Oxford University Press's
Academic Insights for the Thinking World

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The consequences of alcohol and pregnancy recommendations

By Sarah CM Roberts and Lyndsay Ammon Avalos
What should be the public health messaging on drinking during pregnancy?  The answer isn’t clear-cut. We do know that there is strong evidence that high levels of alcohol consumption during pregnancy harm the developing fetus. However, we don’t know conclusively what the impact is of lower level alcohol consumption. That is, we don’t know if there is a truly safe level of alcohol use, nor do we know if the line between safe and unsafe alcohol consumption is the same for all pregnant women.

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Achievement, depression, and politicians

‘For two or three years the light faded from the picture. I did my work. I sat in the House of Commons, but black depression settled on me.’
Starter for ten: who said this? (Apologies if you haven’t watched University Challenge). It was Winston Churchill, arguably the greatest British prime minister and certainly one who played a crucial role in guiding his nation through the Second World War.

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The triple-negative diet to fight breast cancer

In honor of Breast Cancer Awareness Month, we’ve pulled the following excerpt from Surviving Triple-Negative Breast Cancer: Hope, Treatment, and Recovery by Patricia Prijatel. She provides a quick guide on how to eat healthy in order to better fight the disease.

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Fighting Triple-Negative Breast Cancer

According to Breastcancer.org, about one in eight U.S. women will develop invasive breast cancer over the course of her lifetime. It is a complicated disease that takes different forms — one of the most confounding being Triple-Negative Breast Cancer. Patricia Prijatel, a nationally published magazine writer and an award-winning teacher, was diagnosed with Triple-Negative Breast Cancer (TNBC) in 2006.

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What is the position of HIV & AIDS in North Africa & the Middle East?

The biennial International AIDS Conference was held in Washington D.C. in July of 2012. This was the first time that the conference had been on US soil for 20 years. The International AIDS Society  had previously decided that while legislation prevented HIV positive people from travelling to the States, the conference would not be held there. However, these laws were repealed by the Obama administration in 2010. The meeting was huge: 25000 people. Speaking at the conference, I identified three key issues…

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Stroke: the dramatic revolution

Stroke is a devastating condition with high rates of mortality and morbidity and profound implications for health economics and resources worldwide. At present, in England alone, stroke is the third largest cause of death and the single largest cause of adult disability. Each year, approximately 110,000 people in England will have a first or recurrent stroke and more than 900,000 people are currently living with the effects of stroke, with half of these being dependent on other people for help with everyday activities.

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The seven myths of mass murder

For the past 15 years my colleagues and I have researched mass murder; the intentional killing of three or more individuals, during one event. Recent cases of mass murder have pointed to misconceptions about this rare and frightening act, and I would like to shed some light on some common myths.

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Just what is triple-negative breast cancer?

By Patricia Prijatel
The big news this week comes from the Cancer Genome Atlas program, which has announced a strong molecular connection between basal-like breast cancer tumors and ovarian cancer. The news stories I have read on the topic provide a great deal of hope for women with basal-like cancers. But the hope is, unfortunately, buried in a greater deal of confusion.

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Why should we care about what we call cancer care?

Supportive care and palliative care: two terms that I often use when talking about cancer care. Without consulting the dictionary one might say that palliation means alleviation, or decrease, while supportive means sustaining: apparently contradictory terms? Really? Come on, be creative and follow me. It is time for us to stop placing these concepts in opposition to each other.

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Delirium in hospital: Bad for the brain

By Daniel Davis
Taking an elderly friend or relative to hospital is a painful experience for most people, and is often made worse when they become confused and disorientated during their stay.This acute confusional state is called delirium.

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Short answers to snappy questions about sports doping

Largely because of the furor about the Chinese swimmer, Ye Shewin, I have spent a lot of time in TV and radio studios recently. My book, Run, Swim, Throw, Cheat is really about the science of doping now and what could happen in the future. But of course I get asked a lot of more general questions as well. I thought I would indicate the most common queries and my thoughts here:

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Did we really want a National Health Service?

By Nick Hayes
For most today, it’s difficult to imagine a British hospital system where treatment is not ‘free’ at the point of delivery, paid for out of national taxation, because in our imagination, the alternatives conjure pejorative images of the Americanisation of health. Those today opposed to decentralisation also echo the concerns of earlier health reformers like Dr Stark Murray, who thought the pre-nationalised hospital system simply disparate and chaotic.

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Bereavement: the elephant in the room

By Christine Young and Tracy Dowling
For most of us the death of a child is unimaginable and when it happens to someone close to us, or in our community, we may have no idea of how to respond.  If you’re a grandparent or close family member you may well be dealing with your own sense of loss as well as thinking about how to support the bereaved family and it’s the latter that people typically struggle with.

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The science behind drugs in sport

What is cheating? What drug compounds for performance enhancement are legal and why? Why do the sports drug classification systems change all the time? If all the chemical were legal, what effect would this have on sport? Biochemist and author Chris Cooper explores the biological, moral, political, and ethical issues involved in controlling drug use in sports.

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Komen leadership in flux

By Gayle Sulik
Earlier today, Komen President Liz Thompson announced her plans to leave Susan G. Komen for the Cure next month. Founder Nancy Brinker will also give up her role as Komen CEO and serve as chair of the board as soon as a replacement is found, and two board members are stepping down, Brenda Lauderback and Linda Law.

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Test Your Smarts on Dope

By Leslie Taylor
Why are certain substances used? How are they detected? Do they truly have an effect on the body? Cooper explains how drugs designed to improve physical ability — from anabolic steroids to human growth hormone and the blood booster EPO — work and the challenges of testing for them, putting in to context whether the ‘doping’ methods of choice are worth the risk or the effort. Showing the basic problems of human biochemistry, physiology, and anatomy, he looks at what stops us running faster, throwing longer, or jumping higher. Using these evidence-based arguments he shows what the body can, and cannot, do.

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