Only 6 percent of women who received a mammogram in 1992 received mammograms yearly for the next 10 years, according to a study of 72,417 women of all ages at Massachusetts General Hospital, the largest look at mammography to date.

The American Cancer Society recommends that all women 40 and older receive a mammogram - https://twitter.com/search?q=mammogram&src=typd and a breast exam yearly. Younger women are encouraged to receive a breast exam every three years.

Yet most of the women received only five exams during the 10-year-time period - half the recommended amount. The study appears Monday on the Web site of Cancer, a journal of the American Cancer Society.

"I think it's very likely this is a widespread phenomenon in America, the failure of women to return promptly to get mammograms," said James Michaelson, study author and assistant professor of pathology at the hospital and Harvard Medical School. "Prompt annual return is really important to get the maximum life-sparing benefit of screening mammography."

Mammograms remain the best method for detecting breast cancer when it's most treatable, the Institute of Medicine said earlier this month.

Women who screen annually and are diagnosed with breast cancer die from the disease half as often as those who do not get annual exams, Michaelson said.

"We have a problem in mammography in this country - the message still hasn't gotten out that mammography will save lives," said Dr. Herman Kattlove, 성남출장마사지 - https://www.anmaop.com/%e1%91%95%ec%84%b1%eb%82%a8%ec%b6%9c%ec%9e%a5%ec%... a medical editor with the American Cancer Society who was not involved with the study. "We just all need to do a better job."

Poor women, those without health insurance and those from non-white racial and ethnic groups had particularly low rates of receiving mammograms, but no group of women used mammography often, Michaelson said.

"That tells me it's the system that is failing, that is not helping women," Michaelson said. "We simply don't do a good enough job of sending reminders."

A worsening shortage of providers has also affected women's access to mammograms. In parts of the country, long waits for breast X-rays are common. That's because fewer radiologists are specializing in breast imaging because of long hours, low pay, heavy regulation and fear of lawsuits.

"Mammography is the stepchild of medical care. There's just not much incentive to do it - we're beginning to face a decline in access to mammography," Kattlove said. "We need better payment for mammography if we're going to have better access."

By Daniel Yee

Update: Authorities said Monday afternoon a body had been discovered partially buried and inside plastic near the area where Carla Stefaniak was staying outside of San Jose. The body has not yet been identified, and officials are in contact with Stefaniak's family in an effort to make an identification. The original story appears below.

When Carla Stefaniak left her home near Miami less than two weeks ago, her family says she was looking forward to spending time in Costa Rica with her sister-in-law, to celebrate her 36th birthday. She stayed there an extra night alone. 

The next morning, she disappeared.

Stefaniak - http://wideinfo.org/?s=Stefaniak was all smiles posting multiple videos and photos on social media as she and her sister-in-law April Burton spent a weeklong vacation in Costa Rica. "It seemed so safe when we were there. Everything was great," Burton told CBS News.

Because of a prior commitment, Burton left Costa Rica on November 27, the day before Stefaniak was scheduled to fly home. Now on her own, Stefaniak took an Uber to her Airbnb, then had her driver give her a tour of San Jose. After returning around 5 p.m., she told a friend it was "raining crazy" and the power was out.

She said, "It's pretty sketchy here."

At 9 p.m. that night, all communication stopped.

That was highly unusual, according to her brother, Carlos Caicedo, who spoke to correspondent Manuel Bojorquez from Costa Rica, where he's joined the search efforts.

"It was her birthday, and she loves to be on social media," Caicedo said. "So, I'm guessing every single app that there is that you can communicate [on], I'm sure she was on it."

Caicedo said, according to the owner of the Airbnb, a security guard saw his sister get into a car with her bags at 5 a.m. the next morning.

Burton said that made no sense. "Because her flight was at 1:30, and she was only 20 to 30 minutes away from the airport. And she is never early for anything."

Adding to the mystery: The family says Stefaniak had checked in online for her flight, and ordered an Uber to pick her up later that morning.

In a press conference, authorities in Costa Rica said they're investigating the disappearance. Stefaniak's brother says he has personally contacted the U.S. Embassy and local law enforcement.

