Health & Medicine Archives

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Health & Medicine

Dilemmas of a broken substance abuse system

By Leonard A. Jason and Ed Stevens

With rising health care expenses, we are all trying to solve the paradoxical dilemma of finding ways to develop better, more comprehensive health care systems at an affordable cost. To be successful, we need to tackle one of the most expensive health problems we face, alcohol and drug abuse, which costs us approximately $428 billion annually. Comparatively, the expenses of health care services, medications, and lost productivity for heart disease costs $316 billion per year.

A disconnect between physicians and laboratory professionals

By Julie R. Taylor

Many clinical decisions are based on laboratory test results. The rapidly expanding number and complexity of these tests present physicians with many challenges in accurately and efficiently ordering and interpreting diagnostic tests. Diagnostic errors affect 5% of US adults who seek outpatient care each year, and contribute to approximately 10% of patient deaths and 6 to 17% of hospital adverse events.

Where next for dementia research?

By Kathleen Taylor

Modern medicine has done well in helping Western citizens live longer. So have other changes like improved diets, better public hygiene, and less smoking. Dementia, which is primarily though not entirely age-related, has come to prominence in part as other lethal diseases have diminished. It recently surpassed heart disease as the number one killer in England and Wales (overall and in women, according to the UK Office for National Statistics).

The Affordable Care Act and cancer screening in Medicare

By Gregory S. Cooper

Universal screening for breast and colorectal cancers are currently recommended as methods to reduce the mortality associated with these diseases. Mammography is capable of detecting cancer before it has the opportunity to invade into lymph nodes or other organs, and colonoscopy is able to not only detect early stage cancers, but by removing precancerous polyps, prevent cancer from developing.

Finding the imposter: understanding a rare delusional disorder using brain connectivity

By Ryan Darby

His syndrome was a variant of Capgras syndrome, where a patient develops the delusion that a family member has been replaced by an identical imposter. Knowing what to look for, I began finding more and more cases: a man with Alzheimer’s who believed his daughter was an imposter, a woman with a right frontal lobe stroke who believed her house was a replica of her real house.

What is it really like being a doctor?

By Andrew Baldwin, Nina Hjelde, and Charlotte Goumalatsou

So what is it like being a doctor? What are the hardest decisions doctors have faced in the field? Andrew Baldwin, Nina Hjelde, and Charlotte Goumalatsou share their experience and insight, answering questions on making difficult decisions, time constraints, juggling learning the latest medical knowledge and workload, as well as what being a doctor really means to them.

“I am rushing”…a mantra of love and memory

By Wendy L. Miller

Rushing seems to be about speed. But is it? There is the juxtaposition of what we see on the outside and what is going on in the inside, the movement over time of our understanding of another person’s experience, the various ways in which we grow into our own existential understanding, the ways in which we learn how we age into illness or into health, the ways in which we come to see how we move.

Helping surgeons save lives and limbs

By Abdullah Jibawi

Surgeons have been facing an ever increasing crisis in finding a suitable material that can replace failing organs and blocked vessels safely and effectively. The worldwide shortage of organs causes almost 30% of patients who need replacement organs to die on the waiting list. Certain procedures such as bypass surgery and certain types of large incisional hernia repairs have a high success rate when performed using natural material such as the patient’s own veins.

Conversation starters in music therapy research

By Kimberly Sena Moore and Noah Potvin

Conversation starters are questions and prompts intended to get people talking. Although often thought of in the context of a dinner party or professional meeting as a way to initiate dialogue with a stranger, conversation starters can also be thought of as ideas that stimulate discussions or impact you in a way that helps you grow both personally and professionally.

Animals and transmissible cancers

By Abigail Sindzinski

How often is cancer transmitted between animals? In the past few years researchers have discovered more transmissible cancers in nature. Initially thought to be contained within a respective host species, new research shows that sometimes even cross-species cancer transmission can occur. With transmissible cancer, instead of remaining in the singular organism or host, the cancer transfers between animals.

A plea to the president-elect Trump

By Philip M. Rosoff

Under the Affordable Care Act (ACA, or “Obamacare”) millions of Americans were able to buy commercial health insurance and millions more who were fortunate to live in states that elected to expand Medicaid were enrolled – sometimes for the first time in their lives – and gained access to subsidized healthcare. To be sure, the ACA was far from perfect: its haphazard implementation, the failure of the tax penalties to enforce mandated insurance purchasing amongst the young and healthy leading to skewed and potentially collapsing insurance markets, and the Supreme Court’s decision to vacate the requirement to increase the Medicaid rolls, all led to not enough people being covered and the return of inexorably rising healthcare costs.

The simple definitive guide to meditation and mindfulness

By Cassandra Gill

Life in the modern era is total chaos. From the constant outbursts of sound, to the ubiquitous bombardment of advertisements, to the racing taxi cabs, cars, and buses, to the sheer swarms of people, even a simple stroll in the city can be massively taxing on your sensory system.

Oxford Textbook of Creative Arts, Health, and Wellbeing

Can dancing help with mental illness?

By Carly Annable-Coop and Lauren Gavaghan

In 2015 the Alchemy Project delivered a pioneering ‘treatment’ for mental illness. It was modelled on contemporary dance training and was a different way of engaging with people and supporting their recovery. It was based on the work of Dance United and its proven, award-winning methodology. The premise was ambitious: that in just four weeks, participants would go from a place of no experience to a high-end artistic professional dance performance.

Fighting the stigma of HIV and AIDS

By Quique Bassat, Martin Hirsch, Landon Myer, Peter Piot, and David Wilson

To mark World AIDS Day 2016 we asked people working and researching in the field how they think views on HIV and AIDS have change over the past ten years, focusing in particular on outdated stereotypes, challenging myths, and the developing positivity towards finding a cure. In addition, we have provided a series of articles from a selection of journals on the topic of HIV – freely available to read until 1 March 2017.

Lessons from the global response to HIV/AIDS

By Markus Haacker

Since 2001, the response to HIV/AIDS has evolved into an unprecedented global health effort, extending access to treatment to 17 million people living with HIV across the developing world, some considerable successes in HIV prevention (especially regarding mother-to-child transmission), and becoming a very significant aspect of global development assistance.

Are we responsible for our lifestyle diseases?

By Martin Marchman Andersen and Morten Ebbe Juul Nielsen

Within the last couple of decades more and more research has shown a number of diseases, such as type 2 diabetes and cardiovascular diseases, to be associated with particular lifestyle characteristics such as smoking, lack of exercise, and over-eating. Confronted with such research, it is timely to raise questions about individual responsibility for getting those diseases (or the increased risk thereof), and to think closer about issues such as blame, stigma, and economic burdens.

On this day in 1588, which fleet was first sighted by English naval commanders?