Despite a National Service Framework for children, which sets standards, there are no targets, and children continue to be a low priority for the NHS.
According to Alan Craft (Institute of Child Health, Newcastle Upon Tyne, UK) and Kathy Pritchard-Jones (Royal Marsden Hospital and Institute of Cancer Research, Surrey, UK), routine surveillance and the primary care of children need to be rigorously assessed, while politicians need to take the health of children seriously and make an appropriate level of investment, to ensure that the UK improves by comparison with the best-performing countries in Europe.
The authors highlight that in Germany, trials on Wilm’s tumour—a common solid tumour of childhood— showed that between 1994 and 2001, 27.4% of patients had a cancer that was first identified during a visit to a health professional for an unrelated problem or by routine surveillance. In comparison, in the UK, just 11% of patients presenting to the Royal Marsden Hospital in London, and 4% of patients referred to the Newcastle Hospital or the Royal Victoria Infirmary in Newcastle were identified. In Germany, early diagnosis by routine or incidental examination was linked to increased survival.
The authors suggest a number of possible reasons for the considerable variation in childhood cancer survival in the UK. They believe that children in the UK have been receiving a different treatment protocol than their European counterparts possibly involving suboptimum first-line treatment or less-intensive salvage treatment at relapse, because until recently there was no European-wide standard clinical protocol. Furthermore, routine health-surveillance systems and opportunities for diagnosis for children differ considerably across Europe. In Germany, most children have their own primary-care paediatrician who undertakes regular health checks, whereas in the UK, according to the authors, the Health for all Children guidelines are not as thorough, with few routine examinations being recommended.
The authors conclude, “Suboptimum survival for childhood cancer is just one example of the worse state of children’s health care in the UK compared with many other countries. The perinatal mortality rate puts the UK in 15th position in Europe and there is clear evidence that children with diabetes are [also] not receiving optimum care”.
Tony Kirby | alfa
Millions through license revenues
27.04.2017 | Rheinische Friedrich-Wilhelms-Universität Bonn
New High-Performance Center Translational Medical Engineering
26.04.2017 | Fraunhofer ITEM
More and more automobile companies are focusing on body parts made of carbon fiber reinforced plastics (CFRP). However, manufacturing and repair costs must be further reduced in order to make CFRP more economical in use. Together with the Volkswagen AG and five other partners in the project HolQueSt 3D, the Laser Zentrum Hannover e.V. (LZH) has developed laser processes for the automatic trimming, drilling and repair of three-dimensional components.
Automated manufacturing processes are the basis for ultimately establishing the series production of CFRP components. In the project HolQueSt 3D, the LZH has...
Reflecting the structure of composites found in nature and the ancient world, researchers at the University of Illinois at Urbana-Champaign have synthesized thin carbon nanotube (CNT) textiles that exhibit both high electrical conductivity and a level of toughness that is about fifty times higher than copper films, currently used in electronics.
"The structural robustness of thin metal films has significant importance for the reliable operation of smart skin and flexible electronics including...
The nearby, giant radio galaxy M87 hosts a supermassive black hole (BH) and is well-known for its bright jet dominating the spectrum over ten orders of magnitude in frequency. Due to its proximity, jet prominence, and the large black hole mass, M87 is the best laboratory for investigating the formation, acceleration, and collimation of relativistic jets. A research team led by Silke Britzen from the Max Planck Institute for Radio Astronomy in Bonn, Germany, has found strong indication for turbulent processes connecting the accretion disk and the jet of that galaxy providing insights into the longstanding problem of the origin of astrophysical jets.
Supermassive black holes form some of the most enigmatic phenomena in astrophysics. Their enormous energy output is supposed to be generated by the...
The probability to find a certain number of photons inside a laser pulse usually corresponds to a classical distribution of independent events, the so-called...
Microprocessors based on atomically thin materials hold the promise of the evolution of traditional processors as well as new applications in the field of flexible electronics. Now, a TU Wien research team led by Thomas Müller has made a breakthrough in this field as part of an ongoing research project.
Two-dimensional materials, or 2D materials for short, are extremely versatile, although – or often more precisely because – they are made up of just one or a...
20.04.2017 | Event News
18.04.2017 | Event News
03.04.2017 | Event News
27.04.2017 | Life Sciences
27.04.2017 | Physics and Astronomy
27.04.2017 | Earth Sciences