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The mental effects of chemotherapy must be carefully evaluated by the clinician. The diagnosis of mental disorders must be made in terms of their biological basis rather than their psychological basis. The existence of disorders resulting from chemotherapy may be of major medical, psychological or social importance. The psychiatric department must be part of the antitumour team and this work cannot be performed in isolation. The patient must be carefully questioned about possible psychological difficulties that may develop during the course of the illness, the kind of treatment received and the relationship with the medical team. The patient may be surprised by the choice of treatment, the way it is administered, or it may cause unpleasant or distressing side effects. There is much psychosocial stress in the family which may be profoundly and negatively affected by the psychosocial impact of the disease. The onset of mental disorders may influence the prognosis. On the other hand, antipsychotic drugs may cause physical deterioration, owing to their potential for prolonging the QT interval.The Environmental Protection Agency is trying to kill off renewable energy that doesn’t use fossil fuels–a policy that would be equally damaging to the climate and the economy. At a Senate hearing this week, the agency’s new head, Scott Pruitt, demanded a double standard on clean air regulation.
“I would think anyone who looked at the data would say that fossil fuels cause more detriment to the environment,” Pruitt said. “And yet, the same standards that would be applied to fossil fuels are not applied to renewables.”
Many renewable energy technologies rely on dirtier fuels than coal or natural gas. As a result, they emit more carbon and other gases that contribute to climate change. Renewables include wind, solar, and bioenergy, which can make gasoline or diesel, or create electricity.
In fact, the EPA’s own rule on renewable fuel was adopted two years ago specifically to address the problem of “double