National Academy of Sciences | 150 Year Anniversary

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The National Academies Press

Health and Medicine

Dietary Reference Intakes for Calcium and Vitamin D

Calcium and vitamin D are essential nutrients for the human body. Establishing the levels of these nutrients that are needed by the North American population is based on the understanding of the health outcomes that calcium and vitamin D affect. ...

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Perspectives on Biomarker and Surrogate Endpoint Evaluation:Discussion Forum Summary

In 2010 the Institute of Medicine (IOM) recommended a framework for the evaluation of biomarkers in the chronic disease setting. Published in the book Evaluation of Biomarkers and Surrogate Endpoints in Chronic Disease, the framework is intended to bring consistency ...

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Women's Health Research: Progress, Pitfalls, and Promise

Even though slightly over half of the U.S. population is female, medical research historically has neglected the health needs of women. However, over the past two decades, there have been major changes in government support of women's health research--in policies, ...

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Extending the Spectrum of Precompetitive Collaboration in Oncology Research:Workshop Summary

Despite spending more time and money in developing novel therapeutics, the success rate for new pharmacologic treatments has been poor. Although the research and development expenditures have grown 13 percent each year since 1970 (a 50-fold increase), the number of ...

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A National Cancer Clinical Trials System for the 21st Century:Reinvigorating the NCI Cooperative Group Program

The National Cancer Institute's (NCI) Clinical Trials Cooperative Group Program has played a key role in developing new and improved cancer therapies. However, the program is falling short of its potential, and the IOM recommends changes that aim to transform ...

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A Foundation for Evidence-Driven Practice:A Rapid Learning System for Cancer Care: Workshop Summary

The IOM's National Cancer Policy Forum held a workshop October 5-6, 2009, to examine how to apply the concept of a 'rapid learning health system' to the problem of cancer. This document summarizes the workshop.

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Policy Issues in the Development of Personalized Medicine in Oncology:Workshop Summary

One of the challenges in treating cancer is the disease's complexity and variation among patients. Cancer manifests differently in each patient, so treatments that are effective in one patient may not be effective in another. As cancer care becomes more ...

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Secondhand Smoke Exposure and Cardiovascular Effects:Making Sense of the Evidence

Data suggest that exposure to secondhand smoke can result in heart disease in nonsmoking adults. Recently, progress has been made in reducing involuntary exposure to secondhand smoke through legislation banning smoking in workplaces, restaurants, and other public places. The effect ...

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A Review of the NIOSH Roadmap for Research on Asbestos Fibers and Other Elongate Mineral Particles

Although asbestos is no longer mined in the United States, prior and ongoing exposures to asbestos continue to contribute to respiratory diseases, including mesothelioma, lung cancer, and asbestosis. To examine ongoing issues and concerns in this field, the National ...

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Assessing and Improving Value in Cancer Care:Workshop Summary

Unlike many other areas in health care, the practice of oncology presents unique challenges that make assessing and improving value especially complex. First, patients and professionals feel a well-justified sense of urgency to treat for cure, and if cure is ...

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