Book Review:Wintrobe’s Clinical Hematology, 10th Edition
The 10th edition of Wintrobe’s Clinical Hematology is a two volume, multiauthored work that spans the ever-expanding discipline of hematology in over 2,600 pages. The book is appropriately introduced by an excellent short chapter written previously by Dr. Wintrobe on “The Diagnostic and Therapeutic Approach to Hematologic Problems.” There follows a valuable series of six chapters totaling 133 pages devoted to laboratory hematology, including blood and bone marrow examination, immunodiagnosis, clinical flow cytometry, cytogenetics, clusters of differentiation, and molecular genetics. These chapters contain ample illustrations, diagrams, tables, and references.
WHO Guidelines for Pediatric Cancer Pain Focus on Drug, Nondrug Strategies
December 1st 1999LONDON, Ontario-For a child with cancer, the pain related to the disease, its therapy, and required procedures is quite often the worst pain that the child has ever encountered, said Patricia A. McGrath, PhD, in her presentation at the World Health Organization workshop session on cancer pain.
Helping Patients Avoid Treatment-Related Nausea
December 1st 1999NEW YORK-Patients may talk about many treatment issues with their doctors but keep mum about treatment-related nausea. “When they go to their chemotherapy nurse, that’s when they say, ‘It was awful. I was sick for 3 days after chemotherapy,’” Terri Maxwell, RN, MSN, said at a teleconference sponsored by Cancer Care Inc.
Laptop Computer Allows Bedside Assessment of Pain and Automated Tracking of Medications
December 1st 1999HOUSTON-A male cancer patient receiving opioids for pain is reluctant to tell the female pain specialist at the clinic about his constipation until she hands him a small computer and shows him how to use a pen device to indicate his side effects from a list on the screen
New Drug Delivery Technology Improves Response Rate to Cytarabine
December 1st 1999Researchers at the University of California, San Diego, (UCSD) Cancer Center report success inusing a new technology to develop a sustained-release formulation of cytarabine (ara-C). The new formulation, called DepoCyt, produced a significantly better response rate than the standard ara-C formulation in patients with lymphomatous meningitis. Results of the open, multicenter, controlled study were reported at the 35th meeting of the American Society of Clinical Oncology (ASCO).
Use of Implanted Epidural Catheter for Opioid Delivery Appears Safe, Effective in Home Setting
December 1st 1999NEW YORK-An implanted epidural catheter can be a safe and effective means of providing analgesia in the home setting for patients with advanced cancer, Memorial Sloan-Kettering Cancer Center researchers found in a retrospective review.
WHO Adds More Opioids to its Analgesic Ladder for the Treatment of Cancer Pain
December 1st 1999MADISON, Wis--The World Health Organization (WHO), which first published its analgesic ladder in the original 1986 version of Cancer Pain Relief, has now issued an updated 2nd edition of the book that includes additional alternative opioids such as hydromorphone, oxycodone, and transdermal fentanyl, David E. Joranson, MSSW, said at the WHO workshop on cancer pain at the 8th World Congress on Pain.
Standards for Psychosocial Cancer Care Under Development
December 1st 1999NEW YORK-“There are no minimum standards for the quality of the psychosocial care given at institutions,” said Jimmie C. Holland, MD, leadoff speaker at the Pan-American Congress of Psychosocial and Behavioral Oncology. “We would never let that happen with infectious disease,” said Dr. Holland, Wayne Chapman Chair of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center.
OMB Restricts Access to Federally Funded Research Data
December 1st 1999WASHINGTON-The Office of Management and Budget (OMB) has issued a final rule that defines what research data the public can demand to see under the Freedom of Information Act (FOIA). To the relief of many in the biomedical sciences, the White House agency did not include data from research in progress or any information that could be used to identify particular persons in a research study.
