7441. Candidatus Rickettsia tarasevichiae Infection in Eastern Central China: A Case Series.
作者: Wei Liu.;Hao Li.;Qing-Bin Lu.;Ning Cui.;Zhen-Dong Yang.;Jian-Gong Hu.;Ya-Di Fan.;Chen-Tao Guo.;Xiao-Kun Li.;Ya-Wei Wang.;Kun Liu.;Xiao-Ai Zhang.;Lan Yuan.;Pu-Yu Zhao.;Shu-Li Qin.;Wu-Chun Cao.
来源: Ann Intern Med. 2016年164卷10期641-8页
Human infection with Candidatus Rickettsia tarasevichiae (CRT) was first reported in northeastern China in 2012.
7442. Intervention to Prevent Major Depression in Primary Care: A Cluster Randomized Trial.
作者: Juan Ángel Bellón.;Sonia Conejo-Cerón.;Patricia Moreno-Peral.;Michael King.;Irwin Nazareth.;Carlos Martín-Pérez.;Carmen Fernández-Alonso.;Antonina Rodríguez-Bayón.;Anna Fernández.;José María Aiarzaguena.;Carmen Montón-Franco.;Inmaculada Ibanez-Casas.;Emiliano Rodríguez-Sánchez.;María Isabel Ballesta-Rodríguez.;Antoni Serrano-Blanco.;María Cruz Gómez.;Pilar LaFuente.;María Del Mar Muñoz-García.;Pilar Mínguez-Gonzalo.;Luz Araujo.;Diego Palao.;Paola Bully.;Fernando Zubiaga.;Desirée Navas-Campaña.;Juan Mendive.;Jose Manuel Aranda-Regules.;Alberto Rodriguez-Morejón.;Luis Salvador-Carulla.;Juan de Dios Luna.
来源: Ann Intern Med. 2016年164卷10期656-65页
Not enough is known about universal prevention of depression in adults.
7443. Stemming the Escalating Cost of Prescription Drugs: A Position Paper of the American College of Physicians.
This American College of Physicians position paper, initiated and written by its Health and Public Policy Committee and approved by the Board of Regents on 16 February 2016, reports policy recommendations from the American College of Physicians to address the escalating costs of prescription drugs in the United States. Prescription drugs play an important part in treating and preventing disease. However, the United States often pays more for some prescription drugs than other developed countries, and the high price and increasing costs associated with prescription medication is a major concern for patients, physicians, and payers. Pharmaceutical companies have considerable flexibility in how they price drugs, and the costs that payers and patients see are dependent on how payers are able to negotiate discounts or rebates. Beyond setting list prices are issues of regulatory approval, patents and intellectual property, assessment of value and cost-effectiveness, and health plan drug benefits. These issues are linked, and comprehensive efforts will be needed to affect how drugs are priced in the United States.
7445. Variability in Pathologists' Interpretations of Individual Breast Biopsy Slides: A Population Perspective.
作者: Joann G Elmore.;Heidi D Nelson.;Margaret S Pepe.;Gary M Longton.;Anna N A Tosteson.;Berta Geller.;Tracy Onega.;Patricia A Carney.;Sara L Jackson.;Kimberly H Allison.;Donald L Weaver.
来源: Ann Intern Med. 2016年164卷10期649-55页
The effect of physician diagnostic variability on accuracy at a population level depends on the prevalence of diagnoses.
7450. Proprotein Convertase Subtilisin/Kexin Type 9 Monoclonal Antibodies for Acute Coronary Syndrome: A Narrative Review.
作者: Eliano P Navarese.;Michalina Kolodziejczak.;Dean J Kereiakes.;Udaya S Tantry.;Christopher O'Connor.;Paul A Gurbel.
来源: Ann Intern Med. 2016年164卷9期600-7页
Monoclonal antibodies that inhibit proprotein convertase subtilisin/kexin type 9 (PCSK9) are an emerging therapy for dyslipidemia. Acute coronary events induce a dynamic increase of PCSK9 levels that may play a role in plaque vulnerability of both culprit and nonculprit coronary vessels. Growing evidence highlights a potential key role of PCSK9 antibodies in managing acute coronary syndrome. This review describes the influence of PCSK9 antibodies on plaque composition and instability, as well as the pharmacokinetic profile and the potential anti-inflammatory and antithrombotic mechanisms associated with PCSK9 inhibition that may confer benefits during the early phase of acute coronary syndrome. The authors posit a rationale for the use of PCSK9 antibodies in patients with acute coronary syndrome and highlight the need for further investigation in this area.
7451. Gradual Versus Abrupt Smoking Cessation: A Randomized, Controlled Noninferiority Trial.
作者: Nicola Lindson-Hawley.;Miriam Banting.;Robert West.;Susan Michie.;Bethany Shinkins.;Paul Aveyard.
来源: Ann Intern Med. 2016年164卷9期585-92页
Most smoking cessation guidelines advise quitting abruptly. However, many quit attempts involve gradual cessation. If gradual cessation is as successful, smokers can be advised to quit either way.
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