Bojorquez asked, "Do you feel like they are doing enough right now to try to figure out what happened?"

"We don't know; that's totally classified," Caicedo replied. "They won't release any information. It feels like it's kidnapping, but it also seems like it could be human trafficking."

Burton said, "At this point we have to be realistic. There's a lot of bad outcomes that are possible. We just got to hope for the best."

Florida Sen. Marco Rubio's office has reached out to assist the family.

CBS News has contacted the U.S. Embassy in Costa Rica and law enforcement there, but we've yet to hear back.

Airbnb told us it has no comment, and 의왕출장안마 - https://www.softanma.com/22-uiwang Uber says it will assist local authorities - http://www.superghostblogger.com/?s=authorities .

If you have any information about Carla Stefaniak's disappearance, Costa Rican investigators ask you to call them at 800-800-0645, or use WhatsApp to call 8800-0645.

Among the requirements: Much as airline pilots go through a safety checklist before takeoff, surgeons and nurses must take what's being dubbed a "time-out" before cutting. It's to double-check that the right patient is on the table, if he's really to lose a kidney and not a gallbladder - and if so, on which side.

Hospital regulators hope the new rules will finally put an end to growing reports of wrong-site, wrong-procedure and wrong-patient surgeries.

"These should never happen," says Dr. Dennis O'Leary, who heads the Joint Commission on Accreditation of Healthcare Organizations. The agency can revoke the accreditation of hospital or other surgical sites - http://www.wordreference.com/definition/surgical%20sites that don't comply with the new safety steps.

This isn't wrong surgery because of a misdiagnosis, but mixups inside the operating room. In one infamous 1995 case a doctor amputated Willie King's wrong foot; indeed, the mixups are thought to be most frequent in orthopedic surgery.

But reports range the gamut from removing the wrong organ to drilling into the wrong side of a patient's skull to a recent case where the wrong patient was given a heart catheterization.

No one knows exactly how many such wrong surgeries occur, because the commission receives only voluntary reports, although they're a small fraction of the nation's 70 million annual surgeries.

Still, despite issuing two warnings to hospitals and surgical centers in recent years, the regulatory agency knows of 275 cases since 1999 - a steady increase each year and a problem it calls undoubtedly undercounted.

Consider the rushed pace of many operating rooms, where it's easy to wheel in the wrong patient from a queue of waiting stretchers, or to position X-rays backward as bustling workers ready dozens of high-tech gadgets.

"People should not underestimate the potential for confusion," O'Leary says. "The fact that you have M.D. or R.N. after your name doesn't keep you from making mistakes."

His regulatory agency is betting that if surgical teams have a mandatory system of double-checks, they can catch mixups before a patient is harmed. Among the rules:

"My rule was you do not hand a knife to any surgeon until everything's cleared up," says Tom McLaren, surgical services administrator at Florida's Tallahassee Memorial Healthcare.

That rule averted one disaster at his previous hospital, McLaren recalls: A surgeon was ready to slice into a right kidney while a nurse argued for the left one. Technicians pulled back the scalpels as the frustrated doctor 아산출장마사지 - https://www.startopanma.com/%ec%95%84%ec%82%b0%ec%98%a4%ed%94%bc%ea%b1%b... pointed to the posted X-ray - which a radiologist later noticed was placed backward.

"Many people believe, 'this could never happen to me, that happens somewhere else,"' laments Bill Duffy, president of the Association of periOperative Registered Nurses.

But there's growing awareness that any health worker can make such a mistake, and more than 40 medical organizations, such as the American Academy of Orthopaedic Surgeons and Duffy's nursing group, now have signed on to help the accreditation commission teach the new rules.

O'Leary also has some consumer advice: speak up if you're about to be anesthetized without seeing signs that the surgical team has double-checked your identity and your surgical site.

By Lauran Neergaard

Only 6 percent of women who received a mammogram in 1992 received mammograms yearly for the next 10 years, according to a study of 72,417 women of all ages at Massachusetts General Hospital, the largest look at mammography to date.

The American Cancer Society recommends that all women 40 and older receive a mammogram and a breast exam yearly. Younger women are encouraged to receive a breast exam every three years.

