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Chemoprophylaxis, diagnosis, treatments, and discharge management of COVID-19: An evidence-based clinical practice guideline(updated version)

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Military Medical Research 2020年第3期7卷 249-282页

作者： Ying-Hui Jin Qing-Yuan Zhan Zhi-Yong Peng Xue-Qun Ren Xun-Tao Yin Lin Cai Yu-Feng Yuan Ji-Rong Yue Xiao-Chun Zhang Qi-Wen Yang Jianguang Ji Jian Xia Yi-Rong Li Fu-Xiang Zhou Ya-Dong Gao Zhui Yu Feng Xu Ming-Li Tu Li-Ming Tan Min Yang Fang Chen Xiao-Ju Zhang Mei Zeng Yu Zhu Xin-Can Liu Jian Yang Dong-Chi Zhao Yu-Feng Ding Ning Hou Fu-Bing Wang Hao Chen Yong-Gang Zhang Wei Li Wen Chen Yue-Xian Shi Xiu-Zhi Yang Xue-Jun Wang Yan-Jun Zhong Ming-Juan Zhao Bing-Hui Li Lin-Lu Ma Hao Zi Na Wang Yun-Yun Wang Shao-Fu Yu Lu-Yao Li Qiao Huang Hong Weng Xiang-Ying Ren Li-Sha Luo Man-Ru Fan Di Huang Hong-Yang Xue Lin-Xin Yu Jin-Ping Gao Tong Deng Xian-Tao Zeng Hong-Jun Li Zhen-Shun Cheng Xiao-Mei Yao Xing-Huan Wang Center for Evidence-Based and Translational Medicine Zhongnan Hospital of Wuhan UniversityWuhan 430071China National Clinical Research Center for Respiratory Diseases China-Japan Friendship HospitalBeijing 100029China Department of Pulmonary and Critical Care Medicine China-Japan Friendship HospitalBeijing 10029China Leishenshan Hospital in Wuhan Wuhan 430200China Department of Critical Care Medicine Zhongnan Hospital of Wuhan UniversityWuhan 430071China Institutes of Evidence-based Medicine and Knowledge Translation Henan UniversityKaifeng 475000HenanChina Department of Medical Imaging Guizhou Provincial People’s HospitalGuiyang 550002China departments of Orthopedics Zhongnan Hospital of Wuhan UniversityWuhan 430071China Department of Hepatobiliary Surgery Zhongnan Hospital of Wuhan UniversityWuhan 430071China National Clinical Research Center for Geriatrics West China Hospital of Sichuan UniversityChengdu 610041China Department of Geriatrics West China Hospital of Sichuan UniversityChengdu 610041China Department of Radiology Zhongnan Hospital of Wuhan UniversityWuhan 430071China Department of Clinical Laboratory Peking Union Medical College Hospital(PUMCH)Peking Union Medical CollegeChinese Academy of Medical Sciences(CAMS)Beijing 100730China Center for Primary Health Care Research Lund University and Region Skåne25002 MalmöSweden Emergency Center Zhongnan Hospital of Wuhan UniversityWuhan 403371China Department of Allergology Zhongnan Hospital of Wuhan UniversityWuhan 430071China Department of Radiation and Medical Oncology Zhongnan Hospital of Wuhan UniversityWuhan 43071China Department of Critical Care Medicine Renmin Hospital of Wuhan UniversityWuhan 430060China Department of Emergency Medicine and Chest Pain Center Qilu Hospital of Shandong UniversityJinan 250002China Department of Respiratory and Critical Care Medicine Suizhou Central HospitalHubei University of MedicineSuizhou 441300HubeiChina Department of Clinic Pharmacy Second People’s Hospital of Huaihua Ci

