Richard Lehman’s journal review—2 March 2015

NEJM 26 February 2015 Vol 372 803 It’s hard to imagine a world without chocolate, potatoes, tomatoes, avocados, sweet peppers, and chilli peppers. Since the 16th century, one or more of these excellent South American foods has become a characteristic ingredient of almost every national cuisine from Northern Europe to Thailand. The peanut or tlalcacahuatl was […]

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Jeffrey Aronson: When I use a word . . . Cough drops

Conversations with my patients can be very revealing. “I know you say they’re ace, Doc, but I can’t take these tablets.” “Why not, Pat?” “They give me a terrible cough. I can’t go to the movies or a gig. Anywhere public, actually.” At this, Pat coughed loudly, concatenating two phonemes without realising it—technically the glottal […]

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Saffron Cordery: Enhanced tariff offer—what’s left for mental health?

The big national health “system” story of the past week has been the surprise announcement of a voluntary tariff. This is one part of a solution put forward by NHS England and Monitor to resolve the current impasse, which arose from an objection mechanism to the proposals being triggered by those it affects—providers of NHS […]

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William Cayley: What are the (hidden) costs?

“The economics of education are changed dramatically by delivering online courses to large numbers, making expensive education much cheaper.” That line in Richard Smith’s blog post describing a proposed “global university” for healthcare workers caught my attention—especially since my own local statewide university system, of which I am an employee as a medical school faculty […]

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Sandra Lako: The challenges of identifying and isolating Ebola cases in Sierra Leone

Although the situation in Sierra Leone with respect to Ebola has improved considerably since November, there are still cases in Freetown every day. With Ebola still present, it is important to stay vigilant and have a high index of suspicion. Every single person that enters the hospital compound needs to be screened according to the […]

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Praveenkumar Aivalli on the status of AYUSH doctors in the government healthcare delivery system in India

AYUSH—an acronym for Ayurveda, Yoga, Unani, Siddha, and Homeopathy—is a system of medicine that has been integrated into the Indian national healthcare delivery system to strengthen public health in rural India. In 2005, when the Indian government launched the national rural health mission (NRHM) to improve healthcare delivery especially for the rural population, integration of […]

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