The Chaoulli decision: a debate in which physicians must be heard

which uterine myomatous masses must be removed?

normal 0 false false false en-us x-none ar-sa microsoftinternetexplorer4 sir, leiomyoma is the most common tumor of uterus and female pelvis. leiomyosarcoma almost always arise de novo and almost it doesn’t results from sarcomatous transformation of a leiomyoma. one of the most controversial concepts on the subject of uterine smooth muscle tumors is smooth muscle tumor of uncertain malignant po...

Chaoulli decision resonates one year later.

Thyroid Nodules in Pediatrics: Which Ones Can Be Left Alone, Which Ones Must be Investigated, When and How

Thyroid nodules are less frequent in childhood than in adulthood, but are more often malignant. Recent estimates suggest that up to 25% of thyroid nodules in children are malignant, therefore, a more aggressive approach is recommended. In this review, we suggest an approach based on a first-step clinical, laboratory, and sonographic evaluation. A history of irradiation of the neck, cranium or u...

Adequate Decision Support Systems Must Also Be Good Learning Environments

While the existing DSS enables self-motivated learners to engage in situated, exploratory and independent learning, the addition of teaching strategies and a student model would allow: 1) Scaffolded and individualized exploitation of the overview for case-based teaching. 2) Learner motivation through selective presentation of challenging cases. 3) Active guidance on the use of integrated web-ba...

WHO-definition of health must be enforced by national law: a debate

BACKGROUND On its establishment, the World Health Organization (WHO) defined health as a fundamental human right deserving legal protection. Subsequently, the Ottawa Charter reaffirmed health as a fundamental right, and emphasized health promotion as the most appropriate response to global health issues. Here we suggest that the WHO definition of health as more than simply the absence of illnes...