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...

Procalcitonin-guided decision making for duration of antibiotic therapy in neonates with suspected early-onset sepsis: a multicentre, randomised controlled trial (NeoPIns) Martin Stocker, Wendy van Herk, Salhab el Helou, et al. Lancet 2017 Published: 12 July 2017 DOI: http://dx.doi.org/10.1016/S0140-6736(17)31444-7 Summary Background 背景 Up to 7% of term and late-preterm neonates in high-income countries receive antibiotics during the first 3 days of life because of su...

Drugs & Diseases > Clinical Trends Clinical Trends for July 2017 Ryan Syrek July 28, 2017 Each week, we identify one top search term, speculate as to what caused its popularity, and provide an infographic on a related condition. If you have thoughts about what's trending and why, feel free to share them with us on Twitter or Facebook! Clinical Trend of the Week (July 22-28): Vitiligo A potentially promising treatment for a fairly common condition is responsible f...

【编者按】：JAMA杂志近期发表的文章显示，2011年全国去甲肾上腺素供应短缺与感染性休克患者病死率升高具有显著相关性。网站曾于4月6日介绍了该文摘要及主要结果。近日，MEDSCAPE刊登了Greg Martin的简短评论。我们在此刊出，以飨读者。 News & Perspective > Viewpoints COMMENTARY Drug Shortages and Septic Shock: Not a Good Mix Greg Martin, MD June 28, 2017 Association Between US Norepinephrine Shortage and Mortality Among Patients With Septic Shock Vail E, Gershengorn HB, Hua M, ...

Medical News & Perspectives July 19, 2017 In Treating Sepsis, Questions About Timing and Mandates Jennifer Abbasi JAMA. Published online July 19, 2017. doi:10.1001/jama.2017.7997 In 2012, Rory Staunton, a 12-year-old boy from Queens, New York, died from sepsis after his pediatrician and an emergency department (ED) physician reportedly misinterpreted warning signs—a high fever and vomiting, but also a cut on his arm, and severe leg pain—as an intestinal illness and...

Burning Up? A Guide to Treating Heat Illness Zina Semenovskaya, MD, FAWM; Sage Wiener, MD | June 30, 2017 | Contributor Information Image from the Bureau of Land Management – Nevada. In the above image, firefighters simulate the evacuation of a fellow firefighter suffering from heat illness. Heat illness encompasses a spectrum of disorders caused by environmental heat exposure, including minor conditions—such as heat rash, heat cramps, heat syncope, and heat exhaustion—as...

News & Perspective Medscape Survey: US Physicians' Top Hospital Picks for 2017 Megan Brooks July 21, 2017 The hospital you go to for procedures or other medical care can make a huge difference in outcome. So where would US doctors want to receive needed care? 你选择的医院可能对诊疗结果造成很大的差异。因此，美国医生希望在哪里接受治疗呢？ Medscape asked 8504 doctors across more than 25 specialties for their opinion of where they would want to be treated or where th...

[编者按]：自从各大医院的比拼指标从床位数及总收入转变为发表论文数后，在高影响因子杂志发表论文的现金奖励已经成为业内共识。这种政策的出台的确鼓励临床医生投入更多精力从事科研，但是，现金奖励政策真的能够催生好的科研吗？这一政策对科研工作有何潜在影响？ Business Impact The Truth about China’s Cash-for-Publication Policy The first study of payments to Chinese scientists for publishing in high-impact journals has serious implications for the future of research by Emerging Technolog...

ORIGINAL ARTICLE Ventilation in Extremely Preterm Infants and Respiratory Function at 8 Years Lex W. Doyle, M.D., Elizabeth Carse, M.D., Anne-Marie Adams, Ph.D., Sarath Ranganathan, Ph.D., Gillian Opie, M.B., B.S., and Jeanie L.Y. Cheong, M.D., for the Victorian Infant Collaborative Study Group* N Engl J Med 2017; 377:329-337 July 27, 2017 DOI: 10.1056/NEJMoa1700827 BACKGROUND 背景 Assisted ventilation for extremely preterm infants (<28 weeks of gestation) has become l...

Original Investigation Caring for the Critically Ill Patient July 25, 2017 Targeted Temperature Management for 48 vs 24 Hours and Neurologic Outcome After Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial Hans Kirkegaard, Eldar Søreide, Inge de Haas, et al. JAMA. 2017;318(4):341-350. doi:10.1001/jama.2017.8978 Abstract Importance 背景 International resuscitation guidelines recommend targeted temperature management (TTM) at 33°C to 36°C in unconscious patients...