The BMJ最新文献 - Book学术

Disinformation enabled Donald Trump’s second term and is a crisis for democracies everywhere 虚假信息使唐纳德-特朗普得以连任，也是各地民主制度的危机所在

The BMJ Pub Date : 2024-11-12 DOI: 10.1136/bmj.q2485

Martin McKee, Christina Pagel, Kent Buse

{"title":"Disinformation enabled Donald Trump’s second term and is a crisis for democracies everywhere","authors":"Martin McKee, Christina Pagel, Kent Buse","doi":"10.1136/bmj.q2485","DOIUrl":"https://doi.org/10.1136/bmj.q2485","url":null,"abstract":"Disinformation is the new normal with far reaching implications for society, including population health. Martin McKee and colleagues outline the challenges and propose a way forward Donald Trump did not win the 2020 election, but asserting that he did became a prerequisite for Republicans standing for nomination to Congress or the Senate to win their primaries. An entire party became a vehicle for disinformation.1 Trump did win the 2024 presidential election, and key to that victory was building on the success of that lie. If you control enough of the information ecosystem, truth no longer matters. Another telling example: Haitian migrants in Springfield, Ohio, are not eating cats and dogs. US vice president elect, JD Vance, the source of that claim, admitted as much even as he justified it. “If I have to create stories so that the American media actually pays attention to the suffering of the American people, then that’s what I'm going to do,” he said.2 Disinformation in politics is nothing new. History is replete with claims that were fabricated to advance political aims. Although threats were made against the local authorities in Springfield, no lives were lost. But in other cases, they were. US president Lyndon B Johnson used a fictitious attack on US ships to justify US involvement in Vietnam. British involvement in the Iraq invasion in 2003 was justified by a “dodgy dossier.” …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142599447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endometriosis: reasons for cautious optimism 子宫内膜异位症：谨慎乐观的理由

The BMJ Pub Date : 2024-11-12 DOI: 10.1136/bmj.q2422

Ayesha Hooda

引用次数: 0

The international community is failing to protect healthcare in armed conflict 国际社会未能保护武装冲突中的医疗卫生服务

The BMJ Pub Date : 2024-11-12 DOI: 10.1136/bmj.q2474

Richard Brennan, Muhammad Sheraz

{"title":"The international community is failing to protect healthcare in armed conflict","authors":"Richard Brennan, Muhammad Sheraz","doi":"10.1136/bmj.q2474","DOIUrl":"https://doi.org/10.1136/bmj.q2474","url":null,"abstract":"Regular attacks on health facilities, workers, and patients in conflicts are a devastating reality Since 2018, the World Health Organization (WHO) has documented over 7400 attacks on healthcare in armed conflict across 21 countries and territories.1 WHO defines an attack on healthcare as any act of verbal, physical violence, obstruction, or threat of violence that interferes with the availability, access, and delivery of curative or preventive health services during emergencies. That translates to an average of three attacks a day, every day. The attacks have killed almost 2500 health workers, patients, and bystanders—one a day. To prevent and mitigate attacks on healthcare— one of the most disturbing aspects of today’s conflicts—we need renewed political, legal, diplomatic, and programmatic efforts. Attacks on healthcare are a global problem. While reporting is not exhaustive, most attacks over the past seven years have occurred in the occupied Palestinian territory, Ukraine, Democratic Republic of Congo, Myanmar, Afghanistan, and Syria.1 Despite clear prohibitions under international law, not one person has been held accountable for any of the over 7400 attacks documented by WHO. Historically, only a handful of cases have led to charges and prosecution. The message is clear—current laws, accountability mechanisms, and diplomatic efforts are proving ineffective at protecting healthcare in conflict.2 Impunity is the rule. And the public health implications are stark—attacks on healthcare severely disrupt access to life …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142599444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Malcolm Donaldson: paediatric endocrinologist, musician, and proud collaborator with his wife Julia, author of The Gruffalo 马尔科姆-唐纳森：儿科内分泌学家、音乐家，与妻子朱莉娅共同创作了《格鲁法罗》，并引以为豪。

The BMJ Pub Date : 2024-11-12 DOI: 10.1136/bmj.q2481

Anne Gulland

{"title":"Malcolm Donaldson: paediatric endocrinologist, musician, and proud collaborator with his wife Julia, author of The Gruffalo","authors":"Anne Gulland","doi":"10.1136/bmj.q2481","DOIUrl":"https://doi.org/10.1136/bmj.q2481","url":null,"abstract":"Julia and Malcolm Donaldson<graphic>donaldson20241111.f1</graphic> Malcolm Donaldson was a distinguished paediatric endocrinologist with a string of research publications to his name—but he was also happy to play second fiddle (almost literally) to his wife Julia, the celebrated author of much loved children’s books, including The Gruffalo and Room on the Broom. Malcolm, a talented musician and performer, accompanied his wife as she toured festivals, schools, and libraries in the UK and around the world. Together they performed the stories, with Malcolm acting characters ranging from an accident prone dragon to a comic cattle thief. His star role, in the words of Julia’s literary agent, was “a particularly suave fox” in The Gruffalo. Malcolm met Julia Shields when they were students at the University of Bristol and they married in 1972. Donaldson went on to work in Brighton, London, and Lyon, France, before moving back to Bristol to be a senior registrar in paediatrics. Six years later he moved to Glasgow where he was appointed a paediatric consultant at Yorkhill Hospital and a senior lecturer at Glasgow University. Donaldson started as a single handed paediatric endocrinologist and he soon established a range of multidisciplinary clinics and services for children. His main interests were thyroid problems and Turner and Prader-Willi syndromes. At the time there were few specialist clinics and he quickly became a respected …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142599448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Budget funding for the NHS 国家医疗服务系统的预算资金

