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The The paradox of contemporary Medicine

机译：当代医学的悖论

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In the medical field, between the end of the 19th century and the half of last century, great results were obtained in the discovery of the causes (microbial agents) and cures (antibiotics) of infectious diseases, which in the previous centuries had determined catastrophic epidemics The successes of this model of disease led to apply it in the cases of other pathologies including cardiovascular, respiratory and oncological ones Despite the great effort during the following years, with all the innovations both in diagnostic field (sophisticated lab and instrumental tests) and in therapies (the development of numerous heart and circulatory drugs or against neoplasia), improvements have been proportionally less impressive Compared to the first half of last century, 27 years of life have been gained, from an average life span of 55 years to 81 for men and 84 for women The 17year gain has been possible thanks to the decisive action on the infectious diseases, whereas the intervention on heart diseases led to a gain of 7 years of life, and that on the neoplastic ones resulted in a gain of 3/4 years This discrepancy depends on several reasons, among which a fundamental one is the difference between the models of the infectious disease and other pathologies: the first ones are characterized by only one agent attacking the organism in a short time and can be eliminated only by one drug (the antibiotic), used for a short time as well; in the case of other diseases, the pathogens are multifactorial, the damaging actions take place over many years and possible therapies must be multiple and performed over a long period of time There has been a shift from a simple to a complex issue, to the extent that some believe that only new technologies of artificial intelligence (AI) will be able to offer effective remedies If we add to all this the idea that for several reasons, both sociocultural and inherent to this discipline, Medicine has been taking on more and more reductionism and detached stands, one might understand the current perceptive paradox We have never been better, we have never felt so bad Thus, it has become necessary to meditate upon these topics in order to better understand the real problems and possible solutions to the benefit of that essential good for everyone, our health.
机译：在医疗领域，在19世纪末和上世纪半年之间，在发现的原因（微生物剂）和传染病的治愈（抗生素）的发现中获得了大量结果，在此前几个世纪遭受了灾难性的灾难性该疾病模型的成功导致其在其他病症的情况下适用于包括心血管，呼吸道和肿瘤政治的案例，尽管在接下来的几年内努力，但在诊断领域（复杂的实验室和仪器测试）以及在疗法中（众多心脏和循环药物的发展或对抗肿瘤），与上世纪上半叶相比，改善了27年的生命，从55年的平均寿命到81女性和84女性的男性和84岁的男女归功于传染病对传染病的决定性行动，而对Hea的干预措施RT疾病导致了7年的生命增益，并且在肿瘤中产生了3/4岁的增益，这种差异取决于几个原因，其中一个基本的一个是传染病模型之间的差异其他病理学：第一个病症的特征在于在短时间内只攻击生物体，并且只能通过一种药物（抗生素）来消除，也可以用于短时间;在其他疾病的情况下，病原体是多因素的，在多年上发生的破坏性动作，并且可能的疗法必须多次并且在很长一段时间内进行了多次，这是一种从简单到复杂问题的转变，到程度有些人认为，只有人工智能（AI）只有新技术将能够提供有效的补救措施，如果我们为所有原因添加了这一切，因为有几个原因，社会文化和本学科固有，医学一直在越来越减速和独立的立场，人们可能会理解目前的感知悖论我们从未如此更好，我们从未感受到如此糟糕，因此已经有必要冥想这些主题，以更好地了解真正的问题和可能的解决方案，以便利益对于每个人来说，我们的健康至关重要。

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