For survivors of strokes, the device implanted in her chest could be a game changer in recovery.AP Business SummaryBrief at 3:28 p.m. ESTAustralia has one of the highest skin cancer rates globally, with nearly 19,000 Australians diagnosed with invasive melanoma – the most lethal type of skin cancer – each year. While advanced melanoma can be fatal, it is highly treatable when detected early. But Australian clinical practice guidelines and health authorities do not recommend screening for melanoma in the general population. Given our reputation as the skin cancer capital of the world, why isn’t there a national screening program? Australia currently screens for breast, cervical and bowel cancer and will begin lung cancer screening in 2025. It turns out the question of whether to screen everyone for melanoma and other skin cancers is complex. Here’s why. The current approach On top of the 19,000 invasive melanoma diagnoses each year, around 28,000 people are diagnosed with in-situ melanoma. In-situ melanoma refers to a very early stage melanoma where the cancerous cells are confined to the outer layer of the skin (the epidermis). Instead of a blanket screening program, Australia promotes skin protection, skin awareness and regular skin checks (at least annually) for those at high risk . About one in three Australian adults have had a clinical skin check within the past year. Why not just do skin checks for everyone? The goal of screening is to find disease early, before symptoms appear, which helps save lives and reduce morbidity. But there are a couple of reasons a national screening program is not yet in place. We need to ask: 1. Does it save lives? Many researchers would argue this is the goal of universal screening. But while universal skin cancer screening would likely lead to more melanoma diagnoses , this might not necessarily save lives. It could result in indolent (slow-growing) cancers being diagnosed that might have never caused harm. This is known as “ overdiagnosis ”. Screening will pick up some cancers people could have safely lived with, if they didn’t know about them. The difficulty is in recognising which cancers are slow-growing and can be safely left alone. Receiving a diagnosis causes stress and is more likely to lead to additional medical procedures (such as surgeries), which carry their own risks. 2. Is it value for money? Implementing a nationwide screening program involves significant investment and resources. Its value to the health system would need to be calculated, to ensure this is the best use of resources. Read more: Yes, you still need to use sunscreen, despite what you’ve heard on TikTok Narrower targets for better results Instead of screening everyone, targeting high-risk groups has shown better results . This focuses efforts where they’re needed most. Risk factors for skin cancer include fair skin, red hair, a history of sunburns, many moles and/or a family history. Research has shown the public would be mostly accepting of a risk-tailored approach to screening for melanoma. There are moves underway to establish a national targeted skin cancer screening program in Australia, with the government recently pledging $10.3 million to help tackle “the most common cancer in our sunburnt country, skin cancer” by focusing on those at greater risk. Currently, Australian clinical practice guidelines recommend doctors properly evaluate all patients for their future risk of melanoma. Looking with new technological eyes Technological advances are improving the accuracy of skin cancer diagnosis and risk assessment. For example, researchers are investigating 3D total body skin imaging to monitor changes to spots and moles over time. Artificial intelligence (AI) algorithms can analyse images of skin lesions, and support doctors’ decision making. Genetic testing can now identify risk markers for more personalised screening. And telehealth has made remote consultations possible, increasing access to specialists, particularly in rural areas. Check yourself – 4 things to look for Skin cancer can affect all skin types, so it’s a good idea to become familiar with your own skin. The Skin Cancer College Australasia has introduced a guide called SCAN your skin , which tells people to look for skin spots or areas that are: 1. sore (scaly, itchy, bleeding, tender) and don’t heal within six weeks 2. changing in size, shape, colour or texture 3. abnormal for you and look different or feel different, or stand out when compared to your other spots and moles 4. new and have appeared on your skin recently. Any new moles or spots should be checked, especially if you are over 40. If something seems different, make an appointment with your doctor. You can self-assess your melanoma risk online via the Melanoma Institute Australia or QIMR Berghofer Medical Research Institute .
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PHILADELPHIA (AP) — The Philadelphia Phillies have no plans to pitch prized prospect Andrew Painter in spring training games as he recovers from Tommy John surgery. The 21-year-old Painter hurt his elbow during spring training in 2023 and had surgery that July 25 with Los Angeles Dodgers head team physician Dr. Neal ElAttrache. Painter was the 13th overall pick in the 2021 amateur draft and signed for a $3.9 million bonus. “He'll throw but not plan on pitching” in games, Phillies president of baseball operations Dave Dombrowski said Monday. “We're going to push the innings back.” Dombrowski said Painter will build up at some point in the minor leagues and could make his major league debut at some point in the summer. Painter made six starts and allowed four runs in the Arizona Fall League. He struck out 18 batters in 15 2/3 innings after he sat out each of the last two seasons. Painter sprinted through Philadelphia’s system in 2022, going 6-2 with a 1.48 ERA in 26 appearances spread across two Class A teams and Double-A Reading. ___ AP MLB: https://apnews.com/hub/MLB The Associated PressThe Latest: Former President Jimmy Carter is dead at age 100MUNICH, Germany (Reuters) -Bayern Munich's Harry Kane scored a hat-trick with two of the goals in second half stoppage time, to give the league leaders a 3-0 win over visitors Augsburg on Friday and open up an eight-point gap at the top with their sixth straight clean sheet across all competitions. The Bavarians, who take on Paris St Germain in the Champions League on Tuesday, are undefeated in the Bundesliga and on 29 points following their fifth consecutive league game without conceding a goal. Second-placed RB Leipzig, who travel to Hoffenheim on Saturday, are on 21 points. "We said at half time we should just keep going and create chances," Kane, who has scored 14 league goals this season, told reporters. "Thankfully we got the penalty and from there the game opened up." Kane has scored 50 league goals since joining Bayern last year, needing just 43 Bundesliga games to reach that mark, faster than any player in the league's history. Bayern have a busy schedule coming up with PSG on Tuesday before the trip to Borussia Dortmund in the Bundesliga in a week. They cap off their 11-day four-match run with the German Cup last-16 clash at home to holders Bayer Leverkusen on Dec. 3. "We have a big week ahead with PSG in the Champions League then Dortmund then Leverkusen in the Cup. We're in a good moment, we're feeling good and should just keep the momentum up," Kane said. As expected Bayern had more than 70% possession for much of the first half but Augsburg had keeper Nediljko Labrovic to thank for a goalless first half after the Croatia international stopped efforts from Harry Kane, Jamal Musiala and Leon Goretzka, who also hit the crossbar four minutes after the restart. Labrovic then denied Michael Olise in the 51st but could do nothing to prevent Kane from scoring with a well-taken 63rd minute penally. The England captain was then awarded another penalty following a lengthy VAR review in stoppage time with Augsburg's Keven Schlotterbeck sent off for tripping him in front of goal. Labrovic was beaten by Kane once more after picking the wrong side again before the forward completed his hat-trick only seconds later after controlling a Goretzka cross with a superb first touch and then heading in. (Reporting by Karolos Grohmann, editing by Pritha Sarkar)