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Washington Post Examines Focus On Abortions Later In Pregnancy After Tiller Murder
The Washington Post on Friday examined the renewed attention on abortion procedures performed later in pregnancy following Kansas provider George Tiller"s shooting death on Sunday. Tiller was one of the few physicians in the U.S. who performed late abortions. The Post reports that these abortions make up a small portion of the 1.2 million abortions performed each year -- more than 88% of abortions are performed in the first trimester and less than 1% are performed after 21 weeks" gestation. Data published in 2001 from 15 states and New York City show that as many as 2,400 abortions after 24 weeks" gestation were performed in the U.S. that year, according to Stanley Henshaw, a senior fellow at the Guttmacher Institute. He added that most of those abortions likely were performed in the 25th or 26th week.Henshaw said that little is known about the circumstances surrounding third trimester abortion procedures and that "information just isn"t available." The government does not collect detailed data regarding the number of such procedures, who is performing them and under what circumstances. In addition, abortion providers who perform the procedure later in pregnancy supply very little published information, the Post reports. According to the Post, most abortion providers will not perform the procedure after 22 or 24 weeks" gestation because of legal and other concerns, social stigma, or inadequate training and lack of experience. A 2001 survey of 1,819 abortion providers indicated that 18 clinics and 12 hospitals performed abortions at 26 weeks" gestation. However, the Post reports that the number of providers offering abortions later in pregnancy likely has declined in correlation with the decreasing number of overall providers. Henshaw said the number of providers offering the procedure later in pregnancy also likely has declined.Abortion-rights supporters say that third-trimester abortions are performed only when medically necessary, such as when a fatal abnormality is detected in the fetus or a life-threatening complication in the woman is discovered. Other circumstances include cases when the woman suffers serious emotional issues or is undergoing cancer treatment, the Post reports. Vicki Saporta, president of the National Abortion Federation, said that women who experience such pregnancies have "no good choice" and "nee[d] to terminate their pregnancies to protect their own health." Tiller "provided both the emotional and physical care for women in that situation," she said (Stein, Washington Post, 6/5).Los Angeles Times Profiles Abortion Provider Hern The Los Angeles Times on Friday profiled Warren Hern, a Colorado-based abortion provider who performs the procedure later in pregnancy and was a close friend of Tiller"s. Hern has provided abortions since 1973 when the Supreme Court legalized the procedure with Roe v. Wade. He said he "felt doing abortions was the most important thing I could do with my life." Hern opened the Boulder Abortion Clinic in 1975, and in the 1980s authored and self-published a textbook, Abortion Practice. He said that he eventually began to focus on abortion procedures later in pregnancy, which currently make up the majority of his practice. Such abortions usually are performed because of medical complications in the woman or abnormalities in the fetus. Patients at Hern"s clinic receive counseling to explain the procedure and to ensure the woman wants it, although he said many women have already made their decision with their own physician. Hern said that although Tiller"s death has been an emotional situation, his clinic is "pretty busy taking care of people who said they couldn"t find anyone else" to perform abortions later in pregnancy (Correll, Los Angeles Times, 6/5).Bond Set for Tiller Shooting Suspect Sedgwick County, Kan., District Judge Warren Wilbert on Thursday set a $5 million bond for Scott Roeder, the man charged with shooting and killing Tiller, the AP/Yahoo! News reports. A preliminary hearing for Roeder is scheduled for June 16. If convicted, Roeder face

Temperature Rises After Skull Surgery For Pfeiffer Syndrome
In children with the rare disease Pfeiffer syndrome, craniofacial surgery to correct skull defects is followed by a distinct pattern of increases in body temperature, reports a study in the January Journal of Craniofacial Surgery. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health, a leading provider of information and business intelligence for students, professionals, and institutions in medicine, nursing, allied health, pharmacy and the pharmaceutical industry.
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Opinion: Governments Must Take 'Concrete Action' To Reduce Maternal Mortality, Morbidity
With the U.N. Human Rights Council"s June session coming up, governments have a "chance to prove that they value women"s lives by taking concrete action" to recognize "preventable maternal death as a violation of women"s rights," Mary Robinson and Alicia Yamin, advisory council members of the International Initiative on Maternal Mortality and Human Rights, write in a Boston Globe opinion piece.
