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Editorials, Opinion Pieces React To Kansas Abortion Provider Tiller's Murder
Several newspapers on Wednesday published editorials and opinion pieces responding to the shooting death of Kansas abortion provider George Tiller, who was one of the few physicians in the country providing care for women in need of the procedure later in pregnancy. Summaries appear below.Editorials~ Boston Globe: Although officials are calling Tiller"s murder ""the act of an isolated individual," ... the generalized culture of violence and hate in the antiabortion movement that feeds the fanaticism of disturbed individuals with guns is not so easily explained away," a Globe editorial states. The editorial notes, "Many responsible abortion opponents, including Americans United for Life, condemn the killing," but "other so-called pro-life leaders insist on finding a moral equivalence between Tiller"s murder and abortion." The editorial continues, "Also victimized by Tiller"s murder are the anguished women who have sought late-term abortions because their pregnancies have gone horribly wrong." According to the editorial, the "sad irony" is that these procedures "are not a matter of "choice,"" as the "overwhelming majority of these women desperately wanted their children to be born." It adds, "Tiller"s brave and compassionate care saved the lives of these women and their futures as mothers." In his speech last month at the University of Notre Dame"s commencement ceremony, President Obama "called for people of good will on both sides of the abortion issue to bridge the divide," the editorial states, concluding, "An end to the hateful rhetoric over issues of faith that lead unhinged individuals to murder would be a good place to start" (Boston Globe, 6/2).~ USA Today: Tiller"s "insistence" on continuing to practice, despite protests and threats of violence, "was remarkably courageous," but, "[r]egrettably, threats by antiabortion activists have worked all too well," a USA Today editorial states. According to the Guttmacher Institute, the number of abortion providers has decreased by 40% since a peak in 1982, and 87% of U.S. counties have no provider, forcing many women to travel long distances to obtain care, the editorial says. "Mainstream pro-life groups should not be blamed for the actions of a suspected killer who appears to have lurked in the violent and twisted fringe of the movement," the editorial continues. However, the "braying of cable TV hosts," such as Fox News" Bill O"Reilly, "and activists such as Operation Rescue founder Randall Terry contributes to a climate of intolerance that can encourage deranged individuals," the editorial says. According to USA Today, "Thwarted in legislatures and courts, some antiabortion activists are achieving with intimidation and harassment what they can"t through the political process," but "[r]egardless of personal beliefs about abortion, authorities have an obligation to protect those providing and receiving abortion services, and to prosecute those who harass or threaten them." The editorial concludes that "Tiller"s death will only be compounded if it frightens away more doctors and makes a legal procedure even harder to come by" (USA Today, 6/3).~ Washington Post: Tiller"s death "is a tragedy for his family, his patients and his profession," and "[i]t should serve as a wake-up call that more must be done to ensure that women have access to this legal procedure," a Post editorial states. "It is unclear how this violence has affected decisions by health care providers," according to the editorial. However, it is clear that "the number of places where women can go for abortions has been declining since 1982," and "[v]ery few are performed in hospitals -- a sign that mainline medicine is not living up to its responsibility," the editorial says. The editorial notes that Attorney General Eric Holder "is offering U.S. Marshals Service protection for abortion clinics and the doctors who staff them," concluding, "It"s the right call, but one that underscores the urgency of coming up with better solutions for the delive
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AFIC Celebrates FAO World Milk Day On June 1st
The World Milk Day provides an opportunity to focus attention on milk and to publicise activities connected with milk and the milk industry. The fact that many countries choose to do this on the same day lends additional importance to individual national celebrations and shows that milk is a global food.
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Obama Highlights Health Care Reform Progress In Weekly Address
In his weekly radio and Internet address, President Obama discussed efforts by congressional leaders and health care industry groups on health care reform legislation, The Hill reports. He said that "while there remains a great deal of difficult work ahead, I am heartened by what we have seen these past few days: a willingness of those with different points of view and disparate interests to come together around common goals -- to embrace a shared sense of responsibility and make historic progress" (Youngman, The Hill, 5/16). He said, "I have always believed that it is better to talk than not to talk, that it is far more productive to reach over a divide than to shake your fist across it," which has "been an alien notion in Washington for far too long, but we are seeing that the ways of Washington are beginning to change."In the Republican radio and Internet address. Rep. Charles Boustany (R-La.), a cardiovascular surgeon, said that a "government takeover of health care will put bureaucrats in charge of health care decisions that should be made by families and doctors." He added, "It will limit treatment options and lead to rationed care," and "to pay for government health care, your taxes will be raised." Boustany, a member of the House Republican Health Care Solutions Group, said, "That is something we cannot support, and frankly, it would clearly violate some of the principles the president himself has endorsed" (Superville, AP/Washington Post, 5/16). In related news, Office of Management and Budget Director Peter Orszag on Sunday said on CNN"s "State of the Union" that the administration might support taxing health care benefits to health pay for health care reform (Barr, Politico, 5/17). Timeline
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Endoscopic Surgery As Effective As Open Surgery For Nasal Cancer

Researchers from Boston University School of Medicine (BUSM) have shown that endoscopic surgery is a valid treatment option for treating esthesioneuroblastoma (cancer of the nasal cavity), in addition to traditional open surgery and nonsurgical treatments. These findings appear in the July issue of Laryngoscope. Esthesioneuroblastoma is a very rare cancer that develops in the upper part of the nasal cavity and thought to derive from neural tissue associated with the sense of smell. While this tumor generally grows slowly, in some cases it progresses rapidly and aggressively. The faster growing tumors are capable of widespread metastasis. According to the BUSM researchers, the complex nature of this tumor has led to much debate regarding the optimal treatment modality. Several previous studies have analyzed survival rates of various treatments, the majority of which have shown that the most effective strategy is a combination of surgery and radiotherapy with or without chemotherapy. However, the evolution of surgical techniques has created another surgical option in the form of endoscopic surgery. This study examined recent literature regarding outcomes of esthesioneuroblastoma treatment between 1992 and 2008 and found overall, surgery yielded more disease-free outcomes and better survival rates than nonsurgical treatment modalities. Endoscopic surgery produced better survival rates than open surgery. In addition, there was no significant difference between follow-up times in the endoscopic and open surgery groups. "We did find a statistically significant difference between the study publication years of the open and endoscopic surgery groups because the open surgery literature considerably predated endoscopic treatment. To account for this discrepancy, we grouped the data according to publication year and performed further analysis and found the endoscopic surgery group maintained better survival rates than the open surgery group," said lead author Anand K. Devaiah, MD, FACS, an assistant professor in the departments of otolaryngology - head and neck surgery and neurological surgery as well as an attending in the department of otolaryngology at Boston Medical Center. He and his co-author, BUSM III student Michael Andreoli, presented their work at the Triological Society Eastern Section Meeting, which was met with great enthusiasm. "Although this meta-analysis suggests that the efficacy of endoscopic and endoscopic- assisted surgery is comparable to open surgery for less invasive tumors, further prospective studies are required to establish more definite conclusions, especially for larger tumors," added Devaiah. "It helps validate this revolutionary method of surgery that we perform here at BMC, one of the few centers in the world that can offer patients endoscopic skull base surgery for these and other skull base tumors." Gina Digravio Boston University Medical Center


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