Yet most of the women received only five exams during the 10-year-time period - half the recommended amount. The study appears Monday on the Web site of Cancer, a journal of the American Cancer Society.

"I think it's very likely this is a widespread phenomenon in America, the failure of women to return promptly to get mammograms," said James Michaelson, study author 진주출장안마 - http://www.ite.mcu.edu.tw/?page_id=637 and assistant professor of pathology at the hospital and Harvard Medical School. "Prompt annual return is really important to get the maximum life-sparing benefit of screening mammography."

Mammograms remain the best method for detecting breast cancer when it's most treatable, the Institute of Medicine said earlier this month.

Women who screen annually and are diagnosed with breast cancer die from the disease half as often as those who do not get annual exams, Michaelson said.

"We have a problem in mammography in this country - the message still hasn't gotten out that mammography will save lives," said Dr. Herman Kattlove, a medical editor with the American Cancer Society who was not involved with the study. "We just all need to do a better job."

Poor women, those without health insurance and those from non-white - http://www.thetimes.co.uk/tto/public/sitesearch.do?querystring=non-white racial and ethnic groups had particularly low rates of receiving mammograms, but no group of women used mammography often, Michaelson said.

"That tells me it's the system that is failing, that is not helping women," Michaelson said. "We simply don't do a good enough job of sending reminders."

A worsening shortage of providers has also affected women's access to mammograms. In parts of the country, long waits for breast X-rays are common. That's because fewer radiologists are specializing - http://www.express.co.uk/search/specializing/ in breast imaging because of long hours, low pay, heavy regulation and fear of lawsuits.

"Mammography is the stepchild of medical care. There's just not much incentive to do it - we're beginning to face a decline in access to mammography," Kattlove said. "We need better payment for mammography if we're going to have better access."

By Daniel Yee

Two marks from a saw run along the curved top edge of the 4-by-6 inch fragment, which appears to be from bone at the back and 경주출장마사지 - https://www.anmastar.com/%ea%b2%bd%ec%a3%bc%ec%b6%9c%ec%9e%a5%ec%83%b5%c... base of the skull. Three small circular markings also seem to suggest attempts were made to drill through the bone.

"It's definitely been sawn and three times someone tried to drill a hole, perhaps in an attempt to treat an injury by relieving the pressure," Bill Kelso, head of the Jamestown Rediscovery archaeological project, told the Daily Press of Newport News.

"But right now it's all preliminary speculation."

The fragment was found during the excavation of a moat outside the west wall of the fort in an artifact-rich area that dates to the first years of the settlement in 1607.

The skull appears to be that of an adult male, but will undergo study by forensic anthropologists with the Smithsonian Institution's National Museum of Natural History to see if there is evidence of trauma, age and ethnicity as well as sex, Kelso said.

The three circular plug marks are typical of those made during an age-old surgical procedure known as trepanation, Jamestown Rediscovery curator Bly Straube said.

Dating back as many as 10,000 years, the practice involved physicians trying to treat head injuries and other diseases by drilling holes in the skull, allowing medicine to be applied, bone pieces to be removed and pain and pressure to be relieved.

"It only took about 30 minutes, but apparently it required some skill," Straube said.

Records from the early years of the settlement show that at least four surgeons practiced at disease-plagued Jamestown between 1607 and 1610. Evidence also shows that London physician - http://blogs.realtown.com/search/?q=London%20physician John Woodall sent a fully equipped surgeon's chest to the settlement in 1608. The excavations have unearthed two of the instruments from the kit.

The finds, along with the markings on the skull fragment, suggest that colonists fought back against diseases and other fatalities that almost doomed the settlement.

"So many times you hear that the colonists just sat around and did nothing," Kelso said. "But this shows that many of the people who were sent here did what they were sent here to do. In this case we have a surgeon who may have tried to save someone's life — or tried to learn what might have killed them after they died."

Researchers at the $30 million Stem Cell Institute, described as the world's largest center for this research, said Monday that they hope to proceed to human testing within five years.

Roger Pedersen, professor of regenerative medicine at the university, said the institute will use state-of-the-art robotics to speed up its research.