The novel severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)is the cause of a rapidly spreading illness,coronavirus disease 2019(COVID-19),affecting more than seventeen million people around the *** and treatment guidelines for clinicians caring for patients are *** the early stage,we have issued"A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus(2019-nCoV)infected pneumonia(standard version)";now there are many direct evidences emerged and may change some of previous recommendations and it is ripe for develop an evidence-based *** formed a working group of clinical experts and *** steering group members proposed 29 questions that are relevant to the management of COVID-19 covering the following areas:chemoprophylaxis,diagnosis,treatments,and discharge *** searched the literature for direct evidence on the management of COVID-19,and assessed its certainty generated recommendations using the Grading of Recommendations,Assessment,Development and Evaluation(GRADE)*** were either strong or weak,or in the form of ungraded consensus-based ***,we issued 34 *** them,6 were strong recommendations for,14 were weak recommendations for,3 were weak recommendations against and 11 were ungraded consensus-based *** covered topics of chemoprophylaxis(including agents and Traditional Chinese Medicine(TCM)agents),diagnosis(including clinical manifestations,reverse transcription-polymerase chain reaction(RT-PCR),respiratory tract specimens,IgM and IgG antibody tests,chest computed tomography,chest X-ray,and CT features of asymptomatic infections),treatments(including lopinavirritonavir,umifenovir,favipiravir,interferon,remdesivir,combination of antiviral drugs,hydroxychloroquine/chloroquine,interleukin-6 inhibitors,interleukin-1 inhibitors,glucocorticoid,qingfei paidu decoction,lianhua qingwen granules/capsules,convalescent plasma,lung

关键词： COVID-19 SARS-CoV-2 Recommendation Chemoprophylaxis Diagnosis Treatment Discharge management Traditional Chinese medicine guideline

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Effectiveness of BNT162b2 Vaccine against Critical Covid-19 in Adolescents

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四川生理科学杂志 2021年第11期43卷 1723-1723页

作者： Samantha M Olson From the Covid-19 Response Team Centers for Disease Control and Prevention (S.M.O. A.M.P. L.D.Z. A.P.C. M.M.P.) and the Center for Childhood Infections and Vaccines of Children’s Healthcare of Atlanta and the Department of Pediatrics Emory University School of Medicine (S.K.) — both in Atlanta the Department of Anesthesiology Critical Care and Pain Medicine Boston Children’s Hospital (M.M.N. A.G.R.) and the Departments of Anaesthesia and Pediatrics Harvard Medical School (A.G.R.) — both in Boston the Division of Pediatric Infectious Diseases Department of Pediatrics Vanderbilt University Medical Center Nashville (N.B.H.) the Department of Pediatrics Baylor College of Medicine Immunization Project Texas Children’s Hospital Houston (J.A.B. L.C.S.) and the Department of Pediatrics Division of Critical Care Medicine University of Texas Southwestern Children’s Medical Center Dallas Dallas (M.M.) the Division of Infectious Diseases Children’s Hospital Los Angeles and Departments of Pediatrics and Molecular Microbiology and Immunology University of Southern California Los Angeles (P.S.P.) the Division of Pediatric Hospital Medicine UC San Diego–Rady Children’s Hospital San Diego (M.A.C.) the Division of Critical Care Medicine UCSF Benioff Children’s Hospital Oakland (N.Z.C.) and the Department of Pediatrics Divisions of Critical Care Medicine and Allergy Immunology and Bone Marrow Transplant University of California San Francisco San Francisco (M.S.Z.) — all in California Section of Pediatric Critical Care Department of Pediatrics Arkansas Children’s Hospital Little Rock (K.I.) the Department of Pediatrics University of North Carolina at Chapel Hill Children’s Hospital Chapel Hill (T.C.W. S.P.S.) the Department of Pediatrics Section of Critical Care Medicine University of Colorado School of Medicine and Children’s Hospital Colorado Aurora (A.B.M.) the Division of Pediatric Critical Care Medicine Medical University of South Carolina Charleston (E.H.M.) the Department of

