Riviste scientifiche

[Comment] Offline: Not one day more

The Lancet - Sa, 08/07/2017 - 00:00
Economists are the gods of global health. Their dazzling cloak of quantitative authority and their monstrously broad range of inquiry silence the smaller voices of medicine, trapped as we are in the modest discipline of biology. Economists stepped beyond the boundaries of the body long ago. They now bestride the predicaments of our planet with confident insouciance. It is economists we must thank for the modern epidemic of austerity that has engulfed our world. Austerity is the calling card of neoliberalism.

[World Report] Caring for health in occupied Palestinian territory

The Lancet - Sa, 08/07/2017 - 00:00
50 years after the 1967 Six-Day War, the Palestinian health-care system has fallen behind and struggles to cope with the barriers linked to occupation. Sharmila Devi reports.

[Perspectives] Connections and collections

The Lancet - Sa, 08/07/2017 - 00:00
The Enlightenment seems familiar to us in ways that the apocalyptic sectarian fury of the English Civil War, only a generation or two earlier, does not. We recognise its coffee shops and consumerism, its newspapers and networkers, its Eurosceptics and cosmopolitans, and at the heart of it all a grand ambition: to classify and reduce to order the new landscapes, creatures, and peoples revealed by exploration and commerce. All the slave-trading, periwig-powdering ambiguities of 18th-century European life were personified in Hans Sloane—an Ulster parvenu turned society physician and, as James Delbourgo argues in this rich and masterly new biography, the greatest collector of his age.

[Perspectives] One woman's journey to equity

The Lancet - Sa, 08/07/2017 - 00:00
My striving to achieve equity for women in medicine was stimulated by many incidents of gender bias that occurred in my life. Early on I realised that I would have to help crack the glass ceiling; my goal was to do so without sustaining a major concussion. By reflecting on my experiences, I hope to encourage others on their journey to equity.

[Obituary] Patrick Gerard Johnston

The Lancet - Sa, 08/07/2017 - 00:00
Cancer researcher and university Vice-Chancellor. Born in Derry, UK, on Sept 14, 1958, he died of a cardiac arrest in Buncrana, Donegal, Ireland, on June 4, 2017, aged 58 years.

[Correspondence] Evaluation of doctors in China: imperative changes are required

The Lancet - Sa, 08/07/2017 - 00:00
An important assessment factor used in the appraisal system for doctors in China is the publication of articles listed in the Science Citation Index, which has put considerable pressure on those in the profession. This aspect of assessment has caused controversy in China for many years.1,2 In April, 2017, the large-scale withdrawal of Chinese articles from Tumor Biology3 sparked debate nationwide. Some members of the scientific community are demanding severe condemnation of the authors, whereas some argue that their decision to entrust manuscript revision and submission to third parties was forgivable.

[Correspondence] Unmet challenges for rehabilitation after stroke in China

The Lancet - Sa, 08/07/2017 - 00:00
Stroke is an important public health problem in China, and is one of the leading causes of death and disability. About 2 500 000 people have a stroke in China every year, and 70–80% of patients lose the ability to perform routine activities and require care, resulting in an economic burden for both the country and their family.1 Japan has a similar incidence of stroke because of similar ancestry, but outcomes after stroke are better in Japan than in China. In Japan, 64·2% of young patients (age <65 years) and 42·2% of elderly patients (age ≥65 years) achieve independent walking, and 60·2% of young patients and 52·8% of elderly patients return to community life.

[Correspondence] The dilemmas of the European Union's open access to data policy

The Lancet - Sa, 08/07/2017 - 00:00
European, Arab, and Turkish researchers worked for 2 years on research in six southern and eastern Mediterranean countries, funded by the European Union's (EU's) Seventh Framework Programme for Research and Technological Development. This project allowed researchers from these countries to explore and analyse their peoples' situation in times of turbulent changes. It also created potential collaboration within various research teams and between researchers and their European counterparts in these six countries.

[Correspondence] Response to what WHO can do to support research in LMICs

The Lancet - Sa, 08/07/2017 - 00:00
José M Belizán and Suellen Miller1 (April 29, p 1697) described what the WHO could do to support research in low-income and middle-income countries (LMICs) with an emphasis on better use of evidence in policy development. WHO established the Evidence-Informed Policy Network (EVIPNet)2,3 in 25 LMICs in Africa, Asia, and Latin America with the main goal of bridging the gap between research and policy. EVIPNet teams, composed of researchers, policy makers, and civil society, facilitate access and synthesis of evidence, develop policy options, and organise discussions between stakeholders—in which individuals can speak openly without fear of retribution—to build trust and improve communication.

