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Nationwide dispensing of cardioprotective medications during the first year following acute coronary syndrome (ANZACS-QI 56) Open Access PDF Download Unless contraindicated, the current guidelines for secondary prevention following acute coronary syndrome (ACS) recommend a statin for all patients. Patients should also receive combination antithrombotic therapy—usually a combination of aspirin and a PY212 inhibitor antiplatelet agent. But, for patients with atrial fibrillation, an oral anticoagulant may be added or substituted for an antiplatelet agent. For most patients, a beta-blocker and...

9). We report trends in management and outcomes of melioidosis over 10 years at a nongovernmental pediatric hospital in northern Cambodia. The Study This study was approved by the hospital institutional review board (AHC IRB 979-14; 1044-15) and the Oxford Tropical Medicine Research Ethics Committee (OxTREC 550-14). Data on all culture-confirmed case-patients who had B. pseudomallei infection during January 1, 2009–December 31, 2018, were collected retrospectively (2009–2013) and prospectively as part of an invasive bacterial infection surveillance study. Retrospective case-patients (the...

Impact of burnout on empathy Open Access PDF Download Burnout—a syndrome that is characterised by emotional exhaustion, depersonalisation and low sense of personal accomplishment—has been associated with a higher frequency of medical errors, lapses in professionalism, impeded learning, problematic alcohol use and suicidal ideation. Burnout is important because it can damage doctors and impair patient care. Burnout is defined as “a state of physical, emotional and mental exhaustion that results from long-term involvement in work situations that are emotionally demanding.”1 Many variab...

Children on the move: the tale of a surprising spillover in humanitarian cash transfers to refugees Imagine the following scenario: you have a population consisting of two groups, who are, on average, equally poor at baseline. You randomly pick one group to receive sizeable cash transfers: what would happen to inequality within this population? It should increase, mainly because you increased between-group inequality, which was negligible at the start (assume away, if you wish, within-group inequality for now). At the same time, poverty should decline in the recipient group relative to the ot...

We thank 2 anonymous reviewers for their helpful comments on the manuscript. M.V. was funded by the European Research Council under the European Union’s Horizon 2020 Research and Innovation Programme (grant agreement no. 852957). J.Y. was supported by a Collaborative Awards in Science and Engineering studentship funded by the Natural Environment Research Council, Swindon, UK. References Dennis  D, Hayes  E. Epidemiology of Lyme borreliosis. In: Gray J, Kahl O, Lane R, Stanek G, editors. Lyme borreliosis: biology, epidemiology and control. New York: CABI; 2002. p. 251–80. Rizzoli  A, H...