Oxford University Press's
Academic Insights for the Thinking World

Why we need “mystery shoppers” directly observing health care

Considering the well documented problems of medical error, it’s remarkable that it’s rarely observed. Of course there is much scrutiny of the data that is generated during the health care encounter, but that is not the same thing. For instance, while quality measures track data on how well blood pressure is managed, there are not measures of whether blood pressure is actually measured accurately.

Read More

Sex in older age: Can the brain benefit?

We’ve all heard the phrase “use it or lose it,” and there are many other examples in the media of how we can keep our brains sharp as we age. Research has shown that what is good for your heart is good for your brain, in the biological sense – but what about in a romantic sense?

Read More

Future predictions for stem cell research

We took some time to interview Shaun McCann, a man responsible for carrying out the first ever bone marrow transplant in Ireland, in 1984. Getting to know Shaun, we discussed his formative years, the risks involved in the early days of stem cell transplants, and the trials he has faced in over four decades of medicine.

Read More

Celebrating 40 years of the Journal of Antimicrobial Chemotherapy

“The knowledge of the capabilities of antibiotics is still essential to control infections which nowadays are more complex and often occur in patients whose defences are compromised by other forms of medical and surgical treatment” wrote Professor J. D. Williams in his first Editorial in the Journal of Antimicrobial Chemotherapy (JAC) in 1975.

Read More

Lead poisoning of Flint, Michigan—penny wise, pound foolish, and criminal

The tragedy of children poisoned by lead-contaminated water in Flint, Michigan is not an isolated incident. More than 11 counties in New Jersey have children with higher lead levels than those of Flint. Since 2008, drastic cuts in funding for public health programs across the board have slashed programs to educate parents and pediatricians to test young kids for lead poisoning or test water for its residues.

Read More

Why ‘ageism’ is bad for your health

According to research conducted by Levy, Slade, Kunkel, and Kasl in 2002, the average lifespan of those with high levels of negative beliefs about old age is 7.5 years shorter than those with more positive beliefs. In other words, ‘ageism’ may have a cumulative harmful effect on personal health. But what is ageism – and what is its impact, both for society and healthcare?

Read More

The importance of long-term marriage for health and happiness

Each year around Valentine’s Day, a new crop of romantic comedies hit the silver screen. Viewers wait in anticipation for the on-screen couple’s first kiss, or the enviably lavish wedding. But what happens to that couple, many decades after the first kiss or exchange of rings? Recent research shows that long-married couples exchange love and emotional support, but also regularly engage in spats or minor conflicts which affect older adults’ health in both expected and surprising ways.

Read More

Why is addiction treatment so slow to change?

The US taxpayers fund the overwhelming majority of addiction research in the world. Every year, Congress channels about $1 billion to the National Institute on Drug Abuse (NIDA). An additional almost $0.5 billion is separately given to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), my own workplace for the past decade.

Read More

Another unpleasant infection: Zika virus

Over two years ago I wrote that “new viruses are constantly being discovered… Then something comes out of the woodwork like SARS which causes widespread panic.” Zika virus infection bids fair to repeat the torment. On 28 January 2016 the BBC reported that the World Health Organization had set up a Zika “emergency team” as a result of the current explosive pandemic.

Read More

Seven reasons why your medications are not working properly

What happens when medication doesn’t bring your condition under control? Usually, it’s not just one single issue but various factors that contribute to the problem. Your doctor will work to figure out why–and from there, create a new plan of attack. Finding the right combination of medications may require some trial and error.

Read More

Nils Alwall: The quiet, unassuming Swede

During the night, between 3rd and 4th September 1946, things were stirring in the basement of the internal medicine department, at the university hospital of Lund, Southern Sweden. A 47-year-old man had been admitted for treatment. His main problem was uraemia (urea in the blood), but he was also suffering from silicosis (a lung disorder), complicated by pneumonia.

Read More

The truth behind the restaurant industry [quiz]

While the common image of a “restaurant employee” is the server, there are others in the restaurant industry who also face the hardships of working in the restaurant industry: discrimination, low wages, and lack of benefits. All these contribute to a dark side of the restaurant industry, and some restaurants are fighting to change the status quo. Do you know the truth behind the restaurant industry?

Read More

World Cancer Day – a reading list

Every year, World Cancer Day aims to save millions of preventable deaths, by raising awareness and education about the disease. Whether you are a health professional, a carer, patient, policy-maker, or simply looking to get involved – we can all to our bit to help reduce the global burden of cancer.

Read More

Metastatic cells colonize implantable scaffold in mice

Cancer treatment’s biggest failings occur in the metastatic setting, when metastatic cells escaping from the primary tumor colonize and attack critical organs. Much about how cells colonize distant tissues as opposed to remaining in the primary tumor or in circulation without settling in one place remains unknown. But a new bioengineered device could offer insights.

Read More

The Cancer Moonshot

Announced on January 13th by President Obama in his eighth and final State of the Union Address, the multi-billion dollar project will be led by US Vice President, Joe Biden, who has a vested interest in seeing new cures for cancer. Using genomics to cure cancer is being held on par with JFK’s desire in 1961 to land men on the moon.

Read More

The Zika virus: a “virgin soil” epidemic

First isolated in Uganda in 1947, this normally mild, non-fatal mosquito-born flavivirus infection is characterized by transient fever, joint pain and malaise. The current explosive Zika virus epidemic in the Americas is, however, causing great concern because of what looks to be a sudden, dramatic increase in the incidence of microcephaly (small brain/head size) in newborns.

Read More