This video will guide you on how to remove safely asbestos from an old house and what you should do to protect yourself from the danger of inhaling asbestos particles.
Learn The Different Types Of Asbestos
Thursday, October 15, 2009
As we all know that Asbestos is a cancerous material, and exposure to it may result in later development of diseases such as benign pleural effusion, pleural plaques, diffuse pleural thickening, rounded atelectasis, asbestosis, mesothelioma, and lung cancer. Most exposure to asbestos has occurred occupationally. However, people have also been exposed to asbestos through common household products, old buildings, and by indirect contact from loved ones who have work with asbestos directly and have carried home asbestos dust on their clothing.
Let me define with you what is "Asbestos" and i will show you what are the different types and give you some photos to give you more information.
Asbestos is a naturally occurring silicate mineral with long, thin fibrous crystals. The word asbestos (ἄσβεστος) is a borrowed Greek adjective meaning inextinguishable. The Greeks termed asbestos the miracle mineral because of its soft and pliant properties, as well as its ability to withstand heat.
Asbestos can be toxic. The inhalation of asbestos fibers can cause serious illnesses, including malignant lung cancer, mesothelioma (a type of malignant neoplasm dependent mostly from exposure to asbestos),and asbestosis (a type of pneumoconiosis). Since the mid 1980s, the European Union and most developed countries have banned asbestos. Since January 1 2005 the European Union has banned all types of utilization of asbestos Directive 1999/77/EC and extraction, manufacture and processing of asbestos products Directive 2003/18/E.
There are six minerals that defined as "Asbestos" these include : chrysotile, amosite, crocidolite, tremolite, anthophyllite and actinolite and comes in 3 different colors.
White
Chrysotile, is obtained from serpentine rocks which are common throughout the world. Serpentine rock is also the state rock of California. Chrysotile fibers are curly as opposed to fibers from amosite, crocidolite, tremolite, actinolite, and anthophyllite which are needlelike. Chrysotile, along with other types of asbestos, has been banned in dozens of countries and is only allowed in the United States and Europe in very limited circumstances. Chrysotile has been used more than any other type and accounts for about 95% of the asbestos found in buildings in America. Applications where chrysotile might be used include the use of joint compound and it can be spun and woven into fabric. The most common use is within corrugated asbestos cement roof sheets typically used for outbuildings, warehouses and garages. It is also found as flat sheets used for ceilings and sometimes for walls and floors. Numerous other items have been made containing chrysotile including brake linings, cloth behind fuses (for fire protection), pipe insulation, floor tiles, and rope seals for boilers.
Brown
Amosite, is a trade name for the amphiboles belonging to the Cummingtonite - Grunerite solid solution series, commonly from Africa, named as an acronym from Asbestos Mines of South Africa. It is found most frequently as a fire retardant in thermal insulation products and ceiling tiles.
Brown
Amosite, is a trade name for the amphiboles belonging to the Cummingtonite - Grunerite solid solution series, commonly from Africa, named as an acronym from Asbestos Mines of South Africa. It is found most frequently as a fire retardant in thermal insulation products and ceiling tiles.Blue
Crocidolite, is an amphibole found primarily in southern Africa, but also in Australia. It is the fibrous form of the amphibole riebeckite. Notes: chrysotile commonly occurs as soft friable fibers. Asbestiform amphibole may also occur as soft friable fibers but some varieties such as amosite are commonly straighter. The riebeckite granite known as ailsite, found on the island of Ailsa Craig in western Scotland, is prized for its use in the manufacture of curling stones. Riebeckite granite was used for the facing stones of the Canton Viaduct from Moyles Quarry (a.k.a. Canton Viaduct Quarry) now part of Borderland State Park in Massachusetts.
Canton viaduct
Other regulated asbestos minerals, such as actinolite asbestos (or smaragdite), anthophyllite asbestos, and tremolite asbestos; are less commonly used industrially but can still be found in a variety of construction materials and insulation materials and have been reported in the past to occur in a few consumer products.
Other natural and not currently regulated asbestiform minerals, such as richterite, and winchite, may be found as a contaminant in products such as the vermiculite containing zonolite insulation manufactured by W.R. Grace and Company. These minerals are thought to be no less harmful than tremolite, amosite, or crocidolite, but since they are not regulated, they are referred to as "asbestiform" rather than asbestos although may still be related to diseases and hazardous. (photos left: actinolite)Anthophylite is the product of metamorphism of magnesium-rich rocks especially ultrabasic igneous rocks and impure dolomitic shales. It also forms as a retrograde product rimming relict orthopyroxenes and olivine, and as an accessory mineral in cordierite-bearing gneisses and schists.
The Cancer Health Empowerment For Living Without Pain Study May Benefit Mesothelioma Patients
Sunday, October 4, 2009
Cancer-related pain is common and under-treated. This article describes a study designed to test the effectiveness of a theory-driven, patient-centered coaching intervention to improve cancer pain processes and outcomes.
Methods: The Cancer Health Empowerment for Living without Pain (Ca-HELP) Study is an American Cancer Society sponsored randomized trial conducted in Sacramento, California.
A total of 265 cancer patients with at least moderate pain severity (Worst Pain Numerical Analog Score >=4 out of 10) or pain-related impairment (Likert score >= 3 out of 5) were randomly assigned to receive tailored education and coaching (TEC) or educationally-enhanced usual care (EUC); 258 received at least one follow-up assessment. The TEC intervention is based on social-cognitive theory and consists of 6 components (assess, correct, teach, prepare, rehearse, portray).
Both interventions were delivered over approximately 30 minutes just prior to a scheduled oncology visit. The majority of visits (56%) were audio-recorded for later communication coding.
Follow-up data including outcomes related to pain severity and impairment, self-efficacy for pain control and for patient-physician communication, functional status and well-being, and anxiety were collected at 2, 6, and 12 weeks.DiscussionBuilding on social cognitive theory and pilot work, this study aims to test the hypothesis that a brief, tailored patient activation intervention will promote better cancer pain care and outcomes. Analyses will focus on the effects of the experimental intervention on pain severity and impairment (primary outcomes); self-efficacy and quality of life (secondary outcomes); and relationships among processes and outcomes of cancer pain care.
If this model of coaching by lay health educators proves successful, it could potentially be implemented widely at modest cost. [Clinical Trials Identifier: NCT00283166]
Author: Richard KravitzDaniel TancrediRichard StreetDonna KalauokalaniTim GrennanTed WunChristina SleeDionne Evans DeanLinda LewisNaomi SaitoPeter Franks
Credits/Source: BMC Cancer 2009, 9:319
Methods: The Cancer Health Empowerment for Living without Pain (Ca-HELP) Study is an American Cancer Society sponsored randomized trial conducted in Sacramento, California.
A total of 265 cancer patients with at least moderate pain severity (Worst Pain Numerical Analog Score >=4 out of 10) or pain-related impairment (Likert score >= 3 out of 5) were randomly assigned to receive tailored education and coaching (TEC) or educationally-enhanced usual care (EUC); 258 received at least one follow-up assessment. The TEC intervention is based on social-cognitive theory and consists of 6 components (assess, correct, teach, prepare, rehearse, portray).
Both interventions were delivered over approximately 30 minutes just prior to a scheduled oncology visit. The majority of visits (56%) were audio-recorded for later communication coding.
Follow-up data including outcomes related to pain severity and impairment, self-efficacy for pain control and for patient-physician communication, functional status and well-being, and anxiety were collected at 2, 6, and 12 weeks.DiscussionBuilding on social cognitive theory and pilot work, this study aims to test the hypothesis that a brief, tailored patient activation intervention will promote better cancer pain care and outcomes. Analyses will focus on the effects of the experimental intervention on pain severity and impairment (primary outcomes); self-efficacy and quality of life (secondary outcomes); and relationships among processes and outcomes of cancer pain care.
If this model of coaching by lay health educators proves successful, it could potentially be implemented widely at modest cost. [Clinical Trials Identifier: NCT00283166]
Author: Richard KravitzDaniel TancrediRichard StreetDonna KalauokalaniTim GrennanTed WunChristina SleeDionne Evans DeanLinda LewisNaomi SaitoPeter Franks
Credits/Source: BMC Cancer 2009, 9:319
Unlicensed Asbestos Removal Will Be Penalised
Monday, September 21, 2009
The Health and Safety Executive (HSE) is warning the building trade that companies and contractors will face prosecution if they remove asbestos without a licence.
It follows HSE's successful prosecution of three contractors who carried out unlicensed asbestos removal at Kelford School in Rotherham in 2006.
Mansell Build Ltd (previously Birse Build Ltd) of Cheadle Hulme, Cheshire,was fined £12,500 and ordered to pay £12,500 costs. Andrew Brightmore, a former manager of ARB Agriplant Ltd was fined £2,500 and ordered to pay £500 costs and Gary Cusack was fined £500 and ordered to pay £250 costs. Both are of Thurcroft, Rotherham. All were prosecuted for health and safety breaches at Rotherham Magistrates' Court.
Mansell Build Ltd, the principal contractor, was employed to carry out work to remove asbestos insulating board ceilings at the school. The work should have been carried out by a contractor licensed by HSE, but the company contracted to carry out the work, ARB Agriplant Ltd, did not have a licence.
Now in administration, ARB Agriplant Ltd then subcontracted the work to Gary Cusack, another unlicensed contractor.
All contractors failed to implement basic requirements to prevent the spread and exposure to asbestos to both those removing the materials and to others working at the school at the time.
After the removal work had been completed, Mansell Build Ltd allowed other contractors to work in those areas without verifying which areas were free from asbestos. It was then found that these areas were contaminated with asbestos.
