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News & Perspective Mayo, Cleveland Clinic Lead US News Top Hospitals List Megan Brooks August 08, 2017 For the second consecutive year, the Mayo Clinic in Rochester, Minnesota, claimed the number one spot in the annual honor roll of best hospitals published by US News and World Report. The Cleveland Clinic in Ohio holds the number two spot in the annual honor roll, which highlights hospitals delivering "exceptional treatment across multiple areas of care," the maga...
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JAMA Clinical Guidelines Synopsis August 8, 2017 Routine Preoperative Laboratory Tests for Elective Surgery Shannon K. Martin, Adam S. Cifu JAMA. 2017;318(6):567-568. doi:10.1001/jama.2017.7508 Guideline title 指南标题 Routine Preoperative Tests for Elective Surgery Developer 指南制订者 National Clinical Guideline Centre (NCGC) Release date 发布日期 April 2016 Prior version 上一版本 June 2003 Funding source 资助方 National Institute for Health and Care Excellence (NIC...
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Original Investigation August 8, 2017 Effect of Levosimendan on Low Cardiac Output Syndrome in Patients With Low Ejection Fraction Undergoing Coronary Artery Bypass Grafting With Cardiopulmonary Bypass: The LICORN Randomized Clinical Trial Bernard Cholley, Thibaut Caruba, Sandrine Grosjean, et al. JAMA. 2017;318(6):548-556. doi:10.1001/jama.2017.9973 Abstract Importance 背景 Low cardiac output syndrome after cardiac surgery is associated with high morbidity and morta...
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Epidemiology of avian influenza A H7N9 virus in human beings across five epidemics in mainland China, 2013–17: an epidemiological study of laboratory-confirmed case series Xiling Wang, Hui Jiang, Peng Wu, et al. Lancet Infect Dis 2017; 17: 822-832 Summary Background 背景 The avian influenza A H7N9 virus has caused infections in human beings in China since 2013. A large epidemic in 2016–17 prompted concerns that the epidemiology of the virus might have changed, increasin...
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[编者按]: 纵观国际医学领域,近年来也不乏各种运动造势,推出各种理念,最终只是空欢喜一场。相应的例证如他汀类药物的神奇疗效。肠道菌丛的无限应用范围以及与各种急性慢性疾病的普遍相关性,未来很有可能成为又一经典范例。精准医学也是近年的宠儿。事实上,在精准医学盛行其道的今天,仍然有部分专家保持了清醒的头脑(学会网址既往也转载JAMA述评介绍相应观点)。本文虽然并不直接与重症医学领域相关,但文中观点对我们可能仍有帮助。 From The JAMA Network August 1, 2017 Viral Testing for Pediatric ...
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Geo-economic variations in epidemiology, patterns of care, and outcomes in patients with acute respiratory distress syndrome: insights from the LUNG SAFE prospective cohort study John G Laffey, Fabiana Madotto, Giacomo Bellani, et al. Lancet Respir Med 2017; 8: 627-638 Published: 14 June 2017 DOI: http://dx.doi.org/10.1016/S2213-2600(17)30213-8 Summary Background Little information is available about the geo-economic variations in demographics, management, and outcomes ...
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Clinical trial research in focus: rethinking trials in sepsis David Grimaldi, Jean-Louis Vincent Lancet Respir Med 2017; 8: 610-611 Published: August 2017 DOI: http://dx.doi.org/10.1016/S2213-2600(17)30268-0 Sepsis is a frequent condition, defined as life-threatening organ dysfunction associated with a severe infection.1 Over the past three decades, progress in understanding of the pathophysiology of sepsis has led to the development of a large number of potential new the...
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Fireworks Injuries: Ooh, Aah...Ouch! Nicole Cimino-Fiallos, MD | June 29, 2017 | Contributor Information Adapted images from (1) Wikimedia Commons/Fcb981 (top left), (2) Flickr/Mike Mozart (bottom left), and (3) Siemers F, Mauss KL, Liodaki E, Ottomann C, Bergmann PA, Mailander P. Eplasty. 2012;12:e33. [Open access.] PMID: 22848777, PMCID: PMC3406748.  The patient shown suffered a blast injury that embedded multiple foreign body tattoos within the eyes, eyelids, nose, and...
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The Montreux definition of neonatal ARDS: biological and clinical background behind the description of a new entity Daniele De Luca, Anton H van Kaam, David G Tingay, Sherry E Courtney, Olivier Danhaive, Virgilio P Carnielli, Luc J Zimmermann, Martin C J Kneyber, Pierre Tissieres, Joe Brierley, Giorgio Conti, Jane J Pillow, Peter C Rimensberger. Lancet Respir Med 2017; 5: 657-666 Published: 04 July 2017 DOI: http://dx.doi.org/10.1016/S2213-2600(17)30214-X  
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The Digital Doctor: Revolutionary Technologies Reshaping Healthcare John Watson | July 12, 2017 Image from Dreamstime Medicine's Technological Leap Forward Editing out disease from our genes. Using artificial intelligence to assist patient care. Treating psychiatric conditions with virtual reality. The by-product of an unprecedented period of technological development, 21st-century medicine's most promising advances may resemble science fiction, but they are very much fac...
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