L et’s not kid ourselves (and I’m talking to anyone who graduated over 20 years ago):There are many more freshman entering colleges and universities who are not as “good” as we were when we were freshmen;many of today’s undergraduate academic programs not as “good” as ours were; and many of today’s graduates not as “good” as we were. If you think I’m going to refute or contradict those assertio...

In the last of the group of papers from the conference on inatrogenic disease which we are publishing is this issue Katharine Whitehorn told the audience mainly of doctors and doctors in training and tells many more through this Journal what the patient expects from them. She envisages a generation of doctors who are coming to see their role rather differently from that of their fathers, and pe...

368 www.thelancet.com/infection Vol 17 April 2017 1 Haider S, Hassali AM, Iqbal Q, et al. Crimean-Congo haemorrhagic fever in Pakistan. Lancet Infect Dis 2016; 16: 1333. 2 Müller MA, Devignot S, Lattwein E, et al. Evidence for widespread infection of African bats with Crimean-Congo hemorrhagic fever-like viruses. Sci Rep 2016; 6: 26637. 3 Mourya DT, Yadav PD, Shete AM, et al. Cross-sectional se...

Why do some individuals persist in self-destructive rumination? Two studies investigated the relation between a ruminative response style and the reluctance to initiate instrumental behavior. In Study 1, ruminators were compared to nonruminators regarding their evaluation of a self-generated plan to revise their university housing system and, in Study 2, concerning their plan to redesign the un...

A 17 year old male presented with seizures, headache, and fever and left chronic suppurative otitis media. A 35 year old male presented with headache, giddiness, vomiting, pain in eyes, diplopia and right chronic suppurative otitis media. Brain imaging in both revealed thrombosis of lateral and sigmoid sinus and also of internal jugular vein on the left and right side respectively. A diagnosis ...