Following the incident ARB Agriplant Ltd provided a forged asbestos licence and a falsified clearance certificate to Mansell Build Ltd, claiming that the work had been undertaken by a licensed contractor and that the area was free from asbestos.
Speaking after the case, HSE inspector David Bradley said:
"Those responsible for employees have a legal duty to protect their health and safety and in the case of asbestos they should know that any disturbance of such a dangerous material should only be tackled by licensed workers.
"In this case, the contractors responsible put others in a dangerous situation, which could have been avoided had the work been carried out by a licensed contractor.
"Asbestos is the biggest cause of work-related deaths in the UK, which is why there are strict rules in place to prevent exposure. HSE has published a wealth of advice for employers to help them reduce the risks associated with asbestos."
Around 4,000 people a year die from asbestos-related diseases. For more information here.
Notes
1. Mansell Build Limited and Andrew Brightmore were charged under Section 3(1) Health & Safety at Work Act which states: 'It shall be the duty of every employer to conduct his undertaking in such a way as to ensure, so far as is reasonably practicable, that persons not in his employment who may be affected thereby are not thereby exposed to risks to their health or safety.'
2. Gary Cusack was charged under section 3(2) of the Health & Safety at Work Act which states: 'It shall be the duty of every self-employed person to conduct his undertaking in such a way as to ensure, so far as is reasonably practicable, Page 5 that he and other persons (not being his employees) who may be affected thereby are not thereby exposed to risks to their health or safety.'
Source : HSE
It follows HSE's successful prosecution of three contractors who carried out unlicensed asbestos removal at Kelford School in Rotherham in 2006.
Mansell Build Ltd (previously Birse Build Ltd) of Cheadle Hulme, Cheshire,was fined £12,500 and ordered to pay £12,500 costs. Andrew Brightmore, a former manager of ARB Agriplant Ltd was fined £2,500 and ordered to pay £500 costs and Gary Cusack was fined £500 and ordered to pay £250 costs. Both are of Thurcroft, Rotherham. All were prosecuted for health and safety breaches at Rotherham Magistrates' Court.
Mansell Build Ltd, the principal contractor, was employed to carry out work to remove asbestos insulating board ceilings at the school. The work should have been carried out by a contractor licensed by HSE, but the company contracted to carry out the work, ARB Agriplant Ltd, did not have a licence.
Now in administration, ARB Agriplant Ltd then subcontracted the work to Gary Cusack, another unlicensed contractor.
All contractors failed to implement basic requirements to prevent the spread and exposure to asbestos to both those removing the materials and to others working at the school at the time.
After the removal work had been completed, Mansell Build Ltd allowed other contractors to work in those areas without verifying which areas were free from asbestos. It was then found that these areas were contaminated with asbestos.
Following the incident ARB Agriplant Ltd provided a forged asbestos licence and a falsified clearance certificate to Mansell Build Ltd, claiming that the work had been undertaken by a licensed contractor and that the area was free from asbestos.
Speaking after the case, HSE inspector David Bradley said:
"Those responsible for employees have a legal duty to protect their health and safety and in the case of asbestos they should know that any disturbance of such a dangerous material should only be tackled by licensed workers.
"In this case, the contractors responsible put others in a dangerous situation, which could have been avoided had the work been carried out by a licensed contractor.
"Asbestos is the biggest cause of work-related deaths in the UK, which is why there are strict rules in place to prevent exposure. HSE has published a wealth of advice for employers to help them reduce the risks associated with asbestos."
Around 4,000 people a year die from asbestos-related diseases. For more information here.
Notes
1. Mansell Build Limited and Andrew Brightmore were charged under Section 3(1) Health & Safety at Work Act which states: 'It shall be the duty of every employer to conduct his undertaking in such a way as to ensure, so far as is reasonably practicable, that persons not in his employment who may be affected thereby are not thereby exposed to risks to their health or safety.'
2. Gary Cusack was charged under section 3(2) of the Health & Safety at Work Act which states: 'It shall be the duty of every self-employed person to conduct his undertaking in such a way as to ensure, so far as is reasonably practicable, Page 5 that he and other persons (not being his employees) who may be affected thereby are not thereby exposed to risks to their health or safety.'
Source : HSE
Are You Safe From Vermiculite Insulation?
Saturday, September 5, 2009
The US Environmental Protection Agency (EPA) offices have received a large number of phone calls from citizens concerned about vermiculite insulation in their home that might be contaminated with asbestos. If you suspect vermiculite insulation is in your home, the safest thing is to leave the material alone. If you decide to remove or must otherwise disturb the material due to a renovation project, consult with an experienced asbestos contractor. EPA is gathering more information about vermiculite insulation and other products containing vermiculite. Here are the following information that provides a common sense approach to help you find out what kind of insulation is in your home and decide what to do if you have vermiculite insulation:
Vermiculite is a naturally occurring mineral that has the unusual property of expanding into worm-like accordion shaped pieces when heated. The expanded vermiculite is a light-weight, fire-resistant, absorbent, and odorless material. These properties allow vermiculite to be used to make numerous products, including attic insulation.
Vermiculite is a naturally occurring mineral that has the unusual property of expanding into worm-like accordion shaped pieces when heated. The expanded vermiculite is a light-weight, fire-resistant, absorbent, and odorless material. These properties allow vermiculite to be used to make numerous products, including attic insulation.
Do i have vermiculite insulation?
Vermiculite can be purchased in various forms for various uses. Sizes of vermiculite products range from very fine particles to large (coarse) pieces nearly an inch long. Vermiculite attic insulation is a pebble-like, pour-in product and is usually light-brown or gold in color. The pictures below show several samples of vermiculite attic insulation.
Vermiculite can be purchased in various forms for various uses. Sizes of vermiculite products range from very fine particles to large (coarse) pieces nearly an inch long. Vermiculite attic insulation is a pebble-like, pour-in product and is usually light-brown or gold in color. The pictures below show several samples of vermiculite attic insulation.
Is vermiculite insulation a problem?
Prior to its close in 1990, much of the world’s supply of vermiculite came from a mine near Libby, Montana. This mine had a natural deposit of asbestos which resulted in the vermiculite being contaminated with asbestos. Attic insulation produced using vermiculite ore, particularly ore that originated from the Libby mine, may contain asbestos fibers. Today, vermiculite is mined at three US Facilities and in other countries which have low levels of contamination in the finished material.
Prior to its close in 1990, much of the world’s supply of vermiculite came from a mine near Libby, Montana. This mine had a natural deposit of asbestos which resulted in the vermiculite being contaminated with asbestos. Attic insulation produced using vermiculite ore, particularly ore that originated from the Libby mine, may contain asbestos fibers. Today, vermiculite is mined at three US Facilities and in other countries which have low levels of contamination in the finished material.
How does asbestos cause health problems?
Asbestos can cause health problems when inhaled into the lungs. If products containing asbestos are disturbed, thin, lightweight asbestos fibers are released into the air. Persons breathing the air may breathe in asbestos fibers. Continued exposure increases the amount of fibers that remain in the lung. Fibers embedded in lung tissue over time may result in lung diseases such as asbestosis, lung cancer, or mesothelioma. Smoking increases your risk of developing illness from asbestos exposure.
What should I do if I have vermiculite attic insulation?
DO NOT DISTURB IT. Any disturbance has the potential to release asbestos fibers into the air. Limiting the number of trips you make to your attic and shortening the length of those trips can help limit your potential exposure. EPA and ATSDR strongly recommend that:
Is my health at risk from previous exposures to the asbestos in the insulation?
Where can I get information on testing or removal of the insulation?
EPA and ATSDR strongly recommend using a trained and certified professional to conduct removal work. Removing the insulation yourself could potentially spread asbestos fibers throughout your home, putting you and your family at risk of inhaling these fibers.
For certified asbestos removal professionals in your area, refer to your local Yellow Pages. Your State Environmental Agency can confirm that the company’s credentials are current. You can find your State Agency here.
Currently, there are specific technical issues involving vermiculite sampling that can complicate testing for the presence of asbestos fibers and interpreting the risk from exposure. EPA and ATSDR are not recommending at this time that homeowners have vermiculite attic insulation tested for asbestos. As testing techniques are refined, EPA and ATSDR will provide information to the public on the benefits of testing that produce more definitive and accurate test results.
What if I have work-related exposure to vermiculite?
Workers who have had significant past exposure, or have significant ongoing exposure to asbestos, to vermiculite from Libby, or to other asbestos contaminated materials should consider getting a medical exam from a physician who knows about diseases caused by asbestos. For more information and to obtain a fact sheet concerning occupational exposure to vermiculite, contact the National Institute for Occupational Safety and Health (NIOSH) at: 1-800-35-NIOSH.
Where can I get more information?
Information on the Agency’s guidance on asbestos and vermiculite, including insulation and horticultural products, has previously been available on EPA’s website. Additional information on vermiculite and asbestos is available from the following sources:
Prepared by the United States Environmental Protection Agency, National Institute for Occupational Safety and the Agency for Toxic Substances and Disease Registry, May 2003. EPA publication 747-F-03-001
Asbestos can cause health problems when inhaled into the lungs. If products containing asbestos are disturbed, thin, lightweight asbestos fibers are released into the air. Persons breathing the air may breathe in asbestos fibers. Continued exposure increases the amount of fibers that remain in the lung. Fibers embedded in lung tissue over time may result in lung diseases such as asbestosis, lung cancer, or mesothelioma. Smoking increases your risk of developing illness from asbestos exposure.
What should I do if I have vermiculite attic insulation?
