List Of Unsolved Problems In Medicine
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List Of Unsolved Problems In Medicine
This article discusses notable unsolved problems in medicine. Many of the problems relate to how drugs work (the so-called mechanism of action), and to diseases with an unknown cause, the so-called idiopathic diseases. Definition of "disease" There is no overarching, clear definition of what a disease is. On one hand, there is a scientific definition which is tied to a physiological process, and on the other hand, there is the subjective suffering of a patient and the loss of their life quality. Both approaches do not need to match, and they can even be contradictory. For example, when a patient seeks medical help because of a severe flu, the doctor will not care about the specific virological and immunological process behind the clearly visible suffering. This is contrasted by many hemochromatosis patients who will neither see suffering nor a change in his life quality, while the disease-causing process is severe and often deadly if left untreated. Similarly, many cancers ...
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Lists Of Unsolved Problems
List of unsolved problems may refer to several notable conjectures or open problems in various academic fields: Natural sciences, engineering and medicine * Unsolved problems in astronomy * Unsolved problems in biology * Unsolved problems in chemistry * Unsolved problems in engineering * Unsolved problems in geoscience * Unsolved problems in medicine * Unsolved problems in neuroscience * Unsolved problems in physics Mathematics, philosophy and information sciences * Unsolved problems in mathematics * Unsolved problems in statistics * Unsolved problems in computer science * Unsolved problems in philosophy * Unsolved problems in information theory Social sciences and languages * Unsolved problems in economics * Unsolved problems in fair division * Unsolved problems in linguistics See also * Cold case (unsolved crimes) * List of ciphertexts * List of NP-complete problems * List of PSPACE-complete problems * List of paradoxes * List of undecidable problems * List of unsolve ...
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Evidence-based Medicine
Evidence-based medicine (EBM) is "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients". The aim of EBM is to integrate the experience of the clinician, the values of the patient, and the best available scientific information to guide decision-making about clinical management. The term was originally used to describe an approach to teaching the practice of medicine and improving decisions by individual physicians about individual patients. Background, history and definition Medicine has a long history of scientific inquiry about the prevention, diagnosis, and treatment of human disease. The concept of a controlled clinical trial was first described in 1662 by Jan Baptist van Helmont in reference to the practice of bloodletting. Wrote Van Helmont: The first published report describing the conduct and results of a controlled clinical trial was by James Lind, a Scottish naval surgeon who conducted rese ...
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Oncology
Oncology is a branch of medicine that deals with the study, treatment, diagnosis and prevention of cancer. A medical professional who practices oncology is an ''oncologist''. The name's etymological origin is the Greek word ὄγκος (''ónkos''), meaning "tumor", "volume" or "mass". Oncology is concerned with: * The diagnosis of any cancer in a person (pathology) * Therapy (e.g. surgery, chemotherapy, radiotherapy and other modalities) * Follow-up of cancer patients after successful treatment * Palliative care of patients with terminal malignancies * Ethical questions surrounding cancer care * Screening efforts: ** of populations, or ** of the relatives of patients (in types of cancer that are thought to have a hereditary basis, such as breast cancer) Diagnosis Medical histories remain an important screening tool: the character of the complaints and nonspecific symptoms (such as fatigue, weight loss, unexplained anemia, fever of unknown origin, paraneoplastic phenome ...
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Paralysis
Paralysis (also known as plegia) is a loss of motor function in one or more muscles. Paralysis can also be accompanied by a loss of feeling (sensory loss) in the affected area if there is sensory damage. In the United States, roughly 1 in 50 people have been diagnosed with some form of permanent or transient paralysis. The word "paralysis" derives from the Greek παράλυσις, meaning "disabling of the nerves" from παρά (''para'') meaning "beside, by" and λύσις (''lysis'') meaning "making loose". A paralysis accompanied by involuntary tremors is usually called "palsy". Causes Paralysis is most often caused by damage in the nervous system, especially the spinal cord. Other major causes are stroke, trauma with nerve injury, poliomyelitis, cerebral palsy, peripheral neuropathy, Parkinson's disease, ALS, botulism, spina bifida, multiple sclerosis, and Guillain–Barré syndrome. Temporary paralysis occurs during REM sleep, and dysregulation of this system can lead ...
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Mourning
Mourning is the expression of an experience that is the consequence of an event in life involving loss, causing grief, occurring as a result of someone's death, specifically someone who was loved although loss from death is not exclusively the cause of all experience of grief. The word is used to describe a complex of behaviours in which the bereaved participate or are expected to participate, the expression of which varies by culture. Wearing black clothes is one practice followed in many countries, though other forms of dress are seen. Those most affected by the loss of a loved one often observe a period of mourning, marked by withdrawal from social events and quiet, respectful behavior. People may follow religious traditions for such occasions. Mourning may apply to the death of, or anniversary of the death of, an important individual such as a local leader, monarch, religious figure, or member of family. State mourning may occur on such an occasion. In recent years, ...
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Archives Of Sexual Behavior
The ''Archives of Sexual Behavior'' is a peer-reviewed academic journal in sexology. It is the official publication of the International Academy of Sex Research. History The journal was established in 1971 by Richard Green, who served as its editor-in-chief until 2001. He was succeeded by Kenneth J. Zucker. It is published by Springer Science+Business Media and has become a leading journal in its field. Associated with its editorial board and the International Academy of Sex Research are many of the world's leading figures in gender and sexuality research, including Richard Green, Kenneth Zucker, Milton Diamond, J. Michael Bailey, and Carol Martin. Article categories The types of articles published in the journal include: * empirical research (both quantitative and qualitative) * theoretical reviews and essays * clinical case reports * letters to the editor * book reviews Abstracting and indexing ''Archives of Sexual Behavior'' is abstracted and indexed in Biological Abst ...