Background:The increasing incidence of pediatric hospitalizations associated with coronavirus disease 2019(Covid-19)caused by the B.1.617.2(delta)variant of severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)in the United States has offered an opportunity to assess the real-world effectiveness of the BNT162b2 messenger RNA vaccine in adolescents between 12 and 18 years of ***:We used a case-control,test-negative design to assess vaccine effectiveness against Covid-19 resulting in hospitalization,admission to an intensive care unit(ICU),the use of life-supporting interventions(mechanical ventilation,vasopressors,and extracorporeal membrane oxygenation),or *** July 1 and October 25,2021,we screened admission logs for eligible case patients with laboratory-confirmed Covid-19 at 31 hospitals in 23 *** estimated vaccine effectiveness by comparing the odds of antecedent full vaccination(two doses of BNT162b2)in case patients as compared with two hospitalbased control groups:patients who had Covid-19-like symptoms but negative results on testing for SARS-CoV-2(test-negative)and patients who did not have Covid-19-like symptoms(syndrome-negative).

关键词： vaccine doses acute

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Sotagliflozin in Patients with Diabetes and Chronic Kidney Disease

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四川生理科学杂志 2020年第4期42卷 391-391页

作者： Deepak L Bhatt From Brigham and Women’s Hospital Heart and Vascular Center and Harvard Medical School Boston (D.L.B. C.P.C. B.M.S.) Colorado Prevention Center Clinical Research and Department of Medicine Division of Cardiovascular Medicine University of Colorado Anschutz Medical Campus Aurora (M.S.) the State University of New York Downstate School of Public Health Brooklyn (M.S.) the University of Michigan Ann Arbor (B.P.) Li Ka Shing Knowledge Institute and the Division of Endocrinology and Metabolism St. Michael’s Hospital and the Departments of Medicine and Nutritional Sciences University of Toronto (L.A.L.) and the Division of Nephrology (D.Z.I.C.) and the Cardiovascular Division Department of Medicine Women’s College Hospital and Peter Munk Cardiac Centre (J.A.U.) University Health Network University of Toronto — all in Toronto the University of Texas Southwestern Medical Center and Parkland Health and Hospital System Dallas (D.K.M.) and Lexicon Pharmaceuticals The Woodlands (P.L.) — both in Texas Vanderbilt University Medical Center Nashville (J.B.L. J.P.D.) the Division of Endocrinology Diabetes and Clinical Nutrition Oregon Health and Science University Portland (M.C.R.) the Section of Endocrinology Yale School of Medicine New Haven CT (S.E.I.) Saint Luke’s Mid America Heart Institute University of Missouri–Kansas City Kansas City (M.N.K.) the School of Life and Health Sciences Aston University Birmingham (C.J.B.) and the Imperial Centre for Cardiovascular Disease Prevention Department of Primary Care and Public Health Imperial College London London (K.K.R.) — both in the United Kingdom the Department of Medicine Estudios Clínicos Latinoamérica Instituto Cardiovascular de Rosario Rosario Argentina (R.D.) Duke Clinical Research Institute Duke University School of Medicine Durham NC (R.D.L.) and Université de Paris French Alliance for Cardiovascular Trials Assistance Publique–Hôpitaux de Paris Hôpital Bichat INSERM Unité 1148 Paris (P.G.S.).

Background:The efficacy and safety of sodium-glucose cotransporter 2 inhibitors such as sotagliflozin in preventing cardiovascular events in patients with diabetes with chronic kidney disease with or without albuminur... 详细信息

关键词： Kidney cardiovascular Diabetes

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针对患者利益的机器学习和人工智能研究:在透明性、可重复性、伦理和有效性等方面的20个关键问题

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英国医学杂志中文版 2020年第9期23卷 522-533页

