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...

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...

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...

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...

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 ...

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...

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...

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...