[ICU Management & Practice]: NIH采取措施减少阿片过量导致的死亡已关闭评论
NIH Intervention to Reduce Opioid-Related Overdose Deaths
In ICU
Sun, 16 Jun 2024
A National Institutes of Health’s HEALing (Helping to End Addiction Long-Term) Communities Study evaluated a data-driven intervention aimed at reducing opioid-related overdose deaths by engaging communities to implement evidence-based practices, such as increasing naloxone distribution and enhancing access to medication for opioid use disorder. The findings are published ...
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[JAMA发表述评]:2024年修订版赫尔辛基宣言:当代医学研究的伦理学已关闭评论
Editor's Note
October 19, 2024
The 2024 Revision to the Declaration of Helsinki: Modern Ethics for Medical Research
Kirsten Bibbins-Domingo, Linda Brubaker, Greg Curfman
JAMA. Published online October 19, 2024. doi:10.1001/jama.2024.22530
This JAMA issue focuses on important contemporary issues in ethics and medical research and is anchored by 2 Special Communications with their accompanying Viewpoints and Editorials.
The first ...
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[JAMA临床指南精要]:急性高原病的预防、诊断与治疗已关闭评论
JAMA Clinical Guidelines Synopsis
October 24, 2024
Prevention, Diagnosis, and Treatment of Acute Altitude Illness
Mia Derstine, Elan Small, Andrew M. Davis
JAMA. Published online October 24, 2024. doi:10.1001/jama.2024.19562
Guideline title Prevention, Diagnosis, and Treatment of Acute Altitude Illness
Release date January 2024
Developer and funding source Wilderness Medical Society (WMS)
...
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[ICU Management & Practice]: 机器学习预警防止治疗升级已关闭评论
Machine Learning Alerts to Prevent Escalation of Care
In ICU
Fri, 14 Jun 2024
Deploying and evaluating a machine learning intervention to improve clinical care and patient outcomes is a key step in moving clinical deterioration models from byte to bedside. A Mount Sinai study found that hospitalised patients were 43% more likely to have their care escalated and significantly less likely to die if their care team received AI-generated alerts signalling ...
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[JAMA Newt Open发表论文]:美国医学中心医务人员配备与医疗质量已关闭评论
Original Investigation
Health Policy
October 22, 2024
Clinician Staffing and Quality of Care in US Health Centers
Q. Wilton Sun, Howard P. Forman, Logan Stern, et al
JAMA Netw Open. 2024;7(10):e2440140. doi:10.1001/jamanetworkopen.2024.40140
Key Points
Question Is there an association between clinician staffing (physicians and advanced practice practitioners) and quality-of-care metrics in ...
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[JAMA Surg发表论文]:年轻和老年退伍军人术后恢复的长期轨迹已关闭评论
Original Investigation
October 23, 2024
Long-Term Trajectories of Postoperative Recovery in Younger and Older Veterans
Michael A. Jacobs, Carly A. Jacobs, Orna Intrator, et al
JAMA Surg. Published online October 23, 2024. doi:10.1001/jamasurg.2024.4691
Key Points
Question What do long-term postoperative recovery trajectories look like?
Findings This cohort study (378 682 cases) i...
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[Crit Care读者来信]:探讨高流量鼻导管氧疗治疗AECOPD合并急性中度高碳酸血症呼吸功能衰竭已关闭评论
Matters Arising
Open access
Published: 05 August 2024
Probing the efficacy of high-flow nasal cannula in the treatment of acute exacerbations of COPD with acute-moderate hypercapnic respiratory failure
Ioannis Pantazopoulos, Georgios Mavrovouni
Critical Care volume 28, Article number: 264 (2024)
Dear Sir,
We have read with great interest the single-centre study by Tan, et al. [1], which concluded that high-flow nasal cannula (HFNC) was not no...
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[JAMA发表论文]:急性肾损伤住院患者的早期个体化治疗推荐意见已关闭评论
Original Investigation
October 25, 2024
Early, Individualized Recommendations for Hospitalized Patients With Acute Kidney Injury: A Randomized Clinical Trial
Abinet M. Aklilu, Steven Menez, Megan L. Baker, et al
JAMA. 2024;332(24):2081-2090. doi:10.1001/jama.2024.22718
Key Points
Question Among hospitalized patients with acute kidney injury, do diagnostic and therapeutic recommendations sent by a kidney action team through the ...
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[ICU Management & Practice]: 呼吸机诱导肺损伤与机械能已关闭评论
Ventilator-Induced Lung Injury and Mechanical Power
In ICU
Mon, 16 Sep 2024
Mechanical ventilation is essential for managing acute respiratory failure but can cause ventilator-induced lung injury (VILI). VILI arises from four main mechanisms: alveolar over-distention (volutrauma), over-pressurisation (barotrauma), cyclic opening and collapse of alveoli (atelectotrauma), and inflammation (biotrauma), leading to alveolar damage and impaired gas exchange....
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[2024年BMJ圣诞专刊]:大型语言模型对认知障碍的易感性已关闭评论
Research Christmas 2024: Could We Start Again, Please?
Age against the machine—susceptibility of large language models to cognitive impairment: cross sectional analysis
Roy Dayan, Benjamin Uliel, Gal Koplewitz
BMJ 2024; 387 doi: https://doi.org/10.1136/bmj-2024-081948 (Published 20 December 2024)Cite this as: BMJ 2024;387:e081948
Abstract
Objective To evaluate the cognitive abilities of the leading large language models and identify their suscepti...
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