DO NOT DISTURB IT. Any disturbance has the potential to release asbestos fibers into the air. Limiting the number of trips you make to your attic and shortening the length of those trips can help limit your potential exposure. EPA and ATSDR strongly recommend that:
- Vermiculite insulation be left undisturbed in your attic. Due to the uncertainties with existing testing techniques, it is best to assume that the material may contain asbestos.
- You should not store boxes or other items in your attic if retrieving the material will disturb the insulation.
- Children should not be allowed to play in an attic with open areas of vermiculite insulation.
- If you plan to remodel or conduct renovations that would disturb the vermiculite, hire professionals trained and certified to handle asbestos to safely remove the material.
- You should never attempt to remove the insulation yourself. Hire professionals trained and certified to safely remove the material.
What if I occasionally have to go into my attic?
EPA and ATSDR strongly recommend that homeowners make every effort not to disturb vermiculite insulation in their attics. If you occasionally have to go into your attic, current best practices state you should:
EPA and ATSDR strongly recommend that homeowners make every effort not to disturb vermiculite insulation in their attics. If you occasionally have to go into your attic, current best practices state you should:
- Make every effort to stay on the floored part of your attic and to not disturb the insulation.
- If you must perform activities that may disturb the attic insulation such as moving boxes (or other materials), do so as gently as possible to minimize the disturbance.
- Leave the attic immediately after the disturbance.
- If you need work done in your attic such as the installation of cable or utility lines, hire trained and certified professionals who can safely do the work.
- It is possible that vermiculite attic insulation can sift through cracks in the ceiling, around light fixtures, or around ceiling fans.
- You can prevent this by sealing the cracks and holes that insulation could pass through. Common dust masks are not effective against asbestos fibers. For information on the requirements for wearing a respirator mask, visit the OSHA website
What are the next steps?
The guidance provided in this brochure reflects the current testing technology and knowledge of precautions one may take regarding vermiculite attic insulation. EPA is initiating further studies on vermiculite attic insulation and pursuing other asbestos related issues. Additional information will be provided to the public via the EPA and ATSDR web sites and through additional outreach materials as it becomes available.
The guidance provided in this brochure reflects the current testing technology and knowledge of precautions one may take regarding vermiculite attic insulation. EPA is initiating further studies on vermiculite attic insulation and pursuing other asbestos related issues. Additional information will be provided to the public via the EPA and ATSDR web sites and through additional outreach materials as it becomes available.
Is my health at risk from previous exposures to the asbestos in the insulation?
If you removed or disturbed the insulation, it is possible that you inhaled some asbestos fibers. Also the disturbance may have resulted in the fibers being deposited into other areas of the home. Exposure to asbestos increases your risk of developing lung disease. That risk is made worse by smoking. In general, the greater the exposure to asbestos, the greater the chance of developing harmful health effects. Disease symptoms may take several years to develop following exposure. If you are concerned about possible exposure, consult a physician who specializes in lung diseases (pulmonologist).
EPA and ATSDR strongly recommend using a trained and certified professional to conduct removal work. Removing the insulation yourself could potentially spread asbestos fibers throughout your home, putting you and your family at risk of inhaling these fibers.
For certified asbestos removal professionals in your area, refer to your local Yellow Pages. Your State Environmental Agency can confirm that the company’s credentials are current. You can find your State Agency here.
Currently, there are specific technical issues involving vermiculite sampling that can complicate testing for the presence of asbestos fibers and interpreting the risk from exposure. EPA and ATSDR are not recommending at this time that homeowners have vermiculite attic insulation tested for asbestos. As testing techniques are refined, EPA and ATSDR will provide information to the public on the benefits of testing that produce more definitive and accurate test results.
What if I have work-related exposure to vermiculite?
Workers who have had significant past exposure, or have significant ongoing exposure to asbestos, to vermiculite from Libby, or to other asbestos contaminated materials should consider getting a medical exam from a physician who knows about diseases caused by asbestos. For more information and to obtain a fact sheet concerning occupational exposure to vermiculite, contact the National Institute for Occupational Safety and Health (NIOSH) at: 1-800-35-NIOSH.
Where can I get more information?
Information on the Agency’s guidance on asbestos and vermiculite, including insulation and horticultural products, has previously been available on EPA’s website. Additional information on vermiculite and asbestos is available from the following sources:
General Information EPA’s Toxic Substances Control Act (TSCA) Assistance Information Service: Asbestos Line:
1-800-471-7127 EPA Asbestos Ombudsman: 1-800-368-5888 EPA's Asbestos Home Page
Health Information
Agency for Toxic Substances and Disease Registry (ATSDR)
Worker Safety
Occupational Safety and Health Administration (OSHA)
National Institute for Occupational Safety and Health (NIOSH)
For Consumer Products:
Consumer Product Safety Commission (CPSC)
For Mineralogy
United States Geological Survey (USGS)
Agency for Toxic Substances and Disease Registry (ATSDR)
Worker Safety
Occupational Safety and Health Administration (OSHA)
National Institute for Occupational Safety and Health (NIOSH)
For Consumer Products:
Consumer Product Safety Commission (CPSC)
For Mineralogy
United States Geological Survey (USGS)
Prepared by the United States Environmental Protection Agency, National Institute for Occupational Safety and the Agency for Toxic Substances and Disease Registry, May 2003. EPA publication 747-F-03-001
Learn The Different Treatments Used For Pleural Mesothelioma
Monday, August 24, 2009
Treatment of mesothelioma differ according to a stage that a patient has progressed to at the time of diagnosis. Provided below is an example of the types of treatment that a pleural mesothelioma patient will undergo at various stages of the disease. We have identified the stages using the Butchart staging system.
Stage I Mesothelioma Treatment
Surgical intervention is most commonly recommended for pleural mesothelioma patients having a Stage I diagnosis. The procedures that are likely to be performed are pleurectomy/decortication or extrapleural pneumonectomy. Post surgery, doctors may further evaluate the patient to determine if chemotherapy or radiation treatment is necessary. It is often determined with stage I mesothelioma that those adjunct therapies are not required.
Stages II, III Mesothelioma Treatment
When mesothelioma has progressed to stages II and III the cancer cannot be cured. At these stages medical treatment focuses on alleviating the severity of the symptoms and keeping the patient as comfortable as possible in order to optimize quality of life. For example, if there is significant fluid build-up in the chest the doctor may order that it be drained. Additionally, there may be instances where removing some or all of the tumor and / or undergoing chemo or radiation treatments will provide symptom relief. Clinical trials at some of the larger cancer centers in the country may also offer different treatment options for patients in these stages.
Stage IV Mesothelioma Treatment
When a patient has been diagnosed with stage IV mesothelioma the prognosis is very unfavorable. At this stage, the cancer has usually metastasized throughout the body to other organs and as with stages II and III, cannot be cured. In this stage, symptoms generally increase in severity and pain management becomes the primary focus of the medical team.
Therapies such as chemotherapy and radiation are typically not offered at this stage unless they are needed to support pain management objectives. Oftentimes families find that it is most helpful to seek out additional support through a local Hospice program. Hospice programs focus on providing patient care, developing a pain management protocol and providing support for both the patient and family members at this difficult time. Patients with stage IV mesothelioma may also be interested in participating in specialized clinical trials offered at leading cancer hospitals and centers and are encouraged to seek out those programs if desired..
Foundation Announces Grant To Help Hospitals Create Palliative Care Programs
Sunday, August 16, 2009
The most fragile patients often receive the most intensive medical care, and research shows their comfort too often takes a back seat to curative treatment or intervention. Unveiling its signature philanthropic program, Sojourns, The Regence Foundation aims to foster best practices, leadership and collaboration that help people with life-threatening and incurable illness to access quality palliative care in their own community.
Palliative care is a holistic approach that treats the whole person, including management of pain and other discomfort, at any stage of disease while supporting caregivers and families. Depending on a patient’s needs and goals for care, palliative care may be combined with or supplant curative therapies.
“Increasingly, research shows that patients’ treatment desires and comfort are overlooked,” said Michael Alexander, Regence Foundation board chair. “The Regence Foundation seeks to identify best practices in which treatment and care meet with patient and family desires, and to extend those practices to our members, whether they are suffering years with a life-threatening illness or facing a limited prognosis.”
The Regence Foundation’s Sojourns Pathway grants will promote hospital- and community-based palliative care services that help patients, families, and medical and other health professionals get a clear understanding of effective treatment options and patient desires, increasing patient engagement in treatment decisions.
Grants target three phases: Hospitals that need to plan a palliative care program; those that seek to implement a plan for a program and those with a program that seek to expand it through partnerships with other community organizations. Deadlines vary, but the Foundation began accepting proposals for “Innovation” grants on July 20, 2009.
Through an arrangement with the University of California San Francisco Palliative Care Service and Palliative Care Leadership Center, hospitals that receive planning grants will receive training in how to build and sustain an effective palliative care program. Palliative Care Leadership Centers (PCLC) is a national training and mentoring initiative, with direction and technical assistance provided by the Center to Advance Palliative Care (CAPC).
To learn more about Sojourns and to download the Requests for Proposals (RFPs), visit the Regence Foundation Web site.
The Regence Foundation is the corporate foundation of The Regence Group, the largest health insurer in the Northwest/Intermountain region and a not-for-profit independent licensee of the Blue Cross and Blue Shield Association. A 501(c)3 grantmaking organization, the Foundation partners with organizations driving significant change in health care delivery and accessibility in Idaho, Oregon, Utah and Washington.
Palliative care is a holistic approach that treats the whole person, including management of pain and other discomfort, at any stage of disease while supporting caregivers and families. Depending on a patient’s needs and goals for care, palliative care may be combined with or supplant curative therapies.
