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Breaking News, Sports, Manitoba, Canada

The HealthcareLCA database is an interactive tool for exploring health care’s significant environmental impact. It can inform changes in health policy and practice, and identify areas for research.

We read with interest the Personal View published by Selman and colleagues.1 These authors propose that the usual interstitial pneumonia (UIP) pattern be considered a single and discrete entity, consolidating primary and secondary causes. The authors note that shared pathogenic mechanisms and similarities in disease behaviour support this unification and suggest this approach would facilitate earlier anti-fibrotic therapy and clinical trials. However, we urge caution with this approach. Although UIP has been shown in multiple studies to be associated with a poor prognosis when compared with ot...

We read with interest the comments by Gautam and colleagues related to our Personal View, in which we proposed that the usual interstitial pneumonia (UIP) pattern found in idiopathic pulmonary fibrosis and several other interstitial lung disease subtypes transcends the diagnostic labels currently assigned to them since it exhibits striking similarities in disease behaviour and pathogenic profile and invariably affects the clinical course and prognosis.1 However, we do not argue that identical outcomes will be seen in individual patients with UIP and nor do we advocate uniform UIP management.

Increasing numbers of health-care professionals are aware of the need to deliver low-carbon sustainable health systems. We aimed to explore how physicians can be motivated and supported to pursue this ambition by conducting an exploratory qualitative descriptive study that involved individual in-depth interviews with climate-engaged Canadian physicians participating in health-care sustainability advocacy and action. Interview transcripts were analysed to identify themes related to the actions that physicians can take to promote sustainable health care, and the motivators and enablers of physic...