, "It is imperative that all of us at the national and community level work together to ensure STD and HIV prevention programs are reaching young people, particularly in communities with the greatest burden of disease" (Brewington, "Picture of Health," Baltimore Sun, 7/16).
Diagnostics

Personalizing Medical Care: An Inner 'Fingerprint'

Fingerprints move over. Scientists are reporting evidence that people have another defining trait that may distinguish each of the 6.7 billion humans on Earth from one another almost as surely as the arches, loops, and whorls on their fingertips. In a study scheduled for the Aug. 7 issue of ACS" monthly publication the Journal of Proteome Research, they report evidence from studies in humans for the existence of unique patterns in metabolism. Metabolism is a whole caboodle of chemical processes. The body uses to turn food into energy, grow, repair damage from diseases and injuries, use medicines, and carry out other functions necessary to continue living. In the new study, Ivano Bertini and colleagues cite growing evidence that each individual has a unique metabolic profile. It"s a biochemical counterpart to fingerprints that can be detected by analyzing the chemical whorls and grooves that result from metabolism and can be detected in the urine. Doctors have dreamed of using such tests for the early diagnosis of disease and personalized medical care. They could pick drugs and treatments that are best for each individual, rather than today"s one-size-fits all medicine. To do so, however, doctors need evidence that the metabolic fingerprint remains stable over a period of years, with changes due to disease or medications, for instance, but not advancing age or other factors. The new study provides that evidence, based on the analysis of over 1,800 urine samples from people monitored for 2-3 years. Researchers could identify individual patients from their metabolic profiles with an accuracy of over 99 percent. The study could pave the way for using metabolic profiling to apply personalized medical care, the researchers suggest. Article: "Individual Human Phenotypes in Metabolic Space and Time" http://pubs.acs.org/stoken/presspac/presspac/full/10.1021/pr900344m Michael Woods American Chemical Society


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