“Increasingly, research shows that patients’ treatment desires and comfort are overlooked,” said Michael Alexander, Regence Foundation board chair. “The Regence Foundation seeks to identify best practices in which treatment and care meet with patient and family desires, and to extend those practices to our members, whether they are suffering years with a life-threatening illness or facing a limited prognosis.”
The Regence Foundation’s Sojourns Pathway grants will promote hospital- and community-based palliative care services that help patients, families, and medical and other health professionals get a clear understanding of effective treatment options and patient desires, increasing patient engagement in treatment decisions.
Grants target three phases: Hospitals that need to plan a palliative care program; those that seek to implement a plan for a program and those with a program that seek to expand it through partnerships with other community organizations. Deadlines vary, but the Foundation began accepting proposals for “Innovation” grants on July 20, 2009.
Through an arrangement with the University of California San Francisco Palliative Care Service and Palliative Care Leadership Center, hospitals that receive planning grants will receive training in how to build and sustain an effective palliative care program. Palliative Care Leadership Centers (PCLC) is a national training and mentoring initiative, with direction and technical assistance provided by the Center to Advance Palliative Care (CAPC).
To learn more about Sojourns and to download the Requests for Proposals (RFPs), visit the Regence Foundation Web site.
The Regence Foundation is the corporate foundation of The Regence Group, the largest health insurer in the Northwest/Intermountain region and a not-for-profit independent licensee of the Blue Cross and Blue Shield Association. A 501(c)3 grantmaking organization, the Foundation partners with organizations driving significant change in health care delivery and accessibility in Idaho, Oregon, Utah and Washington.
List Of Mesothelioma Doctors In USA
Here are the list of mesothelioma doctors you can find in USA.
Mesothelioma Doctor in Alabama
James W. Ballard, MD
4012 Greystone Drive
Birmingham, AL 35242
email: jwballard@albreader.com
California Mesothelioma Doctor
Robert Cameron, MD
P. O. Box 951741
Los Angeles, California 90095–1741
Phone: 310–794–7333
email: rcameron@mednet.ucla.edu
David Jablon, MD
UCSF Mt. Zion Medical Center
2330 Post St., Suite 420
San Francisco, CA 94115
415–885–3882
Theirry Jahan, MD
2356 Sutter, 7th Floor
San Francisco, CA 94115
415–567–5581
Connecticut Mesothelioma Doctors
Mark Cullen, MD
Yale University School of Medicine
Occupational and Environmental
135 College Street, 3rd floor
New Haven, CT 06510–2483
Jack A. Elias, MD
Pulmonary Medicine
Yale Cancer Center
203–785–4163
Michael Grey, MD
UConn Health Center
263 Farmington Avenue
Farmington, CT 06032
Bruce G. Haffty, MD
Therapeutic Radiology
Yale Cancer Center
203–785–2959
Graeme L. Hammond, MD
Cardiothoracic Therapy
Yale Cancer Center
203.–785–2699
Michael Kashgarian, MD
Pathology
Yale Cancer Center
203–785–2750
Ronald Ponn, MD
Thoracic Surgeon
333 Orchard St., Suite 107
New Haven, CT 06511
Carrie A. Redlich, MD, M.P.H.
Occupational Medicine
Yale Cancer Center
203–737–2817
Washington, DC Mesothelioma Doctors
Cesar A. Moran, MD
Department of the Army
Armed Forces Institute of Pathology
Washington, DC 20306
Paul Sugarbaker, MD
Sugarbaker Oncology Associates, P.C.
110 Irving St., NW
Washington, DC 20010
Phone: 202–877–3908
Mesothelioma Doctor in Florida
Lary A. Robinson, MD
H. Lee Moffitt Cancer Center & Research Institute
At The University of South Florida
12902 Magnolia Dr.
Tampa, FL 33612
John Ruckdeschel, MD
H. Lee Moffitt Cancer Center
Tampa, FL 33612–9497
Mesothelioma Doctor in Massachusetts
Richard Kraiden, MD
Pulmonary Pathologist
Massachusetts General Hospital
Boston, MA 02114
David Sugarbaker, MD
Dana Farber Cancer Institute &
Brighams & Womens Hospital
75 Francis Street
Boston, MA 02115
Michigan Mesothelioma Doctors
Harvey Pass, MD
Karmanos Cancer Institute
Detroit, MI
313–745–8746
Gregory P. Kalemkerian, MD
Clinical Associate Professor, Department of Internal Medicine
Co-Director of Thoracic Oncology
Cancer Center Member
University of Michigan Comprehensive Cancer Center/Ann Arbor, MI
Phone: (734) 936-5281
Mesothelioma Doctors in Minnesota
Arkadiusz Dudek, M.D., Ph.D.
Assistant professor of medicine
Phone: 612-624-0123
Email: dudek002@umn.edu
Nebraska Mesothelioma Doctor
Brian Loggie, MD
Creighton University Medical Center
Cancer Center, Suite 2321
601 N. 30th Street
Omaha, NE 68131
Phone: 402–280–5009
New York Mesothelioma Doctors
Manjit Bains, MD
Memorial Sloan Kettering Cancer Center
1275 York Avenue
New York, NY 10021
Philippe A. Chihanian, MD
Mt. Sinai Hospital
5 East 98 St.
New York, NY 10029
212–241–6368
David Ilson, MD
Borys Mychalczak, MD
Sloan–Kettering Cancer Center
New York, NY
Valerie Rusch, FACS
Memorial Sloan–Kettering Cancer Center
1275 York Avenue
New York, NY 10021
Phone: 212–639–5873
email: ruschv@mskcc.org
Stephen Rush, MD
North Shore University Hospital
Manhasset, NY
Roman Perez–Soler, MD
NW York University Kaplan Cancer Center
550 First Avenue
New York, NY 10016
212–263–8043
212–263–6485
Robert N. Taub, MD
Professor of Clinical Medicine, Program Director
Columbia–Presbyterian Hospital
Atchley Pavilion Room 907
161 Fort Washington Ave.
New York, NY
North Carolina Mesothelioma Doctor
David H. Harpole, Jr., MD
Associate Professor of Surgery
Director of General Thoracic Surgery (DUMC)
Chief of Cardiothoracic Surgery (Durham VAMC)
Appointments (919) 684-3683
Pennsylvania Mesothelioma Doctors
Larry R. Kaiser, MD
University of Pennsylvania
4th Floor, Philadelphia, PA 19104.
Phone: 215–662–7538
Email: Kaiser@mail.med.upenn.edu
Joseph S. Friedberg, MD
Chief of Thoracic Surgery, Thomas Jefferson University Hospital
Philadelphia, PA
Phone: (215) 955-2996 or 1-800-JEFF-NOW (1-800-533-3669)
Rhode Island Mesothelioma Doctors
David Ettensohn, MD
Pulmonary Medicine
109 Beechwood Avenue
Pawtucket, RI
David Kern, MD
Memorial Hospital of RI
Occupational Health Clinic
111 Brewster Street
Pawtucket, RI 02860
John Pella, MD
St. Joseph Hospital
Pulmonary Fatima Unit
200 High Service Avenue
North Providence, RI 02904
S.T. Sambandan, MD
Oncologist
1180 Hope Street
Bristol, RI
Anthony Testa MD
Oncologist
100 Highland Avenue
Providence, RI 02904
South Carolina Mesothelioma Doctors
James Bradof, MD
406 Tiffany Park
Gaffney, SC
Spencer McCachren, MD
Thompson Cancer Center
Knoxville, TN
423–541–1812
Texas Mesothelioma Doctors
W. Roy Smythe, MD
Department of Thoracic and Cardiovascular Surgery
University of Texas, MD Anderson Cancer Center
1515 Holcombe Blvd., Box 39, Rm. R7.2215
Houston, Texas 77030
Phone: 713–792–6933
Claire Verschraegen, MD
Department Of Clinical Investigation
University of Texas, MD Anderson Cancer Center
1515 Holcombe Blvd., Box 39, Rm. R7.2215
Houston, Texas 77030
Phone: 713–792–7959
Washington Mesothelioma Doctors
Samuel Hammer, MD
700 Lebo Road
Bremerton, WA 98310
360–479–7707
Box 356310
1959 NE Pacific
Seattle, WA 98195–6310
Phone: 206–543–3093
What Are The Alternative Treatment Available For Mesothelioma Patients
Tuesday, August 11, 2009
Many types of therapy are available to mesothelioma patients that can be used in addition to traditional medical treatments. Many patients have found these alternative therapies to be an excellent way to manage pain, improve general health, and get relief from other disease symptoms. These treatments cannot cure the disease, but they can assist patients in living more comfortably by relieving pain and stress. Alternative treatments that have had value for some mesothelioma patients include acupuncture, aromatherapy, massage, meditation, dietary supplements, TENS therapy, yoga and pet therapy.
Acupuncture
Acupuncture is so widely accepted as an alternative therapy that many insurance companies provide coverage for it. Acupuncture is performed by inserting very fine needles into pressure points at specific locations on the skin. Acupuncture is routinely used to give relief from pain and inflammation and from anxiety or stress. You can find more information on acupuncture at The American Association of Acupuncture & Oriental Medicine.
Aromatherapy
Aromatherapy uses fragrance to boost physical and psychological well-being. Distilled and highly concentrated plant-based oils are blended and used by aromatherapists to give relief from pain and other symptoms of the disease. Aromatherapy is often combined with massage therapy, which allows patients to receive a massage with oils that have been mixed with small amounts of the fragrant plant-based oils.
You can find out more about aromatherapy at the National Association for Holistic Aromatherapy and Precious Aromatherapy, Inc.
