Oxford University Press's
Academic Insights for the Thinking World
Systems science is the study of how component parts of a system interact with each other. It may seem counterintuitive to consider that medical care and systems science are linked, but in fact the component parts of a care cycle are infinitely complex.
One of the more satisfying aspects of science is that an often fairly technical or obscure idea from one field can later turn out to be a key guiding principle in another, rather distant, field. One such example is a historical result from the theory of animal breeding that now provides critical insight into the way evolution structures genomes.
On the 5th of July 2018, the National Health Service (NHS) celebrated its 70th anniversary. Aneurin Bevan, the Minister for Health, founded the NHS in 1948 with the aim of bringing together hospitals, doctors, nurses, dentists, pharmacists, and opticians under a single umbrella organisation for the first time.
“Ahhhhh” moans a 16-year-old girl, her face contorted in pain as she lies on a stretcher in a busy emergency room corridor. Her distress is elicited by gentle prods to her abdomen by a young surgeon summoned by the ER staff.
A scholarly consensus persists: across time, from the Plague of Athens to AIDS, epidemics provoke hate and blame of the ‘other’. As the Danish-German statesman and ancient historian, Barthold Georg Niebuhr proclaimed in 1816: “Times of plague are always those in which the bestial and diabolical side of human nature gains the upper hand.”
You use it every day; it’s a facial feature that everybody sees; and one that enables almost all animals to survive. We’re talking, of course, about the mouth.
A young man in my clinic avoids eye contact. Peaked cap pulled low, he directs his unfocused gaze into a corner of the room. Recently diagnosed with hepatitis B virus (HBV) infection, he doesn’t know whether to believe this news, how to process it, or what it means for his future.
Immunotherapy is a form of treatment to improve the natural ability of the immune system to fight diseases and infections, with immuno-oncology (IO) focusing on combatting cancer specifically. Novel immunotherapies are a possible solution for cancers that don’t respond to standard cancer treatments, either as standalone or in combination therapy.
Over the last 100 years, the world, people, and our society have changed beyond measure. So have diseases, and we are now almost 75 years into the first ever age where cure of disease, successful organ transplants and near complete recovery from trauma has been possible. Despite all of this change, however, medical school curricula have hardly changed in a hundred years.
We all know that we start with baby teeth which fall out and are replaced with adult teeth, but do we really know why? Where do our baby teeth come from in the first place? This adapted extract below from the Oxford Handbook of Integrated Dental Biosciences highlights how our teeth form, why they erupt through our gums when they do, what causes teething pains, and when baby teeth should begin to appear.
The story on the front page of The Sunday Times on 3 June 2018 pulled no punches. Headlined “Revealed: plans for Doomsday Brexit”, it reported on leaked government papers planning for a “no deal” Brexit scenario. They warned that the port of Dover could collapse on day one of exiting the EU, with major food shortages within a few days and medicines shortages within two weeks.
Staying on top of multiple chronic illnesses such as diabetes and heart failure can be a challenge for even the most well-resourced patient – imagine doing so while battling homelessness and schizophrenia. The result is often frequent trips to the emergency department and the hospital. Not surprisingly, many healthcare systems have started implementing programs to address the needs of these patients.
Surgical cases dramatized in popular culture are loosely based on reality, but surgery is decidedly less glamorous on a daily basis. Before embarking on my own surgery training, I mentally prepared myself for the long hours and expected demands of caring for sick surgical patients, but looking back, the lessons I remember most came from small, quiet, and often unexpected moments.
In recent years the language used to describe what constitutes good end-of-life care has changed. ‘Shared-decision making’, ‘patient autonomy’, ‘choice’ and ‘advance care planning’ have become buzzwords. This is to be welcomed, of course, but has the sector really changed in practice? According to several policy reports, in addition to feedback from people who use end-of-life services, not particularly.
Over 80,000 children and adolescents in the United States live with inflammatory bowel diseases (IBD), which includes Crohn’s Disease and Ulcerative Colitis. These are chronic autoimmune diseases that cause inflammation in the gastrointestinal tract.
What is social entrepreneurship? In essence, it’s about using the tools of entrepreneurship—opportunity, resourcefulness, innovation—to address stubborn social and environmental problems. A defining feature of social entrepreneurship is the concept of systemic change; that is, change that addresses the underlying social, political, and economic forces that conspire to exclude the poor and marginalised from the opportunities that many of us take for granted.