601. In AF with recent ACS or PCI, apixaban reduced total bleeding vs. VKA; aspirin increased total bleeding vs. placebo at 6 mo.
GIM/FP/GP: [Formula: see text] Cardiology: [Formula: see text].
603. Non-vitamin K oral anticoagulants and aspirin do not differ for major bleeding and intracranial hemorrhage at a mean 20 mo.
GIM/FP/GP: [Formula: see text] Cardiology: [Formula: see text] Hematology: [Formula: see text].
604. Guideline recommends antiviral prophylaxis for patients at high risk for HBV reactivation.
GIM/FP/GP: [Formula: see text] Gastroenterology: [Formula: see text] Infectious Disease: [Formula: see text] Public Health: [Formula: see text].
606. In ischemic stroke, IV thrombolysis >4.5 h after symptom onset vs. standard medical care improves 90-d functional outcomes.
Emergency Med: [Formula: see text] GIM/FP/GP: [Formula: see text] Neurology: [Formula: see text].
608. In early postmenopausal women, zoledronate vs. placebo at baseline and 5 y reduced morphometric vertebral fractures at 10 y.
GIM/FP/GP: [Formula: see text] Endocrinology: [Formula: see text] Geriatrics: [Formula: see text] Public Health: [Formula: see text].
612. In nonsevere influenza, antiviral drugs do not reduce mortality or hospital admissions; some shorten symptom duration.
Emergency Med: [Formula: see text] GIM/FP/GP: [Formula: see text] Infectious Disease: [Formula: see text] Public Health: [Formula: see text].
615. Sins of Omission: Model-Based Estimates of the Health Effects of Excluding Pregnant Participants From Randomized Controlled Trials.
More than 90 million women in the United States have given birth. Randomized controlled trials (RCTs) of medications almost always exclude pregnant participants.
616. Empowering Physicians Through Collective Action: A Position Paper From the American College of Physicians.
Physicians are increasingly frustrated with the nation's health care system. The erosion of the patient-physician relationship, diminished clinical independence, the mounting burden of administrative tasks, and the growing influence of nonclinicians in the health care system have left many physicians disempowered, demoralized, and burned out. As a result, physicians, most of whom are employed by hospitals, health systems, and other organizations, are exploring collective action to enhance their ability to deliver high-quality care to patients, regain control of their profession, and improve their well-being. In this position paper, the American College of Physicians offers recommendations on how physicians can become effective advocates for their patients and their profession through advocacy, the organized medical staff, responsible collective bargaining, and other means.
618. Impact of the COVID-19 Pandemic on Antibiotic Resistant Infection Burden in U.S. Hospitals : Retrospective Cohort Study of Trends and Risk Factors.
作者: Christina Yek.;Alex G Mancera.;Guoqing Diao.;Morgan Walker.;Maniraj Neupane.;Emad A Chishti.;Roxana Amirahmadi.;Mary E Richert.;Chanu Rhee.;Michael Klompas.;Bruce Swihart.;Sarah R Warner.;Sameer S Kadri.; .
来源: Ann Intern Med. 2025年178卷6期796-807页
In 2022, the U.S. Centers for Disease Control and Prevention reported increases in antimicrobial resistance (AMR) across U.S. hospitals during the COVID-19 pandemic. The key drivers and lasting effects of this phenomenon remain unexplored.
620. Sexual Trauma, Suicide, and Overdose in a National Cohort of Older Veterans.
作者: Anita S Hargrave.;Beth E Cohen.;Carolyn J Gibson.;Salomeh Keyhani.;Yixia Li.;W John Boscardin.;Amy L Byers.
来源: Ann Intern Med. 2025年178卷6期775-787页
Little is known about the association between military sexual trauma (MST) and risk for suicide-related outcomes later in life.
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