Polypharmacy

Each specialist treats a person or patient in her/his field of competence to the best of current knowledge. Well, marketing of pharmaceutical products is also a field of special competence. Medical doctors and pharmacists are largely competent intermediaries between the world of medical and pharmaceutical research, commercial interests and patients. As persons age, so-called multimorbidity is creeping into the daily life of many persons. After a certain age (75+), depending on country of residence to some extent, we all become patients. Although the basic problem has been known since the phenomenal rise of the pharmaceutical industry, little research is devoted to patients receiving multiple treatments with medical prescriptions from several specialists. In addition, we know there is a rather severe issue with compliance to prescriptions, for example, taking antibiotics for the whole prescribed period, to name just one. The interactions between several prescriptions and molecules administered to patients are very difficult to monitor and scientific tests of those are expensive and no pharmaceutical company really has an interest in such studies that might further add to the already long list of potential side effects. However, the study published by Daunt et al. (2023) reiterates the warnings that treatment of multimorbidity can have unwanted side-effects we do not really know about. General practitioners will have to take on the role for medical stewardship for their patients. Monitoring a patient’s digestion of a combination of medications becomes a prime role as of the age of 75, the paper specifies. Whereas a common believe tells us, taking more, will help more, the “daunting” truth might be, less can be more. (Source: Daunt, R., Curtin, D., & O’Mahony, D. (2023). Polypharmacy stewardship: A novel approach to tackle a major public health crisis. The Lancet Healthy Longevity. https://doi.org/10.1016/S2666-7568(23)00036-3.

Splendid Public Libraries to replace Cathedrals

Renovated public libraries are modern showcases of architecture and access to knowledge. Recently the best places add the platform function of people meeting people there not only taking out and bringing back books. The Stockholm city library is an impressive example of all functions.
The library figures also in the list of the 25 best public libraries in the world shown by flavorwire:  http://flavorwire.com/280318/the-25-most-beautiful-public-libraries-in-the-world  You can actually walk up the stairs and access books directly. In the annex building is the international collection with its multilingual treasure as well as the press and journal sections. Impressive is the wide spread audience rather than intellectuals only.
The place is a top place for adult education and lifelong and lifewide learning.