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[Articles] Use of quantitative molecular diagnostic methods to identify causes of diarrhoea in children: a reanalysis of the GEMS case-control study

A quantitative molecular diagnostic approach improved population-level and case-level characterisation of the causes of diarrhoea and indicated a high burden of disease associated with six pathogens, for which targeted treatment should be prioritised.

2016-09-23

[Department of Error] Department of Error

Ekelund U, Steene-Johannessen J, Brown WJ, et al. Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? A harmonised meta-analysis of data from more than 1 million men and women. Lancet 2016; 388: 1302–10—In table 3, the hazard ratio for 3–4 h/day and >35·5 MET-h per week was missing and should have been 1·01. This correction has been made to the online version as of Sept 22, 2016, and the printed Article is correct.

2016-09-23

[Department of Error] Department of Error

Bagot KL, Cadilhac DA, Hand PJ, Vu M, Bladin CF. Telemedicine expedites access to optimal acute stroke care. Lancet 2016; 388: 757–58—the conflict of interest statement of this Correspondence piece (published Aug 20, 2016) should have stated “KLB, DAC, MV, and CFB report grants from The Windemere Foundation, The State Government of Victoria: Department of Business and Innovation and Department of Health, Commonwealth Government: Health and Hospitals Fund, and Telstra. KLB, DAC, MV, and CFB report non-financial support from Monash University, Ambulance Victoria, National Stroke Foundation, and Loddon Mallee Rural Health Alliance.

2016-09-23

[Department of Error] Department of Error

Giles TD, Weber MA, Basile J, et al, for the NAC-MD-01 Study Investigators. Efficacy and safety of nebivolol and valsartan as fixed-dose combination in hypertension: a randomised, multicentre study. Lancet 2014; 383: 1889–98—In figures 2A and 2B of this Article, the first fixed-dose combination bars labelled as “FDC 10 and 80 mg/day” should be labelled as “FDC 10 and 160 mg/day”. These corrections have been made to the online version as of Sept 22, 2016.

2016-09-23

[Correspondence] Schizophrenia

We read with interest the Seminar on schizophrenia by Michael J Owen and colleagues1 (July 2, p 86) in which clinical, epidemiological, pathophysiological, and treatment aspects of the disorder are reviewed comprehensively and thoughtfully. We think that additional points could have been usefully included in the discussion.

2016-09-23

[Correspondence] Alcohol and the Sustainable Development Goals

The Comment by Jeff Collin and Sally Casswell (June 25, p 2582)1 describes the conflict between public health policy on reducing harmful use of alcohol and the commitments to increase trade liberalisation in the UN's Sustainable Development Goals 2016–30, which are leading to increasing alcohol availability.

2016-09-23

[Correspondence] China's challenges in promoting physical activity and fitness

In June, 2016, the Chinese Government released a National Fitness Plan (2016–20) aiming to increase physical activity and improve overall population fitness.1 The plan addresses the urgent need to promote population-level health, which is increasingly adversely affected by the unprecedented economic development in the world's most populous country.

2016-09-23

[Correspondence] Development of bicycle infrastructure for health and sustainability

Regular use of a bicycle as personal transport (instead of motorised vehicles) has many advantages for human health and a clean sustainable environment.1–3 A well developed bicycling infrastructure is key for promotion of cycling. Only a few cities worldwide (mostly in Europe) have a sufficiently good bicycling infrastructure, and the proportion of bicycle trips in these cities (eg, Amsterdam and Copenhagen) is relatively high (table).3,4

2016-09-23

[Correspondence] Sport and the city: midtown madness

Physical inactivity might lead to excess cardiovascular and cancer mortality, whereas compliance with the WHO-recommended moderate and vigorous physical activity (MPVA) of 150 min per week as part of a healthy lifestyle could reduce that risk. One could argue that this is largely a matter of public education, but if people can be convinced, do they have sufficient opportunities to act accordingly? James Sallis and colleagues1 (May 28, p 2207) showed that the design of the urban environment has an important effect on physical activity levels of residents.

2016-09-23

[Correspondence] Coercion in maternity care

I read with interest the Maternal Health Series published in The Lancet. I was pleased to see that the over-medicalisation of TMTS (too much too soon) was recognised by Miller and colleagues (Sept 15, 2016).1

2016-09-23

[Correspondence] July 23, 2016, in Bamyan, Afghanistan

I write this from Bamyan, in central Afghanistan, the capital of the Shia minority Hazara community. The Hazara people were peacefully demonstrating for electricity lines to run through their province when many of them were killed by suicide bombers in Kabul.1 But that type of attack, which happens with an unfortunate regularity in Afghanistan, should not obscure the progress that has been made over the past 10 years.

2016-09-23

[Obituary] Thomas Babington Boulton

Anaesthetist specialising in difficult environments. Born in Bishop Auckland, UK, on Nov 6, 1925, he died in Goring-on-Thames, UK, on July 1, 2016, aged 90 years.

2016-09-23

[Perspectives] Health-care provider as witness

As he was approaching his own death, Stuart Farber, a palliative care physician, reflected on personhood and what he referred to as his thread:

2016-09-23

[Perspectives] Knowledge

It's late, a bar somewhere where delegates briefly inhabit both conference identities: serious doctor, frivolous partier. The balance shortly will tip, people gravitating already to the dance floor, but our small group stays huddled in a corner, cradling drinks. One of us—chief partier in her day, now rising academic—sways a little as she holds court. She presented her paper earlier and is, as they say, on fire. Hard to hear clearly, but lean in and you might catch this: at least we're working on new knowledge, she says, not just wading through endless patients every day.

2016-09-23

[Perspectives] Epilepsy—the unwelcome visitor

“I've never met a single other person who has it”, a patient recently told me. She had been diagnosed with epilepsy 5 years before and she felt isolated. But if one in 100 people in the UK has epilepsy, and about 50 million people worldwide are affected, was it even possible that she had never met any one of them? “People just don't talk about it”, she added, and I knew immediately that was the more likely explanation.

2016-09-23

[World Report] Jumping cultural hurdles to keep fit in the Middle East

Women in the Middle East face cultural barriers to exercise, but some positive examples of initiatives in the region could provide models for other countries. Sharmila Devi reports.

2016-09-23

[World Report] EpiPen price hike comes under scrutiny

By substantially raising the price of EpiPen, drug company Mylan has received widespread criticism for what many observers see as the latest symbol of big pharma profiteering. Rita Rubin reports.

2016-09-23

[World Report] Global Fund replenishment meeting nears target amount

Mark Dybul has led the Global Fund through a successful replenishment conference, ending up just shy of the US$13 billion fundraising target for the 2017–19 period. Ann Danaiya Usher reports.

2016-09-23

[Comment] Offline: A prescription for prosperity

Health is bad for you. That's what many economists believe. A man called William Baumol may be largely to blame. In the 1960s, he invented the notion of a “cost disease” in modern societies. It was a powerful metaphor, one that has shaped the prejudices of many a Minister of Finance ever since. His central idea sounds convincing. Some industries are good at increasing their productivity. As a result, they earn more money to invest in the wages of their employees. These sectors of the economy deserve our praise.

2016-09-23

[Comment] G7 Health Ministers' Kobe Communiqué

2016 marks the first year of the implementation of the 2030 Agenda for Sustainable Development, including the achievement of universal health coverage (UHC). G7 members shared common values and interests at the G7 Health Ministers' meeting in Kobe, Japan, on Sept 11–12, 2016,1 and reaffirmed to enhance our commitment to the G7 Ise-Shima Vision for Global Health2 through the following actions.

2016-09-23
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