prevention of iodine deficiency: difficult to implement, more difficult to sustain

Prevention of Iodine Deficiency: Difficult to Implement, More Difficult to Sustain

Why behavior change is difficult to sustain.

Unhealthy behavior is responsible for much human disease, and a common goal of contemporary preventive medicine is therefore to encourage behavior change. However, while behavior change often seems easy in the short run, it can be difficult to sustain. This article provides a selective review of research from the basic learning and behavior laboratory that provides some insight into why. The re...

Times ” More Difficult to Approximate Than

How many points do we need to approximate a given metric space S (e.g., a ball in the Euclidean space) with a given accuracy ε > 0? To be more precise, how many points do we need to reproduce the metric ρ(X, Y ) on S with an accuracy ε? This problem is known to be equivalent to the following geombinatoric problem: find the smallest number of balls of given radius ε that cover a given set S. A s...

The Difficult Choice of “Not Doing”; Comment on “Quaternary Prevention, an Answer of Family Doctors to Overmedicalization”

The article of Marc Jamoulle shows the importance of the contribution of general practitioners (GPs) in improving the quality and the efficiency of the health systems. Starting from the concept of quaternary prevention for reducing excessive costs in the preventive procedures, he suggests a change of paradigm in every daily activity of the GP in order to have a stronger ethical approach to the ...

Adenomyosis: Difficult to Diagnose, and Difficult to Treat

Drug therapy may be effective in controlling symptoms but the frequent coexistence of endometriosis and the lack of controlled studies make their efficacy difficult to quantify. Danazol IUD has been shown to reduce symptoms. Conservative surgery involving endomyometrial ablation, laparoscopic myometrial electrocoagulation or excision has proven to be effective in more than 50% of patients, alth...

Management of the difficult Airway

The appropriate airway management is the important point during the anesthesia. For it dose, ‎taking history, physical examination (head and neck, mandible, mouth opening, neck ‎movements …) must be done completely and they are helpful in estimating difficult ‎intubation.‎ It is necessary to note that one case from every ‎‏5000‏‎ cases of anesthesia, not o...