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Posts: 34

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[Correspondence] From bad to worse: the unbreathable air of Lahore

Published: December 21, 2024 00:00

Imagine stepping outside and each breath feels like a hazard—this situation is the grim reality for millions living in Lahore, Pakistan. The average air quality index (AQI) in Lahore from Oct 17 to Nov 16, 2024, ranged from unhealthy to hazardous (AQI 180…

[Correspondence] Xenotransplantation: the future is closer than we think

Published: December 21, 2024 00:00

We read with interest the Offline piece on xenotransplantation published in The Lancet.1 As a research group that has made substantial preclinical contributions to the field of genetically modified pig-to-baboon liver xenotransplantation,2 we find the…

[Correspondence] Concerns about the role of physician associates in UK clinical practice

Published: December 21, 2024 00:00

In the Comment by Jessamy Bagenal on the roles of physician associates and doctors in the UK, professional protectionism is cited as a factor in opposing the appointment of physician associates.1 However, there are legitimate concerns2 that physician…

[Correspondence] The role of physican associates under Labour reforms

Published: December 21, 2024 00:00

We found the Comment by Jessamy Bagenal to be an insightful exploration of the role of physician associates in the UK health-care system.1 Since its publication, the UK's political landscape has shifted with the election of the Labour Government, bringing…

[Correspondence] Combined liver–kidney transplantation: 40 years of saving lives

Published: December 21, 2024 00:00

Since the first successful combined liver–kidney transplantation reported in The Lancet in 1984,1 this procedure has evolved into a preferred treatment for patients with end-stage liver disease and end-stage kidney disease. Since the Model for End-stage…

[Comment] Winner of the 2024 Wakley Prize Essay: a deeper kind of caring

Published: December 21, 2024 00:00

For the 2024 Wakley Prize Essay we invited submissions on any clinical topic of importance to health and particularly encouraged entries that reflect on the act of caring in medicine.1 In the call for submissions we noted how “Medicine is a caring…

[Perspectives] Highlights 2024: diverse insights and perspectives on health stories

Published: December 21, 2024 00:00

In this issue of The Lancet we feature 30 photographs selected from the many interesting images that were entered for this year's Highlights photography competition. The winning images offer different insights and perspectives on health stories from a…

[Correspondence] Physician associates, competence expansion, and general practitioner burnout

Published: December 21, 2024 00:00

Jessamy Bagenal's argument in support of p-hysician associates in primary care1 overlooks the effect of such competence expansion of non-general practitioners on general practitioner workloads and, ultimately, general practitioner burnout. Burnout among…

[Clinical Picture] Abscopal response in a patient with fibrolamellar hepatocellular carcinoma following radiotherapy

Published: December 21, 2024 00:00

A 17-year-old child with fibrolamellar hepatocellular carcinoma presented for treatment of recurrence in the right hilum and bilateral lungs discovered during routine surveillance imaging; he had reported no symptoms.The patient was first diagnosed at 13…

[Correspondence] End non-consensual surgeries on intersex children in Serbia

Published: December 21, 2024 00:00

A report from October, 2024,1 on sex normalisation surgeries for intersex children in Serbia exposed an urgent human rights crisis. Serbian doctors claim that these procedures prevent trauma, but extensive evidence2 shows that non-consensual sex…

[Correspondence] Extended optical treatment for children with amblyopia in Europe: the EuPatch trial

Published: December 14, 2024 00:00

We would like to express our appreciation for the substantial contribution made by Frank A Proudlock and colleagues in their comparative analysis of extended optical treatment and early patching regimens’ efficacy in treating childhood amblyopia.1…

[Perspectives] Emma Rawson-Te Patu: decolonising public health globally

Published: December 14, 2024 00:00

In the spring of 2024, Emma Rawson-Te Patu became the first Indigenous person to serve as President of the civil society organisation the World Federation of Public Health Associations (WFPHA). Before that, Rawson-Te Patu, who describes herself as a…

[Comment] Catching smoke: the rising and unequal burden of landscape fires on global health

Published: December 14, 2024 00:00

Landscape fires occur on every continent except Antarctica.1 While some fires have devasting effects on local communities, more than two billion people around the world are also affected by air pollution produced by these fires, also known as smoke…

[Clinical Picture] Sarcoidosis of the pituitary gland and stalk in a man presenting asthenia, impotence, loss of libido, polyuria, and polydipsia

Published: December 14, 2024 00:00

A 36-year-old man with a 6-month history of asthenia, impotence, loss of libido, polyuria, and polydipsia attended our department; he also reported needing to wake up twice at night to urinate and Raynaud's phenomenon. The patient had a medical history of…

[Correspondence] Extended optical treatment for children with amblyopia in Europe: the EuPatch trial – Authors' reply

Published: December 14, 2024 00:00

We thank Catherine Stewart and colleagues and Yue Li and Guangsen Liu for their comments. Their work over 25 years, advocating personalised treatment with age-adjusted patching durations and extended optical treatment, represents important contributions.…

[Correspondence] Extended optical treatment for children with amblyopia in Europe: the EuPatch trial

Published: December 14, 2024 00:00

The most common form of amblyopia therapy comprises two components: glasses wear (optical treatment) and occlusion (patching) of the unaffected eye. Historically prescribed concurrently but now consecutively, initial glasses wear of typically 18 weeks will…