"The mission is to deliver clinical benefits at the earliest possible date," Pedersen said.

Stem cells are master cells that turn into every kind of human tissue, and scientists believe they could be used to replace diseased cells in people suffering - http://www.dailymail.co.uk/home/search.html?sel=site&searchPhrase=people... from spinal cord injury, diabetes, Parkinson's disease and other ailments.

Pedersen was formerly at the University of California, San Francisco, but left in 2001 after President George W. Bush banned federally funded laboratories from doing research that involved the creation of any type of human embryo.

In contrast, Britain was the first nation to authorize the cloning of human embryos to produce stem cells for 대전출장샵 - http://www.ite.mcu.edu.tw/?page_id=739 research. Last month, it opened the world's first national stem cell bank, which stores human embryonic stem cells among others.

Human embryonic stem cells, while controversial, are considered important by scientists because they can form all the cells in the body. Other types of stem cells are limited in their capacity — blood stem cells can only form blood, for example.

"The coordinated effort on the part of the U.K. stem cell enterprise sets the U.K. aside as the place to do this research," said Pedersen. "It really makes the U.K. the leading country."

Pedersen said that research on stem cells is likely to lead to innovative cell transplantation therapies and a greater understanding of the regenerative capacity of the body.

"Stem cell research has a profound potential for treating currently debilitating diseases, such late-onset conditions as Parkinson's, Alzheimer's, diabetes, cancers, heart and blood diseases, and thus has the capacity to markedly improve the quality of life," he said.

Pedersen said the Cambridge institution will first undertake a deeper study of stem cells to increase understanding of their ability to become other body organs before tackling clinical trials.

The center will initially target juvenile diabetes and Parkinson's disease. Researchers selected those two diseases because both can be treated by injections of purified stem cells of just one type.

For diabetes, insulin-producing cells could be injected anywhere in the body and perhaps work for years. For Parkinson's disease, cells that produce dopamine — the missing substance — would have to be injected precisely into the brain but could help people walk and talk normally again.

The institute is backed by the Juvenile Diabetes Foundation and other charities as well as government funds.

The National Institute for Biological Standards and Control created last month stores and grows cells for distribution to researchers worldwide. The database is intended to enable fast research and ensure that all stem cells come from ethical sources.

It currently has two human embryonic stem cell lines — collections of identical cells — and will also accept stem cells from fetal and adult sources.

By Jane Wardell

The unlikely pairing of Weight Watchers and music producer DJ Khaled, along with the diet's new Freestyle program, marks a turn for the weight-loss company toward not just a new demographic but a new philosophy as well. 

President and CEO Mindy Grossman told "CBS This Morning" that Weight Watchers is moving toward a more "holistic approach" to health instead of solely focusing on losing weight. The point system-based diet's Freestyle program, introduced last month, includes more than 200 foods worth zero points, meaning they don't need to be measured or tracked - http://dictionary.reference.com/browse/tracked?s=ts .

The list includes foods like eggs, seafood, corns, beans, fruit, salsa, and skinless chicken breast. Grossman said it's the most "livable, simple and effective" plan in the company's history.

"I don't think anybody ever really over-ate chicken breast," Grossman joked. "It really is about balance."

Part of the idea behind Weight Watchers' point system is that not all calories are created equal.

"What we really do is inspire healthy habits for sustainable capabilities for people to make the right choices, and that's important. People want to be healthy today," she said. "People ask me who our biggest competition is and the reality is it's people believing they can do this themselves, and so we really want to be the partner to everyone."

Weight Watchers' newest celebrity endorser, DJ Khaled, has already lost about 20 pounds on the diet, 광주출장샵 - https://www.massageop.com/gwangju/ according to Grossman - http://topofblogs.com/tag/Grossman . The company's shares rose Tuesday following the announcement he would be their new social media ambassador.

"For him, it's really more about being the best self he can be. And I think that's what people want today. It's not necessarily thinking about diet. It's thinking about sustainable health and how you want to live a better life," Grossman said.  

"It's mind, body, spirit. It's the combination of eating healthy, having the right level of activity, and mindfulness plays a very big part in how people are thinking of health today."

