Clin Med
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The 25th anniversary of the first reports of a catastrophic illness later classified as AIDS and the 10th anniversary of highly active antiretroviral therapy (HAART) both occurred in 2006. Where available, HAART has revolutionised the treatment of HIV. ⋯ These anniversaries allow us to appreciate the milestones achieved thus far and those yet to be achieved. Only a collaborative global effort will stop the epidemic from overwhelming efforts to contain it.
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Climate change was originally expected to have its main impact on countries in temperate latitudes which, because of their relative wealth, would be best able to cope. It is now far more likely that much poorer states in the tropics and sub-tropics will experience severe impacts. ⋯ The dangerous response to the prospects of mass migration and radical social movements is to attempt to maintain control without addressing underlying problems. Instead, there is an urgent need to embrace new concepts of sustainable security.
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Biography Historical Article
'A ray of darkness': Margiad Evans's account of her epilepsy (1952).
This column explores the links and synergies between medicine and literature. What roles can literature play in reflecting and influencing good practice, and what sorts of images of doctoring are to be found in drama, poetry, fiction, biography, electronic fora and film? The editors would be pleased to receive short papers, ranging from 500–1,000 words, on relevant topics. Those interested in contributing should email brian.hurwitz@kcl.ac.uk or neil.vickers@kcl.ac.uk
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Children and adolescents are particularly vulnerable to the harmful effects of alcohol, with heavy drinking risking impaired brain development and future alcohol dependence. Advertisements increase expectancies about alcohol, leading to a greater likelihood of drinking. ⋯ All European countries, with the exception of the UK, have a ban on one or more types of advertising. Since self-regulation is reported as failing to prevent marketing which has an impact on younger people, and since advertising commonly crosses country borders, there is an argument to approximate advertising rules across Europe banning alcohol advertising targeted at young people, a highly cost-effective measure to reduce harmful alcohol use, and one supported by European citizens and case law.
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Every year in the 27 member states of the European Union, patients are harmed when receiving healthcare. Sometimes this is the fault of individual or multiple healthcare workers but more often than not organisational or system failures are to blame. The injuries and deaths from unsafe healthcare can never be completely eradicated. ⋯ Patient safety is an area of healthcare where economies of scales can be achieved through a European Community approach to tackling the problems. Share experiences, expertise, best practice and research findings can help member states to improve the safety of their health systems. This is why the European Commission put forward its patient safety proposal at the end of 2008.