[ICU Management & Practice]: 重症患儿的EIT已关闭评论
Electrical Impedance Tomography in Critical Children
In ICU
Tue, 14 Oct 2025
ICU Management & Practice, Volume 25 - Issue 4, 2025
Electrical impedance tomography (EIT) provides a non-invasive, bedside, radiation-free method for monitoring regional ventilation and pulmonary perfusion in critically ill children.
Introduction
Electrical impedance tomography (EIT) is a non-invasive, radiation-free imaging tool that enables real-time monitorin...
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[ICU Management & Practice]: 社区获得性肺炎的诊疗策略已关闭评论
Comprehensive Community-Acquired Pneumonia Management
In ICU
Tue, 21 Oct 2025
Community-acquired pneumonia (CAP) represents a major global health challenge and remains a leading cause of morbidity and mortality worldwide. With an estimated global incidence of 4,350 per 100,000 population in 2021, CAP disproportionately affects vulnerable populations, including older adults, young children, immunocompromised individuals, and those with chronic comorbidi...
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[JAMA合理临床检查]:这位患者是否有容量负荷过多?已关闭评论
The Rational Clinical Examination
Does This Patient Have Volume Overload? The Rational Clinical Examination
Benjamin Drum, Bryce La Course, Mark Kelly, et al
JAMA Published Online: February 23, 2026
doi: 10.1001/jama.2026.0446
Key Points
Question Which physical examination, ultrasonographic techniques, and laboratory studies have the best evidence for determining volume overload in spontaneous...
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[ICU Mangement & Practice]: #LIVES2025: 发表你的研究结果已关闭评论
#LIVES2025: Getting Your Research Published
In ICU
Wed, 29 Oct 2025
n an interesting and useful workshop at @ESICM LIVES 2025, Darren Taichman, Deputy Editor and Online Editor of New England Journal of Medicine and Executive Strategy Editor for the NEJM Group, shared insight on submitting a meaningful manuscript for publication that makes an impact.
Writing a scientific paper is about more than just documenting your research; it's about making your ...
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[NEJM临床决策]:简化抑或分层?有关医学院评分系统的争论已关闭评论
CLINICAL DECISIONS
Simplify or Stratify? The Debate over Medical School Grading Systems
Harleen Marwah, Abhinav Suri, Clarence H. Braddock III, et al
N Engl J Med 2025;393:2268-2270
CASE VIGNETTE
A Medical School Evaluating the Grading System
Harleen Marwah, M.D.
You have recently been named the dean in charge of preclinical curriculum for your medical school. There is debate among the faculty and students in your school regarding the approach to grad...
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[JAMA洞见]:如何交流医学数字已关闭评论
JAMA Insights
How to Communicate Medical Numbers
Brian J. Zikmund-Fisher, Alistair Thorpe, Angela Fagerlin
JAMA 2025;334;(16):1474-1475
doi:10.1001/jama.2025.13655
Health care professionals often use numbers to guide decisions, monitor patient health, and communicate information. Although nonnumeric conversations may be recommended for some situations (eg, many cancer screening decisions),1 providing numerical information...
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[JAMA洞察]:复发性难辨梭状芽孢杆菌感染已关闭评论
JAMA Insights
Recurrent Clostridioides difficile Infections
Joffrey van Prehn, Ed J. Kuijper, Erik R. Dubberke
JAMA Published Online: October 20, 2025
doi: 10.1001/jama.2025.18089
Clostridioides difficile is a gram-positive spore-forming anaerobic bacterium that can produce toxins. After ingestion of C difficile spores, which can be found in health care institutions and homes of healthy people, the intestines can bec...
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[JAMA发表文章]:心脏CT钙化评分已关闭评论
JAMA Insights
March 5, 2025
Cardiac CT Calcium Score
Peter Glynn, Sadiya S. Khan, Philip Greenland
JAMA. 2025;333(16):1447-1448. doi:10.1001/jama.2025.0610
What Is Coronary Artery Calcium and the Cardiac Computed Tomography Calcium Score?
Coronary artery plaque can consist of calcified and/or noncalcified material. Computed tomography (CT) can detect and measure coronary artery calcium (CAC) levels in calcified plaque,...
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[JAMA Intern Med观点]:疾病诊断标准对过度诊断的影响已关闭评论
Viewpoint
Less Is More
June 9, 2025
The Impact of Definitions of Disease on Overdiagnosis
Kari A. O. Tikkinen, Alex L. E. Halme, Gordon H. Guyatt, et al
JAMA Intern Med. Published online June 9, 2025. doi:10.1001/jamainternmed.2025.1727
The concept and definition of disease influences both clinical practice and public health. The World Health Organization has defined health but failed to define disease. ...
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[JAMA Intern Med观点]:患者从ICU转科到普通病房的安全性已关闭评论
Viewpoint
May 27, 2025
Optimizing Safety for Patients Transferred From Intensive Care Units to General Medical Wards: A SIMPLER Approach
Donald A. Redelmeier, Barbara Haas, William K. Silverstein
JAMA Intern Med. Published online May 27, 2025. doi:10.1001/jamainternmed.2025.1497
Most patients admitted to an intensive care unit (ICU) survive.1 A patient, of course, does not return to health instantly even when vasopressors, ventilators, ...
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