High-Dose Therapy With Stem-Cell Transplantation in the Malignant Lymphomas
December 1st 1999Approximately 35,000 stem (progenitor)-cell transplants are performed annually worldwide, with an estimated yearly growth rate of between 10% and 20%.[1] Non-Hodgkin’s lymphoma remains the second most common indication for stem-cell transplantation, and Hodgkin’s disease ranks approximately seventh overall.[1]
Women With HIV at Greater Risk for Cervical Cancer
December 1st 1999Cervical cancer has a high incidence and is a rapidly progressive illness among human immunodeficiency virus (HIV)-infected women. This cancer has received increasing attention since 1993 following its addition to the list of AIDS-defining illnesses monitored by the Centers for Disease Control and Prevention (CDC).[1] With increased heterosexual transmission of HIV and frequent co-infection with the human papillomavirus (HPV),[1] invasive cervical cancers will appear more often among HIV-infected women.
Johns Hopkins Dedicates New Building for Cancer Center
December 1st 1999BALTIMORE-Johns Hopkins Medicine has dedicated a new $125 million home for its comprehensive clinical cancer services. A decade in the planning, the half-million square foot Harry and Jeanette Weinberg Building is the largest structure on the East Baltimore medical campus. It was designed from the ground up to meet the complex and exacting specifications of cancer specialists and their patients, Johns Hopkins said in a press release.
Government Lawsuit Seeks Billions From Tobacco Industry
November 1st 1999WASHINGTON-By imposing taxes on tobacco products and mandating health warnings on cigarette pack-ages, did the federal government, in effect, collaborate with the tobacco industry in causing smoking-related diseases in millions of Americans?
NCI Plans a Large Phase III Trial of Lymphoma Vaccine
November 1st 1999BETHESDA, Md-The National Cancer Institute (NCI) has announced plans for a large-scale, randomized phase III trial of a patient-specific therapeutic vaccine against B-cell lymphoma. The decision came as the result of findings from a recently completed phase II study at the NCI.
NCCN Database Expanding to Include Cancer Pain Outcomes
November 1st 1999MINNEAPOLIS-Medtronic, Inc. and the National Comprehensive Cancer network (NCCN) have announced that they are partnering in an effort to shed light on a key concern of cancer patients and their families: the best way to control cancer pain while preserving patients’ quality of life.
Radiation Oncology Clinical Research Seminar to be Held at the University of Florida
November 1st 1999A three-day interdisciplinary cancer conference will be held March 2 through 4, 2000, at the Best Western Gateway Grand in Gainesville, Florida. The seminar will emphasize the latest advances in radiation therapy techniques and results. It will include refresher courses by senior faculty, panel discussions, and new departmental research results. Visiting Professor will be Professeur Jean-Pierre Gerard, Service de Radiotherapie-Oncologie, Hôpitaux de Lyon, France. Other presentations will be made by clinicians from the University of Florida Department of Radiation Oncology.
Prophylactic Tamoxifen Debated at ECCO
November 1st 1999VIENNA, Austria-The substantial drop in breast cancer incidence reported in the NSABP P-1 trial of prophylactic tamoxifen (Nolvadex) contrasted sharply with the negative findings of the earlier Royal Marsden and Italian trials. Whether the P-1 results can be confidently and routinely applied to all high-risk women was the focus of a debate between Royal Marsden investigator Trevor Powles, MD, and NSABP investigator Bernard Fisher, MD, at the 10th European Cancer Conference (ECCO 10).
Even With Coverage, Patients Avoid Clinical Trials
November 1st 1999MINNEAPOLIS-Of the many possible reasons why cancer patients choose not to enter clinical trials, worries about whether the cost will be reimbursed by their health plan may actually rank low on the list, or so the experience of Minneapolis-based UnitedHealth Group suggests.
Candlelight Vigil Rekindles Enthusiasm of ‘The March’
November 1st 1999WASHINGTON-Cancer survivors, their families, and friends gathered in front of the Lincoln Memorial for “Rays of Hope,” a candlelight vigil to mark the first anniversary of The March. That event brought tens of thousands to Washington last September to a rally aimed at making cancer the nation’s leading research priority.