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Pedophilia
Pedophilia ( alternatively spelt paedophilia) is a psychiatric disorder in which an adult or older adolescent experiences a primary or exclusive sexual attraction to prepubescent children. Although girls typically begin the process of puberty at age 10 or 11, and boys at age 11 or 12, criteria for pedophilia extend the cut-off point for prepubescence to age 13. According to DSM-5-TR, a person must be at least 16 years old, and at least five years older than the prepubescent child, for the attraction to be diagnosed as pedophilic disorder. Pedophilia is distinguished from pedophilic disorder in the current version of the '' Diagnostic and Statistical Manual of Mental Disorders'' (DSM-5-TR) . The DSM-5-TR defines it as a paraphilic disorder involving intense and recurrent sexual urges, fantasies or behaviors about prepubescent children that have either been acted upon or which cause the person with the attraction distress or interpersonal difficulty. Similar to DSM-5-TR, the ICD- ...
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Richard Green (sexologist)
Richard Green (6 June 1936 – 6 April 2019) was an American-British sexologist, psychiatrist, lawyer, and author specializing in homosexuality and transsexualism, specifically gender identity disorder in children. Green was the founding editor of the ''Archives of Sexual Behavior'' (1971), and served as Editor until 2001. He was also the founding president of the International Academy of Sex Research (1975), which made the ''Archives'' its official publication. He served on the American Psychiatric Association DSM-IV Subcommittee on Gender Identity Disorders. Education and career Green was born in Crown Heights, Brooklyn, New York.Peacock S, Editor (1997). ''Contemporary Authors''. Vol. 159, p. 157. Gale, . His father was an accountant and his mother a teacher. He earned his BA from Syracuse University in 1957, his MD from Johns Hopkins University School of Medicine in 1961, and his J.D. from Yale Law School in 1987. During his medical studies at Johns Hopkins, Green met Joh ...
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American Psychiatric Association
The American Psychiatric Association (APA) is the main professional organization of psychiatrists and trainee psychiatrists in the United States, and the largest psychiatric organization in the world. It has more than 37,000 members are involved in psychiatric practice, research, and academia representing a diverse population of patients in more than 100 countries. The association publishes various journals and pamphlets, as well as the ''Diagnostic and Statistical Manual of Mental Disorders'' (DSM). The DSM codifies psychiatric conditions and is used mostly in the United States as a guide for diagnosing mental disorders. The organization has its headquarters in Washington, DC. History At a meeting in 1844 in Philadelphia, thirteen superintendents and organizers of insane asylums and hospitals formed the Association of Medical Superintendents of American Institutions for the Insane (AMSAII). The group included Thomas Kirkbride, creator of the asylum model which was used thr ...
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Homosexuality
Homosexuality is romantic attraction, sexual attraction, or sexual behavior between members of the same sex or gender. As a sexual orientation, homosexuality is "an enduring pattern of emotional, romantic, and/or sexual attractions" to people of the same sex. It "also refers to a person's sense of identity based on those attractions, related behaviors, and membership in a community of others who share those attractions." Along with bisexuality and heterosexuality, homosexuality is one of the three main categories of sexual orientation within the heterosexual–homosexual continuum. Scientists do not yet know the exact cause of sexual orientation, but they theorize that it is caused by a complex interplay of genetic, hormonal, and environmental influences and do not view it as a choice. Although no single theory on the cause of sexual orientation has yet gained widespread support, scientists favor biologically based theories. There is considerably more evidence supporti ...
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Major Depressive Disorder
Major depressive disorder (MDD), also known as clinical depression, is a mental disorder characterized by at least two weeks of pervasive low mood, low self-esteem, and loss of interest or pleasure in normally enjoyable activities. Introduced by a group of US clinicians in the mid-1970s, the term was adopted by the American Psychiatric Association for this symptom cluster under mood disorders in the 1980 version of the ''Diagnostic and Statistical Manual of Mental Disorders'' (DSM-III), and has become widely used since. The diagnosis of major depressive disorder is based on the person's reported experiences, behavior reported by relatives or friends, and a mental status examination. There is no laboratory test for the disorder, but testing may be done to rule out physical conditions that can cause similar symptoms. The most common time of onset is in a person's 20s, with females affected about twice as often as males. The course of the disorder varies widely, from one epis ...
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Cohen's Kappa
Cohen's kappa coefficient (''κ'', lowercase Greek kappa) is a statistic that is used to measure inter-rater reliability (and also intra-rater reliability) for qualitative (categorical) items. It is generally thought to be a more robust measure than simple percent agreement calculation, as ''κ'' takes into account the possibility of the agreement occurring by chance. There is controversy surrounding Cohen's kappa due to the difficulty in interpreting indices of agreement. Some researchers have suggested that it is conceptually simpler to evaluate disagreement between items. History The first mention of a kappa-like statistic is attributed to Galton in 1892. The seminal paper introducing kappa as a new technique was published by Jacob Cohen in the journal ''Educational and Psychological Measurement'' in 1960. Definition Cohen's kappa measures the agreement between two raters who each classify ''N'' items into ''C'' mutually exclusive categories. The definition of \kappa is :\k ...
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