Massage
Massage therapy is known to promote blood and lymphatic flow, boost circulation, and aid in relieving muscle tension. In addition, massage stimulates the digestive and nervous systems, and can relieve chronic pain. Many patients report that massage also reduces anxiety and feelings of stress. Get more information about the benefits of massage therapy at HolisticOnline.com and Alternative Medicine Online.
Meditation
Meditation has long been used as a means to reduce anxiety, feelings of stress and depression. It is also believed that meditation can assist in managing pain and other symptoms of mesothelioma. Many cancer patients who supplement their traditional treatment with meditation find that the practice relieves pain, stress, and anxiety.
Supplements
Many patients feel that the use of supplements is beneficial to their overall health during treatment. Vitamins, minerals, herbs, and amino acids are all dietary supplements. The body requires vitamins, minerals, and amino acids to perform essential life functions, and supplements may provide necessary chemicals when such substances are missing from a patient’s diet. In fact, in one clinical trial of chemotherapy for treating mesothelioma patients, the participants’ average survival and time to cancer progression was improved by the vitamin supplementation of B12 and folic acid.
In addition, many herbs can help to provide relief from symptoms of the disease. Of course, when taking any kind of supplement, a patient should discuss the matter first with his or her physician. Supplements can affect the performance of certain prescription medications. Some supplements may even be dangerous when taken with certain medications. For more information on the use of dietary supplements, visit the National Center for Complementary and Alternative Medicine and About.com’s Common Herb Mistakes.
TENS Therapy
TENS therapy stands for Transcutaneous Electrical Nerve Stimulation. TENS therapy is somewhat similar in principle to acupuncture, in that it stimulates defined body locations. In contrast to acupuncture, which uses fine needles, TENS therapy uses electrodes that deliver very mild electrical shocks to the body location to be stimulated. Like acupuncture, TENS may provide relief from pain and inflammation and from anxiety or stress. Unlike most other alternative therapies, TENS has been approved by the FDA. This means that, according to the FDA, the procedure is safe and that TENS therapy may be covered by insurance. You can find more information on TENS Therapy at Health Scout and BBC Health.
Yoga
Yoga began in India, where it is practiced more to promote spirituality than physical well-being. But in the U.S., yoga has been recognized as a form of exercise that is also psychologically calming. Simple yoga techniques can help improve a patient’s general health and state of mind.
Pet Therapy
Pet therapy is also referred to as animal-assisted therapy or animal-assisted activities. The goal of pet therapy is to improve a patient’s general health and well-being by allowing the patient to interact with animals. The soothing effects of simply stroking a dog or cat have long been known to improve a patient’s mood and lift the spirits. In addition, the interaction even offers some physical benefits, such as, for example, the temporary lowering of blood pressure. Get more information at The Delta Society.
Acupuncture
Acupuncture is so widely accepted as an alternative therapy that many insurance companies provide coverage for it. Acupuncture is performed by inserting very fine needles into pressure points at specific locations on the skin. Acupuncture is routinely used to give relief from pain and inflammation and from anxiety or stress. You can find more information on acupuncture at The American Association of Acupuncture & Oriental Medicine.
Aromatherapy
Aromatherapy uses fragrance to boost physical and psychological well-being. Distilled and highly concentrated plant-based oils are blended and used by aromatherapists to give relief from pain and other symptoms of the disease. Aromatherapy is often combined with massage therapy, which allows patients to receive a massage with oils that have been mixed with small amounts of the fragrant plant-based oils.
You can find out more about aromatherapy at the National Association for Holistic Aromatherapy and Precious Aromatherapy, Inc.
Massage
Massage therapy is known to promote blood and lymphatic flow, boost circulation, and aid in relieving muscle tension. In addition, massage stimulates the digestive and nervous systems, and can relieve chronic pain. Many patients report that massage also reduces anxiety and feelings of stress. Get more information about the benefits of massage therapy at HolisticOnline.com and Alternative Medicine Online.
Meditation
Meditation has long been used as a means to reduce anxiety, feelings of stress and depression. It is also believed that meditation can assist in managing pain and other symptoms of mesothelioma. Many cancer patients who supplement their traditional treatment with meditation find that the practice relieves pain, stress, and anxiety.
Supplements
Many patients feel that the use of supplements is beneficial to their overall health during treatment. Vitamins, minerals, herbs, and amino acids are all dietary supplements. The body requires vitamins, minerals, and amino acids to perform essential life functions, and supplements may provide necessary chemicals when such substances are missing from a patient’s diet. In fact, in one clinical trial of chemotherapy for treating mesothelioma patients, the participants’ average survival and time to cancer progression was improved by the vitamin supplementation of B12 and folic acid.
In addition, many herbs can help to provide relief from symptoms of the disease. Of course, when taking any kind of supplement, a patient should discuss the matter first with his or her physician. Supplements can affect the performance of certain prescription medications. Some supplements may even be dangerous when taken with certain medications. For more information on the use of dietary supplements, visit the National Center for Complementary and Alternative Medicine and About.com’s Common Herb Mistakes.
TENS Therapy
TENS therapy stands for Transcutaneous Electrical Nerve Stimulation. TENS therapy is somewhat similar in principle to acupuncture, in that it stimulates defined body locations. In contrast to acupuncture, which uses fine needles, TENS therapy uses electrodes that deliver very mild electrical shocks to the body location to be stimulated. Like acupuncture, TENS may provide relief from pain and inflammation and from anxiety or stress. Unlike most other alternative therapies, TENS has been approved by the FDA. This means that, according to the FDA, the procedure is safe and that TENS therapy may be covered by insurance. You can find more information on TENS Therapy at Health Scout and BBC Health.
Yoga
Yoga began in India, where it is practiced more to promote spirituality than physical well-being. But in the U.S., yoga has been recognized as a form of exercise that is also psychologically calming. Simple yoga techniques can help improve a patient’s general health and state of mind.
Pet Therapy
Pet therapy is also referred to as animal-assisted therapy or animal-assisted activities. The goal of pet therapy is to improve a patient’s general health and well-being by allowing the patient to interact with animals. The soothing effects of simply stroking a dog or cat have long been known to improve a patient’s mood and lift the spirits. In addition, the interaction even offers some physical benefits, such as, for example, the temporary lowering of blood pressure. Get more information at The Delta Society.
What Is Pallative Treatment?
Monday, August 10, 2009
Aside from surgery, radiotheraphy and chemotheraphy, mesothelioma patients can be be treated also with Palliative treat.
Palliative treatment, which is also called palliative care, is treatment designed to relieve the symptoms of disease and improve quality of life. It can address psychological, social and spiritual needs as well as physical symptoms. With regard to physical symptoms, it aims to treat the symptoms of disease but is not meant to cure the illness. In cases of advanced cancer, palliative treatment may sometimes extend life and help the patient live more comfortably, even if the cancer cannot be cured.
Palliative treatment goes well beyond painkillers and anti-nausea drugs. Chemotherapy, radiotherapy, hormone therapy, biological therapy and surgery can all be used as palliative treatments under the right circumstances. Often, the level of pain associated with mesothelioma is quite high. Thus, pain control is usually one of the first symptoms addressed by palliative care, and it is important for the patient to be able to help the doctor accurately assess the pain the patient is experiencing. This may include traditional pain management programs, involving several different pain medications. Palliative care can also focus on behavior modification, managing stress, meditation or massage therapy. Palliative surgery may be performed to reduce pain caused by the tumor or to prevent fluid from building up and causing discomfort. Radiation therapy is also useful in relieving pain caused by mesothelioma. Palliative care plays an important role in maximizing the quality of life for mesothelioma patients.
Palliative treatment, which is also called palliative care, is treatment designed to relieve the symptoms of disease and improve quality of life. It can address psychological, social and spiritual needs as well as physical symptoms. With regard to physical symptoms, it aims to treat the symptoms of disease but is not meant to cure the illness. In cases of advanced cancer, palliative treatment may sometimes extend life and help the patient live more comfortably, even if the cancer cannot be cured.
Palliative treatment goes well beyond painkillers and anti-nausea drugs. Chemotherapy, radiotherapy, hormone therapy, biological therapy and surgery can all be used as palliative treatments under the right circumstances. Often, the level of pain associated with mesothelioma is quite high. Thus, pain control is usually one of the first symptoms addressed by palliative care, and it is important for the patient to be able to help the doctor accurately assess the pain the patient is experiencing. This may include traditional pain management programs, involving several different pain medications. Palliative care can also focus on behavior modification, managing stress, meditation or massage therapy. Palliative surgery may be performed to reduce pain caused by the tumor or to prevent fluid from building up and causing discomfort. Radiation therapy is also useful in relieving pain caused by mesothelioma. Palliative care plays an important role in maximizing the quality of life for mesothelioma patients.
Asbestos Textile Workers Show High Mortality Rates From Occupational Lung Diseases
Saturday, August 8, 2009
A new study by Duke University, in conjunction with the University of Nevada (UNR) and the University of North Carolina, shows that former North Carolina workers employed in asbestos-textile plants have a definitively higher rate of asbestos-related diseases than the population at large.
The study, headed by Dana Loomis, Interim Director, UNR's School of Community Health Sciences, examined 5,770 employees who worked at least one day between January 1, 1950 and December 31, 1973.
The results, which showed that the mortality rate was significantly higher for all causes (1.47 as compared to a value of 1.00 for the general population), also showed that deaths from lung cancer ranked at 1.96 (as compared to a value of 1.00).
The study, headed by Dana Loomis, Interim Director, UNR's School of Community Health Sciences, examined 5,770 employees who worked at least one day between January 1, 1950 and December 31, 1973.
