Health & Medicine

Pain medicine and addiction: A reading list

By Rebecca Parker

On the 10 August 2017, President Donald Trump declared a ‘national emergency’ in the United States – the cause: the country’s escalating opioid epidemic. This drug crisis has rapidly become one of the worst in American history, with data showing that in 2016 up to 65,000 people died from drug overdoses. Officials state that for citizens under 50 they are the leading cause of death, and opioid-specific overdoses make up two-thirds of all those recorded.

Can microbiology tell us exactly what killed the Aztecs?

The arrival of the Spanish conquistadors to Mexico in the 1620s marked the beginning of the end for the indigenous people. With an estimated population of between 15 and 30 million at this point, this dropped dramatically to only two million by 1700: the result of battles, famine, drought, and perhaps most significantly, infectious diseases. The following Q&A investigates how microbiology contributed to the ruin of the once-flourishing Mesoamerican culture.

Marketing-driven government (Part 2)

By Jeff French

When marketing is used in government, its impact is often limited because it is dogged by a short-term, fragmented approach influenced by political time cycles. Government marketing is often characterised by an overemphasis on broadcast communications, including digital platforms, to the exclusion of a more citizen-centric approach focused on listening, relationship building, and social networking.

Marketing-driven government (Part 1)

By Jeff French

Marketing is an approach to social programme design and delivery that should underpin how governments and not-for-profit agencies develop and select policy, shape how services are delivered, and build sustained partnerships with citizens and other stakeholder organisations. However, marketing is a very often misunderstood and misapplied within Government

Are we losing a generation of younger doctors?

By Timothy J. Hoff

We live in challenging times for physicians, who are required to do things that are wearing them out and making them feel bad about their jobs. Surveys showing large percentages of doctors burned out, dissatisfied with their work or regretting their career choice point to something deeply psychological that is happening to many doctors—something that should make all of us very concerned.

Invest in food security; end hunger

By Sarah McKenna

World Food Day is celebrated on 16th October each year, commemorating the founding of the Food and Agriculture Organization of the United Nations (FAO). Various events take place around the world, promoting worldwide awareness and action for those who suffer from hunger, and the need to ensure food security and nutrition for everyone. Some of the statistics provided by the FAO are staggering:

Understanding physician-assisted death [excerpt]

By L.W. Sumner

When it comes to end-of-life treatment, patients currently have a few different options available to them. One option, refusal of treatment, is when a decisionally capable patient is put in the driver’s seat with respect to medical treatment under the doctrine of informed consent. Another option is pain management, where palliative medicine is administered to entirely eliminate, or reduce pain to a level that the patient finds tolerable.

How does circadian rhythm affect our lives?

By Steven Filippi

The 2017 Nobel Prize in Physiology or Medicine was awarded to American biologists Jeffrey C. Hall, Michael Rosbash, and Michael W. Young for their discoveries of the molecular mechanisms that control circadian rhythm in organisms. Their work began in the 1980s with the study of fruit flies, from which they were able to identify the […]

World Mental Health Day 2017: History of the treatment of mental illness

By Amelia Carruthers, Catherine Pugh, and Stephanie King

The tenth of October marks World Mental Health Day. Organized by the World Health Organization, the day works toward “raising awareness of mental health issues around the world and mobilizing efforts in support of mental health.” Mental health has been a concern for thousands of years, but different cultures have treated mental illnesses very differently throughout time.

Fire prevention: the lessons we can learn

By Sandro Galea

The United States spends more on health than any other economically comparable country, yet sees a consistently mediocre return on this investment. This could be because the United States invests overwhelmingly in medicine and curative care, at the expense of the social, economic, and environmental determinants of health—factors like quality education and housing, the safety of our air and water, and the nutritional content of our food.

The frailty industry: too much too soon?

By Steve Parry

Fashions come and go, in clothing, news, and even movie genres. Medicine, including geriatric medicine, is no exception. When I was a trainee, falls and syncope was the “next big thing,” pursued with huge enthusiasm by a few who became the many. But when does a well-meaning medical fashion become a potentially destructive fad? Frailty, quite rightly, has developed from something geriatricians and allied professionals always did to become a buzz word even neurosurgeons bandy about.

More than just sanctuary, migrants need social citizenship

By Nancy Berlinger

In 1975, the English author John Berger wrote about the political implications of immigration, at a time when one in seven workers in the factories of Germany and Britain was a male migrant – what Berger called the ‘seventh man’. Today, every seventh person in the world is a migrant. Migrants are likely to settle in cities.

Bracing for the worst flu season on record

By Anna Shannon

This year, 2017, is braced to historically be the worst flu season ever recorded, according to the Nation Health Service (NHS). Doctors and hospitals may struggle to cope with the increase in demand, following the spike of influenza cases from Australia and New Zealand, who have recently come out of their winter season.

The story behind the image

By Roxanne Tajbakhsh

A clinical placement abroad is a unique and eye-opening experience for any young medic. Away from the organised bustle of the hospital wards and state-of-the art lab equipment, they must learn to overcome cultural, linguistic, and environmental barriers in order to deliver exceptional care to those in need. In June, our 2017 Clinical Placement Competition came to a close.

How ‘green’ are you at work? [quiz]

By Anna Shannon

With sea level rising and ice caps rapidly melting, the danger signs of global warming are evident, increasing the need to be environmentally friendly. However, much of this focus is on being environmentally friendly at home. Many of us spend a large proportion of our time at work, making it just as crucial to be ‘green’ at work, as we are at home.

Seven reasons to get your memory evaluated

By Andrew E. Budson

A question that I am often asked by family members, friends, and even by other physicians and nurses that I work with, is “Should I get my memory evaluated?” Partly, the question is asked because they have noticed memory problems, and are struggling to sort out whether theses lapses are an inevitable part of normal aging versus the start of something more ominous, such as Alzheimer’s disease.