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  • [Correspondence] Recurring acute encephalitis syndrome outbreaks in Bihar, India

    Posted 2019-09-14 00:00:00 by: The HealthFolk Team

    The death of 154 undernourished children from acute encephalitis syndrome in a short period of 3 weeks1 is deeply concerning. The World Report by Patralekha Chatterjee1 is a timely update on a situation that recurs almost every year in Bihar, India. Chatterjee rightly pinpoints undernutrition, inadequate health facilities, and poor awareness among the local population as contributing factors to these ...

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  • [Series] Challenges and controversies in childhood tuberculosis

    Posted 2019-09-14 00:00:00 by: The HealthFolk Team

    Children bear a substantial burden of suffering when it comes to tuberculosis. Ironically, they are often left out of the scientific and public health advances that have led to important improvements in tuberculosis diagnosis, treatment, and prevention over the past decade. This Series paper describes some of the challenges and controversies in paediatric tuberculosis, including the epidemiology and treatment of tuberculosis in children. Two areas in which substantial challenges and controversies exist (ie, diagnosis and prevention) are explored in more ...

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  • [Comment] Balancing body and mind: selecting the optimal antipsychotic

    Posted 2019-09-14 00:00:00 by: The HealthFolk Team

    The burden of schizophrenia remains high, with one in 100 people affected globally over a lifetime.1 Symptoms are disabling, with auditory hallucinations, delusions, lack of motivation, cognitive impairment, and functional deficits. Despite advances in our understanding of the biological underpinnings of the illness, cure remains elusive. Antipsychotic medications are the mainstay of pharmacological treatment, but selecting the optimal medication for the individual patient is a delicate balance between efficacy and physical ...

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  • [Correspondence] Parasitic encephalitis in immunocompetent individuals – Authors' reply

    Posted 2019-09-14 00:00:00 by: The HealthFolk Team

    We thank Amir Abdoli for his comments. Our intention in this Seminar1 was to bring together knowledge about the most important infectious causes, along with information about the rapidly growing field of autoimmune encephalitis, to provide a single comprehensive approach. Previously, the two have been dealt with rather separately, despite the large overlap in clinical features. As indicated in the titles of the tables in the Seminar,1 selected causes of encephalitis in immunocompetent individuals were ...

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  • [Perspectives] A doctor's choice

    Posted 2019-09-14 00:00:00 by: The HealthFolk Team

    Does a doctor always know what is in the best interests of a patient? And should the personal values of a patient be subordinated to the medical perspective in all cases? Doctors' ethical conundrums have featured in plays such as Henrik Ibsen's An Enemy of the People (1882) and George Bernard Shaw's The Doctor's Dilemma (1906). In 1912, Arthur Schnitzler's Professor Bernhardi took the exploration of medical ethics to a new level by introducing issues of religion and the clash between medical decisions and growing antisemitism in ...

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  • [Editorial] Tuberculosis needs accelerated and continued attention

    Posted 2019-09-14 00:00:00 by: The HealthFolk Team

    Ahead of the annual meeting of the European Respiratory Society (Madrid, Spain, Sept 28–Oct 2), we publish together with The Lancet Respiratory Medicine a three-part Series on tuberculosis. This Series, which focuses on the management of drug-resistant tuberculosis, challenges in childhood tuberculosis, and the state of vaccine development, will be discussed in a special symposium at the conference. Tuberculosis is now the most common and deadly infectious disease. An estimated 1·6 million people die from the disease annually, including 230 000 ...

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  • [Editorial] Let's talk about dementia

    Posted 2019-09-14 00:00:00 by: The HealthFolk Team

    On Sept 1, kicking off World Alzheimer's Month, Alzheimer's Disease International joined forces with the Pan American Health Organization, launching Let's Talk About Dementia, a campaign aiming “to demystify dementia and to get people talking”. The ambition is to encourage discussion in families and with health providers to reduce the stigma associated with Alzheimer's disease and all forms of dementia. Events elsewhere include the Age Against the Machine festival in the UK, which offers a practical workshop on making homes, workplaces, or projects dementia-friendly and a performance of How to Keep Time, which looks at the effects of dementia on speech, memory, and family ...

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  • [Perspectives] Battling for life: the wartime work of Janet Vaughan

    Posted 2019-09-14 00:00:00 by: The HealthFolk Team

    In A Room of One's Own, Virginia Woolf fabricated an imaginary novel about two young women who worked in a medical laboratory. Pretending that this fictional book actually existed, she described her feelings on reading that Chloe and Olivia “were engaged in mincing liver, which is, it seems, a cure for pernicious anaemia”. In real life, Woolf's friend and distant relative Janet Vaughan was employed as a clinical pathologist at University College Hospital, where she had secretly arranged for anaemic patients to be given ...

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  • [Comment] Financing universal health coverage: four steps to go from aspiration to action

    Posted 2019-09-14 00:00:00 by: The HealthFolk Team

    A UN High-Level Meeting on Universal Health Coverage (UHC) will be convened during the 74th session of the UN General Assembly on Sept 23, 2019. Most countries support the aspirations of UHC and have committed to its principles.1 Less has been articulated about how to deliver this goal. In many low-income and middle-income countries, health-care systems are inadequate and providers rely on patients' out-of-pocket payments. Those who are poor and sick cannot access care or avoid seeking care because they are unable to ...

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  • [Perspectives] Towards a tricorder for diagnosing paediatric conditions

    Posted 2019-09-14 00:00:00 by: The HealthFolk Team

    Paediatric patients introduce a unique challenge for health care: information about symptoms in infants and children is usually obtained second-hand from the parents. Typically, diagnosis of paediatric conditions relies on physical examination and objective tests during a visit with a health professional. Yet digital diagnostics are now in development for assessing some common paediatric conditions that are not serious or life-threatening. These technologies could have the potential to change elements of paediatric ...

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