The results, which showed that the mortality rate was significantly higher for all causes (1.47 as compared to a value of 1.00 for the general population), also showed that deaths from lung cancer ranked at 1.96 (as compared to a value of 1.00).
The pleura are the membranes that line the inside of the chest cavity and surround the lungs, enabling the lungs to expand to the appropriate degree inside the diaphragm when people breathe. Pleural mesothelioma is a type of pleural cancer caused primarily by asbestos fibers, and is the most common type of mesothelioma.
Asbestos fibers, inhaled, result in irritation of the pleura, or mesothelial lining. Because the body has no way to expel the fibers, the persistent irritation leads to lesions, which in turn lead to cancer.
Pneumoconiosis, the second category of occupational lung diseases, is an interstitial disease, a classic example of which is pulmonary fibrosis. Interstitial diseases affect the walls of the air sacs inside the lungs, rather than the pleural lining over the lungs, and result in scarring. This, in turn, limits a lung's ability to expand properly. Medication can occasionally slow the progress of pneumoconiosis, but many individuals, once affected, never regain the full use of their lungs, and lung transplants are the only option.
Asbestosis is a breathing disorder specifically caused by inhaling asbestos fibers, and is usually a cumulative effect, arising after years of exposure. The fibers cause lung scarring, which can gradually restrict breathing to such an extent that patients are unable to walk more than a few feet without stopping, and require constant oxygen. The symptoms, which can range from mild to severe depending on exposure and a person's general stamina, commonly don't appear until years after exposure to asbestos fibers.
The Duke, UNR study demonstrated a statistical risk across the entire spectrum of 2 to 3 percent higher for each year asbestos fibers were inhaled - figures which were more consistent among white males than for any other group surveyed. The second at-risk category was white females, and both groups scored higher in the risk assessment categories than black males, presumably because the latter group saw fewer smokers and workers who occupied different regions of the asbestos textile plants, namely preparation and carding operations, where fibers were shorter than in the spinning and twisting sections where white males generally worked, according to transmission electron microscopy, or TEM, analyses.
U.S. Environmental Protection Agency regulations (limiting asbestos to 1 percent of product by weight or volume) have driven the asbestos textile industry overseas. This is good news for American workers, but not so good for workers in places like Korea and Egypt, for example.
Attempts by the United Nations to add asbestos to the list of hazardous substances already on the Rotterdam Convention have been consistently opposed by Canada, which is the world's largest supplier of chrysotile asbestos.
Asbestos Textile Workers Show High Mortality Rates From Occupational Lung Diseases
A new study by Duke University, in conjunction with the University of Nevada (UNR) and the University of North Carolina, shows that former North Carolina workers employed in asbestos-textile plants have a definitively higher rate of asbestos-related diseases than the population at large.
The study, headed by Dana Loomis, Interim Director, UNR's School of Community Health Sciences, examined 5,770 employees who worked at least one day between January 1, 1950 and December 31, 1973.
The results, which showed that the mortality rate was significantly higher for all causes (1.47 as compared to a value of 1.00 for the general population), also showed that deaths from lung cancer ranked at 1.96 (as compared to a value of 1.00).
The study, headed by Dana Loomis, Interim Director, UNR's School of Community Health Sciences, examined 5,770 employees who worked at least one day between January 1, 1950 and December 31, 1973.
The results, which showed that the mortality rate was significantly higher for all causes (1.47 as compared to a value of 1.00 for the general population), also showed that deaths from lung cancer ranked at 1.96 (as compared to a value of 1.00).
The pleura are the membranes that line the inside of the chest cavity and surround the lungs, enabling the lungs to expand to the appropriate degree inside the diaphragm when people breathe. Pleural mesothelioma is a type of pleural cancer caused primarily by asbestos fibers, and is the most common type of mesothelioma.
Asbestos fibers, inhaled, result in irritation of the pleura, or mesothelial lining. Because the body has no way to expel the fibers, the persistent irritation leads to lesions, which in turn lead to cancer.
Pneumoconiosis, the second category of occupational lung diseases, is an interstitial disease, a classic example of which is pulmonary fibrosis. Interstitial diseases affect the walls of the air sacs inside the lungs, rather than the pleural lining over the lungs, and result in scarring. This, in turn, limits a lung's ability to expand properly. Medication can occasionally slow the progress of pneumoconiosis, but many individuals, once affected, never regain the full use of their lungs, and lung transplants are the only option.
Asbestosis is a breathing disorder specifically caused by inhaling asbestos fibers, and is usually a cumulative effect, arising after years of exposure. The fibers cause lung scarring, which can gradually restrict breathing to such an extent that patients are unable to walk more than a few feet without stopping, and require constant oxygen. The symptoms, which can range from mild to severe depending on exposure and a person's general stamina, commonly don't appear until years after exposure to asbestos fibers.
The Duke, UNR study demonstrated a statistical risk across the entire spectrum of 2 to 3 percent higher for each year asbestos fibers were inhaled - figures which were more consistent among white males than for any other group surveyed. The second at-risk category was white females, and both groups scored higher in the risk assessment categories than black males, presumably because the latter group saw fewer smokers and workers who occupied different regions of the asbestos textile plants, namely preparation and carding operations, where fibers were shorter than in the spinning and twisting sections where white males generally worked, according to transmission electron microscopy, or TEM, analyses.
U.S. Environmental Protection Agency regulations (limiting asbestos to 1 percent of product by weight or volume) have driven the asbestos textile industry overseas. This is good news for American workers, but not so good for workers in places like Korea and Egypt, for example.
Attempts by the United Nations to add asbestos to the list of hazardous substances already on the Rotterdam Convention have been consistently opposed by Canada, which is the world's largest supplier of chrysotile asbestos.
Japanese Court Awards Compensation To Former Military Base Employee
Tuesday, August 4, 2009
A district court has awarded 76 million yen (approx. 800,000 dollars) to the family of a former US naval base employee who died of lung cancer after being exposed to asbestos.
Hitoshi Taimi worked at the United States naval base in Yokosuka for 18 years and during that time he was exposed to asbestos while performing work on air conditioning and ventilation systems.
In April 2006, 11 years after he last worked on the base, Taimi was diagnosed with lung cancer and proceeded to file a lawsuit the next year. Sadly he passed away 10 days later at age 51.
Two years later a district court ruled that the Japanese government was liable for his death because it manages the hiring of base workers and knew about the dangers of asbestos exposure but failed to take appropriate safety measures.
Hitoshi Taimi worked at the United States naval base in Yokosuka for 18 years and during that time he was exposed to asbestos while performing work on air conditioning and ventilation systems.
In April 2006, 11 years after he last worked on the base, Taimi was diagnosed with lung cancer and proceeded to file a lawsuit the next year. Sadly he passed away 10 days later at age 51.
Two years later a district court ruled that the Japanese government was liable for his death because it manages the hiring of base workers and knew about the dangers of asbestos exposure but failed to take appropriate safety measures.
Japan's defense ministry has not indicated whether it plans to appeal the verdict but if the decision stands, it will set an interesting precedent for future lawsuits.
Public Libraries Around Nation Facing Asbestos Remediation
As the nation's public libraries age, they - like schools - face updates that result in closures, often because older buildings like schools and libraries contain significant amounts of asbestos that represent a threat to public health.
Asbestos, a fibrous mineral widely used in insulation, floor and roofing tiles, tile glues, and some ceiling panels up to the 1970s, when U.S. health officials began to recognize its dangers, is the most common cause of certain illnesses, namely asbestosis - a severe, debilitating respiratory disease - lung and digestive system cancers, and mesothelioma.
Asbestos, a fibrous mineral widely used in insulation, floor and roofing tiles, tile glues, and some ceiling panels up to the 1970s, when U.S. health officials began to recognize its dangers, is the most common cause of certain illnesses, namely asbestosis - a severe, debilitating respiratory disease - lung and digestive system cancers, and mesothelioma.
Mesothelioma is a particularly lethal form of cancer that commonly lies dormant for several decades before producing enough symptoms to allow for diagnosis. When finally diagnosed, however, most patients are given about a year to live. Fewer than 10 percent live five years, even with second generation chemotherapy agents like Alimta, combination therapies, and radical surgery to remove tumors.
The Wilson Library in Bellingham, Washington - which was closed for asbestos remediation and remodeling recently - was reopened and then closed again from approximately 8:45 a.m. to 9:25 a.m, Pacific time, Friday morning due to an error in the ventilation system's automatic programming.
The Wilson Library in Bellingham, Washington - which was closed for asbestos remediation and remodeling recently - was reopened and then closed again from approximately 8:45 a.m. to 9:25 a.m, Pacific time, Friday morning due to an error in the ventilation system's automatic programming.
The remediation and remodeling was scheduled to be completed on Thursday, and the ventilation system automatically set to run again on Friday morning.
Unfortunately, the project was not completed on time, but the ventilation system went on again regardless.
Unfortunately, the project was not completed on time, but the ventilation system went on again regardless.
Students and library employees were evacuated as soon as the error was realized, about 8:45, and allowed to return about an hour later, after air quality tests were conducted to insure that the library's air was free of asbestos particles.
The Wilson Library, as part of Western Washington University (WWU), falls under the U.S. Environmental Protection Agency's (EPAs) Asbestos Hazard Emergency Response Act (AHERA) guidelines in terms of asbestos management, so students, faculty and staff were sent e-mails informing them of the nature of the event and the reasons behind the closure and re-opening.
The Wilson Library, as part of Western Washington University (WWU), falls under the U.S. Environmental Protection Agency's (EPAs) Asbestos Hazard Emergency Response Act (AHERA) guidelines in terms of asbestos management, so students, faculty and staff were sent e-mails informing them of the nature of the event and the reasons behind the closure and re-opening.
