{"id":31174,"date":"2014-03-05T10:56:21","date_gmt":"2014-03-05T09:56:21","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=31174"},"modified":"2014-03-05T10:56:21","modified_gmt":"2014-03-05T09:56:21","slug":"the-bmj-today-hpv-vaccine-chemotherapy-and-psychiatry-in-the-gaza-strip","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2014\/03\/05\/the-bmj-today-hpv-vaccine-chemotherapy-and-psychiatry-in-the-gaza-strip\/","title":{"rendered":"The BMJ Today: HPV vaccine, chemotherapy, and psychiatry in the Gaza strip"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"float: left\" alt=\"Harriet Vickers\" src=\"http:\/\/www.bmj.com\/site\/blog\/icons\/harriet_vickers.jpg\" width=\"160\" height=\"110\" \/>Another evidence booster for the quadrivalent vaccine today. Controlled clinical studies have shown it almost completely prevents high grade cervical abnormalities, and now <a href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g1458\">a <em>BMJ<\/em> paper has confirmed<\/a> that even in the messy, real world it confers a risk reduction of 46% for these, and also of 34% for other cervical abnormalities. Whilst this is obviously great news for women, the authors stress we need to rapidly review cervical screening in this new era of prevention.<!--more--><\/p>\n<p>The benefit of pursuing chemotherapy at the end of life is less clear cut, <a href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g1529\">as Michael Rabow<\/a> argues it\u2019s a difficult decision with potentially unexpected consequences. Commenting on<a href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g1219\"> a linked paper<\/a> led by Alexi Wright, he reflects on the finding that choosing palliative chemotherapy was associated with a whole set of outcomes that may not have been known, expected, or discussed by patients, their family caregivers, and their oncologists.<\/p>\n<p>What\u2019s in a name? The difference between paternalism and pragmatism, <a href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g1828\">say Bruce Summers and Caroline Dover<\/a> today, as they mull over a tide of -itides and syndromes they conclude are spurious labels.<\/p>\n<p>And finally, a farewell to <a href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g1764\">Eyad Rajab el-Sarraj<\/a>, the first psychiatrist to practice in the Gaza strip. In the most violent weeks of the areas history, and in a culture where mental illness was kept quiet, he established a programme which now has 40 specialists tackling problems from post traumatic stress disorder and suicide bombing, to depression, domestic violence, and alcoholism.<\/p>\n<p><em><strong>Harriet Vickers<\/strong> is assistant multimedia editor, BMJ.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Another evidence booster for the quadrivalent vaccine today. Controlled clinical studies have shown it almost completely prevents high grade cervical abnormalities, and now a BMJ paper has confirmed that even [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2014\/03\/05\/the-bmj-today-hpv-vaccine-chemotherapy-and-psychiatry-in-the-gaza-strip\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[447,5750,1357],"tags":[],"class_list":["post-31174","post","type-post","status-publish","format-standard","hentry","category-india","category-the-bmj-today","category-us-health-care"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The BMJ Today: HPV vaccine, chemotherapy, and psychiatry in the Gaza strip - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2014\/03\/05\/the-bmj-today-hpv-vaccine-chemotherapy-and-psychiatry-in-the-gaza-strip\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The BMJ Today: HPV vaccine, chemotherapy, and psychiatry in the Gaza strip - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Another evidence booster for the quadrivalent vaccine today. 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