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woensdag 28 februari 2018

The Lancet: [Comment] Challenges in health equity for Indigenous peoples in Canada

[Comment] Challenges in health equity for Indigenous peoples in Canada
Canada's health-care system, like the country itself, is a complex entity. As the two papers in The Lancet's Series on Canada1,2 make clear, the country's health-care landscape is made up of multiple people, places, and policies with often overlapping—and sometimes conflicting—jurisdictions, priorities, paradigms, and practices. These complexities are rooted in Canada's fairly young colonial history that resulted in a nation comprised of a majority of settler and recent immigrants and their descendants, alongside a steady resurgence of Indigenous populations of First Nations, Inuit, and M├ętis peoples that are growing in numbers, political acumen, and agency.
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[Correspondence] Oxfam: sex scandal or governance failure?
The apparent failure of Oxfam to take appropriate actions against ongoing sexual predation by its aid workers is tragic, infuriating, and concerning. It is also ironic, given that Oxfam is considered a bastion of good governance, ethics, and human rights.1 Indeed, Oxfam's policy and practice arm has no less than 577 publications on promoting good governance and a further 455 on human rights.2 As a health policy and systems researcher who studies the dynamics between international agencies and domestic policy makers in low-income and middle-income countries (LMICs), I believe it is critical to reflect on what the "Oxfam scandal" is not.
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[Comment] Death and suffering in Eastern Ghouta, Syria: a call for action to protect civilians and health care
Since Feb 4, 2018, Syrian forces with Russian support have bombarded Eastern Ghouta, an enclave out of government control near Damascus. This military action has killed hundreds of civilians and injured more than 1550 people as of Feb 21, 2018,1 in an area where about 390 000 people, most of whom are civilians, have lived under siege since October, 2013. The recent escalation is reportedly part of a Syrian Government offensive supported by its Russian and Iranian allies to retake Ghouta. In just 1 day, on Feb 20, 2018, PAX, an international peace movement, documented 110 civilians killed and hundreds injured in 131 air strikes, 44 barrel bombs, 28 surface-to-surface "elephant" missiles, five cluster bombs, and countless other artillery and rocket fire.
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[Department of Error] Department of Error
Papi A, Vestbo J, Fabbri L, et al. Extrafine inhaled triple therapy versus dual bronchodilator therapy in chronic obstructive pulmonary disease (TRIBUTE): a double-blind, parallel group, randomised controlled trial. Lancet 2018; https://doi.org/10.1016/S0140-6736(18)30206-X—In figure 3B of this Article, the y-axis title and the "Adjusted mean difference between treatments" heading have been corrected. This correction has been made to the online version as of Feb 26, 2018, and will be made to the printed Article.
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[Comment] Hypertension: time for doctors to switch the driver's seat?
In The Lancet, Richard McManus and colleagues1 in the TASMINH4 trial address a timely and clinically relevant question, as to whether self-monitoring of blood pressure, with or without telemonitoring, when used by general practitioners (GPs) to titrate antihypertensive therapy in individuals with poorly controlled blood pressure, leads to significantly lower blood pressure than titration guided by clinic readings alone.
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