AHERA guidelines mandate that all schools, whether public private or denominational, inspect for asbestos; create an asbestos hazard plan; provide yearly information on asbestos hazards and the plan; inform of any abatement actions that take place (or are planned); designate a contact/liaison person to manage the asbestos plan; and provide custodial staff with asbestos-awareness training.
Western Washington University's Director of Environmental Health and Safety, Gayle Shipley, and WWU staff acted in accordance with the university's AHERA planning by advising of the action taken; i.e., the 8:45 closure, but clearly one step in the process was missed or the ventilation system would not have come back on when it did, and this may be why the EPA strongly recommends its six-step plan to insure that at least one individual is cognizant of all phases of asbestos remediation, monitoring and information dissemination.
That more libraries, both public and collegiate, will face asbestos remediation of some kind in the near future is a given. In Minnesota, the Waseca Public Library is getting ready to close from July 30 to August 23 to enable workers to remove old asbestos tiles and replace them with carpeting. And in Minneapolis, the historic Southeast Library - designed by renowned Minnesota modernist architect Ralph Rapson in 1964 - was closed in 2006 as part of budget reorganization but now faces reopening thanks to the Minneapolis/Hennepin County Library systems merger.
Southeast Library will admittedly need asbestos abatement and a new roof, but its demolition (which was discouraged by historians who appealed to the City of Minneapolis Heritage Preservation Commission and the City Council to designate the building as an historic landmark) has been avoided.
According to one study, it is as costly and time-consuming to demolish a building with asbestos and remove the debris to an approved landfill as it is to perform asbestos remediation and return the structure to use. This is primarily because asbestos abatement has to take place even where demolition is planned, and because hazardous waste landfills are becoming increasingly crowded, leading to higher and higher costs for dumping asbestos debris.
n fact, the real cost of restoring, reusing and re-purposing older buildings lies in renovation and retrofitting, not in asbestos remediation.
Sources: KEYC, Minnesota Independent, The Western Front, Preservation Alliance of Minnesota
Western Washington University's Director of Environmental Health and Safety, Gayle Shipley, and WWU staff acted in accordance with the university's AHERA planning by advising of the action taken; i.e., the 8:45 closure, but clearly one step in the process was missed or the ventilation system would not have come back on when it did, and this may be why the EPA strongly recommends its six-step plan to insure that at least one individual is cognizant of all phases of asbestos remediation, monitoring and information dissemination.
That more libraries, both public and collegiate, will face asbestos remediation of some kind in the near future is a given. In Minnesota, the Waseca Public Library is getting ready to close from July 30 to August 23 to enable workers to remove old asbestos tiles and replace them with carpeting. And in Minneapolis, the historic Southeast Library - designed by renowned Minnesota modernist architect Ralph Rapson in 1964 - was closed in 2006 as part of budget reorganization but now faces reopening thanks to the Minneapolis/Hennepin County Library systems merger.
Southeast Library will admittedly need asbestos abatement and a new roof, but its demolition (which was discouraged by historians who appealed to the City of Minneapolis Heritage Preservation Commission and the City Council to designate the building as an historic landmark) has been avoided.
According to one study, it is as costly and time-consuming to demolish a building with asbestos and remove the debris to an approved landfill as it is to perform asbestos remediation and return the structure to use. This is primarily because asbestos abatement has to take place even where demolition is planned, and because hazardous waste landfills are becoming increasingly crowded, leading to higher and higher costs for dumping asbestos debris.
n fact, the real cost of restoring, reusing and re-purposing older buildings lies in renovation and retrofitting, not in asbestos remediation.
Sources: KEYC, Minnesota Independent, The Western Front, Preservation Alliance of Minnesota
Tips On How To Beat Mesothelioma
Thursday, July 30, 2009
Managing a rare cancer diagnosis presents unique challenges. One survivor shares her tips for navigating the sometimes-murky waters.
Sun Safety During Cancer Treatment
Shielding your skin from the sun’s potentially harmful ultraviolet (UV) rays should be a concern for everyone, especially if you spend time outdoors, but if you’re undergoing treatment for cancer, you may need to be especially vigilant when it comes to sun protection; some of the treatments you’ve received may make your skin more vulnerable to UV damage and might also be associated with side effects that can worsen in hot, sunny conditions.
Understanding the Goals of Cancer Treatment with Chemotherapy
If you’ve been diagnosed with cancer, your healthcare team may have prescribed chemotherapy as part of your treatment plan. The goals of treatment with chemotherapy will depend largely on the type and stage of your cancer. If you’re currently undergoing or about to begin treatment with chemotherapy, you may want to understand the goals of your prescribed therapy.
What to Tell Children when Facing a Diagnosis of Mesothelioma
If you have children in your life, you already know that they tend to be creatures of habit who rely on their daily routine. There may be unexpected changes in their routine with your fight against cancer, and you may be concerned about the best way to talk to them about it.
Chemotherapy for Older Patients with Mesothelioma: What You Should Know About the Risk of a Low White Blood Cell Count
As you may already know, chemotherapy works by attacking the rapidly dividing cells it finds in the body, particularly cancer cells because they multiply quickly. However, chemotherapy can't differentiate between cancer cells and other rapidly dividing healthy cells, such as bone marrow cells. As a consequence, many chemotherapy patients, especially older patients, experience a drop in the levels of their blood cells, including their infection-fighting white blood cells. This may lead to the patient's chemotherapy being stopped or reduced until the white blood cell count recovers enough to resume treatment, which can give cancer cells a chance to grow. A low white blood cell count, a condition called neutropenia, may also increase a patient's risk of infection, which can lead to delays in treatment, or hospitalization.
Sun Safety During Cancer Treatment
Shielding your skin from the sun’s potentially harmful ultraviolet (UV) rays should be a concern for everyone, especially if you spend time outdoors, but if you’re undergoing treatment for cancer, you may need to be especially vigilant when it comes to sun protection; some of the treatments you’ve received may make your skin more vulnerable to UV damage and might also be associated with side effects that can worsen in hot, sunny conditions.
Understanding the Goals of Cancer Treatment with Chemotherapy
If you’ve been diagnosed with cancer, your healthcare team may have prescribed chemotherapy as part of your treatment plan. The goals of treatment with chemotherapy will depend largely on the type and stage of your cancer. If you’re currently undergoing or about to begin treatment with chemotherapy, you may want to understand the goals of your prescribed therapy.
What to Tell Children when Facing a Diagnosis of Mesothelioma
If you have children in your life, you already know that they tend to be creatures of habit who rely on their daily routine. There may be unexpected changes in their routine with your fight against cancer, and you may be concerned about the best way to talk to them about it.
Chemotherapy for Older Patients with Mesothelioma: What You Should Know About the Risk of a Low White Blood Cell Count
As you may already know, chemotherapy works by attacking the rapidly dividing cells it finds in the body, particularly cancer cells because they multiply quickly. However, chemotherapy can't differentiate between cancer cells and other rapidly dividing healthy cells, such as bone marrow cells. As a consequence, many chemotherapy patients, especially older patients, experience a drop in the levels of their blood cells, including their infection-fighting white blood cells. This may lead to the patient's chemotherapy being stopped or reduced until the white blood cell count recovers enough to resume treatment, which can give cancer cells a chance to grow. A low white blood cell count, a condition called neutropenia, may also increase a patient's risk of infection, which can lead to delays in treatment, or hospitalization.
Mesothelioma Cases In Australia Estimated To Rise Between 2014 and 2017
Tuesday, July 28, 2009
The Safe Work Australia Council posted a new report on mesothelioma at their inaugural June 10th meeting in Sydney. The report, titled "Mesothelioma in Australia: Incidence 1982 to 2005, Deaths 1997 to 2006," suggests that new incidences of mesothelioma are not expected to peak until after 2010. Specifically, the report predicts that the peak will occur sometime between 2014 and 2017.
As we all know that Mesothelioma is a rare type of lung cancer that is associated with the inhalation of asbestos. Asbestos is a natural fiber that is frequently used in construction, automotive and other products. When inhaled, the asbestos fibers become lodged in the lungs. Over time, this results in scarring and the formation of cancerous cells in the lung walls.
Though the safe production, use and control of asbestos has been dramatically improved in Australia over the years, the continued growth of mesothelioma incidence rates can be attributed to the long latency period of the disease. In many cases, symptoms of mesothelioma do not manifest until 20 to 50 years following initial asbestos exposure. This means that many aging Australians are still manifesting the disease from exposure that occurred prior to the initiation of Australian asbestos regulation.
Australia has been tracking the number of new mesothelioma cases in the country since 1982. Between the years of 1982 and 2005, the number of new mesothelioma cases rose from 156 to 597. This number is expected to continue to rise through at least 2014.
Additional statistics cited in the report include:
As we all know that Mesothelioma is a rare type of lung cancer that is associated with the inhalation of asbestos. Asbestos is a natural fiber that is frequently used in construction, automotive and other products. When inhaled, the asbestos fibers become lodged in the lungs. Over time, this results in scarring and the formation of cancerous cells in the lung walls.
Though the safe production, use and control of asbestos has been dramatically improved in Australia over the years, the continued growth of mesothelioma incidence rates can be attributed to the long latency period of the disease. In many cases, symptoms of mesothelioma do not manifest until 20 to 50 years following initial asbestos exposure. This means that many aging Australians are still manifesting the disease from exposure that occurred prior to the initiation of Australian asbestos regulation.
Australia has been tracking the number of new mesothelioma cases in the country since 1982. Between the years of 1982 and 2005, the number of new mesothelioma cases rose from 156 to 597. This number is expected to continue to rise through at least 2014.
