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[JAMA发表述评]:治疗金黄色葡萄球菌菌血症的新路径已关闭评论
Editorial  New Pathways to Treat Staphylococcus aureus Bacteremia: Connecting the DOTS Erin K. McCreary, Preeti N. Malani JAMA 2025;334;(10):861-863. doi:10.1001/jama.2025.13717 Staphylococcus aureus bacteremia is a leading cause of infection-related death worldwide.1 Roughly 30% of patients who develop S aureus bacteremia will die within a year of index culture, yet relatively few randomized clinical trials have evaluated optimal antibiotic therapy.2 Con...
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[ICU Management & Practice]: 外科ICU中报警疲劳与同情疲劳的相关性已关闭评论
Alarm Fatigue Linked to Compassion Fatigue in Surgical ICUs  In ICU Tue, 14 Oct 2025 Intensive care units rely on dense constellations of monitors, ventilators and infusion devices that generate frequent alarms to protect patients. Persistent exposure to these sounds can desensitise clinicians and reduce responsiveness, a phenomenon described as alarm fatigue. In parallel, sustained emotional demands and exposure to suffering can erode the capacit...
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[JAMA Intern Med发表述评]:针对多重耐药的粪菌移植已关闭评论
Invited Commentary  Fecal Microbiota Transplant for Multidrug Resistance—No Benefit Without Disruption? Brendan J. Kelly, Michael H. Woodworth, Jennie H. Kwon JAMA Intern Med Published Online: April 20, 2026 doi: 10.1001/jamainternmed.2026.0668 Fecal microbiota transplant (FMT) has transformed the medical treatment of recurrent Clostridium difficile infection (R-CDI). An explosion of randomized clinical trials during the 2010s demonstrated the effectiv...
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[JAMA发表述评]:肺移植治疗肺癌:危险与希望已关闭评论
Editorial  New Lungs for Lung Cancer—Perils and Promises Ece Cali Daylan, Ramaswamy Govindan JAMA Published Online: July 8, 2026 doi: 10.1001/jama.2026.11478 Despite the recent advances in systemic therapy, survival for patients with metastatic non–small cell lung cancer (NSCLC) without actionable genomic alterations in the tumor is limited.1 A small subset of patients with NSCLC have lung-only metastatic disease and often die of progressive lung failu...
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[JAMA发表述评]:抗生素耐药快速检测的多国临床试验:快就是好吗?已关闭评论
Editorial  A Multinational Trial of Rapid Antimicrobial Susceptibility Testing: Is FASTer Better? Arjun Srinivasan JAMA Published Online: April 18, 2026 doi: 10.1001/jama.2026.5504 Selecting the right antibiotic to treat an infection is the cornerstone of effective antibacterial therapy and lifesaving in severe infections.1 The growing epidemic of antimicrobial resistance is making decisions about empiric treatment increasingly difficult and elevating ...
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[ICU Management & Practice]: 深度学习模型预测再次收入ICU已关闭评论
Deep Learning Models for ICU Readmission Prediction In ICU Tue, 21 Oct 2025 The decision to discharge patients from the ICU is complex, as premature discharge increases the risk of readmission and mortality, while delayed discharge raises healthcare costs. ICU readmission is associated with over twice the mortality risk, longer hospital stays, greater morbidity, and higher resource use. Several predictive models, such as SWIFT, APACHE II and III, and S...
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[JAMA Netw Open发表述评]:大语言模型在临床诊断推理方面的局限性已关闭评论
Invited Commentary  Health Informatics Limitations of Large Language Models in Clinical Diagnostic Reasoning Mickael Tordjman, Xueyan Mei JAMA Netw Open 2026;9;(4):e264014. doi:10.1001/jamanetworkopen.2026.4014 Large language models (LLMs) have rapidly gained an important role in multiple fields, including medicine. These widely available tools can enhance patient understanding, improve physician productivity, and provide encyclopedic knowledge on seve...
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[ICU Management & Practice]: 接收ECMO治疗的ARDS患者的肺循环轨迹已关闭评论
Pulmonary Haemodynamic Trajectories in ECMO-Supported ARDS In ICU Wed, 4 Mar 2026 A recent study investigated the prevalence, determinants, and prognostic implications of pulmonary hypertension (PH) in patients with acute respiratory distress syndrome (ARDS) supported with veno-venous extracorporeal membrane oxygenation (V-V ECMO). PH, defined as a mean pulmonary artery pressure (mPAP) greater than 20 mmHg, is a recognised complication of ARDS and cont...
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[JAMA Surg发表述评]:改善依从性的机制已关闭评论
Invited Commentary  The Mechanics of Improving Compliance Meghan C. O’Leary, Jessica R. Schumacher, Gita N. Mody JAMA Surg Published Online: April 15, 2026 doi: 10.1001/jamasurg.2026.0897 We were pleased to read the report by Chan et al1 about an American College of Surgeons national quality improvement (QI) collaborative. The Lung Nodal, Operative, Dissection, Evaluation, and Staging (NODES) initiative involved a collection of multilevel interventions...
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[ICU Management & Practice]: 感染性休克的白蛋白替代治疗已关闭评论
Albumin Replacement Therapy in Septic Shock In Sepsis Wed, 4 Mar 2026 The Albumin Replacement Therapy in Septic Shock (ARISS) trial, published in JAMA Network Open was designed to determine whether albumin replacement improves survival in patients with septic shock. The study was conducted on behalf of the SepNet Critical Care Trials Group and ARISS investigators. Albumin is a natural colloid with physiological roles extending beyond maintenance of ...
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