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Archive for February, 2015

Beyond Transactions

Friday, February 13th, 2015

There’s what you do. And then there’s who you are.

Remembering this is terribly important. Maybe the most important thing of all.

This image for Zappos is about that transition, about bringing larger meaning to the work they do.

Because if you don’t have that big picture, it makes it hard to get excited about the day to day.

But if you do – if you have that deep sense of purpose – work becomes joy.

Image and text by @gapingvoid

It’s a bird, it’s a plane, take a look at the sky…

Thursday, February 12th, 2015

A street art worth 100 poems by Ernest Zacharevic.

How to prevent overdiagnosis

Thursday, February 12th, 2015

A recent article by the title How to Prevent Overdiagnosis, published in Swiss Medical Weekly, accurately sums up the issues about overdiagnosis.

Overdiagnosis, as defined in the summary is the diagnosis of an abnormality that is not associated with a substantial health hazard and that patients have no benefit to be aware of.

In their conclusion, the authors, mainly from the Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital, Switzerland, provide a perfectly concise 5 bullet points overview of overdiagnosis issues:

  1. Overdiagnosis is mainly the consequence of a technology-driven medicine that aims to improve patient outcomes by detecting disease in its earliest form.
  2. Overdiagnosis is of growing relevance in population dominated by chronic conditions having long pre-clinical stage.
  3. Although early detection has been shown to be beneficial for several conditions, it also increases the probability of finding insignificant abnormalities, whose treatment is not associated with any benefit but can harm the patient.
  4. Moreover, overdiagnosis diverts healthcare professionals from caring about other health issues and generates costs.
  5. The increase in healthcare costs, the over- and underutilisation of some care, the debates about the effectiveness of several screening, and the growing role of patients in medical decisions require concern about overdiagnosis.

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