Domhnall MacAuley: Fitness, beauty, rowing, and reality

A festival of fitness, athleticism, and aesthetic beauty – the world rowing championships. After a week watching some of the world’s top athletes, you begin to think everyone is tall, muscular, toned, and tanned. Only for mirrors you might believe you were one too. Very few fatties to be seen and only amongst the coaches or […]

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Richard Smith: Communicating with patients about ductal carcinoma in situ

Ductal carcinoma in situ (DCIS) is a condition we don’t understand. We don’t know its significance, how to describe it, and how to treat it. Worse, we may have created it. Its incidence in the US in 1975 was 1.87 per 100 000; now it’s 32.5. During that time there has been no drop in […]

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Andrew Burd: Karma

Karma is a word that has distinct cultural meanings and can relate to spiritual or more secular events. Whatever the context, the general meaning concerns actions and consequences. After the devastating earthquake in Sichuan, China in 2008 it was an acknowledged faux pas for Sharon Stone to relate the death and destruction to “bad karma” over the […]

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Richard Lehman’s journal review – 5 September 2011

NEJM  1 Sep 2011  Vol 365 787    Studies of out-of-hospital cardiac arrest require heroic feats of organization and generally provide survival-to-discharge rates around 7%. In this randomized trial, the research question was whether in a person found pulseless out of hospital, it’s best to start CPR immediately or to analyze the heart rhythm immediately. In […]

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Tracey Koehlmoos: Road traffic accidents in developing countries – farewell to the colonel

On 11 June 2011, 44 schoolboys died when the truck they were travelling in flipped into a canal in Chittagong, Bangladesh. The boys were from three villages and were riding in an open truck on their way back from a football competition. I was haunted by the image of the devastated village parents, who no doubt […]

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Marge Berer: Independent abortion counselling? Whose problem?

Nadine Dorries MP is a very skilful politician. She decides there is a problem, for which she has absolutely no evidence. She not only manages to get her problem on to the front pages of the newspapers but also on to the agenda of the House of Commons. Having spoken to her about it, the […]

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