7407. Judging the Past: How History Should Inform Bioethics.
Bioethics has become a common course of study in medical schools, other health professional schools, and graduate and undergraduate programs. An analysis of past ethical scandals, as well as the bioethics apparatus that emerged in response to them, is often central to the discussion of bioethical questions. This historical perspective on bioethics is invaluable and demonstrates how, for example, the infamous Tuskegee syphilis study was inherently racist and how other experiments exploited mentally disabled and other disadvantaged persons. However, such instruction can resemble so-called Whig history, in which a supposedly more enlightened mindset is seen as having replaced the "bad old days" of physicians behaving immorally. Bioethical discourse-both in the classroom and in practice-should be accompanied by efforts to historicize but not minimize past ethical transgressions. That is, bioethics needs to emphasize why and how such events occurred rather than merely condemning them with an air of moral superiority. Such instruction can reveal the complicated historical circumstances that led physician-researchers (some of whom were actually quite progressive in their thinking) to embark on projects that seem so unethical in hindsight. Such an approach is not meant to exonerate past transgressions but rather to explain them. In this manner, students and practitioners of bioethics can better appreciate how modern health professionals may be susceptible to the same types of pressures, misguided thinking, and conflicts of interest that sometimes led their predecessors astray.
7408. Long-Term Outcomes of Patients With Recent-Onset Rheumatoid Arthritis After 10 Years of Tight Controlled Treatment: A Randomized Trial.
作者: Iris M Markusse.;Gülsah Akdemir.;Linda Dirven.;Yvonne P M Goekoop-Ruiterman.;Johannes H L M van Groenendael.;K Huub Han.;T H Esmeralda Molenaar.;Saskia Le Cessie.;Willem F Lems.;Peter A H M van der Lubbe.;Pit J S M Kerstens.;André J Peeters.;H Karel Ronday.;Peter B J de Sonnaville.;Irene Speyer.;Theo Stijnen.;Saskia Ten Wolde.;Tom W J Huizinga.;Cornelia F Allaart.
来源: Ann Intern Med. 2016年164卷8期523-31页
Treat-to-target therapy is effective for patients with rheumatoid arthritis (RA), but long-term results of continued targeted treatment are lacking.
7410. Importation, Antibiotics, and Clostridium difficile Infection in Veteran Long-Term Care: A Multilevel Case-Control Study.
作者: Kevin A Brown.;Makoto Jones.;Nick Daneman.;Frederick R Adler.;Vanessa Stevens.;Kevin E Nechodom.;Matthew B Goetz.;Matthew H Samore.;Jeanmarie Mayer.
来源: Ann Intern Med. 2016年164卷12期787-94页
Although clinical factors affecting a person's susceptibility to Clostridium difficile infection are well-understood, little is known about what drives differences in incidence across long-term care settings.
7411. Network Meta-analysis for Clinical Practice Guidelines: A Case Study on First-Line Medical Therapies for Primary Open-Angle Glaucoma.
作者: Benjamin Rouse.;Andrea Cipriani.;Qiyuan Shi.;Anne L Coleman.;Kay Dickersin.;Tianjing Li.
来源: Ann Intern Med. 2016年164卷10期674-82页
Network meta-analysis compares multiple treatment options for the same condition and may be useful for developing clinical practice guidelines.
7412. Early Coverage, Access, Utilization, and Health Effects Associated With the Affordable Care Act Medicaid Expansions: A Quasi-experimental Study.
In 2014, only 26 states and the District of Columbia chose to implement the Patient Protection and Affordable Care Act (ACA) Medicaid expansions for low-income adults.
7413. Diabetes Medications as Monotherapy or Metformin-Based Combination Therapy for Type 2 Diabetes: A Systematic Review and Meta-analysis.
作者: Nisa M Maruthur.;Eva Tseng.;Susan Hutfless.;Lisa M Wilson.;Catalina Suarez-Cuervo.;Zackary Berger.;Yue Chu.;Emmanuel Iyoha.;Jodi B Segal.;Shari Bolen.
来源: Ann Intern Med. 2016年164卷11期740-51页
Clinicians and patients need updated evidence on the comparative effectiveness and safety of diabetes medications to make informed treatment choices.
7417. Aspirin Use for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer: U.S. Preventive Services Task Force Recommendation Statement.
Update of the 2009 USPSTF recommendation on aspirin use to prevent cardiovascular disease (CVD) events and the 2007 recommendation on aspirin and nonsteroidal anti-inflammatory drug use to prevent colorectal cancer (CRC).
7418. Aspirin for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer: A Decision Analysis for the U.S. Preventive Services Task Force.
作者: Steven P Dehmer.;Michael V Maciosek.;Thomas J Flottemesch.;Amy B LaFrance.;Evelyn P Whitlock.
来源: Ann Intern Med. 2016年164卷12期777-86页
Evidence indicates that aspirin is effective for the primary prevention of cardiovascular disease (CVD) and colorectal cancer (CRC) but also increases the risk for gastrointestinal (GI) and cerebral hemorrhages.
7419. Aspirin for the Prevention of Cancer Incidence and Mortality: Systematic Evidence Reviews for the U.S. Preventive Services Task Force.
作者: Jessica Chubak.;Evelyn P Whitlock.;Selvi B Williams.;Aruna Kamineni.;Brittany U Burda.;Diana S M Buist.;Melissa L Anderson.
来源: Ann Intern Med. 2016年164卷12期814-25页
Cancer is the second leading cause of death in the United States.
7420. Aspirin for the Primary Prevention of Cardiovascular Events: A Systematic Evidence Review for the U.S. Preventive Services Task Force.
作者: Janelle M Guirguis-Blake.;Corinne V Evans.;Caitlyn A Senger.;Elizabeth A O'Connor.;Evelyn P Whitlock.
来源: Ann Intern Med. 2016年164卷12期804-13页
Cardiovascular disease (CVD) is the leading cause of death in the United States.
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