Simplified Anti-HIV Maintenance Regimen Appears Feasible
November 1st 1999SAN FRANCISCO-A clinical trial reported at the 39th Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC) suggests that people infected with HIV who are taking complicated protease-inhibitor-containing regimens to suppress the virus may be able to safely switch to a simplified maintenance regimen requiring only two pills twice a day.
NCI Denies Media Report It Failed to Replicate Endostatin Findings
November 1st 1999BETHESDA, Md-In a rare public confrontation with the media, the National Cancer Institute denied a report in the Wall Street Journal that its scientists had failed to replicate the work of Judah Folkman, PhD, showing that endostatin, an antiangiogenesis compound, dramatically shrinks tumors in mice.
Novartis Website Offers Practical Cancer Information
November 1st 1999EAST HANOVER, NJ-The driving force behind Novartis Oncology’s new oncology/hematology website is practicality-providing practical information in an easily accessible manner. The new site, for oncologists, hematologists,nurses, patients, and consumers, is located at www.novartisoncology.com.
Peregrine Offers More Accurate RT Dose Calculation
November 1st 1999SEWICKLEY, Penn-NOMOS Corporation has been granted an exclusive license by the Lawrence Livermore National Laboratory to commercialize its Peregrine technology. Peregrine is a Monte Carlo-based dose calculation system designed specifically for radiation therapy planning (see photo).
NCI Embarks on Quality Care Mapping Initiatives
November 1st 1999The National Cancer Institute (NCI) is about to embark on a series of “quality care” initiatives designed to identify the best medical care approaches for various cancers. The NCI strategy was laid out to the Senate Cancer Coalition by Robert Hiatt, MD, PhD, on September 16. Hiatt, who is the deputy director of the Division of Cancer Control and Population Studies at the NCI, disclosed that the NCI will be issuing a request for applications (RFA) for consortiums of investigators, presumably composed of oncologists, cancer centers, university medical centers, state cancer registries, and medical associations. Each team will be provided with core support to carry out innovative, in-depth analyses consistent with a series of recommendations made in the past year by both the National Cancer Policy Board and the President’s Cancer Panel. These recommendations include: developing a cancer data system that provides quality benchmarks for use by systems of providers; supporting national studies of newly diagnosed cancer patients, which yield data that relate care to outcomes; and trying to find out why some population segments are not receiving quality cancer care.
ASCO Praises Patient Protection Bill Passed by House
November 1st 1999The American Society of Clinical Oncology (ASCO) applauded patient protection legislation passed recently in the US House of Representatives that would provide much-needed improvements in cancer patients’ access to high-quality care and treatment, including therapies offered in clinical trials. The Bipartisan Consensus Managed Care Improvement Act (HR 2723), introduced by Representatives Charlie Norwood (R-GA) and John Dingell (D- MI), passed by a vote of 275 to 151.
NCI Funds 24 DNA Microarray Laboratories Nationwide
November 1st 1999BETHESDA, Md-Twenty-four cancer research centers in the United States will receive a total of $4.1 million from the National Cancer Institute to purchase the necessary equipment to establish DNA microarray facilities. The new and technically challenging research tool enables scientists to assess expression levels of a large subset of the human genes in a cell or tissue.
PEIT Improves Survival Rates in Hepatocellular Carcinoma
November 1st 1999ORLANDO-At the Digestive Disease Week meeting, University of Tokyo researchers reported on the largest single-institution study of the use of percutaneous ethanol injection therapy (PEIT) in hepatocellular carcinoma (HCC). The research group studied 849 patients hospitalized for HCC at their institution between 1985 and 1997.
Postradiation Problems Cause Long-Term Pain
November 1st 1999VIENNA, Austria-Most long-term breast cancer survivors who have had adjuvant radiotherapy are likely to have significant pain or functional impairment even 10 to 16 years after treatment, but fewer than one third receive pain medication, Ulf E. Kongsgaard, MD, of the Norwegian Radium Hospital, Oslo, said at the 9th World Congress on Pain.