Riviste scientifiche

Meat substitutes aren’t perfect but they are worth a try

New Scientist - Lu, 07/05/2018 - 12:00
Our taste for meat is disastrous from an environmental point of view. We should celebrate those developing ever-meatier plant-based alternatives

Creative people are 90 per cent more likely to get schizophrenia

New Scientist - Do, 06/05/2018 - 09:00
A study of the entire population of Sweden has found that people who do artistic subjects at university are more likely to have schizophrenia and depression

NASA sent a robot to the Red Planet to listen for marsquakes

New Scientist - Sa, 05/05/2018 - 17:50
Under a blanket of fog, NASA’s InSight lander and a pair of cubesats roared into space and set out on a mission to explore deep beneath the surface of Mars

Ketamine ingredient improves severe depression in large trial

New Scientist - Sa, 05/05/2018 - 15:00
A trial of a nasal spray containing an ingredient of the drug ketamine has had positive but modest results in people with severe depression

[Correspondence] The Global Fund responds—partnership with Lombard Odier

The Lancet - Sa, 05/05/2018 - 00:30
A Correspondence published in The Lancet by Anthony Costello (April 28, p 1674)1 about the Global Fund to Fight AIDS, Tuberculosis and Malaria's relationship with Lombard Odier included seriously inaccurate statements. It also wrongly implies that Peter Sands, Executive Director of the Global Fund, could have a conflict of interest.

[Comment] Contemporary cardiovascular risk prediction

The Lancet - Sa, 05/05/2018 - 00:30
Cardiovascular disease remains an important health problem, accounting for 3·9 million deaths every year in Europe alone.1 To reduce the incidence of cardiovascular disease, risk prediction models are widely used for risk-tailored management, such as antihypertensive and lipid-lowering treatment. More than 350 risk prediction models have been developed for cardiovascular disease in the past decades. These models are mainly based on long-standing cohort data, but only a few models have been validated externally to test their generalisability in present settings.

[Articles] Cardiovascular disease risk prediction equations in 400 000 primary care patients in New Zealand: a derivation and validation study

The Lancet - Sa, 05/05/2018 - 00:30
We constructed a large prospective cohort study representing typical patients in primary care in New Zealand who were recommended for cardiovascular disease risk assessment. Most patients are now at low risk of cardiovascular disease, which explains why the PCEs based mainly on old cohorts substantially overestimate risk. Although the PCEs and many other equations will need to be recalibrated to mitigate overtreatment of the healthy majority, they also need new predictors that include measures of socioeconomic deprivation and multiple ethnicities to identify vulnerable high-risk subpopulations that might otherwise be undertreated.

[Editorial] Campaigning for preconception health

The Lancet - Sa, 05/05/2018 - 00:00
A three-paper Series on preconception health in this week's issue draws special attention to an underappreciated period in the lifecycle with far-reaching consequences across the lifecourse. The Series highlights the importance of good health and nutrition of both women and men before conception, not only for the ability to conceive, pregnancy outcomes, and maternal and child health immediately after birth but also for the long-term health of the next generation and beyond. While it is now widely accepted that alcohol, smoking, certain medications, caffeine, and poor nutritional status during pregnancy have adverse outcomes, the effect of malnutrition in all its forms—overweight and obesity, undernutrition, and nutrient deficiency—before conception is less well understood.

[Editorial] Progress in the USA for autistic spectrum disorder

The Lancet - Sa, 05/05/2018 - 00:00
The prevalence of autistic spectrum disorder is increasing in the USA, the latest figures from the Centers for Disease Control and Prevention suggest. According to the Autism and Developmental Disabilities Monitoring Network (ADDM), the prevalence of autistic spectrum disorder in children was 16·8 per 1000 in 2014—an absolute increase of 2·2% since 2012 and more than double the prevalence in 2000 when monitoring by the ADDM began.

[Editorial] Austerity in Spain: time to loosen the grip

The Lancet - Sa, 05/05/2018 - 00:00
Calculating the health impact of a financial crisis and subsequent austerity measures is an inexact science. A new UN report, published on April 25, 2018, illuminates the repercussions on health care of the 2008 monetary crisis, state retrenchment, and the implementation of a royal decree in Spain, echoing findings of an earlier European Commission 2017 Country Health Profile. The consequences and patient perceptions of Spain's emergency rescue package in the wake of the financial crash were also analysed in an Amnesty International document, published April 24, 2018.

