Cancer in North Carolina

Cancer is the leading cause of death in North Carolina. This issue of the NCMJ discusses cancer prevention, screening, treatment, and survivorship; disparities in incidence and mortality; and ethics of clinical trials. Highlighting the importance of comprehensive data for understanding cancer, original articles in this issue address how medical homes can reduce health care utilization among breast cancer patients and how distance to care affects receipt of radiation therapy. TABLE OF CONTENTS | FULL ISSUE (pdf) »

  • 75(5) Long-term care
  • 75(6) Improving population health
  • 76(1) Rural health

Breast Cancer Screening

INVITED COMMENTARY Mammography remains the primary technique for breast cancer screening. Women with dense breast tissue may benefit from digital mammography and tomosynthesis, and women at high risk may benefit from magnetic resonance imaging. However, false-positive results are problematic. The North Carolina breast density law necessitates education about screening options for women with dense breasts.

The Impact of Maltreatment on the Developing Child

INVITED COMMENTARY Child maltreatment represents an extreme traumatic insult to the developing child. Chronic traumatic exposure during childhood may lead to persistent changes in brain structure and chemistry that contribute to long-term dysfunction.

Direct-to-Consumer Genomic Testing Offers Little Clinical Utility but Appears to Cause Minimal Harm

INVITED COMMENTARY Direct-to-consumer genomic testing is available to anyone willing to pay for it. We investigated the reliability and reproducibility of such testing by sending DNA samples to 2 popular companies and by reviewing current literature on this topic. The concerns that were initially raised about direct-to-consumer genomic testing still seem valid.

A Renaissance in Pharmacy Education at the University of North Carolina at Chapel Hill

INVITED COMMENTARY The UNC Eshelman School of Pharmacy is transforming its doctor of pharmacy program to emphasize active engagement of students in the classroom, foster scientific inquiry and innovation, and immerse students in patient care early in their education. The admissions process is also being reengineered.