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    Will politicians be architects or destroyers of the NHS?
      In the history of the UK's National Health Service (NHS), the Health and Social Care Act 2012 will go down as the most egregious act of vandalism against the people of England. During its passage through Parliament, David Owen called it the "Secretary of State's Abdication Bill?, because the legi ....more | Save |  Share  Email 26th Mar 2015 
     
    Treatment with misoprostol by midwives is safe and effective
      Incomplete abortion is defined as the presence of retained products of conception with no well-defined gestation sac. It is a potentially life-threatening condition that without well-timed and proper treatment can lead to severe complications such as haemorrhagic shock, sepsis, and death. Abortion- ....more | Save |  Share  Email 26th Mar 2015 
     
    Comparison of treatment of incomplete abortion with misoprostol by physicians and midwives at district level in Uganda: a randomised controlled equivalence trial
      Diagnosis and treatment of incomplete abortion with misoprostol by midwives is equally safe and effective as when provided by physicians, in a low-resource setting. Scaling up midwives' involvement in treatment of incomplete abortion with misoprostol at district level would increase access to safe ....more | Save |  Share  Email 26th Mar 2015 
     
    Offline: What is the point of scientific publishing?
      On March 6, 1665, Henry Oldenburg published the inaugural issue of Philosophical Transactions. The world's most famous scientific journal was licensed by the Royal Society, a new, radical, and even subversive organisation. Oldenburg put it well in a letter to a German theologian and physician calle ....more | Save |  Share  Email 26th Mar 2015 
     
    Perinatal mental health-towards a robust system of care
      The experiences of pregnancy and birth transform the lives of mothers and their families. Caring for children has the potential to enrich the lives of all involved, but accompanying health and social challenges are common. As discussed in a recent Lancet Series on perinatal mental health, perinatal ....more | Save |  Share  Email 26th Mar 2015 
     
    Alcohol taxation and premature mortality in Europe
      Europe has the highest premature mortality attributable to alcohol in the world.1 Despite WHO's emphasis on the importance to restrict alcohol consumption with fiscal measures, the Lithuanian (in 1999), Polish (in 2002), and Finnish (in 2004) Governments all lowered excise taxation of alcoholic spi ....more | Save |  Share  Email 26th Mar 2015 
     
    Republicans' bills target science at US environment agency
      Proposed legislation would change how the US Environmental Protection Agency uses science to determine pollution limits. The Lancet's Washington correspondent Susan Jaffe reports. ....more | Save |  Share  Email 26th Mar 2015 
     
    A new social contract for medical innovation
      Despite burgeoning knowledge about the origins of disease founded on scientific advances, there are increasing public concerns that medical innovation is not helping patients in need fast enough. In the UK, Lord Saatchi's proposal for a Medical Innovation Bill1 is one manifestation of this concern, ....more | Save |  Share  Email 26th Mar 2015 
     
    Integrity and the European Society of Cardiology-reply
      The European Society of Cardiology (ESC) wishes to address the points raised by John Martin (Jan 24, p 328)1 and would like to clarify the following issues. ....more | Save |  Share  Email 26th Mar 2015 
     
    Cancer and cardiovascular disease: more tightly linked than by chance
      The principle that prevention of cardiovascular disease could be linked with prevention of cancer has received strong support from trials assessing the daily use of aspirin, which besides its well known reduction of cardiovascular disease (CVD) reduces the incidence of cancer and metastases.1 This ....more | Save |  Share  Email 26th Mar 2015 
     
    Exotic enchantments
      As any enchanted visitor knows, the Pitt Rivers Museum in Oxford, UK, is a Victorian cavern stuffed with intriguing objects. In the medical field, its large amulet collection (originally assembled by Sir Henry Wellcome) contains a miniature dark-coloured skeleton hanging from a gallows. Purchased i ....more | Save |  Share  Email 26th Mar 2015 
     
    Diagnosis of reversible causes of coma
      We read with great interest the Review (Dec 6, p 2064)1 about the dia . Jonathan Edlow and colleagues,1 however, neglected to include in their Review reversible coma caused by the bite of the Elapidae family of venomous snakes (cobra and krait). ....more | Save |  Share  Email 26th Mar 2015 
     
    Effects of intensive glycaemic control on ischaemic heart disease
      In this post-hoc analysis of the ACCORD study (Nov 29, p 1936),1 Hertzel Gerstein and colleagues have reported on the effectiveness of intensive glycaemic control for ischaemic heart disease in patients with type 2 diabetes and other coronary risk factors. Although the ACCORD trial has yielded many ....more | Save |  Share  Email 26th Mar 2015 
     
    Wayne Jay Katon
      Psychiatrist and pioneer of US collaborative care. Born in Brooklyn, NY, USA, on Sept 14, 1950, he died from lymphoma in Seattle, WA, USA, on March 1, 2015. ....more | Save |  Share  Email 26th Mar 2015 
     
    Effects of intensive glycaemic control on ischaemic heart disease - Authors' reply
      Our Article1 reported that intensive versus standard glycaemia control reduced several measures of ischaemic heart disease that were collected during the ACCORD trial. Tetsuro Tsujimoto and Ritsuko Yamamoto-Honda correctly point out that such an analysis could yield biased results if it does not ac ....more | Save |  Share  Email 26th Mar 2015 
     
    GBD 2013 and HIV incidence in high income countries
      The analyses from the Global Burden of Disease (GBD) Study 2013 reported new estimates of HIV incidence, by country.1 Here, we provide strong evidence that the GBD estimates are not correct and systematically underestimate HIV transmission, particularly in high-income countries. ....more | Save |  Share  Email 26th Mar 2015 
     
    1 year on-lessons from the Ebola outbreak for WHO
      This week has seen what is likely to be the beginning of an onslaught of criticism levelled against WHO for its handling of the Ebola outbreak in west Africa. First, ahead of the 1-year anniversary of the outbreak's start, an article by the Associated Press (AP) reported that WHO deliberately delay ....more | Save |  Share  Email 26th Mar 2015 
     
    Sheena McCormack: helping to prepare the world for PrEP
      As a clinician who has witnessed the devastating impact of the HIV/AIDS epidemic since the 1980s, Sheena McCormack is enthusiastic about her latest project, the UK Medical Research Council (MRC) PROUD study. As lead investigator, she has been investigating the effect of pre-exposure prophylaxis (Pr ....more | Save |  Share  Email 26th Mar 2015 
     
    The outlook for public spending on the National Health Service
      During the current UK Parliament of 2010-15, although total spending by government departments on public services has been cut by an average of about 10%, the Department of Health has seen its budget increased by more than 6%.1 This favourable treatment has increased the severity of the financial s ....more | Save |  Share  Email 26th Mar 2015 
     
    Dementia: turning fine aspirations into measurable progress
      "I look young, but I am actually quite old?, pronounced WHO Director-General Margaret Chan at the first Ministerial Conference on Global Action Against Dementia, hosted by WHO, the Organisation for Economic Co-operation and Development (OECD), and the UK Department of Health in Geneva on March 16 ....more | Save |  Share  Email 26th Mar 2015 
     
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