Promoting guideline-based cancer genetic risk assessment for hereditary breast and ovarian cancer in ethnically and geographically diverse cancer survivors: Rationale and design of a 3-arm randomized controlled trial.

Background: Although national guidelines for cancer genetic risk assessment (CGRA) for hereditary breast and ovarian cancer (HBOC) have been available for over two decades, less than half of high-risk women have accessed these services, especially underserved minority and rural populations. Identification of high-risk individuals is crucial for cancer survivors and their families to benefit from biomedical advances in cancer prevention, early detection, and treatment.

Methods: This paper describes community-engaged formative research and the protocol of the ongoing randomized 3-arm controlled Genetic Risk Assessment for Cancer Education and Empowerment (GRACE) trial.

Dental health management for children with special healthcare needs.

Good dental health is essential for good communication, nutrition and self-esteem. There is evidence of a correlation between special needs, unequal access to dental care, poor dental health and insufficient improvement in dental services, particularly for children with special healthcare needs. Factors contributing to this situation include the characteristics of the individual's disability, parental education and socioeconomic status, lack of appropriately trained dentists and a lack of research in the UK to guide progress.