An investigation conducted by the University of California, San Francisco found that too many Americans have had unnecessary thyroid biopsies. The investigators collected and analyzed data of 8,800 patients who had thyroid ultrasound scans. The report from the investigation concluded that 98% of thyroid nodules on the 8,800 patients were not cancerous. JAMA International Medicine published a copy of the report.
The lead investigator, Dr. Rebecca Smith Bindman of the USCF stated that “Right now, we’re doing far too many thyroid biopsies in patients who are really at very low risk of having thyroid cancer.” The study recommended that patients should not be recommended for biopsy unless the imaging test shows that the thyroid nodules have microcalcification. Microcalcifications are tiny flecks of calcium on the nodules. According to the investigators, this would lessen the number of people who will undergo unnecessary biopsy.
The investigators emphasized that biopsy is an unnecessary procedure and unnecessary cost for many patients. Moreover, being recommended for biopsy also causes a lot of anxiety for patients. Patients must also take time off from work. All these can be avoided if new guidelines will be adapted by doctors.
As demonstrated by the investigation, a new guidelines is necessary. At present, there is high rate of thyroid nodules in the US today. It is therefore necessary to find guidelines that are more cost efficient and less invasive. Moreover, in women thyroid nodules are usually benign. There is no need for women a lot of women to spend money and be under a lot of worry for something that is less likely to be cancerous.
The American Academy of Pediatrics (AAP) Committee on Drugs recently published a clinical report stating that many of the medications today are safe for breastfeeding. The AAP Committee on Drugs also stated that taking the drugs poses more benefits than the risk of possible harm to the babies. According to the American Academy of Pediatrics, mothers are “inappropriately advised”. They are told to either stop breastfeeding when taking medication or not to take medicine when breastfeeding.
Many women are in fact misguided. They decided not to breastfeed their children because they are taking medication. They are worried about the adverse effects of the drugs on their babies. What they do not know is that the benefits of breastfeeding far outweighs the danger of taking medications when breastfeeding. Many of the drugs today are safe for breastfeeding while the benefits of breastfeeding include short and long term health benefits for children. Children who are breastfed, for example, have low risk of infection, asthma and sudden infant death syndrome. Children who are breastfed also grow up healthier.
According to Food and Drug Administration’s Center for Drug Evaluation and Research, it is difficult to classify which drugs are safe for breastfeeding. This is because it is always a case to case basis. As such, it is a risk benefit decision. What they want to emphasize is that many of the drugs today are safe. More importantly the benefits of breastfeeding are something that every mother should consider. The report by the American Academy of Pediatrics (AAP) Committee on Drugs identified the drugs that may potentially harm breastfed children.
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One in every ten children suffers from stuttering by the time they reach the age of four. These children are quite normal, according to the new Australian study. The study found that children who stutter are as normal as their peers. In fact, the study found that in general they are even better than their non-stuttering counterparts.
The study was led by Sheena Reilly of the Murdoch Childrens Research Institute in Parkville. She concluded that parents of children who stutter should not be worried, “Stuttering onset is relatively common but parents can be reassured that developmental stuttering is not associated with poorer outcome in the preschool years at least.”
The study was conducted using 1,600 children from Melbourne, Australia. The researchers asked the mothers of the children to answer questions concerning their babies from since they were eight months old. The children were then assessed based on language and behavior scale. Speech pathologists identified children with stuttering. Overall, children who stutter scored 2.6 points higher than non-stuttering children on non verbal intelligence. Moreover, the researchers concluded that stuttering may in fact be a sign of advanced or improved language skills. The researchers added that “This is a period in which a child’s motor speech system is challenged to keep pace with the phenomenal rate of language acquisition.” As such, children who stutter try to keep up with the pace.
The study is very helpful in understanding the connection between stuttering and mental development, particularly when it comes to language skills and acquisition. Moreover, it aims to help children who suffer from the stigma of stuttering.
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