منابع مشابه
Too much medicine; too little care.
A growing frustration in clinical medicine is that we are now so busy managing the proliferation of risk factors, “incidentalomas,” and the worried well that we lack the time to care properly for those who are seriously ill. As the definitions of common conditions such as diabetes and kidney disease have expanded and the categories and boundaries of mental disorders have grown, our time and att...
متن کاملToo much health care and too little care for the sick?
In the Nordic countries much health care and preventive medicine takes place in general practice. And among general practitioners (GPs) there is an ongoing debate on whether they should devote more or less time to preventive measures and health care. There has been much debate on whether the benefi ts of preventive health care truly outweigh the costs and the adverse effects. Some GPs fear that...
متن کاملAntibiotics in intensive care: too little or too much?
T he article by Fragou et al (1), in this month’s Critical Care Medicine, provides compelling evidence that the routine use of ultrasound guidance increases the safety of central venous access by the subclavian route. In this cohort of critical care patients, cannulation was achieved in 100% of patients in the ultrasound group as compared with 87.5% in the landmark arm. Access time and the numb...
متن کاملPsychosocial care for cancer patients--too little, too late?
Assessment of psychosocial and psychiatric needs is an increasingly important component of cancer care. Clinical experience with patients indicate that distress, anxiety and depression are prevalent from early stages of the illness. Strategies to enhance psychosocial care are presented and these include early identification through screening, training for healthcare staff working with cancer pa...
متن کاملToo much or too little
The global effort to understand the molecular drivers of cancer onset and progression is now coming to fruition with the identification of specific genomic and epigenomic events that influence signaling through key oncogenic pathways. Genetic studies using inducible expression of the critical growth controlling oncogenes MYC, RAS, PI3K and AKT have shown unequivocally that, in conjunction with ...
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ژورنال
عنوان ژورنال: Journal of the Royal Society of Medicine
سال: 2006
ISSN: 0141-0768,1758-1095
DOI: 10.1177/014107680609901221