Mercury in fish, sediments, and water in Lake Oahe, South Dakota.
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Biomedical subjects
Publications and source records attributed to H G Brown.
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In order to look ahead at what may be accomplished in cancer control by the year 2010, one must look at where we have been and where we are today. Because of the accelerated pace of life and the information and technological explosion, it is necessary to rethink and adopt different attitudes in much the same manner that we have different attitudes now than we had in the 1950s. The past 40 years have brought a 50% cure rate in cancer, higher cancer incidence rates, a population that will now become older and older, and a zero growth rate by 2050. There is a real possibility of being able to control 85%-90% of cancers by 2010. This will result from the marriage of the biotechnology and molecular genetic fields, the death of the tobacco industry, discoveries in prevention, and improvements in therapy and early detection. The key to these advances will be the oncology nurse. The nurse will be the healthcare change agent of the twenty-first century using the expertise developed as the deliverer to the patient while the physician will become the advisor to patients, business, and the community.
In spite of major advances in cancer treatment over the past decades, unproven or ineffective methods of treatment continue to be offered to the public by unqualified or unscrupulous practitioners. These methods fall into five categories: devices, tests, drugs, diets, and psychological methods, as well as combinations of these. The emotional, physical, and financial burdens of cancer treatment make cancer patients and their families especially vulnerable to the pitch of these operators. Participation in worthless treatments can lead to loss of life or prolongation of illness which might otherwise have been avoided through orthodox cancer treatment. Ineffective treatments can generally be recognized by application of some simple guidelines. Lack of faith in the medical care system is an important motivation in the choice of alternative therapies. Health practitioners have an obligation to be sensitive to patients' needs, and to provide emotional as well as medical support, to communicate openly with patients and families, and to nurture the trust that will prevent abandonment of traditional medical care in favor of quackery.
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