作者： Sebastian Vollmer Bilal A Mateen Gergo Bohner Franz J Kirdly Rayid Ghani Pall Jonsson Sarah Cumbers Adrian Jonas Katherine S L McAllister Puja Myles David Granger Mark Birse Richard Branson Karel G M Moons Gary S Collins John P A Chris Holmes Harry Hemingwayp 李峰(译) 徐磊(校) 赵邑(校) Alan Turing Institute Kings CrossLondonUK departments of Mathematics and Statistics University of WarwickCoventryUK Warwick Medical School University of WarwickCoventryUK Kings College Hospital Denmark HillLondonUK Department of Statistical Science University College LondonLondonUK University of Chicago ChicagoILUSA Science Policy and Research National Institute for Health and Care ExcellenceManchesterUK Health and Social Care Directorate National Institute for Health and Care ExcellenceLondonUK Data and Analytics Group National Institute for Health and Care ExcellenceLondonUK Clinical Practice Research Datalink Medicines and Healthcare products Regulatory AgencyLondonUK Medicines and Healthcare products Regulatory Agency LondonUK Julius Centre for Health Sciences and Primary Care UMC UtrechtUtrecht UniversityUtrechtNetherlands UK EQUATOR Centre Centre for Statistics in MedicineNDORMSUniversity of OxfordOxfordUK Meta-Research Innovation Centre at Stanford Stanford UniversityStanfordCAUSA Department of Statistics University of OxfordOxford 0X13LBUK Health Data Research UK London University College LondonLondon.UK Institute of Health Informatics University College LondonLondonUK National Institute for Health Research University College London Hospitals Biomedical Research CentreUniversity College LondonLondonUK 深圳智影医疗公司首都医科大学附属北京安贞医院清华大学附属北京清华长庚医院皮肤科

机器学习(ML)、人工智能(AI)和其他现代统计方法正为利用先前尚未开发且极速增长的数据资源提供新的机会,以期让患者获益。尽管目前正在进行许多有前景的研究,特别是在图像方面,但就文献整体而言还缺乏透明度、对可重复性清晰的阐述、... 详细信息

机器学习(ML)、人工智能(AI)和其他现代统计方法正为利用先前尚未开发且极速增长的数据资源提供新的机会,以期让患者获益。尽管目前正在进行许多有前景的研究,特别是在图像方面,但就文献整体而言还缺乏透明度、对可重复性清晰的阐述、对潜在伦理问题的探究,以及对有效性的明确验证。这些问题的存在有许多原因,其中最重要的一点(为此我们提供了初步解决方案)就是当前缺乏针对ML和AI的最佳实践指南。我们认为从事研究的跨学科团队和应用ML/AI影响健康的项目,将因解决有关透明度、可重复性、伦理和有效性(TREE)的一系列问题而受益。这里提出的20个关键问题为研究团队提供了一个研究设计、实施和报告框架;帮助编辑和同行评审专家评估文献的贡献;让患者、临床医生和政策制定者评估新发现可能会给患者带来的获益。

关键词：人工智能研究机器学习同行评审数据资源缺乏透明度可重复性透明性跨学科团队

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AME证据系列001--转化医学协会:脓毒症诊断和早期识别的临床实践指南

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临床与病理杂志 2016年第10期36卷 1467-1476页

