Oxford University Press's
Academic Insights for the Thinking World

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Recent advances and new challenges in managing pain

By Lesley Colvin
Pain is one of the most feared symptoms whether it is after surgery, in the context of chronic disease, or related to cancer. Around 18% of people will be affected by moderate to severe chronic pain at some point in their life, with chronic pain having as big a negative impact on quality of life as severe heart disease or a major mental health problem.

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It’s only a virus

By Dorothy H. Crawford
“It’s only a virus.” How often do GPs utter those words over the course of a working day? They mean, of course, that your symptoms are mild, non-specific and don’t warrant any treatment. If you just go home and rest you’ll recover in a few days.

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‘Wild-haired and witch-like’: the wisewoman in industrial society

By Francesca Moore
Many of us rely on herbal remedies to maintain our health, from peppermint tea to soothe our stomachs to arnica cream for alleviating bruising. Such is the faith in these remedies that Britain’s National Health Service (NHS) has funded alternative medical treatments and specialist homeopathic hospitals.

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Why do women struggle to achieve work-life balance?

By Heidi Moawad
Is work-life balance consistent with professional ambition? A recent study concludes that young women are now proclaiming that they don’t want to be leaders. Does this data suggest that young women who do want to be leaders should not bother to ‘lean in’ by acquiring expert level knowledge, attaining specialized skills and pursuing experience-building work projects when they have the opportunity?

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Vaccination: what are the risks?

By Peter C. Doherty
All prediction is probabilistic. Maybe that statement is unfamiliar. It’s central to the thinking of every scientist, though this is not to the way media commentators like Jenny McCarthy approach the world. Scientists make certain predictions, or recommend courses of action on the basis of the best available evidence, but we realize that there is always an element of risk.

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Glaucoma: not just a disease of adults

By Robert M. Feldman, MD
Glaucoma is a potentially blinding disease where degeneration of the optic nerve leads to progressive vision loss. In the United States, it is estimated that 2.2 million suffer from glaucoma.

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Test your knowledge of nutrition, health, and economics

Now more than ever, health is one of the most important political issues for countries all over the world. As policies are brought in to tackle health problems, such as obesity, malnutrition, and food access, scholars look at what role economics plays in health and nutrition.

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Palliative care: who cares?

By Catherine Proot and Michael Yorke
Who cares? When the chips are down, most people do, but they are likely to need support and encouragement. The challenge is to make the palliative care skills and support more widely available in the family home, where the majority of people prefer to be cared for and die. It could be said that caring for a dying person is not a single person’s job, even if it is the most important and honourable one that that person might ever do.

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Is obesity truly a public health crisis?

Obesity is often framed by public health officials as an epidemic, leading to a virtually unequivocal understanding of fat as “bad.” What this framing does not take into account, however, are the increasingly negative consequences of categorizing people – particularly women – as overweight.

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On suicide prevention

By Robert Goldney, AO, MD
Not all suicide can be prevented. That is particularly so when help is not sought. On other occasions suicide can be interpreted as the inevitable outcome of a malignant mental disorder, and that can be of some comfort to grieving families and friends who may be feeling guilty at their sense of relief that uncertainty is over. Clinicians may also share those emotions. However, if adequate assessment of each individual is undertaken and appropriate management pursued, on balance there will be an overall reduction in the unacceptable rate of suicide worldwide.

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The third parent

By Rachel Bowlby
The news that Britain is set to become the first country to authorize IVF using genetic material from three people—the so-called ‘three-parent baby’—has given rise to (very predictable) divisions of opinion.

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Anaesthesia exposure and the developing brain: to be or not to be?

By Vesna Jevtovic-Todorovic and Hugh Hemmings
Rapidly mounting animal evidence clearly indicates that exposure to general anaesthesia during the early stages of brain development results in long lasting behavioural impairments . These behavioural impairments manifest as reduced performance in tests of learning and memory know as cognitive deficits, lack of motivation, and problems with social interactions. Some worrisome similarities are apparent when emerging human data are carefully compared with animal data.

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How will a changing global landscape affect health care providers?

By Heidi Moawad
Health care is expanding its reach in many directions. Globalization is increasingly allowing patients throughout the world to access all types of health care from anywhere in the world. Between the growth in medical tourism, medical missions service, international education, and the increasing intersection of western medicine into eastern culture and eastern medicine into western culture, individuals have vaster array of choices to preserve their health than ever before.

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Forcible feeding and the Cat and Mouse Act: one hundred years on

By Ian Miller
Between 1909 and 1914, imprisoned militant suffragettes undertook hunger strikes across Britain and Ireland. Public distaste for the practice of forcible feeding ultimately led to the passing of the Prisoners (Temporary Discharge for Ill Health) Act, or ‘the Cat and Mouse Act’ as it was more commonly known. The 25th of April 2013 marks the 100th anniversary of this Act, passed so that prison medical officers could discharge hunger-striking suffragettes from prisons if they fell ill from hunger.

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Prepare for the worst

By Seth Stein LeJacq
These days we generally agree that the big medical problems should be left to the professionals. We don’t see ourselves as the appropriate people and our homes as the appropriate places to deal with major injuries, severe illnesses, chronic conditions, and many other significant medical events. This wasn’t the case in seventeenth-century Britain, where domestic healing was the norm and the home was the central place where healing occurred. People prepared to deal with the very worst illnesses and injuries at home.

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