Mental Health

What Is Colon Cancer? What Causes Colon Cancer?

The colon is the longest part of the large intestine and the lowest part of the digestive system. Inside the colon, water and salt from solid wastes are extracted before the waste moves through the rectum and exits the body through the anus. What is colon cancer? Cancer is a class of diseases characterized by out-of-control cell growth, and colon cancer forms when this uncontrolled cell growth initiates with cells in the large intestine. Most colon cancers originate from small, noncancerous (benign) tumors called adenomatous polyps that form on the inner walls of the large intestine. Some of these polyps may grow into malignant colon cancers over time if they are not removed during colonoscopy. Colon cancer cells will invade and damage healthy tissue that is near the tumor causing many complications. After malignant tumors form, the cancerous cells may travel through the blood and lymph systems, spreading to other parts of the body. These cancer cells can grow in several places, invading and destroying other healthy tissues throughout the body. This process itself is called metastasis, and the result is a more serious condition that is very difficult to treat. Interesting articles What is cancer? What causes cancer? What is anal cancer? What causes anal cancer? What is colorectal cancer? What causes colorectal cancer? All about opioids and opioid induced constipation What is constipation? What causes constipation? What is endoscopy? What is an endoscope? What is a CT scan? What is a CAT scan? What is MRI? How does MRI work? What is pain? What causes pain? Colon cancer is not necessarily the same as rectal cancer, but they often occur together in what is called colorectal cancer. Rectal cancer originates in the rectum, which is the last several inches of the large intestine, closest to the anus. In the United States, about 112,000 people are diagnosed with colon cancer each year. What causes colon cancer? Cancer is ultimately the result of cells that uncontrollably grow and do not die. Normal cells in the body follow an orderly path of growth, division, and death. Programmed cell death is called apoptosis, and when this process breaks down, cancer results. Colon cancer cells do not experience programmatic death, but instead continue to grow and divide. Although scientists do not know exactly what causes these cells to behave this way, they have identified several potential risk factors. Polyps Colon cancer usually derives from precancerous polyps that exist in the large intestine. The most common types of polyps are: *Adenomas: can become cancerous but are usually removed during colonoscopy *Hyperplastic polyps: rarely become colon cancer *Inflammatory polyps: usually occur after inflammation of the colon (colitis) and may become cancerous Genes - the DNA type Cells can experience uncontrolled growth if there are damages or mutations to DNA, and therefore, damage to the genes involved in cell division. Four key types of genes are responsible for the cell division process: oncogenes tell cells when to divide, tumor suppressor genes tell cells when not to divide, suicide genes control apoptosis and tell cells to kill themselves if something goes wrong, and DNA-repair genes instruct cells to repair damaged DNA. Cancer occurs when a cell"s gene mutations make the cell unable to correct DNA damage and unable to commit suicide. Similarly, cancer is a result of mutations that inhibit oncogene and tumor suppressor gene functions, leading to uncontrollable cell growth. If you have DNA mutations of oncogenes or tumor suppressor genes that lead to colon cancer, it is likely that the mutation was a result of factors that affect DNA after you were born rather than a result of inheritance from parents. Genes - the family type Cancer can be the result of a genetic predisposition that is inherited from family members. It is possible to be born with certain genetic mutations or a fault in a gene that makes one statistically more likely to develop cancer later in life. About 20% of colon cancers are thought to be caused by inherited gene mutations. Genetic syndromes that are associated with colon cancer include familial adenomatous polyposis, attenuated adenomatous polyposis, and hereditary nonpolyposis colon cancer. Traits, Habits, and Diet Age is an important risk factor for colon cancer, as some 90% of those diagnosed are over 50. Colon cancers are more likely to occur in people with sedentary lifestyles, obese people, and those who smoke tobacco. Diet is an important factor associated with colon cancer. Diets that are low in fiber and high in fat, calories, and red meat increase the risk of developing colon cancer. In fact, Western diets that are commonly followed in the United States and Europe increase the risk of colon cancer compared to diets found in developing countries. Heavy alcohol consumption may also increase the risk of colon cancer. Other medical factors There are several