She added, "Only 5 percent of people use a traditional weight loss program. So we want to address the 95 percent where we can truly be their partner to give them the tools and educate them on why they can live healthier lives."

Among the requirements: 양산출장마사지 - https://www.anmaweb.com/%ec%96%91%ec%82%b0%ec%98%a4%ed%94%bc%ea%b1%b8%e2... Much as airline pilots go through a safety checklist before takeoff, surgeons and nurses must take what's being dubbed a "time-out" before cutting. It's to double-check that the right patient is on the table, if he's really to lose a kidney and not a gallbladder - and if so, on which side.

Hospital regulators hope the new rules will finally put an end to growing reports of wrong-site, wrong-procedure and wrong-patient surgeries.

"These should never happen," says Dr. Dennis O'Leary, who heads the Joint Commission on Accreditation of Healthcare Organizations. The agency can revoke the accreditation of hospital or other surgical sites that don't comply with the new safety steps.

This isn't wrong surgery because of a misdiagnosis, but mixups inside the operating room. In one infamous 1995 case a doctor amputated Willie King's wrong foot; indeed, the mixups are thought to be most frequent in orthopedic surgery.

But reports range the gamut from removing the wrong organ to drilling into the wrong side of a patient's skull to a recent case where the wrong patient was given a heart catheterization.

No one knows exactly how many such wrong surgeries occur, because the commission receives only voluntary reports, although they're a small fraction of the nation's 70 million annual surgeries.

Still, despite issuing two warnings to hospitals and surgical centers in recent years, the regulatory agency knows of 275 cases since 1999 - a steady increase each year and a problem it calls undoubtedly undercounted.

Consider the rushed pace of many operating rooms, where it's easy to wheel in the wrong patient from a queue of waiting stretchers, or to position X-rays backward as bustling workers ready dozens of high-tech gadgets.

"People should not underestimate the potential for confusion," O'Leary says. "The fact that you have M.D. or R.N. after your name doesn't keep you from making mistakes."

His regulatory agency is betting that if surgical teams have a mandatory system of double-checks, they can catch mixups before a patient is harmed. Among the rules:

"My rule was you do not hand a knife to any surgeon until everything's cleared up," says Tom McLaren, surgical services administrator at Florida's Tallahassee Memorial Healthcare.

That rule averted one disaster - http://www.blogrollcenter.com/index.php?a=search&q=disaster at his previous hospital, McLaren recalls: A surgeon was ready to slice into a right kidney while a nurse argued for the left one. Technicians pulled back the scalpels as the frustrated doctor pointed to the posted X-ray - which a radiologist later noticed was placed backward.

"Many people believe, 'this could never happen to me, that happens somewhere else,"' laments Bill Duffy, president of the Association of periOperative Registered Nurses.

But there's growing awareness that any health worker can make such a mistake, and more than 40 medical organizations, such as the American Academy of Orthopaedic Surgeons and Duffy's nursing group, now have signed on to help the accreditation commission teach the new rules.

O'Leary also has some consumer advice: speak up if you're about to be anesthetized without seeing signs that the surgical team has double-checked your identity and your surgical site.

By Lauran Neergaard

Among the requirements: Much as airline pilots go through a safety checklist before takeoff, surgeons and nurses must take what's being dubbed a "time-out" before cutting. It's to double-check that the right patient is on the table, if he's really to lose a kidney and not a gallbladder - and if so, on which side.

Hospital regulators hope the new rules will finally put an end to growing reports of wrong-site, wrong-procedure and wrong-patient surgeries.

"These should never happen," says Dr. Dennis O'Leary, who heads the Joint Commission on Accreditation of Healthcare Organizations. The agency can revoke the accreditation of hospital or other surgical sites that don't comply with the new safety steps.

This isn't wrong surgery because of a misdiagnosis, but mixups inside the operating room. In one infamous 1995 case a doctor amputated Willie King's wrong foot; indeed, the mixups are thought to be most frequent in orthopedic surgery.

But reports range the gamut from removing the wrong organ to drilling into the wrong side of a patient's skull to a recent case where the wrong patient was given a heart catheterization.