Additional statistics cited in the report include:
- 80 to 90 percent of all new mesothelioma cases in Australia were reported in men
- Age standardization of mesothelioma cases rose from 1.2 per 100,000 in 1982 to 2.8 per 100,000 in 2005
- Mesothelioma death rates rose between the years of 1997 and 2006, with a maximum of 545 in 2004
How To Choose A Mesothelioma Lawyers?
Tuesday, July 21, 2009
Filing a mesothelioma lawsuit is a long and dwindling process. Selection of a mesothelioma attorney whom you trust and have a good rapport with is very important. However, choosing from a long list of mesothelioma lawyers can be a daunting task, so here is a guide that will help you go through the process:
Look for a qualified mesothelioma attorney in the following places:
- Bar Associations
- Martindale-Hubbell Law Directory (found in most public libraries)
- Yellow Pages
- Internet (many firms have their own sites)
Once you have found the names of some mesothelioma attorneys in your area, begin by contacting each firm by telephone for further information.
Describe your legal issue to each attorney and inquire as to whether he/she can handle your situation. Don’t forget to ask whether there is a fee for an initial consultation, and the approximate cost to handle a mesothelioma lawsuit.
It is advisable to schedule appointments with two or three different attorneys before making your final selection.
3. Meet the Prospective Attorneys
The initial consultation is an opportunity for you and the lawyer to get to know each other. After listening to your case, the lawyer should be able to outline your rights and offer you alternative courses of action.
The initial consultation is the mesothelioma attorney's opportunity to explain what he or she can do for you and how much it will cost. You should not hesitate to ask about the attorney's experience in handling previous mesothelioma lawsuits.
Feel free to ask about the lawyer's fees and the likely results. If you are considering going beyond the initial consultation and hiring the lawyer, request a written fee agreement before proceeding.
It is also important to ask each attorney for a list of references that you may contact.
4. Making Your Decision
After each initial consultation, ask yourself the following questions about the mesothelioma attorney you just met:
- Did the attorney listen to me?
- Was the attorney knowledgeable about asbestos law?
- Did the attorney give me a firm understanding of my alternative courses of action?
- Do I understand the range of possible results associated with each course of action?
- Did the attorney seem trustworthy?
Mesothelioma Patients : Know Your Legal Rights
As i have mentioned in my previous post that Mesothelioma is a disease associated with exposure to asbestos. You and your loved ones may have legal rights to seek compensation from the companies responsible for your exposure to asbestos. It is important that you consult a n Asbestos lawyers or mesothelioma lawyers as soon as possible if you wish to seek compensation for your diagnosis of mesothelioma. Because the law imposes a statute of limitations, which varies from state to state, you have a limited amount of time in which a lawsuit can be filed.
How can Mesothelioma Attorneys help?
Mesothelioma attorneys can help victims in recovering funds related to asbestos-caused mesothelioma. Many of the mesothelioma attorneys with experience in this field have successfully claimed costs from those responsible for asbestos exposure. Mesothelioma attorneys can regain medical costs, lost wages, and punitive fees for victims and their families.
How can Mesothelioma Attorneys help?
Mesothelioma attorneys can help victims in recovering funds related to asbestos-caused mesothelioma. Many of the mesothelioma attorneys with experience in this field have successfully claimed costs from those responsible for asbestos exposure. Mesothelioma attorneys can regain medical costs, lost wages, and punitive fees for victims and their families.
A mesothelioma attorney can meet with victims to discuss liability in mesothelioma cases; using their prior experience, mesothelioma attorneys can often predict the likelihood of success of a particular case. A good mesothelioma attorney will have the legal knowledge and connections to pressure reluctant parties into accepting accountability; many mesothelioma attorneys end up enabling their client to collect without ever having to go to trial. Mesothelioma attorneys can also help put their clients in touch with the clients of other mesothelioma attorneys if both parties agree, so that the parties represented by both mesothelioma attorneys may exchange information and supportespecially important with such a rare disease.
List Of Mesothelioma Lawyers
Deciding who should represent you is one of the most critically important decisions that you might ever make. You are entitled to an experienced mesothelioma attorney who has a track record of success in mesothelioma lawsuits on your side through the entire claim process. You also should expect personal service and individuals committed to your case.
Here are some of the Mesothelioma Lawyers available in your respective state. This is updated regularly once i find a new list of mesothelioma lawyers for your reference :
Here are some of the Mesothelioma Lawyers available in your respective state. This is updated regularly once i find a new list of mesothelioma lawyers for your reference :
Levy Phillips & Konigsberg LLP ("LPK")
If you or someone you know has mesothelioma and has ever lived (or performed any work) in NY or NJ, call LPK for a free consultation, 24 hours a day, 7 days a week (1-800-637-6529) or visit their website. LPK has over three decades of experience, including many top mesothelioma jury awards in NY and NJ.
The Law Offices of Peter G. Angelos, P.C.
The Maune Raichle Law Firm
If you or someone you know has mesothelioma and has ever lived or performed work in Md., De., D.C., Pa. or Tn. please call or email the The Law Offices of Peter G. Angelos, P.C. for a free consultation, 24 hours a day, 7 days a week. 1-800-556- 5522, www.angeloslaw.com. The Law Offices of Peter G. Angelos, P.C. has specialized in asbestos litigation since the early 1980's.
Paul & Hanley, LLP
Paul & Hanley, LLP
Call us today for a confidential and free consultation with Paul & Hanley, LLP. We are one of the nation's leading toxic tort litigation law firms We'll discuss your specific case and give you honest answers to your important questions. Our toll-free number is: (800) 933-2244. At Paul & Hanley we look forward to helping you.
The Maune Raichle Law Firm
Handling only mesothelioma cases. We will meet you personally and immediately in your home or office. Let us show you why we are best suited to represent you in a mesothelioma case. Contact us today for a no obligation discussion about how we can serve your family. Call Toll Free today at 866-532-6000 or submit a free online contact request form.
William Kherkher
Over 25 years of helping asbestos and mesothelioma victims nationwide. Call for a FREE consultation 800-781-3955 or 713-230-2200 or contact us.
Mesothelioma Empowerment
273 W. 7th Street
San Pedro, California 90731
Office : (310) 221-8090 Fax : (310) 221-8095
Call Us Now! (800) 831-9399
1-800-831-9399
Steigerwalt & Associates
With over two decades of trial experience, Kerry Steigerwalt has become one of the most well-known attorneys in America. Mr. Steigerwalt is also highly respected by members of the legal community, as he is a recognized leader in personal injury matters. No stranger to the courtroom, Mr. Steigerwalt has appeared in more than 100 jury trials. Visit their site for more information .
more to come...
William Kherkher
Over 25 years of helping asbestos and mesothelioma victims nationwide. Call for a FREE consultation 800-781-3955 or 713-230-2200 or contact us.
8441 Gulf Freeway, Suite 600
Houston, TX 77017-5051
Phone: 800-781-3955 or 713-230-2200
Fax: 713-643-6226
Mesothelioma Empowerment
273 W. 7th Street
San Pedro, California 90731
Office : (310) 221-8090 Fax : (310) 221-8095
Call Us Now! (800) 831-9399
1-800-831-9399
Steigerwalt & Associates
With over two decades of trial experience, Kerry Steigerwalt has become one of the most well-known attorneys in America. Mr. Steigerwalt is also highly respected by members of the legal community, as he is a recognized leader in personal injury matters. No stranger to the courtroom, Mr. Steigerwalt has appeared in more than 100 jury trials. Visit their site for more information .
more to come...
Gene Test Predicts Survival with Mesothelioma
Sunday, July 19, 2009
NEW YORK (Reuters Health) - A 4-gene expression ratio test accurately predicts survival in patients with malignant pleural mesothelioma, according to a report in the May 6th Journal of the National Cancer Institute.
"Molecular profiling may seem complex, but it can be easily simplified for specific cases for clinical use so that any physician can find it useful," Dr. Raphael Bueno from Harvard Medical School, Boston, told Reuters Health.
Dr. Bueno and colleagues used results of a prospective clinical trial to evaluate the ability of the 4-gene expression ratio test to predict overall survival and cancer-specific survival in 120 patients undergoing surgery for malignant pleural mesothelioma.
Patients assigned by the test to the good outcome group had significantly better median overall survival (16.8 months) and median cancer-specific survival (21.9 months) than did patients assigned by the test to the poor outcome group (9.5 months and 15.9 months, respectively), the authors report.
Based on a multivariable analysis, the gene ratio test appeared to provide additional predictive information beyond that provided by current pathological staging methods.
The repeatability of the test results was 88.5% for tumor specimen analyses and 93.4% for pleural biopsy specimens, the researchers note.
Within-patient reproducibility of prognosis predictions was 96.1% using tumor specimens and 94.1% using pleural biopsies.
Within-patient reproducibility of prognosis predictions was 96.1% using tumor specimens and 94.1% using pleural biopsies.
"Patients assigned to the predicted poor outcome group, particularly when other established prognostic factors such as histology and lymph node status are also suggestive of poor outcome, could be counseled to forgo surgery, which would not benefit them, and to seek best supportive care," the investigators propose."
Patients whose gene ratio test results predict a good prognosis after surgery may more confidently select the treatment option that includes surgery."
Patients whose gene ratio test results predict a good prognosis after surgery may more confidently select the treatment option that includes surgery."
Dr. Bueno said that similar tests could prove useful in "lung cancer, bladder cancer, prostate cancer, breast cancer, etc." He added that the test is already being used at their clinical lab.
J Natl Cancer Inst 2009;101:678-686.
J Natl Cancer Inst 2009;101:678-686.
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