作者： Zhongheng Zhang Nathan J.Smischney Haibo Zhang Sven Van Poucke Panagiotis Tsirigotis Jordi Rello Patrick M.Honore Win Sen Kuan Juliet June Ray Jiancang Zhou You Shang Yuetian Yu Christian Jung Chiara Robba Fabio Silvio Taccone Pietro Caironi David Grimaldi Stefan Hofer George Dimopoulos Marc Leone Sang-Bum Hong Mabrouk Bahloul Laurent Argaud Won Young Kim Herbert D.Spapen Jose Rodolfo Rocco 张建成(译) 尚游(译) 钟鸣(校) Department of Emergency Medicine Sir Run Run Shaw HospitalZhejiang University School of MedicineHangzhou 310016 Department of Critical Care Medicine Jinhua Hospital of Zhejiang UniversityJinhua Zhejiang 321000 Department of Anesthesiology Mayo ClinicRochesterMNUSA Keenan Research Center for Biomedical Science of St.Michael's Hospital Departments of Anesthesia and PhysiologyInterdepartmental Division of Critical Care MedicineUniversity of TorontoTorontoONCanada departments of Anesthesiology Critical CareEmergency Medicine and Pain TherapyZiekenhuis Oost-Limburgy GenkBelgium 2nd Department of Internal Medicine Attikcon University HospitalMedical SchoolNational and Kapodistrian University of AthensAthensGreece CIBERES Vall d'Hebron Institut of ResearchUniversitat Autonoma de BarcelonaSpain Universitair Ziekenhuis Brussely Vrije Universiteit Brussel Brussels BrusselsBelgium Emergency Medicine Department National University HospitalNational University Health SystemSingapore and the Department of SurgeryYong Loo Lin School of MedicineNational University of SingaporeSingapore DeWitt Daughtry Family Department of Surgery Jackson Memorial HospitalUniversity of Miami Leonard M.Miller School of MedicineMiamiFLUSA Department of Critical Care Medicine Sir Run Run Shaw HospitalZhejiang University School of MedicineHangzhou 310016 Department of Critical Care Medicine Union HospitalTongji Medical CollegueHuazhong University of Science and TechnologyWuhan 430022 Department of Critical Care Medicine Renji HospitalShanghai Jiao Tong University School of MedicineShanghai 200001 University Hospital Dusseldorf Heinrich-Heine-University DusseldorfMedical FacultyDivision of CardiologyPulmonology and Vascular MedicineDusseldorfGermany Neurosciences Critical Care Unit Addenbrooke's HospitalCambridgeUK Department of Intensive Care Hopital ErasmeUniversite Libre de Bruxelles(ULB)BrusselsBelgium Dipartimento di Fisiopatologia Medico-Chirurgica e dei Trapianti Fondazione IRCCS Ca'Granda-Ospedale

脓毒症是一种由感染引起的异质性疾病,感染触发了一系列复杂的局部或者全身的免疫炎症反应,引起多器官功能衰竭,发病率和病死率显著升高。由于至今仍然没有诊断脓毒症的金标准,所以脓毒症的临床诊断仍是一个难题。因此,脓毒症的临床诊... 详细信息

脓毒症是一种由感染引起的异质性疾病,感染触发了一系列复杂的局部或者全身的免疫炎症反应,引起多器官功能衰竭,发病率和病死率显著升高。由于至今仍然没有诊断脓毒症的金标准,所以脓毒症的临床诊断仍是一个难题。因此,脓毒症的临床诊断需要不断改变来满足临床和研究的要求。然而,尽管有许多新型的生物标记和筛选工具去预测脓毒症发生的风险,但是这些措施的诊断价值和有效性不足以让人满意,并且没有充分的证据去建议临床使用这些新技术。因此,脓毒症的临床诊断标准需要定期更新去适应不断产生的新证据。这篇综述旨在呈现当前脓毒症的诊断和早期识别方面的最新研究证据。临床运用不同的诊断方法的推荐意见依赖于推荐、评价、发展和评估分级体系(Grades of Recommendation Assessment,Development and Evaluation,GRADE),因为大部分的研究是观察性研究,并没有对这些方法进行可靠评估,采用的是两步推理方法。未来需要更多研究来确认或者反驳某一特殊的指标检测,同时应该直接采用相关病人的结果数据。

关键词：脓毒症早期识别诊断

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Wastewater sequencing reveals early cryptic SARS-CoV-2 variant transmission

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四川生理科学杂志 2022年第6期44卷 1118-1118页

