m********4
发帖数: 607 | 1 医学文献阅读－Jan, 2012
* Mitbbs-link:
1. http://www.mitbbs.com/article_t/Medicalpractice/25995.html
2. http://www.mitbbs.com/article_t/Medicalpractice/29847.html
＊目地—分享，阅读，学习，提高
＊ 内容
Part I: 文献阅读
1。 Aplusplus
1 a:
现代社会的发展， 让很多以前复杂的事变得简单， 青少年们也变得越来越懒， 越来&
#8232;越胖，这个现象令人担忧：
http://onlinelibrary.wiley.com/doi/10.1002/ana.22539/abstract
1 b:
Hospitalists like to give heparin drip for acute stroke patients with atrial
fibrillation. This is a controversial topic. Anticoagulation is
indicated
for cardiac emboli and atrial fibrillation, but when stroke
size is large,
anticoagulation would put patients on the risk of
hemorrhagic transformation
. What should we do?
Here is a
review article:
http://stroke.ahajournals.org/content/38/2/423.long
̷
So we should not routinely anticoagulate acute stroke patients with a-fib.
However, if patients are having crescendo TIAs, or found to have a
cardiac
thrombosis, etc, you may have to adjust your strategies.&#
8232;
Still confused? read the article, lol
2. Meigui:
2a.
Causes of stroke in young
adults
http://www.kevinmd.com/blog/2010/06/stroke-young-adults.html
2b.
KIDS HAVE STROKES
http://www.pediatricstroke.org/clotting_disorders.htm
;
2c.
Stroke Treatment Overview
http://www.webmd.com/stroke/guide/stroke-treatment-overviewR
2d:
Critical limb ischemia (review article)
http://www.sciencedirect.com/science/article/pii/S0741521409017
2 e:
Gliomas
http://www.abta.org/Tumor_&_Treatment_Info/Gliomas/230
;
http://www.abta.org/Care_And_Support/48
;
http://www.abta.org/Research_Progress/36
2f:
aneurysm clipping
http://www.mayfieldclinic.com/PE-Clipping.htm
2g:
Brain aneurysm-Treatments and drugs
http://www.mayoclinic.com/health/brain-aneurysm/DS00582/DSECTIO
2h:
Review-Atrial fibrillation and stroke prevention
http://www.sciencedirect.com/science/article/pii/S1474442207702
2i:
Current therapeutic strategies and future perspectives for the prevention&#
8232;of arterial thromboembolism: focus on atrial fibrillation.
http://www.ncbi.nlm.nih.gov/pubmed/20858180
2j:
Periprocedural antithrombotic management: A review of the literature and &#
8232;practical approach for the hospitalist physician†
http://onlinelibrary.wiley.com/doi/10.1002/jhm.514/full
2 k:
History of medicine
http://en.wikipedia.org/wiki/History_of_medicine
Part II: 本月讨论：
1。 Aplusplus
Let's debate：
Should we patch the PFOs in stroke patients?
&#
8232;Please give your own opinions, not the current standard of care.
Follow up:
1a: Meigui-Repair of Asymptomatic PFO Increases Stroke Risk
http://www.medpagetoday.com/Surgery/ThoracicSurgery/15085
After reading this article, what is in your mind? Next time, if you happen
to see a patient with PFO in clinic, what kind of suggestion or
recommendation you would like to give him/her?
1b: medicalprac-What about a stroke patient found to have a large PFO? &#
8232;How do you define asymptomatic patients?
Part III: 行业问题
1。 Meigui－
1a
In oncology, doctors were allowed to profit from drug sales. So doctors&#
8232;would buy expensive cancer drugs at bulk prices from drugmakers and
then
sell them at much higher prices to their patients.
cited from the link-
http://www.mitbbs.com/article_t/Medicalpractice/26723.html
;
Hard to understand this point. Doctors are not drug dealer, are they?
1b:
In US, pain killer abuse is another big problem needed to be fixed.
&#
8232;http://www.voanews.com/learningenglish/home/health/In-US-an-Epi
;
Follow up:
Aplusplus-
It is funny that we just talked about it today. A drug rep tried to convince
me to buy his company's stock. A year ago was 1.5 now is 2.6. His
company
will put its 2nd product on market this summer. This product
is hydrocodone
slow release. After I learned that, I shaked my head.
This product is not
going to succeed in my opinion.
＊ 建议
1。 Futurehw-
玫瑰姐姐，爱心问一下，那些要Login的文章，贴到这里, 会不会有copyright的问题？
2. Aplusplus-
不过futurehw提到了copyright的问题， 我觉得我们不妨把这个“好大读”搞成2步：&
#8232;1. 简单叙述这篇文章的现实意义。
2. Abstract
原文由有兴趣的
ID自己寻找， 这样可以避免copyright的问题。
3。 Springstep-
Rose,
版大这个建议，是个两全其美的办法。
4。 Benpu-
好大读这个名字实在失水准，这里文青这么多悬赏个有点文釆的吧，应该虚实兼顾啊
5。 Daisy-
有个简短的文章摘要，再加上自己的点评。
最好从NEJM或者各学科重要
刊物的近期的对诊疗比较有影响的文章。
6。 Aplusplus-
What do you think my article above?
Should we make a separate thread
each time then edit these articles later by
Rose?
7. daisy-
每篇文章一个新的topic， 也方便讨论。
然后玫瑰姐姐把每个月的文章
都收集一起，如果文章多的话可以隔周甚至每周收集编辑。
* 感谢所有参与的ID, 希望有更多的文献推荐以及建议。 | A*******s
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