chronic illnesses
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'Miserable' Doctors Prescribe A Different Career
A lot of children grow up wanting to be doctors, but now some physicians are discouraging others from joining the profession. What has changed over the years?
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A 40-Year 'Conspiracy' at the VA
Four decades ago, in 1977, a conspiracy began bubbling up from the basements of the vast network of hospitals belonging to the Veterans Administration. Across the country, software geeks and doctors were puzzling out how they could make medical care better with these new devices called personal computers. Working sometimes at night or in their spare time, they started to cobble together a system that helped doctors organize their prescriptions, their CAT scans and patient notes, and to share their experiences electronically to help improve care for veterans...
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Last Mile: A Matter of Life and Death
Access to essential medicines is not only about the development and cost of pharmaceuticals but also supply chain logistics. The "last mile" plays a particularly important (and challenging) role in low- and middle-income countries, such as Uganda. Industrial and systems engineering research reveals major disparities in access to essential medicines. Although Malaria accounts for 50% of a country's morbidity and mortality, some districts only have 50% of public health facilities with regular supplies of therapies...
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Moving Counter-Clockwise: Lessons from Hurricanes, Floods and Earthquakes
The plethora of natural disasters raises all sorts of complicated but expected issues – from discussions of the legitimacy of global warming to the adequacy (or lack thereof) of on the ground relief efforts. One would have thought that post-Katrina, we would be ready, willing and able to provide immediate relief to those in need of disaster relief...despite capacities, we have been stunningly slow in moving these new services into disaster areas. Instead of technology advancing the ball, it is as if we are moving our clocks backwards. Sure, in the absence of cell towers, creative workarounds have been enabled like ATT&T facilitating communications to/from the mainland for its customers.
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Understanding Cancer Risk: The Paradox Of Modern Health
It is important to understand risk and why Americans have a particular difficulty with the issue of cancer risk. Read More »
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Winners And Losers With The 21st Century Cures Bill
A sprawling health bill that passed the Senate Thursday by a 94 to 5 vote and is expected to gain President Obama's signature is a grab bag for industries, academic institutions and patient groups that spent oodles of time and money lobbying to advance their interests. Senate Majority Leader Mitch McConnell calls it "the most important legislation that Congress will pass this year." Who wins and who loses? Here's the rundown of what's at stake in the 21st Century Cures Act...
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