作者： Smruthi Karthikeyan Department of Pediatrics University of California San Diego La Jolla CA USA Department of Biomedical Informatics University of California San Diego La Jolla California USA Department of Computer Science and Engineering University of California San Diego La Jolla CA USA Department of Bioengineering University of California San Diego La Jolla CA USA Department of Immunology and Microbiology The Scripps Research Institute La Jolla CA USA Expedited COVID Identification Environment (EXCITE) Laboratory Department of Pediatrics University of California San Diego La Jolla CA USA Department of Obstetrics Gynecology and Reproductive Sciences University of California San Diego La Jolla CA USA COVID-19 Detection Investigation Surveillance Clinical and Outbreak Response California Department of Public Health Richmond CA USA Sanford Consortium of Regenerative Medicine University of California San Diego La Jolla CA USA Department of Cellular and Molecular Medicine University of California San Diego La Jolla CA USA Student Health and Well-Being University of California San Diego La Jolla CA USA Center for Computational Biology and Bioinformatics University of California San Diego La Jolla CA USA Institute for Genomic Medicine University of California San Diego La Jolla CA USA Operational Strategic Initiatives University of California San Diego La Jolla CA USA Return to Learn University of California San Diego La Jolla CA USA Student Affairs University of California San Diego La Jolla CA USA Academic Affairs University of California San Diego La Jolla CA USA Department of Pathology University of California San Diego La Jolla CA USA Scripps Health San Diego La Jolla CA USA Rady Children’s Institute for Genomic Medicine San Diego CA USA Sharp Healthcare San Diego CA USA Helix San Mateo CA USA County of San Diego Health and Human Services Agency San Diego CA USA Herbert Wertheim School of Public Health and Human Longevity Science Univers

As SARS-CoV-2 continues to spread and evolve,detecting emerging variants early is critical for public health *** lineage prevalence by clinical testing is infeasible at scale,especially in areas with limited resources,participation,or testing/sequencing capacity,which can also introduce ***-CoV-2 RNA concentration in wastewater successfully tracks regional infection dynamics and provides less biased abundance estimates than clinical testing4,*** virus genomic sequences in wastewater would improve community prevalence estimates and detect emerging variants.

关键词： wastewater Wastewater testing

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Childhood Cardiovascular Risk Factors and Adult Cardiovascular Events

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四川生理科学杂志 2022年第2期44卷 53-53页

作者： David R Jacobs Jr From the Division of Epidemiology and Community Health School of Public Health (D.R.J.) and the Department of Pediatrics University of Minnesota Medical School (A.R.S. J.S.) University of Minnesota Minneapolis the Division of Biostatistics and Epidemiology (J.G.W. N.Z.) and the Heart Institute (E.M.U.) Cincinnati Children's Hospital Medical Center and the Department of Pediatrics University of Cincinnati College of Medicine (J.G.W. N.Z. E.M.U.) - both in Cincinnati the Department of Pediatrics University of Colorado School of Medicine and Anschutz Medical Campus Children's Hospital Colorado - both in Aurora (S.R.D.) the Center for Population Health Research (J.I. N.K. C.G.M. O.T.R.) the Research Center of Applied and Preventive Cardiovascular Medicine (J.I. N.K. C.G.M. O.T.R.) and the Departments of Medicine (M.J. J.S.A.V.) and Mathematics and Statistics (N.K.) University of Turku and the Center for Population Health Research (J.I. N.K. C.G.M. O.T.R.) the Division of Medicine (M.J. J.S.A.V.) and the Department of Clinical Physiology and Nuclear Medicine (O.T.R.) Turku University Hospital Turku and the Department of Clinical Chemistry Fimlab Laboratories and the Finnish Cardiovascular Research Center and the Faculty of Medicine and Health Technology Tampere University Tampere (T.L.) - all in Finland Menzies Institute for Medical Research University of Tasmania Hobart TAS (C.G.M. A.J.V. T.D.) and the Heart Research Group Murdoch Children's Research Institute Melbourne VIC (T.D.) - both in Australia the School of Public Health and Tropical Medicine Tulane University New Orleans (L.A.B.) the Department of Epidemiology College of Public Health University of Iowa Iowa City (T.L.B.) the Division of Public Health Sciences Wake Forest School of Medicine Winston-Salem NC (R.J.P.) and the Nuffield Department of Women's and Reproductive Health University of Oxford Oxford United Kingdom (T.D.).

Background:Childhood cardiovascular risk factors predict subclinical adult cardiovascular disease,but links to clinical events are ***:In a prospective cohort study involving participants in the International Childhood Cardiovascular Cohorts(i3C)Consortium,we evaluated whether childhood risk factors(at the ages of 3 to 19 years)were associated with cardiovascular events in adulthood after a mean follow-up of 35 years.

