Treating depression and anxiety in primary care: closing the gap between knowledge and practice

Article Abstract:

Many patients with depression and other psychiatric disorders only receive treatment from their primary care physicians. Individuals suffering from depression may be more disabled than patients with other chronic illnesses. But an estimated 45 to 90% of psychiatric disorders are not detected by primary care physicians. Most medical schools do not prepare physicians to practice general medicine. Many patients do not report symptoms of emotional distress to their physician, and many have physical rather than psychological symptoms. Antidepressants take a long time to take effect, and psychiatric patients need counseling in addition to medication. Treating patients with psychiatric disorders is time consuming, and visits to primary care physicians are not long enough for this type of treatment. Primary care physicians need to increase their knowledge of psychiatric disorders, and improve their interviewing skills. More treatment options need to be offered to patients. Physicians need to receive adequate payment for the time they spend counseling patients.

Care and treatment, Column, Depression, Mental, Depression (Mood disorder), Anxiety

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Would cloned humans really be like sheep?

Article Abstract:

Cloning of humans would not improve the human species and would probably have a negative impact. Cloning involves making a cell or organism that is an exact copy of another. Usually this means that it has the same genes. In higher animals such as Dolly the sheep, this is done by taking an egg, removing its nucleus and replacing it with a nucleus from an adult animal's cell. The egg is placed in an animal's uterus and is ultimately born. The loss of genetic diversity among clones would make them extremely vulnerable. And environment still determines human nature to a large extent.

Ethical aspects, Cloning

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The sleep of reason produces monsters - human costs of economic sanctions

Article Abstract:

Physicians should call for an end to economic sanctions against foreign countries. In late 1994, Pres Clinton reversed the policy of giving Cuban immigrants asylum, causing 30,000 Cubans to be held in detention camps. The only way to enter the US was for medical treatment, so many Cubans inflicted wounds on themselves. Economic sanctions against Cuba have mostly affected the Cuban people. Iraqis have also suffered from the destruction of their public health system during the Persian Gulf War. Most economic sanctions affect civilians, not the dictators who inspired them.

Health aspects, Editorial, Emigration and immigration, Economic sanctions, Sanctions (International law), Persian Gulf War, 1991, Cubans

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