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Original Investigation August 22/29, 2017 Effect of Natriuretic Peptide–Guided Therapy on Hospitalization or Cardiovascular Mortality in High-Risk Patients With Heart Failure and Reduced Ejection Fraction: A Randomized Clinical Trial G. Michael Felker, Kevin J. Anstrom, Kirkwood F. Adams, et al. JAMA. 2017;318(8):713-720. doi:10.1001/jama.2017.10565 Abstract Importance 背景 The natriuretic peptides are biochemical markers of heart failure (HF) severity and predictors ...
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Global Study: Most ICU Patients Underfed A large international multicentre cohort study shows that most of the patients are underfed during their ICU stay. In their findings published in the journal Clinical Nutrition, researchers say most of the patients in intensive care are receiving the same amount of calories regardless of their condition, patient's well-being is not satisfied, and delayed nutrition is more frequent. The findings show poor adherence to nutritional gu...
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Special Communication May 3, 2017 Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017 Sandra I. Berríos-Torres, Craig A. Umscheid, Dale W. Bratzler, DO, et al. JAMA Surg. Published online May 3, 2017. doi:10.1001/jamasurg.2017.0904 Recommendations Core Section Parenteral Antimicrobial Prophylaxis 1A.1. Administer preoperative antimicrobial agents only when indicated based on published clinical practice guidelines ...
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[编者按]:2017年4月8日,我们在网站上介绍了JAMA在线发表的RCT结果:肺保护性通气基础上肺复张对术后肺部并发症的影响。近日,JAMA刊登了两封读者来信,对该研究结果提出了自己的看法。 Comment & Response August 15, 2017 Alveolar Recruitment Strategies After Cardiac Surgery Guohui Li, Xueyin Shi JAMA. 2017;318(7):667. doi:10.1001/jama.2017.8689 To the Editor Dr Costa Leme and colleagues1 reported that an intensive alveolar recruitment strategy resulted in less-severe pulmonary...
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Original Investigation July 2017 Comparison of Appendectomy Outcomes Between Senior General Surgeons and General Surgery Residents Baha Siam, Abbas Al-Kurd, Natalia Simanovsky, et al JAMA Surg. 2017;152(7):679-685. doi:10.1001/jamasurg.2017.0578 Abstract Importance 背景 In some centers, the presence of a senior general surgeon (SGS) is obligatory in every procedure, including appendectomy, while in others it is not. There is a relative paucity in the literature of re...
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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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