The BMJ Pub Date : 2024-11-12 DOI: 10.1136/bmj.q2480

Anita Charlesworth

引用次数: 0

Helen Salisbury: Early warning scores and medicine by numbers 海伦-索尔兹伯里预警评分和数字医学

The BMJ Pub Date : 2024-11-12 DOI: 10.1136/bmj.q2484

Helen Salisbury

引用次数: 0

We need to do more to keep antibiotics working 我们需要做更多工作，让抗生素继续发挥作用

The BMJ Pub Date : 2024-11-12 DOI: 10.1136/bmj.q2491

Ara Darzi

引用次数: 0

Child abuse, neglect, and exploitation of young people 虐待儿童、忽视和剥削青少年

The BMJ Pub Date : 2024-11-11 DOI: 10.1136/bmj.q2364

Andrea G Asnes, Gunjan Tiyyagura

{"title":"Child abuse, neglect, and exploitation of young people","authors":"Andrea G Asnes, Gunjan Tiyyagura","doi":"10.1136/bmj.q2364","DOIUrl":"https://doi.org/10.1136/bmj.q2364","url":null,"abstract":"Standardising practice can improve identification and reduce bias Even for the most experienced healthcare providers, recognising and evaluating suspected child maltreatment or exploitation is challenging. The pressure to make the correct diagnosis is extremely high. Failing to recognise maltreatment can result in the child experiencing severe harm or even death. Conversely, incorrect diagnoses of accidental injuries as abusive or misinterpretations of poverty as neglect may burden care givers and lead to subsequent mistrust in healthcare providers.1 Unwarranted investigations and subsequent referral to child welfare (social) services affect marginalised populations disproportionately, including children of black, Hispanic, and Aboriginal ethnicity, and visible minorities.23 Two education articles in The BMJ offer healthcare providers guidance to better identify child abuse and neglect and recognise young people experiencing criminal and sexual exploitation.45 They summarise the growing evidence base that should inform consistent, effective practice. Schwartz et al discuss screening using clinical decision rules such as the TEN-4-FACESp, which identifies region, age, and patterns of bruising that are more likely to be caused by abuse than accidental injury.46 Such tools have advanced the ability of busy frontline clinicians to identify injuries suggestive of child maltreatment, but they rely on providers’ ability to remember which bruises, and at what ages, are “high risk.” Also, a positive screening result does not mean that a child is certainly …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142598110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Abortion dominant, but health sidelined: the road to Trump’s win 堕胎占主导地位，健康却靠边站：特朗普的获胜之路

The BMJ Pub Date : 2024-11-11 DOI: 10.1136/bmj.q2456

Joanne Silberner

{"title":"Abortion dominant, but health sidelined: the road to Trump’s win","authors":"Joanne Silberner","doi":"10.1136/bmj.q2456","DOIUrl":"https://doi.org/10.1136/bmj.q2456","url":null,"abstract":"Donald Trump is the new US president after an ill tempered campaign that saw abortion dominate on the Democratic side but healthcare a minor part of the overall election discourse. Joanne Silberner reports on the medical issues that were debated—and what this may bode for the new president’s agenda The route to the US presidency this election season was a wild ride, marked by a relatively last minute change of candidates on the Democratic side, from incumbent president Joe Biden to his deputy Kamala Harris, and disinformation, misdirection, and odd statements by former president—now president elect—Donald Trump, the Republican candidate. Three weeks before voting day, Drew Altman, chief executive of the health policy research foundation KFF, wrote that this was not a “healthcare election.”1 Indeed, throughout the months long campaigning the only health topic that made it into the top tier for the presidential candidates was reproductive rights. Beyond that, the high price of prescription drugs and the limits of the health insurance system got occasional mentions. The candidates made some promises about reform of Medicare, the healthcare insurance scheme for over 65s and disabled people. And only the Democrats talked about Medicaid, the major scheme for people on low incomes. However, as Altman noted, healthcare costs formed a big part of the US public’s worries about the economy. And a Harvard Youth Poll of 18 to 29 year olds done in March found that healthcare was a key issue for them, rating higher than inflation, housing, gun violence, and jobs.2 Trump announced his plan to run again for the presidency in November 2022. His hour long speech mentioned healthcare once, in promising to “systematically” bring it back to “the American middle class and to America itself.” By July 2024, at the Republican National Convention, where Trump became …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142598106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Why I . . . wrote my memoir 我......为什么写回忆录

The BMJ Pub Date : 2024-11-11 DOI: 10.1136/bmj.q2425

Kathy Oxtoby

引用次数: 0