diseases and conditions that have been associated with an increased risk of colon cancer. Diabetes, acromegaly (a growth hormone disorder), radiation treatment for other cancers, ulcerative colitis, and Crohn"s disease all increase the risk of colon cancer. What are the symptoms of colon cancer? Cancer symptoms are quite varied and depend on where the cancer is located, where it has spread, and how big the tumor is. It is common for people with colon cancer to experience no symptoms in the earliest stages of the disease. However, when the cancer grows, symptoms include: *Diarrhea or constipation *Changes in stool consistency *Narrow stools *Rectal bleeding or blood in the stool *Pain, cramps, or gas in the abdomen *Pain during bowel movements *Continual urges to defecate *Weakness or fatigue *Unexplained weight loss *Irritable bowel syndrome (IBS) *Iron deficiency (anemia) If the cancer spreads, or metastasizes, additional symptoms can present themselves in the newly affected area. Symptoms of metastasis ultimately depend on the location to which the cancer has spread, and the liver is the most common place of metastasis. How is colon cancer diagnosed and staged? In order to diagnose colon cancer, physicians will request a complete physical exam as well as personal and family medical histories. Diagnoses are usually made after the physician conducts a colonoscopy or a barium enema x-ray (lower G series). A colonoscopy is a procedure where a long, flexible tube with a camera on one end is inserted into the rectum to inspect the inside of the colon. If polyps are found in the colon, they are removed and sent to a pathologist for biopsy - an examination under a microscope that is used to detect cancerous or precancerous cells. A barium enema begins with the patient swallowing a special liquid that contains the element barium. After the barium lines the large intestine, an x-ray of the colon and rectum is taken. Tumors and polyps will appear as dark shadows on the x-ray. If a colon cancer diagnosis is made after a biopsy, doctors will often order chest x-rays, ultrasounds, or CT scans of the lungs, liver, and abdomens to see how far the cancer has spread. It is also not uncommon for a doctor to test blood for CEA (carcinoembyonic antigen) - a substance produced by some cancer cells. After a diagnosis is made, doctors determine the stage of the cancer. The stage determines which choices will be available for treatment and informs prognoses. The standard cancer staging method is called the TNM system. T indicates the size and direct extent of the primary tumor or degree of invasion into the intestinal wall, N indicates the degree to which the cancer has spread to nearby lymph nodes, and M indicates whether the cancer has metastasized to other organs in the body. A small tumor that has not spread to lymph nodes or distant organs may be staged as (T1, N0, M0), for example. Colon cancer is also staged from 0 to IV, derived from the TNM classification. Stage 0 is written as (Tis, N0, M0) where Tis stands for carcinoma in situ. This is when the tumor has not grown beyond the inner layer of the colon or rectum and has not invaded deeper tissues nor spread outside of the colon. Stage IV is written as (Any T, Any N, M1) and describes cancer that has spread to distant sites and other organs throughout the body. How is colon cancer treated? Cancer treatment depends on the type of cancer, the stage of the cancer (how much it has spread), age, health status, and additional personal characteristics. There is no single treatment for cancer, but the most common options for colon cancer are surgery, chemotherapy, and radiation therapy. Treatments seek to remove the cancer and/or relieve painful symptoms that the cancer is causing. Surgery Surgery to remove part of or the entire colon is called colectomy. During colectomy, a surgeon will remove the part of the colon containing the cancer as well as the maringal area close to the cancer. In addition, nearby lymph nodes are also usually removed. Depending on the extent of the colectomy, the healthy portion of the colon will either be reattached to the rectum or attached to an opening in the wall of the abdomen called a stoma. This latter option is called a colostomy, and waste will exit the body through the stoma into a colostomy bag instead of exiting through the rectum. In addition to invasive surgeries like colectomy, doctors are able to remove some small, localized cancers using endoscopy. Laparoscopic surgery (using several small incisions in the abdomen) may also be an option to remove larger polyps. Palliative surgery may also be employed to relieve symptoms for cancers that are advanced or untreatable. This type of surgery will try to relieve blockage of the colon or to inhibit other conditions in order to relieve pain, bleeding, and other symptoms. Chemotherapy Chemotherapy utilizes chemicals that interfere with the cell division process - damaging

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