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The Lancet Regional Health

Details: The Lancet Regional Health is a new suite of open access general medical journals publishing high-quality, evidence-based research focused on six regions of the world. Our goal is to improve health outcomes by advancing the …

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Global Health Series

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The Lancet Commission on pollution and health

Details: Yet, pollution is the largest environmental cause of disease and death in the world today, responsible for an estimated 9 million premature deaths. The Lancet Commission on pollution and health addresses the full health and economic costs of air, water, and soil pollution. Through analyses of existing and emerging data, the Commission reveals

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Global Health Commissions

Details: Global health 2035: a world converging within a generation. The Lancet. Published: December 3, 2013. Prompted by the 20th anniversary of the 1993 World Development Report, a Lancet Commission revisited the case for investment in health and developed a new investment framework to achieve dramatic health gains by 2035.

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Global health 2021: who tells the story

Details: In an Art of Medicine essay published in The Lancet in November, 2020, Seye Abimbola and Madhukar Pai set out a vision for the future of academic global health. In their promised land they imagine, among other changes, a transformation of journals—“No longer exclusive, high-impact western journals now exist among a multitude of go-to places, most of …

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The Lancet Countdown on health and climate change

Details: Countdown Introduction. Published annually, the Lancet Countdown on health and climate change is an international, multidisciplinary collaboration, dedicated to monitoring the evolving health profile of climate change, and providing an independent assessment of the delivery of commitments made by governments worldwide under the Paris Agreement. All content on this …

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General practice: a fortunate profession

Details: A Fortunate Man is a classic of photojournalism, published in 1967 by the art writer John Berger with the photographer Jean Mohr. The book examines the work of Dr John “Sassall”, a friend of Berger and Mohr and a general practitioner (GP) in the Forest of Dean, Wye Valley, UK. For 6 weeks in the mid-1960s, the writer and photographer accompanied Sassall to every …

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Supporting cancer survivors in LMICs

Details: The Editors discuss unmet needs of the growing population of cancer survivors.1 Cancer survival rates in many low-income and middle-income countries (LMICs) have seen a rise in the past two decades.2 Amid the increasing number of people surviving cancer, cancer control efforts in these settings are nonetheless largely focused on improving early detection and …

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Infectious diseases compensation in the USA: the relative value

Details: Infectious diseases, as a subspecialty of internal medicine, has endured despite predictions that it would become irrelevant in the antibiotic era. In fact, following numerous worldwide health threats, including SARS-CoV-2, HIV, Zika virus, Ebola virus, multidrug resistant bacteria, and now monkeypox, the need for infectious disease physicians has never been …

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Alignment of Mental Health and HIV Services

Details: For some populations at particular risk of HIV and with specific mental health needs, there is an opportunity to align services and maximise the positive outcomes of health-care contacts. In this unique Series of papers published in three Lancet journals, papers address the syndemic of HIV and mental ill health and summarise opportunities for

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Diagnosis of thyroid nodules

Details: 2 days ago · Thyroid nodules are common, usually asymptomatic, and often pose minimal risk to the affected patient. However, 10–15% prove malignant and serve as the rationale for diagnostic assessment. Safely identifying and treating a relevant thyroid cancer through a cost-effective process is the primary goal of the treating practitioner. Ultrasound is the principal means of …

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Systemic anti-cancer therapy treatment centres in Scotland at …

Details: 17 hours ago · In a series of internal communications seen by The Lancet Oncology, senior staff at the Beatson West of Scotland Cancer Centre in Glasgow discuss how they can relieve pressure on systemic anti-cancer therapy (SACT) clinics. The exchange gives the impression of a system that is stretched to the limits of endurance. CT scanning, nursing, pharmacy, and the …

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Evolutionary public health: introducing the concept

Details: The emerging discipline of evolutionary medicine is breaking new ground in understanding why people become ill. However, the value of evolutionary analyses of human physiology and behaviour is only beginning to be recognised in the field of public health. Core principles come from life history theory, which analyses the allocation of finite amounts of energy between four …

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Avoiding indirect effects of COVID-19 on maternal and child health

Details: The coronavirus 2019 (COVID-19) pandemic is challenging the resilience of the most solid health systems in the world. In many low-income and middle-income countries (LMICs), the disease is rapidly spreading amid numerous endemic health problems such as HIV, tuberculosis, malaria, malnutrition, and frequent outbreaks of viral infections with high …

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Four social theories for global health

Details: Global health, many would agree, is more a bunch of problems than a discipline. As such it lacks theories that can generalise findings—through an iterative process of knowledge construction, empirical testing, critique, new generalisation, and so on—into durable intellectual frameworks that can be applied not only to distinctive health problems, but to different …

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How mental health care is changing in Cameroon because of the …

Details: In their Position Paper in The Lancet Psychiatry, Carmen Moreno and colleagues underscored that despite the challenges and devastation, the COVID-19 pandemic provides a unique opportunity to transform mental health care.1 We agree that the impact of the COVID-19 pandemic on the burden of mental health is a global concern. Similar to many countries in sub …

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Mental illness and mental health

Details: Since 1940, there has been a clear increase in the percentage of articles containing either “mental health” or “mental illness” ( figure ). The two trends are strongly correlated (Pearson's r 0·85, 95% CI 0·77–0·90, p<0·0001), but “mental health” is—and always has been—used more frequently than “mental illness”.

