Jeffrey Aronson: When I use a word . . . Defining research

Last week I proposed a definition of translational research and started to explore the problem of defining research itself. Previous definitions suggest six headings, relevant to all types of research. Pre-requisites Successful research requires certain personal attributes and cognitive processes: curiosity or wondering (how, whether, why, etc), both of which imply a desire to know […]

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Kieran Walsh: Are you “satisficed” with clinical decision support?   

A 60 year old woman goes to her doctor with dizziness and poor balance. Her doctor is not sure what is wrong but thinks about postural hypotension, Meniere’s disease, and benign positional paroxysmal vertigo. He examines her and orders tests with these differentials in mind. But he cannot find anything on physical examination and all […]

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Kathleen Ruff: Chrysotile asbestos—a call for action on this hazardous substance

Chrysotile asbestos comprises 95% of all asbestos sold during the past century and for the past 30 years has represented the totality of the global asbestos trade.[1] The scientific consensus is clear that all forms of asbestos are harmful and should be banned.[2, 3, 4, 5] In light of clear evidence linking asbestos to lung cancer, […]

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Matt Morgan: Sin-drome—the phenomenon of missing-diagnosis

“We’ve had a new admission into bed 3” “Great, I’ll be right there, what’s wrong with them?” “He’s got multiorgan failure but was intubated mainly for respiratory failure” “Ah ok, what’s wrong with him?” “ARDS” “Caused by what?” “Sepsis I think” “From what?” “Pneumonia” “What type?” “Um . . .” “Don’t worry, let’s see him […]

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