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2024

Новости за 26.11.2024

Jamanetwork.com 

Noninvasive Ventilation in COPD—Pressure Matters

High-intensity noninvasive ventilation was first used more than 20 years ago in patients with chronic obstructive pulmonary disease (COPD) and chronic hypercapnia. High-intensity noninvasive ventilation aims to achieve normocapnia or to reduce elevated Paco2 levels to the maximally achievable extent. For this purpose, the driving pressure, mainly achieved by modifying the inspiratory positive airway pressure, is individually titrated by a stepwise increase until normocapnia is established or the... Читать дальше...

Jamanetwork.com 

AIDS in Africa: 2024 Lasker-Bloomberg Public Service Award

In this Viewpoint, 2024 Lasker-Bloomberg Public Service Award winners Quarraisha Abdool Karim and Salim S. Abdool Karim discuss their journey in AIDS research in South Africa and the local and global health impact of this research.

Jamanetwork.com 

Estimation of Tax Benefit of US Nonprofit Hospitals

This study uses data from Medicare Cost Reports to investigate the financial benefit US nonprofit hospitals receive from their tax-exempt status and outlines a standardized estimation methodology that can be replicated at the state and local levels.

Jamanetwork.com 

Shock First or Pace First to Break Ventricular Tachycardia?

Implantable cardioverter-defibrillators (ICDs) decrease all-cause mortality in patients at high risk for ventricular arrhythmias, especially those with reduced left ventricular systolic function, and this mortality benefit is directly related to termination of these potentially life-threatening arrhythmias. Transvenous ICDs, which comprise an implanted pulse generator and 1 or more leads inside the heart, can terminate many ventricular tachycardias (VTs) with either a high-energy discharge (shock) or antitachycardia pacing (ATP). Читать дальше...

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Translating AI for the Clinician

This Viewpoint explores how artificial intelligence technologies can adopt a clinical practice framework to identify use cases and outline the technology’s objectives and potential uses in modern health care.

Jamanetwork.com 

Ovarian Aging and Fertility

This JAMA Insights discusses ovarian aging and provides strategies to address infertility due to ovarian aging.

Jamanetwork.com 

Primary Care–Based Chronic Kidney Disease Management—Reply

In Reply We appreciate the letter from Dr Hu regarding additional points of consideration for our study on CKD. We agree that it is critical to consider pregnancy in studies assessing sex disparities in health care. For our study, females of reproductive age accounted for only 0.8% of our cohort (n = 35). We did not expect this small number of patients to change our results, so we did not plan a subgroup analysis. However, the care of patients before, during, and after pregnancy highlights opportunities for future research. Читать дальше...