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21st century critical care medicine:An overview

World Journal of Critical Care Medicine 2024年第1期13卷 1-14页

作者： Smitesh Padte Vikramaditya Samala Venkata Priyal Mehta sawsan tawfeeq Rahul Kashyap Salim Surani Department of Research Global Remote Research Scholars ProgramSt.PaulMN 55104United States Department of Hospital Medicine Cheshire Medical Center/Dartmouth HealthKeeneNH 03431United States Department of Research WellSpan HealthYorkPA 17403United States Department of Pulmonary&Critical Care Medicine Mayo ClinicRochesterMN 55905United States Department of Medicine&Pharmacology Texas A&M UniversityCollege StationTX 77843United States

Critical care medicine in the 21st century has witnessed remarkable advancements that have significantly improved patient outcomes in intensive care units(ICUs).This abstract provides a concise summary of the latest developments in critical care,highlighting key areas of *** advancements in critical care include Precision Medicine:Tailoring treatments based on individual patient characteristics,genomics,and biomarkers to enhance the effectiveness of *** objective is to describe the recent advancements in Critical Care ***:The integration of telehealth technologies for remote patient monitoring and consultation,facilitating timely *** intelligence(AI):AI-driven tools for early disease detection,predictive analytics,and treatment optimization,enhancing clinical *** Support:Advanced life support systems,such as Extracorporeal Membrane Oxygenation and Continuous Renal Replacement Therapy provide better organ *** Control:Innovative infection control measures to combat emerging pathogens and reduce healthcare-associated *** Strategies:Precision ventilation modes and lung-protective strategies to minimize ventilatorinduced lung *** Management:Early recognition and aggressive management of sepsis with tailored ***-Centered Care:A shift towards patient-centered care focusing on psychological and emotional wellbeing in addition to medical *** conducted a thorough literature search on PubMed,EMBASE,and Scopus using our tailored strategy,incorporating keywords such as critical care,telemedicine,and sepsis management.A total of 125 articles meeting our criteria were included for qualitative *** ensure reliability,we focused only on articles published in the English language within the last two decades,excluding animal studies,in vitro/molecular studies,and non-original data like editorials,letters,protocols,and conference abs

关键词： Critical care medicine Intensive care unit Precision medicine Telemedicine Artificial intelligence Organ support Sepsis Infection control Patient-centered care

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Plant-based diet and its effect on coronary artery disease:A narrative review

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World Journal of Clinical Cases 2023年第20期11卷 4752-4762页

作者： Priyal Mehta sawsan tawfeeq Smitesh Padte Rayyan Sunasra Heet Desai Salim Surani Rahul Kashyap Department of General Medicine MWD HospitalMumbai 400097India Department of Research Global Remote Research Scholars ProgramSt.PaulMN 55104United States Hinduhridaysamrat Balasaheb Thackeray Medical College and Dr.R.N Cooper Hospital Mumbai 400056India Department of Internal Medicine CIBNPFairfieldCA 94534United States Department of Pulmonary&Critical Care&Pharmacology Texas A&M UniversityCollege StationTX 77843United States Department of Research WellSpan HealthYorkPA 17403United States

Coronary artery disease(CAD),a primary component of cardiovascular diseases,is one of the top contributors to mortality rates *** 2021,dietary risk was estimated to be attributed to 6.58 million cardiovascular ***-based diets(PBDs),which encourage higher consumption of plant foods and lower intake of animal-based foods,have been shown to reduce the risk of CAD by up to 29% when compared to non-vegetarian diets in a *** article aims to summarize the array of PBDs and compare them with conventional Western diets that include *** review the various proposed mechanisms for how the bioactive nutrients of PBDs aid in preventing atherosclerosis and CAD events,as well as other cardiac *** conducted a detailed search of PubMed using our exclusive search strategy using the keywords plant-based diet,vegan diet,phytosterols,CAD,myocardial ischemia,and atherosclerosis.A total of 162 pertinent articles published within the past decade were identified for qualitative *** ensure the accuracy and reliability of our review,we included a total of 55 full-text,peer-reviewed articles that demonstrated the effects of plant-based diets on CAD and were written in *** excluded animal studies,in vitro or molecular studies,and non-original data like editorials,letters,protocols,and conference *** this article,we emphasize the importance of dietary interventions,such as PBDs,to prevent CAD and their benefits on environmental *** plant foods and whole grains into one's daily eating habits leads to an increase in the intake of nutrient-rich foods while reducing the consumption of processed food could not only prevent millions of premature deaths but also provide prevention against many chronic gastrointestinal and metabolic diseases.

关键词： Plant-based diet Phytosterol Coronary artery disease Low-density lipoprotein-cholesterol Micronutrients Atherosclerosis

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