[Comment] Who is responsible for the vaccination of migrants in Europe?

The Lancet - Sa, 05/05/2018 - 00:00
A report from WHO exploring the provision of immunisation services to migrants and refugees in the WHO European Region1 provides a stark reminder that European health services are a long way off adapting to the rapid demographic shift that the region has witnessed in the past two decades, amid unprecedented rises in internal and external migration. Migrants are more likely to be under-immunised—putting them at increased risk of vaccine-preventable diseases circulating in Europe—and may face greater disease, disability, and deaths from vaccine-preventable diseases than the host population.

[Comment] The gendered system of academic publishing

The Lancet - Sa, 05/05/2018 - 00:00
Gender is a sociocultural and economic concept and an institutionalised system of social practices that translates into different experiences and uneven advantages for men and women at the individual, organisational, and societal levels.1 This system manifests as the persistent gender pay gap, endemic sexual harassment,2 and the proverbial glass ceiling limiting women's representation and advancement in social and economic life. Academia, including academic publishing, is not immune to this gendered system of social practices.

[Comment] Offline: A Caribbean consciousness

The Lancet - Sa, 05/05/2018 - 00:00
The word Windrush now defines the shame of a nation, a nation that once courted, welcomed, and put to work Caribbean migrants to fill shortages in Britain's labour market after World War 2. The cold expediency of modern British politics, the racist nationalism of today's England, and the angry isolationism of Brexiteers have combined to foster a bitterly hostile environment for anyone with a skin colour or accent deemed outside populist boundaries of acceptability. The British colonialist state expropriated riches from those it occupied to build an inglorious Empire.

[World Report] El Salvador's total ban on abortion risks women's health

The Lancet - Sa, 05/05/2018 - 00:00
The total and enforceable ban on abortion creates a climate of fear among medical professionals and threatens women's health. Amanda Sperber reports from San Salvador.

[World Report] Managing MDR tuberculosis in Nepal

The Lancet - Sa, 05/05/2018 - 00:00
The burden of multidrug and extensively drug resistant tuberculosis might be underevaluated among Nepalis, threatening bordering countries. Sophie Cousins reports from Kathmandu.

[World Report] Pimavanserin evaluated by the FDA

The Lancet - Sa, 05/05/2018 - 00:00
The US Food and Drug Administration is conducting an evaluation of available evidence about pimavanserin. Paul Webster reports.

[Perspectives] Plastic perfection

The Lancet - Sa, 05/05/2018 - 00:00
At a time of increasing dissatisfaction with the natural body, people are ever more likely to call for the sculptor with the scalpel. Two-thirds of young people and adults in the UK are unhappy about how they look, and cosmetic surgery is big business. British artist Jonathan Yeo's new exhibition shows his long-held interest in ideas of bodily perfection and their shaping by new technologies. Self-taught as a portraitist while recovering from Hodgkin's lymphoma as a young man, Yeo achieved fame with paintings of celebrities such as Damien Hirst, Nicole Kidman, and Dennis Hopper.

[Perspectives] Illuminating the body

The Lancet - Sa, 05/05/2018 - 00:00
This instalment of the Scottish National Gallery of Modern Art's NOW series brings together the work of artists who explore ideas related to the human body, performance, process, and materials. The highlight of the show is a selection of works by Jenny Saville.

[Perspectives] Roger Glass: celebrating the Fogarty at 50

The Lancet - Sa, 05/05/2018 - 00:00
At the Fogarty International Center, “we're small, but we're catalytic”, says Roger Glass, the centre's Director and Associate Director for International Research at the US National Institutes of Health (NIH). The Fogarty celebrates its 50th anniversary this month and has been under Glass's leadership since 2006. By training scientists, supporting research, and building partnerships, the Fogarty serves a bridge between the NIH and the global health community. Since its creation in 1968, about 6000 scientists have received research training through its programmes and the centre funds about 500 projects.

[Perspectives] Moral injury in time of war

The Lancet - Sa, 05/05/2018 - 00:00
The word injury derives from the Latin injuria meaning a wrong. Applied to both physical and psychological wounds, it is now used as a label for the impact that a moral and ethical dilemma might have on an individual's wellbeing. Although the term moral injury is relatively recent, examples can readily be found in the aftermath of past conflicts. As the 100th anniversary of the end of World War 1 approaches, it is opportune to explore how its survivors attempted to come to terms with so much death—doctors at war like Arthur Osburn.
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