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2019

Новости за 28.05.2019



Serving Individuals and Populations Within Integrated Health Systems

Jamanetwork.com 

This Viewpoint discusses the realities that keep integrated health systems (IHSs) from providing a full range of patient care services from primary through quaternary care, and outlines strategic considerations important for IHS stakeholders to account for if they are to effectively serve their patient communities in a shifting technological and regulatory environment.

Safe Vaccinations for a Healthy Nation

Jamanetwork.com 

This Viewpoint discusses public distrust of vaccinations fueled by false information on vaccine safety spread through social media, and discusses the ways in which physicians, public health authorities, states, and social media platforms can help curb the spread of misinformation and instead provide information on the safety and importance of vaccines.

Treatment of Patients With Psychogenic Nonepileptic Attacks

Jamanetwork.com 

This Viewpoint describes the neurological disorder known as psychogenic nonepileptic attacks (PNEA)—including the symptoms, appropriate diagnostic testing, and treatment with cognitive behavioral therapy—and how it can be distinguished from epilepsy to avoid treating patients with PNEA with potentially harmful epileptic medications or surgery.

Active Surveillance of Low-Risk Thyroid Cancer

Jamanetwork.com 

This JAMA Insights Clinical Update reviews use of active ultrasonography surveillance of patients with thyroid cancer as a way to postpone or avoid thyroidectomy in patients with lower-risk tumors for whom surgery is more likely to be harmful than beneficial.

Новости России
Москва

С 2025 года демобилизованные участники СВО бесплатно могут пройти санаторно-курортное лечение в центрах реабилитации Социального фонда


Safeguards in the Adoption of Robotic Surgery

Jamanetwork.com 

This Viewpoint discusses the increasing use of robotic-assisted surgery and the issues, including potential harm, surgeon credentialing, and transparency in informed patient consent, that should be considered by payers, health care organizations, and surgeons to ensure that safeguards remain in place until stronger evidence for or against the use of this technology is available.

Health Concerns in Urban Slums

Jamanetwork.com 

In this Viewpoint, authors from the International Center for Diarrheal Disease Research in Bangladesh discuss rapid urbanization in low- and middle-income countries and the associated challenges of meeting the basic health care needs of growing urban slum populations.

Recombinant Human Soluble Thrombomodulin in Patients With Sepsis-Associated Coagulopathy

Jamanetwork.com 

Sepsis is a heterogeneous syndrome caused by an unbalanced host response to an infection resulting in organ dysfunction. Sepsis is associated with activation of the coagulation system, and 30% to 60% of patients have disseminated intravascular coagulation (DIC). Fulminant DIC is characterized by` activation of the coagulation system combined with an impaired function of endogenous anticoagulant mechanisms resulting in widespread microvascular thrombosis and concurrent hemorrhage secondary to consumption of clotting factors and platelets. Читать дальше...

New Phenotypes for Sepsis

Jamanetwork.com 

In this issue of JAMA, Seymour and his multidisciplinary team of coauthors aim to improve the current understanding of sepsis by identifying new clinical phenotypes using machine learning clustering techniques. The authors assume that current sepsis definitions are too broad and clinically imprecise to untangle complex clinical and biological interactions in sepsis and that better-defined phenotypes represent the key to ultimately identifying new and successful therapeutic approaches. Their analytic approaches... Читать дальше...


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