[Correspondence] Patients' decisions on joint replacement need data on earnings and welfare benefits

The Lancet - Sa, 08/07/2017 - 00:00
The study by Lee Bayliss and colleagues1 (Feb 13, p 1424) provides useful prognostic evidence of the lifetime risks of joint revision. After hip or knee replacement, the revision rate is 5% for men and women older than 70 years, but as high as 35% for men in their early 50s.1 But the risk of revision needs to be weighed against the potential gains from remaining in work and continued earnings. Research is needed to help patients decide and in theory, this research is possible in England. It requires use of the National Health Service (NHS) resource, NHS Digital, to enable linkage between NHS data and data on benefits and earnings held by the Department for Work and Pensions and Her Majesty's Revenue and Customs.

[Correspondence] Retinal detachment in severe myopia

The Lancet - Sa, 08/07/2017 - 00:00
We read with interest the Case Report by Elad Moisseiev and Glenn Yiu (March 18, p 1133)1 of the 15-year-old boy who presented with a giant retinal tear leading to rhegmatogenous retinal detachment, and would like to highlight the very likely possibility of Stickler syndrome as the underlying diagnosis.

[Department of Error] Department of Error

The Lancet - Sa, 08/07/2017 - 00:00
Jaffe S. Judith Bradford: a pioneer of research on LGBT health. Lancet 2016; 387: 1048—In this Profile, the fourth sentence of the fourth paragraph should have ended “from 1984–85”. This correction has been made to the online version as of July 6, 2017.

[Department of Error] Department of Error

The Lancet - Sa, 08/07/2017 - 00:00
Morris T. James Hardy and the first heart transplant. Lancet 2017; 389: 2280–81—In this Art of Medicine, the first name of Murray in the seventh paragraph should have been Joseph E. This correction has been made to the online version as of July 6, 2017.

[Department of Error] Department of Error

The Lancet - Sa, 08/07/2017 - 00:00
Ball P. Naming the victims of Nazi medicine. Lancet 2017; 389: 2182–83—In this Exhibition Review, the text to accompany the photograph of Renate and Rene Guttmann should have been “…Josef Mengele experimented on both twins when they were deported to Auschwitz…”. This correction has been made to the online version as of July 6, 2017.

[Articles] Effectiveness of non-steroidal anti-inflammatory drugs for the treatment of pain in knee and hip osteoarthritis: a network meta-analysis

The Lancet - Sa, 08/07/2017 - 00:00
On the basis of the available data, we see no role for single-agent paracetamol for the treatment of patients with osteoarthritis irrespective of dose. We provide sound evidence that diclofenac 150 mg/day is the most effective NSAID available at present, in terms of improving both pain and function. Nevertheless, in view of the safety profile of these drugs, physicians need to consider our results together with all known safety information when selecting the preparation and dose for individual patients.

Antimicrobial resistance in <i>Neisseria gonorrhoeae</i>: Global surveillance and a call for international collaborative action

PLoS Medicine - Ve, 07/07/2017 - 23:00

by Teodora Wi, Monica M. Lahra, Francis Ndowa, Manju Bala, Jo-Anne R. Dillon, Pilar Ramon-Pardo, Sergey R. Eremin, Gail Bolan, Magnus Unemo

In a Policy Forum, Teodora Wi and colleagues discuss the challenges of antimicrobial resistance in gonococci.

After 80 years, will forensics solve the Amelia Earhart mystery?

New Scientist - Ve, 07/07/2017 - 19:03
Sniffer dogs have been hunting Earhart's DNA on an island, while a rival search hails an archived image as proof the riddle is over. Is it, asks Paul Marks

Even toddlers expect bullies to get more than their fair share

New Scientist - Ve, 07/07/2017 - 18:09
For the first time, there’s evidence that even 17-month-old infants expect socially dominant people to be treated differently in life, and to get more things

Neural network poetry is so bad we think it’s written by humans

New Scientist - Ve, 07/07/2017 - 14:27
A machine learning algorithm trained on thousands of lines of English poetry can now mimic different poetic styles - but its verse doesn’t quite ring true

Smartphone components work beautifully at nearly absolute zero

New Scientist - Ve, 07/07/2017 - 14:25
A team working on electronics for a space-based camera has tested ordinary transistors at ultra-low temperatures, and they passed with flying colours
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