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Dr. Richard Smith
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Thursday, 22 May 2008
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London, UK. To reinvigorate medicine and provide a useful information tool for clinicians and patients
Why would anybody want to publish a journal that is a mountain of case reports? Aren't case reports scientifically discredited? And why in particular would an old stager like me, once editor of the BMJ and strongly associated with evidence-based medicine, want to be the Editor-in-Chief of such a journal [1]?
These are questions that I've had to answer to my own satisfaction to take on the job and that I need to answer to your satisfaction if you are ever to access this journal again.
Why do we need Cases Journal? Richard Smith. Cases Journal 2008, 1:1. doi: 10.1186 / 1757-1626-1-1 [ Download PDF ]
The case for top of the range case reports has already been convincingly made — both by our academic sister publication [2] and by Jan Vandenbroucke, one of the wisest heads in medical science [3,4]. By definition every new condition — whether it is AIDS, SARS, or the next emergent disease - begins with a single case. Case reports have always been important for detecting adverse drug reactions [5,6]. They also matter in understanding mechanism of disease and for recognising rare manifestations of diseases. Jeff Aronson and others have described circumstances where case reports can provide definitive not just indicative evidence [7,8].
But what is the case for mass publication of case reports such as this journal hopes to achieve? And we will publish any case report that is authentic, understandable, and ethical. It might be an account of a cold sore or, as on this launch, a description of my "Beijing cough" that includes no health professional and no treatment. Our radical contention - which is perhaps not so radical to med |
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Dr. Richard Smith
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Thursday, 22 May 2008
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London, UK. A journal that wants to accept not reject and to include patients as authors as much as possible
Cases Journal will publish any case report that is authentic, understandable, and ethical. The report doesn't have to be original or "important," and we hope eventually to publish tens of thousands of case reports a year. The accompanying editorial discusses what we hope to achieve with this new journal.
This editorial explains our editorial processes.
Case reports can eventually be submitted by anybody [1] — patients, doctors, nurses, relatives, anybody — but we are starting with simply clinicians. We are providing a template [2] that will make it easy for authors to include the information th |
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TS-Si News Service
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Tuesday, 20 May 2008
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Rochester, MN, USA. Are the health needs of women adequately addressed by medical research as it is currently conducted? Researchers say a growing body of evidence shows important differences between men and women must be addressed by medical research, including how they respond to treatment and the long-term outcomes. Australian researchers and two cardiologists examine this question in the Mayo Clinic Proceedings, published by Mayo Foundation for Medical Education and Research.
"The traditional model of medical research was limited by gender and racial blindness and assumed that results of research on white male participants could be easily extrapolated to female and minority populations," write Wendy Rogers, |
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TS-Si News Service
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Wednesday, 14 May 2008
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Berkeley, CA, USA. Standard magnetic resonance imaging (MRI) has found increasing usefulness for research and acceptance as a diagnostic tool, but it cannot meet the more stringent requirements of current needs. The relatively low sensitivity of standard MRI limits image resolution and patients must remain motionless for long periods of time inside noisy, claustrophobic machines. However, a promising new MRI advance is in the laboratory and nearly ready for wider use.
Researchers in the neurosciences — and neurobiology in general — are likely to have first access to the significant new capabilities within the next few years. Clinical settings would benefit thereafter, providing diagnosticians with detection too |
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TS-Si News Service
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Friday, 02 May 2008
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Paris, France. So here we are in the 21st century still trying to decipher a busy physician's handwriting and ensure that drug prescriptions do not have errors. The number of medical codes in common use among the industrialized nations continue to increase but medical charts and other documents rely on old-fasioned manual transcription. At the same time, electronic devices, such as a Personal Data Assistants (PDA) with touch screens are increasingly available.
