tailieunhanh - Sách: America’s Children and the Environment, Third Edition 

Patient selection for an interventional procedure requires knowledge of the disease process, the prognosis, the expectations of patient and family, careful assessment and discussion with the referring physicians. There is good evidence for the effectiveness of coeliac plexus neurolysis and intrathecal drug delivery. Despite the limitations of running randomised controlled trials for interventional procedures in patients with limited life expectancy and severe pain, there is a body of evidence of data built up over many years that supports an important role for some procedures, such as cordotomy. Safety, aftercare and the management of possible complications have to be considered in. | America s Children and the Environment Third Edition DRAFT Indicators Health Childhood Cancer EPA is preparing the third edition of America s Children and the Environment ACE3 following the previous editions published in December 2000 and February 2003. ACE is EPA s compilation of children s environmental health indicators and related information drawing on the best national data sources available for characterizing important aspects of the relationship between environmental contaminants and children s health. ACE includes four sections Environments and Contaminants Biomonitoring Health and Special Features. EPA has prepared draft indicator documents for ACE3 representing 23 children s environmental health topics and presenting a total of 42 proposed children s environmental health indicators. This document presents the draft text indicators and documentation for the childhood cancer topic in the Health section. THIS INFORMATION IS DISTRIBUTED SOLELY FOR THE PURPOSE OF PREDISSEMINATION PEER REVIEW UNDER APPLICABLE INFORMATION QUALITY GUIDELINES. IT HAS NOT BEEN FORMALLY DISSEMINATED BY EPA. IT DOES NOT REPRESENT AND SHOULD NOT BE CONSTRUED TO REPRESENT ANY AGENCY DETERMINATION OR POLICY. For more information on America s Children and the Environment please visit ace. For instructions on how to submit comments on the draft ACE3 indicators please visit ace ace3drafts . March 2011 DRAFT DO NOT QUOTE OR CITE Health Childhood Cancer 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 Childhood Cancer Childhood cancer is not a single disease but includes a variety of malignancies in which abnormal cells divide in an uncontrolled manner. These cancer cells can invade nearby tissues and can migrate by way of the blood or lymph systems to other parts of the The forms of cancer that are most common vary according to age. The most common childhood cancers are leukemias cancer