The article by Goldberg and colleagues found in this issue is a meticulous history of the changes in incidence and in-hospital and long term case fatality rates of myocardial infarction (MI) for a defined New England community from 1975 to 1995 (1). The authors suggest that there is a decline in the incidence of acute MI as well as in the short term and one-year mortality in survivors postdisch...

Author: Katie Schenk (independent consultant for JLICA) 2122 Massachusetts Avenue NW, Apt 614 Washington DC, 20008 USA Tel: +1 202 468 5537 Email: [email protected] Executive Summary: What have we learnt from evaluations of community OVC programmes? • Approaching twenty years after the first studies drew attention to the issues faced by children affected by HIV, evaluation data from OVC p...

FIVE YEARS AFTER THE INSTITUTE of Medicine (IOM) reported that as many as 98 000 people die annually as the result of medical errors and called for a national effort to make health care safe, it is time to assess our progress. Is health care safer now? And, if not, why not? The IOM’s report, To Err Is Human: Building a Safer Health System, galvanized a dramatically expanded level of conversatio...

Despite huge global burden, stroke disease has traditionally received little attention in the general medical press. We review a series of four acute stroke research articles published in a themed issue of the Lancet. Claiborne-Johnston and coworkers presented a scoring system to stratify risk of stroke following transient ischaemic attack. Chalela and colleagues demonstrated that magnetic reso...

We want to thank the authors for responding to our paper and for apprising readers as to the effects of the new information technologies in Asian educational settings. We think Miyake has characterized our argument very accurately and succinctly. As she points out the equity issues we raise are exacerbated in Asia because the resources available through new technologies are mostly in English. B...