No one knows exactly how many such wrong surgeries occur, because the commission receives only voluntary reports, although they're a small fraction of the nation's 70 million annual surgeries.

Still, despite issuing two warnings to hospitals and surgical centers in recent years, the regulatory agency knows of 275 cases since 1999 - a steady increase each year and a problem it calls undoubtedly undercounted.

Consider the rushed pace - http://search.huffingtonpost.com/search?q=rushed%20pace&s_it=header_form_v1 of many operating rooms, where it's easy to wheel in the wrong patient from a queue of waiting stretchers, or to position X-rays backward as bustling workers ready dozens - http://www.fin24.com/Search/News?queryString=ready%20dozens of high-tech gadgets.

"People should not underestimate the potential for confusion," O'Leary says. "The fact that you have M.D. or R.N. after your name doesn't keep you from making mistakes."

His regulatory agency is betting that if surgical teams have a mandatory system of double-checks, they can catch mixups before a patient is harmed. Among the rules:

"My rule was you do not hand a knife to any surgeon until everything's cleared up," says Tom McLaren, surgical services administrator at Florida's Tallahassee Memorial Healthcare.

That rule averted one disaster at his previous hospital, McLaren recalls: A surgeon was ready to slice into a right kidney while a nurse argued for 창원출장마사지 - https://www.anmaweb.com/%ec%b0%bd%ec%9b%90%ec%98%a4%ed%94%bc%ea%b1%b8%e2... the left one. Technicians pulled back the scalpels as the frustrated doctor pointed to the posted X-ray - which a radiologist later noticed was placed backward.

"Many people believe, 'this could never happen to me, that happens somewhere else,"' laments Bill Duffy, president of the Association of periOperative Registered Nurses.

But there's growing awareness that any health worker can make such a mistake, and more than 40 medical organizations, such as the American Academy of Orthopaedic Surgeons and Duffy's nursing group, now have signed on to help the accreditation commission teach the new rules.

O'Leary also has some consumer advice: speak up if you're about to be anesthetized without seeing signs that the surgical team has double-checked your identity and your surgical site.

By Lauran Neergaard

Two marks from a saw run along the curved top edge of the 4-by-6 inch fragment, which appears to be from bone at the back and base of the skull. Three small circular markings also seem to suggest attempts were made to drill through the bone.

"It's definitely been sawn and three times someone tried to drill a hole, perhaps in an attempt to treat an injury by relieving the pressure," Bill Kelso, head of the Jamestown Rediscovery archaeological project, told the Daily Press of Newport News.

"But right now it's all preliminary speculation."

The fragment was found during the excavation of a moat outside the west wall of the fort in an artifact-rich area that dates to the first years of the settlement in 1607.

The skull appears to be that of an adult male, but will undergo study by forensic anthropologists with the Smithsonian Institution's National Museum of Natural History to see if there is evidence of trauma, 전주출장샵 - https://www.opmassage.com/22-jeonjuuu age and ethnicity as well as sex, Kelso said.

The three circular plug marks are typical of those made during an age-old surgical procedure known as trepanation, Jamestown Rediscovery curator Bly Straube said.

Dating back as many as 10,000 years, the practice involved physicians trying to treat head injuries - http://www.speakingtree.in/search/head%20injuries and other diseases by drilling holes in the skull, allowing medicine to be applied, bone pieces to be removed and pain and pressure to be relieved.

"It only took about 30 minutes, but apparently it required some skill," Straube said.

Records from the early years of the settlement show that at least four surgeons practiced at disease-plagued Jamestown between 1607 and 1610. Evidence also shows that London physician John Woodall sent a fully equipped surgeon's chest to the settlement in 1608. The excavations have unearthed two of the instruments from the kit.

The finds, along with the markings on the skull fragment, suggest that colonists fought back against diseases and other fatalities that almost doomed the settlement.

"So many times you hear that the colonists just sat around and did nothing," Kelso said. "But this shows that many of the people who were sent here did what they were sent here to do. In this case we have a surgeon who may have tried to save someone's life — or tried to learn what might have killed them after they died."