Medicine As It Should Be: A Cultural Shift

How high should it be?

Gleason score 6 adenocarcinoma: should it be labeled as cancer?

Overtreatment of low-grade prostate cancer (Gleason score 6) is a recognized problem today, with systematic prostate gland sampling triggered by prostate-specific antigen (PSA) measurements. The extent to which overtreatment is caused by fear of death resulting from cancer, fear of litigation from undertreatment, and misaligned incentives that reimburse more for treating rather than monitoring ...

Common Sense in Environmental Impact Assessment It is not as Common as it Should Be

Reviews of environmental impact assessment (EIA) practice, particularly by industrial proponents, have highlighted common shortfalls. EIA would benefit from more ‘common sense’, which is not very common. For example, issue scoping usually includes too many inconsequential factors, and issues not directly affecting project decisions. Consideration of significance is often vague, misleading or in...

Blunt renal artery trauma: how should it be treated, or rather, should it be treated?

Staphylococcus lugdunensis; a pathogen that should be considered in Iran

Background: Staphylococcus lugdunensis is Gram-positive cocci of the staphylococcaceae family. S. lugdunensis despite having a clotting factor (wall coagulase), was classified in the coagulase negative staphylococcus group (CoNS) for lack of free coagulase. Although this bacterium is part of the human normal flora, in terms of virulence, S. lugdunensis is in second place after S. aureus. S. lug...