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Lancet articles

Predicting the future is a human preoccupation but not one without risks. Predictions tend to expand on current trajectories, missing the big disrupters and barriers, and rendering them inaccurate. In 1930, The Lancet published an editorial on the future of surgery discussing the forecasts of A F Hurst, a surgeon at Guy's Hospital, who had recently published his deliberations in the hospital gazette. He considered cancer and gallstones were likely to be “only a very small problem to the future…

Imagine two people, one with depression and one with cancer. Both patients are clearly able to make rational judgments about their treatment. They both recognise they are ill and that there are consequences to not receiving treatment. In the case of the former, the fact the patient has capacity to make clear and rational decisions has no relevance; and even if fully capable, their unwillingness to consent can be overridden. In the case of the latter, their capacity is central, and proceeding to…

Human Rights Day is recognised annually on Dec 10, and this year is especially important since it is the 70th anniversary of the day that the UN General Assembly adopted the Universal Declaration of Human Rights. The Declaration, through its 30 Articles, proclaims the rights that everyone is entitled to as a human being, regardless of race, colour, religion, sex, language, political or other opinion, national or social origin, property, birth, or other status. Today, Lawrence Gostin and colleagues,…

Internal migration and international migration are both common occurrences with profound implications for both origin and destination geographies and populations. The process of migration and health of migrants are connected in complex ways. An individual's health can influence their decision to move, and migration might affect the health of those who move, those who stay, and even those who host migrants.1–3 In host populations, popular rhetoric and media coverage often portray migrants to be…

Little evidence is available about the impact parental migration has on children who are left behind. Although parents leaving children in the care of their extended families while they seek employment—either within their origin country or internationally—is common in low-income and middle-income countries (LMICs), few studies have investigated the impact this has on the health outcomes of these children.

Learning Together had small but significant effects on bullying, which could be important for public health, but no effect on aggression. Interventions to promote student health by modifying the whole-school environment are likely to be one of the most feasible and efficient ways of addressing closely related risk and health outcomes in children and young people.

The multi-component whole-school SEHER health promotion intervention had substantial beneficial effects on school climate and health-related outcomes when delivered by lay counsellors, but no effects when delivered by teachers. Future research should focus on the evaluation of the scaling up of the SEHER intervention in diverse contexts and delivery agents.

An 80-year-old man presented to our hospital with a 4-day history of a throbbing pain in the front part of his head that was not relieved by analgesics. The pain had developed gradually and was not associated with any weakness in his arms or legs, numbness or visual symptoms. His medical history included a diagnosis of an intracranial epidermoid cyst, hypertension, and depression. A full clinical neurological examination showed no abnormalities. A CT scan of his head (appendix) showed no additional…

The Lancet Countdown: tracking progress on health and climate change was established to provide an independent, global monitoring system dedicated to tracking the health dimensions of the impacts of, and the response to, climate change. The Lancet Countdown tracks 41 indicators across five domains: climate change impacts, exposures, and vulnerability; adaptation, planning, and resilience for health; mitigation actions and health co-benefits; finance and economics; and public and political engagement.

Is it under control? This question is asked whenever an outbreak is afoot and has been the conundrum surrounding the current Ebola virus disease outbreak in the Democratic Republic of the Congo where, because of community mistrust and ongoing violence, case totals have risen sharply. Alhough there are times when an outbreak is undoubtedly within grasp or clearly out of hand, the degree to which an outbreak is under control is often difficult to gauge even by the individuals responding to it. Outbreak…