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[JAMA发表论文]:阿司匹林作为乳腺癌的辅助治疗已关闭评论
Original Investigation  April 29, 2024 Aspirin vs Placebo as Adjuvant Therapy for Breast Cancer: The Alliance A011502 Randomized Trial Wendy Y. Chen, Karla V. Ballman, Ann H. Partridge, et al JAMA. Published online April 29, 2024. doi:10.1001/jama.2024.4840 Key Points Question  Does aspirin at 300 mg/d improve invasive disease–free survival among survivors of nonmetastatic breast cancer? Find...
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[JAMA发表论文]:持续或间断输注β-内酰胺类抗生素治疗脓毒症危重患者已关闭评论
Original Investigation  Caring for the Critically Ill Patient June 12, 2024 Continuous vs Intermittent β-Lactam Antibiotic Infusions in Critically Ill Patients With Sepsis: The BLING III Randomized Clinical Trial Joel M. Dulhunty, Stephen J. Brett, Jan J. De Waele, et al JAMA. Published online June 12, 2024. doi:10.1001/jama.2024.9779 Key Points Question  Is there a difference in mortality between continuous and intermittent i...
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[JAMA Netw Open发表论文]:旁观者CPR立法前后院外心跳骤停患者的生存率已关闭评论
Original Investigation  Emergency Medicine April 26, 2024 Survival After Out-of-Hospital Cardiac Arrest Before and After Legislation for Bystander CPR Siwen Li, Chongzhen Qin, Hongjuan Zhang, et al JAMA Netw Open. 2024;7(4):e247909. doi:10.1001/jamanetworkopen.2024.7909 Key Points Question  Is the implementation of legislation associated with increased bystander cardiopulmonary resuscitation ...
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Intensive Care Medicine在线免费阅读已关闭评论
ONLINE FIRST (FREE ACCESS) LATEST ARTICLES OriginalA randomised controlled trial of a nurse facilitator to promote communication for family members of critically ill patientsKentish-Barnes N. et al A randomized clinical trial to evaluate the effect of post-intensive care multidisciplinary consultations on mortality and the quality of life at 1 yearSharshar T. et al EditorialPromoting optimal physical rehabilitation in ICUEggmann S., Tavares Timenetsk...
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[JAMA Intern Med发表论文]:生成式人工智能模型与医生临床推理的比较已关闭评论
Research Letter  April 1, 2024 Clinical Reasoning of a Generative Artificial Intelligence Model Compared With Physicians Stephanie Cabral, Daniel Restrepo, Zahir Kanjee, et al JAMA Intern Med. Published online April 1, 2024. doi:10.1001/jamainternmed.2024.0295 Large language models (LLMs) have shown promise in clinical reasoning, but their ability to synthesize clinical encounter data into problem representa...
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[NEJM发表论文]:静脉输注氨基酸保护肾脏功能已关闭评论
ORIGINAL ARTICLE A Randomized Trial of Intravenous Amino Acids for Kidney Protection Giovanni Landoni, Fabrizio Monaco, Lian Kah Ti, et al N Engl J Med Published June 12, 2024 DOI: 10.1056/NEJMoa2403769 Abstract BACKGROUND Acute kidney injury (AKI) is a serious and common complication of cardiac surgery, for which reduced kidney perfusion is a key contributing factor. Intravenous amino acids increase kidney perfusion and recruit renal functional reser...
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[JAMA Netw Open发表论文]:数字健康干预措施与腹腔手术患者安全已关闭评论
Original Investigation  Statistics and Research Methods April 26, 2024 Digital Health Interventions and Patient Safety in Abdominal Surgery: A Systematic Review and Meta-Analysis Artem Grygorian, Diego Montano, Mahdieh Shojaa, et al JAMA Netw Open. 2024;7(4):e248555. doi:10.1001/jamanetworkopen.2024.8555 Key Points Question  Can perioperative telemedicine reduce the incidence of adverse event...
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[ICU Management & Practice]: 建造绿色的ICU已关闭评论
Going Green in the ICU In ICU Fri, 22 Mar 2024 The environmental impact of ICUs was in focus at ISICEM 2024. Nicole Hunfeld, a hospital pharmacist at Erasmus Medical Center in the Netherlands, emphasised the need for a sustainable medication process, particularly noting the heightened waste production during the COVID-19 pandemic.  There is an overwhelming level of plastic waste in the ICU, and its environmental implications need to be addresse...
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[JAMA Netw Open发表论文]:认知训练以减少心脏手术患者的谵妄已关闭评论
Original Investigation  Anesthesiology April 23, 2024 Cognitive Training for Reduction of Delirium in Patients Undergoing Cardiac Surgery: A Randomized Clinical Trial Yu Jiang, Yanhu Xie, Panpan Fang, et al JAMA Netw Open. 2024;7(4):e247361. doi:10.1001/jamanetworkopen.2024.7361 Key Points Question  Does preoperative cognitive training reduce the incidence of delirium during recovery from cor...
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[JAMA发表述评]:利用电子病历改进经验性抗生素的使用已关闭评论
Editorial  April 19, 2024 Harnessing the Electronic Health Record to Improve Empiric Antibiotic Prescribing Anurag N. Malani, Preeti N. Malani JAMA. Published online April 19, 2024. doi:10.1001/jama.2024.6554 Approximately half of hospitalized adults in the US receive antibiotics, with pneumonia and urinary tract infection (UTI) being the 2 most frequent indications.1 Estimates suggest about 30% of all antibiotics prescribed in US hospit...
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