关键词： Cardiovascular cardiovascular Childhood

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Mortality with Paclitaxel-Coated Devices in Peripheral Artery Disease

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四川生理科学杂志 2020年第4期42卷 491-491页

作者： Joakim Nordanstig From the Department of Molecular and Clinical Medicine Institute of Medicine (J.N. P.S.) and the Department of Radiology Institute of Clinical Sciences (K.L. M.F.) Sahlgrenska Academy Gothenburg University Gothenburg the Department of Medical Sciences and Uppsala Clinical Research Center Uppsala University (S.J. H.R.) and the Department of Surgical Sciences Vascular Surgery Uppsala University (B.K. B.S. G.T.) Uppsala the Department of Clinical and Experimental Medicine Linköping University Linköping (Manne Andersson) Sweden and County Hospital Ryhov Region Jönköping County Department of Surgery Jönköping (Manne Andersson) the Department of Vascular Surgery Sunderby Hospital Luleå (Mattias Andersson) the Department of Vascular Surgery Halland Hospital Halmstad (P.D.) the Department of Clinical Science and Education Karolinska Institute (P.G.) the Departments of Surgery (P.G.) and Radiology (N.N.) Södersjukhuset the Department of Radiology Unit of Peripheral Interventional Radiology Karolinska University Hospital (M.D. J.E.) and the Department. of Vascular Surgery Karolinska University Hospital and the Karolinska Institute (C.-M.W.) Stockholm the Vascular Center Department of Thoracic and Vascular Surgery Skåne University Hospital Malmö (T.F.) the Department of Vascular Surgery Skaraborgs Hospital Skövde (M.H.) the Department of Surgery Kristianstad Hospital Kristianstad (A.H.) the Department of Vascular Surgery Växjö Hospital Växjö (P.J.) the Department of Surgery Gävle Hospital Gävle (L.K.) the Department of Clinical Sciences Faculty of Medicine (H.L.) Lund University (H.L. J.S.) Lund the Vascular Unit Department of Surgery Helsingborg Hospital Helsingborg (H.L.) the Section of Vascular Surgery Surgical and Ear Clinic Södra Älvsborg Hospital Borås (K.L.) the Vascular Unit the Department of Surgery NU-Hospital Group Trollhättan/Uddevalla (S.M.) the Department of Vascular Surgery Karlstad Central Hospital Karlstad (B.S.) the Department of

Background:The results of a recent meta-analysis aroused concern about an increased risk of death associated with the use of paclitaxel-coated angioplasty balloons and stents in lower-limb endovascular interventions f... 详细信息

关键词： balloon Paclitaxel death

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卫生系统知证政策指导：评估对研究证据的信心

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中国循证医学杂志 2014年第7期14卷 789-794页

作者： Simon Lewin Xavier Bosch-Capblanch Sandy Oliver Elie A.Akl Gunn E.Vist John N.Lavis Davina Ghersi John-Arne Rottingen Peter Steinmann Metin Gulmezoglu Peter Tugwell Fadi ElJardali Andy Haines 王小琴(译) 王琪(译) 陈耀龙(审校) 杨克虎(审校) Norwegian Knowledge Centre for the Health Services OsloNorwayand Health Systems Research UnitMedical Research Council of South AfricaCape TownSouth Africa Swiss Tropical and Public Health Institute Baseland University of BaselBaselSwitzerland EPPI-Centre Social Science Research UnitInstitute of EducationLondonUnited Kingdom Department of Medicine State University of New York at BuffaloBuffaloNew YorkUnited States of Americaand Department of Clinical Epidemiology and BiostatisticsMcMaster UniversityHamiltonOntarioCanada Norwegian Knowledge Centre for the Health Services OsloNorway McMaster Health Forum Centre for Health Economics and Policy AnalysisDepartment of Clinical Epidemiology and Biostatisticsand Department of Political ScienceMcMaster UniversityHamiltonOntarioCanada Department of Research Policy and Cooperation Informationl Evidence and ResearchWorld Health OrganizationGenevaSwitzerland Norwegian Knowledge Centre for the Health Services OsloNorway Swiss Tropical and Public Health Institute BaselSwitzerland UNDP/UNFPA/WHO/World Bank Special Programmer of Research Development and Research Training in Human ReproductionWorld Health OrganizationSwitzerland Department of Medicine Institute of Population Healthand Department of Epidemiology and Community MedicineUniversity of OttawaOttawaCanada Department of Health Policy and Management American University of BeirutBeirutLebanonand McMaster Health ForumMcMaster UniversityHamiltonOntarioCanada departments of Social and Environmental Health Research and of Nutrition and Public Health Research London School of Hygiene and Tropical MedicineLondonUnited Kingdom 兰州大学循证医学中心/中国GRADE中心兰州大学基础医学院兰州730000 甘肃省循证医学与临床转化重点实验室兰州730000

