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Why a deteriorating doctor-patient relationship should worry us

If there is a single profound thing that has occurred in health care over the past couple of decades, that has neither benefitted patients or the doctors who care for them, nor the health system as a whole, it is the fairly rapid deterioration of the physician-patient relationship as the centerpiece of effective, satisfying, and high quality health care delivery.

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What can baker’s yeast tell us about drug response?

Pharmaceutical drugs are an integral part of healthcare, but a treatment regimen that works for one individual may not produce the same benefit for another. Additionally, a given drug dose may be well-tolerated by some, but produce undesired (and sometimes severe) adverse effects in others. In the United States (with similar statistics in other parts of the world), serious drug adverse reactions account for over 6% of hospitalisations

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Is advocating suicide a crime under the First Amendment?

Two different cases raising similar issues about advocating suicide may shape US policy for years to come. In Massachusetts, Michelle Carter was sentenced to two and a half years in prison for urging her friend Conrad Roy not to abandon his plan to kill himself by inhaling carbon monoxide: “Get back in that car!” she texted, and he did. The Massachusetts Supreme Judicial Court has already ruled that prosecuting her for involuntary manslaughter was permissible

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Combatting the spread of anti-vaccination sentiment

Vaccines are one of humanity’s greatest achievements. Credited with saving millions of lives each year from diseases like smallpox, measles, diphtheria, and polio, one would expect vaccines to be enthusiastically celebrated or, at the very least, widely embraced. Why is it, then, that we are witnessing the widespread proliferation of anti-vaccination sentiment?

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The ultimate quiz on environmental law and climate change

Climate change is one of the most controversial issues facing society today. The withdrawal of the United States from the Paris Agreement on Climate Change marked a pivotal point for the fight against environmental destruction. Barack Obama, 44th President of the United States, stated, “There’s one issue that will define the contours of this century more dramatically than any other, and that is the urgent threat of a changing climate.”

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Scientific progress stumbles without a valid case definition

Current estimates from the Centers for Disease Control and Prevention (CDC) of the number of people in the United States with chronic fatigue syndrome (CFS) increased from about 20,000 to as many as four million within a ten-year period. If this were true, we would be amidst an epidemic of unprecedented proportions. I believe that these increases in prevalence rates can be explained by unreliable case definitions.

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Is there a right to report a disease outbreak?

Recently the World Health Organization’s (WHO) Health Systems and Innovation Cluster released its WHO Guidelines on Ethical Issues in Public Health Surveillance. This report was the first attempt to develop a framework to guide public health surveillance systems on the conduct of surveillance and reporting in public health emergencies. The guidelines are described as a ‘starting point for the searching, sustained discussions that public health surveillance demands’.

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Is memory-decoding technology coming to the courtroom?

“What happened?” This is the first question a police officer will ask upon arriving at a crime scene. The answer to this simple question—What happened?—will determine the course of the criminal investigation. This same question will be asked by attorneys to witnesses on the stand if the case goes to trial.

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Is there a place for the arts in health?

In a utopian world of abundant health budgets and minimal health challenges, it is probably fair to say that few would object to including the arts within hospitals or promoting them as a part of healthy lifestyles. Certainly, we have a long history of incorporating the arts into health (stretching back around 40,000 years), so it’s a concept many people are familiar with. But in an era of austerity, the value that the arts can bring comes under much closer scrutiny

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Cosmic ripples

Michael Faraday transformed our understanding of the physical world when he realised that electromagnetic forces are carried by a field permeating the whole of space. This idea was formalized by James Clerk-Maxwell who constructed a unified theory of electromagnetism in which beams of light are undulations in the electromagnetic field. Maxwell’s theory implies that visible light is just one part of the electromagnetic spectrum.

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Last minute guide to the total solar eclipse

The moon is 400 times smaller than the sun, but it’s also 400 times closer to earth, which means that remarkably, the two bodies appear to us as exactly the same size. For 14 days a month, the orbiting moon is on the ‘sunny’ side of the spinning earth, and the sunlight casts a shadow. Almost all the time, that shadow is projected way off into space; but on very particular occasions, the shadow falls onto the earth – the moon is obscuring our view of the sun.

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Ecosystem-based mitigation and adaptation

Payments for ecosystem services (PES), also known as payments for environmental services (or benefits), are incentives offered to farmers or landowners in compensation for proper land-management that provides ecological services. Among these benefits we can mention conserving animal and plant species, protecting hydric resources, conserving natural scenery, and storing carbon.

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DNA testing for immigration and family reunification?

Family reunification is one of the main forms of immigration in many countries. However, in recent times, immigration has become increasingly regulated with many countries encouraging stricter vetting measures. In this climate, countries’ laws and policies applicable to family reunification seek a balance between an individual’s right to a family life and a country’s right to control the influx of immigrants.

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Richard Susskind on the future of law

In the latest episode of the Oxford Law Vox podcast Richard Susskind talks to George Miller about the gaining momentum of technology and AI in the law profession. They discuss just how vital it is that lawyers learn to reinvent themselves and work alongside technology. He also address the importance of the opportunity young lawyers have to bring about and be a major part of social change in the legal profession.

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Is science being taken out of environmental protection?

In 1963, dying of breast cancer and wearing a wig to cover the effects of radiation treatments, Rachel Carson appeared before a congressional committee to defend her indictment of pesticides. She had rattled the chemical industry with Silent Spring, which urged caution at a time when Americans were buying dangerous products that the scientific community had itself made possible.

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“My latest brain child”

In his 1954 essay ‘Metapsychological and Clinical Aspects of Regression within the Psycho-Analytical Set’, Donald Winnicott states: “The idea of psycho-analysis as an art must gradually give way to a study of environmental adaptation relative to patients’ regressions. […] I know from experience that some will say: all this leads to a theory of development which ignores the early stages of the development of the individual, which ascribes early development to environmental factors.

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