Planning Dilemmas

Intersectoral Planning for Public Health: Dilemmas and Challenges

Background Intersectoral action is often presented as essential in the promotion of population health and health equity. In Norway, national public health policies are based on the Health in All Policies (HiAP) approach that promotes whole-of-government responsibility. As part of the promotion of this intersectoral responsibility, p...

Dilemmas in a General Theory of Planning

The search for scientific bases for confronting problems of social policy is bound to fail, because of the nature of these problems. They are "wicked" problems, whereas science has developed to deal with "tame" problems. Policy problems cannot be definitively described. Moreover, in a pluralistic society there is nothing like the undisputable public good; there is no objective definition of equ...

Training dilemmas and false dilemmas

Dioxin dilemmas.

Few chemicals have engendered as much public/political controversy as the dioxins, particularly 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD). The scientific base for addressing this complex issue continues to feature differences of opinion among responsible scientists as to the quality and interpretation of data on dioxin epidemiology, animal bioassays, and mechanisms of carcinogenesis. Human stu...

Diagnostic Dilemmas

We report a case of metastatic malignant melanoma resembling a malignant peripheral sheath tumor, which posed a significant diagnostic challenge. The patient is a 76-year-old male, who presented in the emergency room with bilateral chest pain exacerbated by inspiration. The pain was present for 3 week and was not exacerbated by physical exercise. The diagnostic workup revealed bilateral parench...