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Africa turns to telemedicine to close mental health gap

Details: In May, 2020, the Africa Centres for Disease Control and Prevention issued guidance for mental health and psychosocial support during the COVID-19 pandemic. Similar to WHO guidance, it provides practical steps to reduce stress, anxiety, stigma, and psychological disorders associated with COVID-19 and improve overall mental health and wellbeing.

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Association between physical exercise and mental health in

Details: In a large US sample, physical exercise was significantly and meaningfully associated with self-reported mental health burden in the past month. More exercise was not always better. Differences as a function of exercise were large relative to other demographic variables such as education and income. Specific types, durations, and frequencies of …

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Quality of basic maternal care functions in health

Details: More than 40% of facility deliveries in these five African countries occurred in primary care facilities, which scored poorly on basic measures of maternal care quality. Facilities with caesarean section capacity, particularly those with birth volumes higher than 500 per year, had higher scores for maternal care quality. Low-income and middle-income countries should …

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The mental health impact of the COVID-19 pandemic on people …

Details: The impact of the COVID-19 pandemic on mental health in people with pre-existing mental health disorders is unclear. In three psychiatry case-control cohorts, we compared the perceived mental health impact and coping and changes in depressive symptoms, anxiety, worry, and loneliness before and during the COVID-19 pandemic between people with and …

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Progress in adolescent health and wellbeing: tracking 12 headline

Details: Although disease burden has fallen in many settings, demographic shifts have heightened global inequalities. Global disease burden has changed little since 1990 and the prevalence of many adolescent health risks have increased. Health, education, and legal systems have not kept pace with shifting adolescent needs and demographic changes. …

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The political origins of health inequity: prospects for change

Details: Despite large gains in health over the past few decades, the distribution of health risks worldwide remains extremely and unacceptably uneven. Although the health sector has a crucial role in addressing health inequalities, its efforts often come into conflict with powerful global actors in pursuit of other interests such as protection of national security, safeguarding of sovereignty, or

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Preventive strategies for mental health

Details: preventive initiatives for mental health have received far less attention. Scientific evidence gathered from other areas of medicine, along with increasing knowledge of developmental risk factors preceding psychiatric illness, and preliminary findings supporting preventive inter-ventions, indicate that our field could move toward the more ambitious goals of universal prevention of

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Information for Authors

Details: • For Comments, The Lancet Public Health will not publish if an author, within the past 3 years, and with a relevant company or competitor, has any stocks or shares, equity, a contract of employment, or a named position on a company board; or has been asked by any organisation other than The Lancet Public Health to write, be named

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The effect of multiple adverse childhood experiences on health: a

Details: To have multiple ACEs is a major risk factor for many health conditions. The outcomes most strongly associated with multiple ACEs represent ACE risks for the next generation (eg, violence, mental illness, and substance use). To sustain improvements in public health requires a shift in focus to include prevention of ACEs, resilience building, and ACE …

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Corporeal culture

Details: Corporeal culture. For those of us outside of the medical profession, the body is at once the most mundane and most mysterious of entities. We live with ours every day, and yet we understand little about what actually happens within it. As long as we are well, we take it for granted, assuming it will always be that way; as soon as we are ill

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Health-care professionals in midwifery care

Details: Mary Renfrew and colleagues conclude that “Studies of care by midwives in low-income and middle-income settings, integrated into the health system and working in teams with medical staff and with properly trained support staff, are an urgent priority” while the modelling work of Caroline Homer's group shows the huge potential impact of

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Eliminating hepatitis C

Details: In 2016, the 194 member states of WHO agreed to eliminate all forms of viral hepatitis as a public health threat by 2030. WHO's global strategy targets reductions of 65% in mortality from hepatitis C virus (HCV) and 80% in new infections, relative to 2015 levels. “It is certainly achievable, but strong governmental support, both at national

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Disparities in outcomes for Indigenous children

Details: In The Lancet Child & Adolescent Health, Mark Hanly and colleagues show that Aboriginal and Torres Strait Islander children and non-Indigenous children born to young mothers (aged 19 years or younger) are at greatest risk of starting primary school developmentally vulnerable. Developmental vulnerability—defined as the risk of scoring in the

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Personalised approach in follicular lymphoma

Details: Follicular lymphoma is the most common subtype of indolent B-cell lymphoma, and patient outcomes are highly heterogeneous, with 20–30% of patients having aggressive (rather than indolent) disease.1 These high-risk patients would benefit from a personalised approach to their care if validated and accurate prognostic tools were available to identify them as soon as …

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