Icons can be a convenient graphical shorthand for what would be otherwise lengthy text descriptions. They are very common in online applications ranging from websites to music downloads, as well as more tradional settings such as supermarket and road sign |
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Sharon Gaughan
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Friday, 18 July 2008
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TS-Si News Service
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Tuesday, 15 July 2008
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TS-Si News Service
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Saturday, 05 July 2008
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TS-Si News Service
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Friday, 04 July 2008
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TS-Si News Service
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Friday, 21 March 2008
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TS-Si News Service
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Friday, 14 March 2008
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TS-Si News Service
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Monday, 09 June 2008
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Sharon Gaughan
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Monday, 19 May 2008
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TS-Si News Service
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Sunday, 11 May 2008
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TS-Si News Service
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Wednesday, 25 June 2008
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TS-Si News Service
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Sunday, 01 June 2008
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TS-Si News Service
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Wednesday, 07 May 2008
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 TS-Si News Service Friday, 02 May 2008 Paris, France. How frequently do doctors misdiagnose patients? The issue of diagnostic error is rarely discussed and often understudied. While research has demonstrated that the great majority of medical diagnoses are correct, the answer is probably higher than patients expect and certainly higher than doctors realize. New research shows that errors ranged from <5% in the perceptual specialties (pathology, radiology, dermatology) up to 10% to 15% in many other fields.
In a Supplement to The American Journal of Medicine, a collection of articles and commentaries sheds light on the causes underlying misdiagnoses and demonstrates a nontrivial rate of diagnostic error.
Diagnostic Error: Is Overconfidence the Problem. Edited by Mark L. Graber MD, FACP, Eta S. Berner EdD, FACMI, FHIMSS. The American Journal of Medicine 121(5S) Supplement (May 2008).
The papers in this volume confirm the extent of diagnostic errors and suggest improvement will best come by developing systems to provide physicians with better feedback on their own errors.
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 Christine Vestal Thursday, 24 April 2008 Washington, DC, USA. After Anna G., a 74-year-old New Jersey woman, suffered a stroke, she needed help with bathing, dressing, food shopping, laundry, meal preparation and housekeeping. Anna G's state Medicaid plan covered the cost of a home-health care worker to provid |
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 TS-Si News Service Saturday, 19 April 2008 Chicago, IL, USA. The Journal of the American Medical Association (JAMA) has published studies in the April 15 (2008) issue that document the apparent misrepresentation of research data by one company and its manipulation of clinical research articles and clinical reviews. In an April 16th JAMA editorial, Catherine D. De |
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 TS-Si News Service Sunday, 30 March 2008 Tempe, AZ, USA. Miners have used a canary in a cage to warn of gas, an example of a biosensor. The miners used an organism that responded to threshold levels of toxic substances to warn us of their presence. Strictly speaking, a biosensor is a device that combines |
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 TS-Si News Service Tuesday, 25 March 2008 Santa Monica, CA, USA. Heredity has effects on health. Humans have known that for millennia. However, the actual mechanisms involved have remained elusive, with basic knowledge starting to accumulate only in recent times. The contribution of Gregor Mendel (1822-1884) made |
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 TS-Si News Service Saturday, 22 March 2008 Boston, MA, USA. A new poll monitors the debate over the comparative merits of the US health care system and those in other countries. President Bush and other US political figures claim the US has the best system in the world. However, the World Hea |
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Daniel C. Vock Monday, 17 March 2008 Washington, DC, USA. Oficials in the United States face the twin problems of expanding health care to increasing numbers of uninsured people, whil coping with ever increasing costs. The expected economies of scale have not materialized. While more th |
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 TS-Si News Service Sunday, 02 March 2008 Washington, DC, USA. How are you feeling? And where are you, anyway?
Modern technology allows specialists at major medical centers to diagnose and monitor faraway patients by remotely reviewing their records, analyzing medical images and consulting with them and their local physicians using high-tech video teleconfere |
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 TS-Si News Service Saturday, 23 February 2008 New York, NY, USA. According to Professor Lars Kallings, the major obstacles in the fight against HIV and AIDS include denial, myths, complacency, the lack of political will, and the subordination of women.  He says that with no cure or vaccine in sight, scaling up prevention takes on paramount importance. Kallings notes that the subordination of young girls and women, and the contempt they are shown in many countries, is the major cause of the epidemic. |
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So They Say
Confusing gender with sex is willful ignorance; confusing them for personal gain is amoral and typical of political activists.
Lisa Jain Thompson
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Finding Our Way
Robot Violinist. A robot plays Pomp and Circumstance on the violin. The robot used its mechanical fingers to push the strings and bowed with its other arm.
The 152 cm (five foot) performer can perform a variety of tasks with its hands and arms, each of which has 17 joints.
Using precise control and coordination to achieve human-like agility, the robot could also be used to assist with domestic duties or nursing and medical care.
Countdown
US Election: 106 days 6 hrs 48 min
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