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Ethicon Endo-Surgery Studies Presented At DDW Demonstrate Potential Of Pure NOTES Surgery With Company's Toolbox
Ethicon Endo-Surgery, Inc. announced that multiple studies presented at the 2009 Digestive Disease Week (DDW) demonstrate the company"s novel, investigational Toolbox enables natural orifice translumenal endoscopic surgery (NOTES) procedures without laparoscopic support in porcine models. One of the studies concluded that a new adaptable minimally-invasive surgical platform for NOTES and single-site laparoscopy (SSL) was successfully used to complete a variety of key surgical activities critical to pure natural orifice surgery and SSL.
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Editorials Respond To Kansas Abortion Provider Tiller's Murder
The following summarizes recent editorials 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.~ Los Angeles Times: Tiller"s murder "is a reminder that fringe adherents of the "pro-life" movement are willing to desecrate the very value they claim to champion," but "it distorts reality to insinuate that millions of Americans who oppose abortion condone such tactics," a Times editorial states. The editorial continues, "Tiller"s killing shouldn"t be exploited by activists on either side to score political points." According to the Times, "Sadly, Tiller"s assailant is not one of a kind, but neither is he typical of the antiabortion movement," as "[p]rominent pro-life organizations long have condemned violence against abortion providers while working to restrict the late-term abortions for which Tiller was known." The editorial also notes that the murder "was forthrightly condemned by the National Right to Life Committee, Americans United for Life and Kansas" four Catholic bishops." It continues that despite this, "some pro-choice activists are suggesting, overtly or subtly, that the responsibility for Tiller"s death is shared by the broader pro-life movement," and the "implication is that the mainstream pro-life movement has to be nudged into opposing violence." According to the Times, "Some "arguments" are thinly veiled incitements to violence against individuals and should be punished for the crimes they are," but "the basic premise of the antiabortion movement -- that a fetus is a person -- is by definition a "dehumanization" of abortion providers, even if it"s expressed in decorous language." The editorial states, "The militancy of some pro-life groups constitutes an alarming assault on a constitutionally protected right, but the answer is not to limit expression." It concludes, "It"s unfair to ask antiabortion activists to muffle their message because it might inspire an unbalanced individual to commit an atrocity" (Los Angeles Times, 6/2).~ New York Times: Tiller"s killing "was a reprehensible act of domestic terrorism directed toward the dwindling cadre of physicians who risk their safety to perform legal medical procedures," a Times editorial states. The editorial continues that for Tiller "and physicians like him, the threatening protests and incidents of violence and harassment never really stopped." According to the Times, "For his principled devotion to women"s health and constitutionally protected rights, [Tiller] was the target of protests at his clinic, his house and his church," all of which forced him "to fend off trumped up legal challenges aimed at shutting down his operations." Although U.S. Attorney General Eric Holder has said that the U.S. Marshal Service will begin providing protection to certain abortion clinics and doctors, he should "consider taking the additional step of revitalizing the National Task Force on Violence against Health Care Providers that former Attorney General Janet Reno established during the Clinton years," the editorial continues. According to the Times, "There must be a sustained focus by federal and state officials to prevent further acts of violence and intimidation," and "[i]f it turns out that additional laws are needed, Congress should take action." The editorial concludes, "Over time, the combination of anti-choice restrictions and ongoing harassment by protest groups even short of violence have served to make abortions harder and harder to obtain. That trend must be stopped" (New York Times, 6/2).
News of the day
South Asia Day - Historic Meeting To Promote Millennium Development Goals 4 And 5: Royal College of Obstetricians and Gynaecologists
A group of international experts will meet at the Royal College of Obstetricians and Gynaecologists (RCOG) on the occasion of South Asia Day to discuss ways to achieve Millennium Development Goals 4 (reduce child mortality) and 5 (improve maternal health). This historic conference gathers together specialists in obstetrics and gynaecology, midwives, health care providers and policy makers to share experiences and discuss strategies to improve women"s health in South Asia.
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Fresenius Endorses PEAK Campaign Efforts To Reduce Dialysis Patient Mortality

Fresenius Medical Care, which operates the nation"s leading network of dialysis clinics, today endorsed the Performance Excellence and Accountability in Kidney Care (PEAK) campaign recently launched by Kidney Care Partners (KCP) - a coalition of patient advocates, dialysis professionals, care providers and manufacturers working together to improve quality of care for individuals with chronic kidney disease (CKD). The PEAK initiative is designed to significantly reduce the mortality rate for patients in their first year of dialysis. "The PEAK initiative is consistent with our ongoing commitment to improving the quality of care," said Dr. J. Michael Lazarus, Fresenius Medical Care"s chief medical officer. "Fresenius Medical Care has always emphasized quality of care in our facilities, and one area of concern has been the increased risk of death in the first year after starting dialysis treatment. Through our RightStart™ program, we were able to demonstrate that a structured program of prompt medical and educational strategies focused on patients in their first three months on dialysis does improve morbidity and mortality rates. So while we know that high mortality rates are a significant problem, we also know that if the entire kidney care community works together toward a common goal, we can make progress in this critical area." Many factors contribute to first-year mortality among dialysis patients. Individuals starting dialysis face complex challenges, such as control of anemia, dietary changes, and vascular access management. They must also adjust to a demanding regular treatment schedule. During this transition period, patients are most susceptible to complications. PEAK is a quality improvement campaign that seeks to mitigate these challenges, pledging to extend, even save, as many as 10,000 lives and reduce mortality among first-year dialysis patients by 20 percent by the end of 2012. "Improvements in quality of care have been at the top of the kidney care community"s agenda over the past 15 years. Significant progress has been made, but the PEAK initiative raises the bar for the next 10 years," said Lazarus. "It says to patients, their families, and everyone concerned with kidney disease that there is a concrete effort in place to address real problems with actual solutions, using recommendations from leading researchers and experts. At a critical time in their lives, when the risks are greatest, dialysis patients and their families can be confident that the PEAK initiative is contributing to improving the chances for survival and a better life for all dialysis patients." Fresenius Medical Care North America


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