本文是《PLoS Medicine》关于卫生系统知证政策指导三篇系列文章的第三篇,阐述了应如何将证据转化为指导,以形成卫生系统政策,并促进临床和公共卫生干预的实施。其要点如下:①评估不同类型研究证据是决定解决卫生系统问题的政策方案的关... 详细信息

本文是《PLoS Medicine》关于卫生系统知证政策指导三篇系列文章的第三篇,阐述了应如何将证据转化为指导,以形成卫生系统政策,并促进临床和公共卫生干预的实施。其要点如下:①评估不同类型研究证据是决定解决卫生系统问题的政策方案的关键;②鉴于许多卫生系统干预的复杂性,系统透明的评价方法尤为重要;③当前有不少好的工具可用于评价对支持政策制定各阶段不同类型的研究证据的信心,其中评价关于效果的证据最多;④我们需要制定工具来帮助评价其他关键因素的系统评价证据,如政策方案对于利益相关者的可接受性、实施可行性及公平性;⑤还需要进一步研究全球卫生系统指导政策方案的制定、构建及呈现方法。

关键词：卫生系统评价证据政策指导信心评估利益相关者 PLoS 卫生干预

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急性缺血性卒中动脉内导管介入治疗培训指南介入放射学学会特别写作组的声明

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国际脑血管病杂志 2011年第9期19卷 649-662页

作者： J.J. Connors David Sacks Carl M. Black E. Bruce McIff M.J.B. Stallmeyer John W. Cole Howard A. Rowley Joan C. Wojak Robert A. Mericle Kieran J. Murphy John F. Cardella 刘朝来（译）李永坤（译）刘新峰（译） From the departments of Radiology Vanderbilt University Medical Center Nashville Tennessee Neurological Sktrgery Vanderbilt University Medical Center Nashville Tennessee Neurology Vanderbilt University Medical Center Nashville Tennessee Department of Interventional Radiology The Reading Hospital and Medical Center West Reading System Radiology Geisinger Health System Danville Pennsylvania Utah Valley Interventional Associates Utah Valley Regional Medical Center Provo Utah Department of Interventionat Neuroradiology Our Lady of Lourdes Regional Medical Center Lafayette Louisiana Department of Neurology Maryland Stroke Center University of Maryland School of Medicine Baltimore Maryland Department of Radiology University of Wisconsin Madison Wisconsin Department of Medical Imaging University of Toronto Toronto Ontario Canada 南京军区南京总医院神经内科 210002

在美国，卒中是引起成年人残疾的首位原因，也是人口死亡的第三大原因，已成为一个重要的公共健康问题。卒中每年危及近80万人的健康，其治疗费用位居所有疾病之首。10％的卒中患者在发病后1个月内死亡，约1乃的卒中患者遗留严重残疾并... 详细信息

在美国，卒中是引起成年人残疾的首位原因，也是人口死亡的第三大原因，已成为一个重要的公共健康问题。卒中每年危及近80万人的健康，其治疗费用位居所有疾病之首。10％的卒中患者在发病后1个月内死亡，约1乃的卒中患者遗留严重残疾并在发病后6个月内死亡。这些数据提示，卒中的死亡率高于癌症。

关键词：急性缺血性卒中导管介入治疗介入放射学培训指南动脉内写作学会健康问题

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