Straight Talk

Risk of Miscarriage Is Increased for Nurses Handling Chemotherapy

Past stud­ies have reported sim­i­lar results, but this study, a part­ner­ship between the National Insti­tute for Occu­pa­tions Safety and Health and the Nurses’ Health Study 2, looked at preg­nancy out­come and occu­pa­tional expo­sures ret­ro­spec­tively from 8,461 par­tic­i­pants in the Nurses’ Health Study 2. Par­tic­i­pants reported 6,707 live births and 775 (10%) spon­ta­neous abor­tions (less than 20 weeks).

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The Fine Line Between Patient Rights and Biospecimen Research

Every day, physi­cians send tis­sue to pathol­ogy labs for rou­tine analy­ses; in addi­tion, tis­sue repos­i­to­ries are designed exclu­sively for the col­lec­tion and even­tual analy­sis of genetic mate­r­ial. In fact, in 2000, more than 300 mil­lion spec­i­mens con­tain­ing genetic mate­r­ial were stored in the United States. The vast col­lec­tion of sam­ples could eas­ily be used to explore genetic expres­sions asso­ci­ated with dis­eases. How­ever, con­cerns about eth­i­cal use of biospec­i­mens may pre­vent the use of many of those samples.

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Is Your Patient Experiencing Post-​​Traumatic Stress After a Cancer Diagnosis?

Post-​​traumatic stress dis­or­der (PTSD) is most often asso­ci­ated with mil­i­tary per­son­nel who have seen com­bat. Other highly stress­ful, life-​​threatening events caus­ing PTSD include nat­ural dis­as­ters, ter­ror­ist acts, vio­lent per­sonal attack (e.g., rape), or other trau­matic occur­rence. Since 1994, PTSD has been applied to peo­ple with life-​​threatening ill­nesses as well.

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Do Computed Tomography Scans Cause Cancer?

The risk of devel­op­ing can­cer from radi­ol­ogy pro­ce­dures such as x-​​rays, com­puted tomog­ra­phy (CT) scans, or nuclear med­i­cine scans is a cur­rent hot topic in med­i­cine. Although the rela­tion­ship of expo­sure to ion­iz­ing radi­a­tion and can­cer has been stud­ied exten­sively, the cur­rent con­cern is fueled by a rapid rise in the num­ber of CT scans being per­formed. CT scans expose a per­son to more radi­a­tion than a diag­nos­tic x-​​ray.

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POLST Complement Advance Directives to Better Honor Patients’ Preferences for End-​​of-​​Life Care

Tra­di­tion­ally, end-​​of-​​life treat­ment pref­er­ences had been com­mu­ni­cated via advance direc­tives such as liv­ing wills or single-​​intervention med­ical orders such as do-​​not-​​resuscitate orders. As a result, patients’ pref­er­ences regard­ing life-​​sustaining treat­ment were poorly or incom­pletely com­mu­ni­cated to the health­care team. For these rea­sons, physi­cian orders for life-​​sustaining treat­ment (POLST) were even­tu­ally developed.

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