Riviste scientifiche

[Correspondence] Health economics – Authors' reply

The Lancet - Sa, 13/05/2017 - 00:00
As Theodore Papaioannou and colleagues point out, projecting long-term health spending is challenging.1 Our Article2 and extensions of this research3 made health spending projections for 184 countries and extends through 2040. Many factors—environmental, epidemiological, demographic, cultural, political, economic, and scientific—influenced the creation and evolution of complex health systems, and have coalesced to determine current health spending levels. These same factors will undoubtedly also influence health spending in the future, although how these factors will interact and determine precise spending is difficult to predict.

[Correspondence] Essential medicines for universal health coverage

The Lancet - Sa, 13/05/2017 - 00:00
In the Lancet Commission on Essential Medicines Policies by Veronika Wirtz and colleagues (Jan 28, p 403),1 substandard, spurious, falsely labelled, falsified, and counterfeit medicines are discussed. The extent of the problem is mainly pervasive in low-income and middle-income countries,2,3 but we hope to share a recent unprecedented event involving a counterfeit drug in Japan, a country that was thought to have sophisticated medicine quality and safety.

[Correspondence] Essential medicines for universal health coverage – Authors' reply

The Lancet - Sa, 13/05/2017 - 00:00
The letter from Tetsuya Tanimoto and colleagues raises important questions that deserve a response. First, the WHO Member State Mechanism recommended in November, 2016, that the term counterfeit no longer be used to refer to quality-compromised medical products.1 The unwieldy term substandard, spurious, falsely labelled, falsified, counterfeit medical products, has been simplified to substandard and falsified medical products. In the case presented by Tanimoto and colleagues, the product appears to have been falsified.

[Correspondence] Child poverty: no future?

The Lancet - Sa, 13/05/2017 - 00:00
The conclusion reached in The Lancet Editorial (Feb 4, p 477)1 about The State of Child Health Report 20172 stated that the publication “provides the basis for that vital social compact”, but failed to mention the disappointing number of public policies that have been implemented since Marmot's 2010 review, which outlined a strategy to reduce health inequalities in England. I fear that, as in France, most reports of this type are filed under category F—F for forget it.

[Correspondence] No psychotherapy monoculture for anxiety disorders

The Lancet - Sa, 13/05/2017 - 00:00
A recent meta-analysis1 from Cuijpers and colleagues suggested that the evidence of cognitive behaviour therapy (CBT) in anxiety (and depressive) disorders might be less convincing than presented by Michelle Craske and Murray Stein in their Seminar (Dec 17, p 3048).2 Cuijpers and colleagues1 concluded that CBT can at best be regarded as probably efficacious in these disorders.

[Correspondence] No psychotherapy monoculture for anxiety disorders – Authors' reply

The Lancet - Sa, 13/05/2017 - 00:00
We appreciate the comments made by Christiane Steinert and Falk Leichsenring on our Seminar on anxiety.1 However, we stand by our statements that “…very few randomised controlled trials [of psychodynamic approaches] have been done…” and that “Cognitive behavioural therapy (CBT) is the most empirically supported psychological treatment for youth and adult anxiety disorders”.1

[Department of Error] Department of Error

The Lancet - Sa, 13/05/2017 - 00:00
Liu L, Oza S, Hogan D, et al. Global, regional, and national causes of under-5 mortality in 2000–15: an updated systematic analysis with implications for the Sustainable Development Goals. Lancet 2016; 388: 3027–35—In the first sentence of the Results in the Article, the number of children who did not live to age 5 years should have been 5·942 million. Data in table 2 have been updated. These corrections have been made to the online version as of May 11, 2017.

[Department of Error] Department of Error

The Lancet - Sa, 13/05/2017 - 00:00
The AVERT Trial Collaboration group. Efficacy and safety of very early mobilisation within 24 h of stroke onset (AVERT): a randomised controlled trial. Lancet 2015; 386: 46–55—This Open Access Article should have been distributed under the terms of CC BY. This correction has been made to the online version as of May 11, 2017.

[Seminar] Chronic obstructive pulmonary disease

The Lancet - Sa, 13/05/2017 - 00:00
Chronic obstructive pulmonary disease (COPD) kills more than 3 million people worldwide every year. Despite progress in the treatment of symptoms and prevention of acute exacerbations, few advances have been made to ameliorate disease progression or affect mortality. A better understanding of the complex disease mechanisms resulting in COPD is needed. Smoking cessation programmes, increasing physical activity, and early detection and treatment of comorbidities are further key components to reduce the burden of the disease.

Test combo could distinguish Alzheimer’s earlier than ever

New Scientist - Ve, 12/05/2017 - 19:49
A variety of tests can predict at an early stage who might develop Alzheimer’s and who might develop dementia with Lewy bodies – which could improve intervention

Massive cyberattack hits several hospitals across England

New Scientist - Ve, 12/05/2017 - 18:49
Hackers are demanding a ransom for hospitals to regain access to their computer systems. Patients are being diverted and staff are locked out of computers

Ultrasonic speaker lets you whisper to people 30 metres away

New Scientist - Ve, 12/05/2017 - 17:46
Wearable device beams words using targeted sound waves to prevent anyone overhearing and could eventually be used by soldiers and divers

Polar bears shift from seals to bird eggs as Arctic ice melts

New Scientist - Ve, 12/05/2017 - 17:25
The habitat overlap of polar bears and their main prey, ringed seals, is disappearing and the bears are instead getting closer to nesting birds

Parasitic robot controls turtle it’s riding by giving it snacks

New Scientist - Ve, 12/05/2017 - 16:00
Natural selection has created amazingly effective ways to move around. Robots could harness this by hitching a ride on biology’s back

Earth may have been born in a huge flare-up of the young sun

New Scientist - Ve, 12/05/2017 - 15:00
A sudden brightening of the infant sun – called an FU Orionis outburst – could have melted dust grains and made them stick together, building our world

Early Earth was covered in a global ocean and had no mountains

New Scientist - Ve, 12/05/2017 - 13:30
Some 4.4 billion years ago, soon after its formation, Earth was a much quieter and duller place than it is today, according to analysis of minerals from that time

Hanging on: In search of the bat that returned from the dead

New Scientist - Gi, 11/05/2017 - 20:11
The Cuban greater funnel-eared bat was thought extinct until a small population was spotted in a forgotten corner of the island – surviving, but only just

What politicians can learn from the French election hack

New Scientist - Gi, 11/05/2017 - 18:53
Politically motivated hacking and fake news campaigns are the new normal, but France’s president-elect Emmanuel Macron has shown how to fend off attacks

We are on track to pass 1.5°C warming in less than 10 years

New Scientist - Gi, 11/05/2017 - 18:51
Business as usual would cause the planet to warm above the aspirational 1.5°C limit agreed at the UN Paris meeting as early as 2026

Wish you had a shorter workday? Here’s why that’s a bad idea

New Scientist - Gi, 11/05/2017 - 18:40
There’s nothing like a bank holiday to make you wish you worked less, and productivity researchers are starting to agree. But reduced hours might add to your stress
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