Michel Foucault’s analysis of psychiatry´s birth around 1800 is well known. The French philosopherreversed the myth of PhilippePinel and William Tuke asliberatorsof the mad in the New Era after the French revolution: instead of a starting liberation we should consider it a completed elimination. The exclusion of madness from the realm of Reason is fulfilled. Insanity is silenced. From this moment on ‘the life of unreason no longer manifests itself except in the lightningflash of works such as those of Hölderlin, of Nerval, of Nietzsche,or of Artaud’, Foucault writes. And: ‘Sade's calm, patient language also gathers up the final words of unreason and also gives them, for the future, a remoter meaning.’ LinkedIn: https://www.linkedin.com/in/bert-van-den-bergh-95476526/
Europe’s aging population is leading to a growing number of people affected by chronic disease, which will continue over the coming decades. Healthcare systems are under pressure to deliver appropriate care, partly due to the burden imposed on their limited financial and human resources by the growing number of people with (multiple) chronic diseases. Therefore, there is a strong call for patient self-management to meet these patients’ healthcare needs. While many patients experience medication self-management as difficult, it poses additional challenges for people with limited health literacy. This thesis aims to explore the needs of patients with a chronic disease and limited health literacy regarding medication self-management and how support for medication self-management can be tailored to those needs.
Furosemide is included in the World Anti-Doping Agency’s (WADA) list of prohibited substances because it can be used by athletes to mask the presence of performance-enhancing drugs in urine and/or excrete water for rapid weight loss. But how effective is furosemide in masking prohibited substances in urine? Based on the pharmacology and the available literature, we conclude that the masking effect of furosemide is limited. Furosemide is a doping agent that is mainly relevant for sports with weight categories. Conflict of interest and financial support: none declared.
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