Word: carefuls
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This is significant because depression - especially if it goes untreated - can be debilitating for the patient and his or her family. Depression also carries an enormous societal burden, leading to missed work days, loss of productivity and increases in health-care spending for co-occurring conditions like sleep problems or anxiety. Further, those misdiagnosed with depression may end up being prescribed antidepressant medications that not only cost a lot but can have serious side effects, including lethargy and sexual dysfunction...
That's surely a worthy goal, although, at least in the U.S., it offers a classic example of the incentive problems in the current health-care system: if general practitioners spend extra time with each patient trying to diagnose psychiatric problems, they will see fewer patients in a day, which means fewer reimbursements overall from the insurance companies. So is there another...
...large contingent of APA specialists is currently rewriting the diagnostic manual, but the revision won't be out until at least 2012. In the meantime, most people will probably continue to use their general physician for front-line psychiatric care. That may be preferable to not seeking care at all, but for high-risk patients - such as those who have a family history of depression, recent stressful life events, chronic illness or substance abuse - it would be wiser to seek specialized attention...
...stars watching European football matches on satellite television. "This generation has the Internet, they see movies, they go away to study," says Mohammed, who is astonished at the changes he has seen in his 42 years. To look after the books "we choose a child who can take care of the manuscripts: someone who's always going to stay here." But kids keep leaving, the world keeps rushing in. Timbuktu's books have survived centuries of isolation. Can they survive their modern-day fame...
Such sums might be a great temptation to a generation that has so far seen little material benefit from its heritage. Fida Ag Mohammed says many elders still favor passing manuscripts down from father to son. "Each generation must appoint one youth to take care of them," he explains. "It has to be someone who will never leave." But as young Malians grow more modern and more mobile, getting them to stay may prove difficult...