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  • [World Report] Health and medicine in the UK election

    Posted 2019-12-07 00:00:00 by: The HealthFolk Team

    On Dec 12, the UK will go to the polls in a general election. Talha Burki spoke with leaders in health, medicine, science, and policy for their views on the main parties’ ...

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  • [Correspondence] Epilepsy prevention

    Posted 2019-12-07 00:00:00 by: The HealthFolk Team

    We were very pleased to read WHO's first global report on epilepsy,1 highlighting that 25% of epilepsy is preventable. An Editorial2 about this report mentioned that no studies exist investigating the decrease in epilepsy incidence after reducing potential risk factors. We disagree with this point; indeed, a study done in 2017–18 in onchocerciasis-endemic villages in Cameroon showed that the annual incidence of epilepsy significantly decreased following 13 years or more of community-directed treatment with ...

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  • [Comment] Offline: The urgent need to protect global health accountability

    Posted 2019-12-07 00:00:00 by: The HealthFolk Team

    “The conclusions of this evaluation point to a range of ways that the IAP has so far failed to deliver on its potential.” It's a devastating verdict. A leaked draft report of an evaluation of the UN Secretary-General's Independent Accountability Panel for Every Woman, Every Child, Every Adolescent (IAP) describes a catalogue of extraordinary negligence and missed opportunities. The likely outcome of this assessment—led by the UNFPA Evaluation Office, together with a Reference Group that included representatives from WHO, UNICEF, the Partnership for Maternal, Newborn and Child Health (PMNCH), and the Executive Office of the UN Secretary-General—is that the idea of independent accountability for political promises to deliver the SDGs will ...

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  • [Correspondence] Gender bias in CIHR Foundation grant awarding

    Posted 2019-12-07 00:00:00 by: The HealthFolk Team

    Vasily Giannakeas and colleagues1 explored whether a specific type of reviewer bias might have contributed to the observed findings in our study.2 We analysed success rates among 23 918 applications to three grant programmes in a 5-year natural experiment. In the programme that included an explicit review focus on the calibre of the scientist (so-called Foundation), male applicants had significantly higher success rates than female applicants, but no such differences were observed in the programmes in which peer review focused on the proposed ...

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  • [Editorial] Under the influence: dealing with impaired carers of children

    Posted 2019-12-07 00:00:00 by: The HealthFolk Team

    8·7 million children in the USA live with a parent or guardian with a substance use disorder. This situation can complicate patient care for paediatricians who encounter these caretakers. On Nov 25, the American Academy of Pediatrics (AAP) Committee on Medical Liability and Risk Management published new guidance on the ethical, professional, and legal obligations of paediatricians when dealing with a caretaker whose judgment is impaired from alcohol or drug ...

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  • [Editorial] Hong Kong: counting the health cost

    Posted 2019-12-07 00:00:00 by: The HealthFolk Team

    Civil unrest in Hong Kong, stemming from the introduction of a controversial extradition bill, has been marked by fierce conflict between protestors and law enforcement, along with extensive use of weapons, including tear gas and water cannons. As the unrest continues, the effects of ongoing violence on the health of the population of Hong Kong should be urgently ...

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  • [Clinical Picture] Abdomen distended by 31 L of cerebrospinal fluid: a peritoneal pseudocyst around a ventriculoperitoneal shunt

    Posted 2019-12-07 00:00:00 by: The HealthFolk Team

    A 37-year-old man was assessed at our hospital, complaining of a distended abdomen and fatigue. He said that his waistline continued to increase despite his reduced appetite (figure). He had no nausea, vomiting, or change in bowel movements. The patient had been referred to our surgical oncology service because physicians who had seen him before were concerned that he might have pseudomyxoma peritonei. However, both the patient and his primary care physician had attributed his increasing size to an unhealthy ...

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  • [Comment] Enabling an equitable spread of research access, involvement, and funding in the UK

    Posted 2019-12-07 00:00:00 by: The HealthFolk Team

    Publicly funded clinical research is a successful part of the UK's health-care landscape. But there has been growing recognition that research is concentrated in specific geographical areas that map against the UK's major medical schools and teaching hospitals.1 Patients, clinicians, and National Health Service (NHS) trusts not linked to these major institutions could be deprived of the research effect—better patient outcomes, improved clinician job satisfaction and wellbeing,2 and increased staff recruitment and ...

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  • [Correspondence] The architects of universal health coverage

    Posted 2019-12-07 00:00:00 by: The HealthFolk Team

    In September, 2019, the UN General Assembly discussed universal health coverage (UHC) and agreed on measures to ensure that everyone, everywhere, has access to quality health ...

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  • [Department of Error] Department of Error

    Posted 2019-12-07 00:00:00 by: The HealthFolk Team

    Attal M, Richardson PG, Rajkumar SV, et al. Isatuximab plus pomalidomide and low-dose dexamethasone versus pomalidomide and low-dose dexamethasone in patients with relapsed and refractory multiple myeloma (ICARIA-MM): a randomised, multicentre, open-label, phase 3 study. Lancet 2019; 394: 2096–107—In this Article, in table 1, the name of one of the previous therapies that patients were refractory to should have been proteasome inhibitor, not protease. This correction has been made to the online version as of Dec 5, 2019, and the printed version is ...

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