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[JAMA Intern Med发表述评]:日益增加的临床复杂性:对于医疗照护提供、费用支付模型以及人力资源的提示已关闭评论
Invited Commentary  January 8, 2024 Increasing Clinical Complexity—Implications for Care Delivery, Payment Models, and the Health Care Workforce Daniel M. Blumenthal JAMA Intern Med. Published online January 8, 2024. doi:10.1001/jamainternmed.2023.7407 In JAMA Internal Medicine, Naik et al1 present the results of a population-based serial, cross-sectional evaluation of trends in the complexity of hospitalized inpatients in British C...
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[ICU Management & Practice]: 被遗忘的部分:家属的参与已关闭评论
ICU Management & Practice, Volume 23 - Issue 5, 2023 Bringing Back the Forgotten Piece: Family Empowerment in the Care of the Critically Ill Patient This article aims to address patient-family-centred care programmes, starting from their origins and discussing new protocols. Critically ill patients entail a great complexity of care. ICU staff has focused on their care, with family members and surrogates put aside for decades. In recent years, we are witn...
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[JAMA观点]:疫苗接种是否达到了危险的爆发点?已关闭评论
Viewpoint  January 5, 2024 Is Vaccination Approaching a Dangerous Tipping Point? Peter Marks, 、Robert Califf JAMA. Published online January 5, 2024. doi:10.1001/jama.2023.27685 Vaccination is one of the most highly effective public health interventions, responsible for saving millions of lives each year. In the US, authorized or approved preventive vaccines must be manufactured with high quality, and the effectiveness and favorable safety pr...
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[ICU Management & Practice]: 重症医学领域互联网与人工智能的兴起已关闭评论
ICU Management & Practice, Volume 23 - Issue 5, 2023 The Internet & Rise of AI in CCM: Opportunities, Threats and the Practitioner-Patient Relationship This article explores how pervasive and persuasive the internet is in current critical care practice, offers insights into how healthcare professionals, patients and fami­lies can critically appraise where information comes from and its content producers and discusses the opportunities and threats posed ...
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[ICU Management & Practice]: 重症ARDS患者ECMO治疗期间俯卧位已关闭评论
Prone Positioning During ECMO in Severe ARDS The effectiveness of prone positioning to improve outcomes in patients with severe acute respiratory distress syndrome (ARDS) undergoing venovenous extracorporeal membrane oxygenation (VV-ECMO) compared to supine positioning is unknown.  The PRONECMO multicenter randomised clinical trial aimed to address the lack of robust evidence regarding prone positioning during  VV-ECMO in patients with severe ARDS. Previous...
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[JAMA发表述评]:2项安宁缓和治疗临床试验的故事:建立可持续与可转移的样板已关闭评论
Editorial  January 16, 2024 A Tale of 2 Palliative Care Trials: Developing Sustainable and Transferable Models Ashwin A. Kotwal, Lauren J. Hunt, Alexander K. Smith JAMA. 2024;331(3):196-198. doi:10.1001/jama.2023.26815 At first glance, the 2 palliative care trials in this issue of JAMA may seem a study in contrasts.1,2 One was an outpatient intervention, the other inpatient. One included 306 participants, the other 24 065. One was an efficacy...
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[ICU Management & Practice]: 麻醉及重症领域的人工智能已关闭评论
ICU Management & Practice, Volume 23 - Issue 4, 2023 Artificial Intelligence in Anaesthesia and Critical Care - Temptations and Pitfalls Big data, Artificial Intelligence (AI) and machine learning are buzzwords. In this article, we briefly discuss what they mean for anaesthesiologists and intensivists, focusing on existing clinical applications. We are today able to collect and store a considerable amount of patient-related data. These “big” data are typ...
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[JAMA医学新闻与观点]:从“免疫债”到“免疫盗窃”—新冠病毒与近期呼吸道疾病激增有何关联?已关闭评论
Medical News & Perspectives  January 10, 2024 From “Immunity Debt” to “Immunity Theft”—How COVID-19 Might Be Tied to Recent Respiratory Disease Surges Rita Rubin JAMA. Published online January 10, 2024. doi:10.1001/jama.2023.26608 Last fall, children in China were coming down with respiratory illnesses earlier and in greater numbers than usual. Ditto for respiratory syncytial virus (RSV) infections in the US and elsewhere in 2021 and 2...
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[ICU Management & Practice]: ICU中的清单已关闭评论
Checklists in the Intensive Care Unit Checklists are cognitive aids that ensure task completion, enhance adherence to best practices, and prevent errors. In the complex environment of the ICU, checklists have been adopted to improve leadership, team performance, and patient outcomes. While research over the past two decades supports the efficacy of specific ICU checklists, the diverse nature of checklist items, implementation methods, and outcomes measured makes de...
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[ICU Management & Practice]: ECMO患者的感染已关闭评论
Infection in ECMO Patients The use of extracorporeal membrane oxygenation (ECMO) has risen significantly as a rescue therapy for respiratory issues, including those caused by viral infections. Patients on ECMO frequently experience complications like thrombotic events and major bleeding, which are considered ECMO-related issues. However, infections are typically attributed to the patient's underlying condition rather than ECMO itself. A literature search was con...
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