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961. Impact of the pulmonary artery catheter in critically ill patients: meta-analysis of randomized clinical trials.
作者: Monica R Shah.;Vic Hasselblad.;Lynne W Stevenson.;Cynthia Binanay.;Christopher M O'Connor.;George Sopko.;Robert M Califf.
来源: JAMA. 2005年294卷13期1664-70页
Randomized clinical trials (RCTs) evaluating the pulmonary artery catheter (PAC) have been limited by small sample size. Some nonrandomized studies suggest that PAC use is associated with increased morbidity and mortality.
962. Evaluation and management of laryngopharyngeal reflux.
Laryngopharyngeal reflux (LPR) is a major cause of laryngeal inflammation and presents with a constellation of symptoms different from classic gastroesophageal reflux disease.
963. Effects of work hour reduction on residents' lives: a systematic review.
作者: Kathlyn E Fletcher.;Willie Underwood.;Steven Q Davis.;Rajesh S Mangrulkar.;Laurence F McMahon.;Sanjay Saint.
来源: JAMA. 2005年294卷9期1088-100页
The Accreditation Council for Graduate Medical Education implemented mandatory work hour limitations in July 2003, partly out of concern for residents' well-being in the setting of sleep deprivation. These limitations are likely to also have an impact on other aspects of the lives of residents.
964. Fetal pain: a systematic multidisciplinary review of the evidence.
作者: Susan J Lee.;Henry J Peter Ralston.;Eleanor A Drey.;John Colin Partridge.;Mark A Rosen.
来源: JAMA. 2005年294卷8期947-54页
Proposed federal legislation would require physicians to inform women seeking abortions at 20 or more weeks after fertilization that the fetus feels pain and to offer anesthesia administered directly to the fetus. This article examines whether a fetus feels pain and if so, whether safe and effective techniques exist for providing direct fetal anesthesia or analgesia in the context of therapeutic procedures or abortion.
965. Sirolimus-eluting stents vs paclitaxel-eluting stents in patients with coronary artery disease: meta-analysis of randomized trials.
作者: Adnan Kastrati.;Alban Dibra.;Sonja Eberle.;Julinda Mehilli.;José Suárez de Lezo.;Jean-Jacque Goy.;Kurt Ulm.;Albert Schömig.
来源: JAMA. 2005年294卷7期819-25页
Placement of sirolimus-eluting stents or paclitaxel-eluting stents has emerged as the predominant percutaneous treatment strategy in patients with coronary artery disease (CAD). Whether there are any differences in efficacy and safety between these 2 drug-eluting stents is unclear.
966. Prognosis and decision making in severe stroke.
作者: Robert G Holloway.;Curtis G Benesch.;W Scott Burgin.;Justine B Zentner.
来源: JAMA. 2005年294卷6期725-33页
An increasing number of deaths following severe stroke are due to terminal extubations. Variation in withdrawal-of-care practices suggests the possibility of unnecessary prolongation of suffering or of unwanted deaths.
967. Duration of anticoagulation following venous thromboembolism: a meta-analysis.
作者: David Ost.;Josh Tepper.;Hanako Mihara.;Owen Lander.;Raphael Heinzer.;Alan Fein.
来源: JAMA. 2005年294卷6期706-15页
Patients with venous thromboembolism (VTE) are susceptible to recurrent events, but whether prolonging anticoagulation is warranted in patients with VTE remains controversial.
968. Predisplacement and postdisplacement factors associated with mental health of refugees and internally displaced persons: a meta-analysis.
The global refugee crisis requires that researchers, policymakers, and clinicians comprehend the magnitude of the psychological consequences of forced displacement and the factors that moderate them. To date, no empirical synthesis of research on these issues has been undertaken.
969. Androgen deprivation therapy for prostate cancer.
Prostate cancer is the most common nonskin cancer and second most common cause of cancer mortality in US men. Androgen deprivation therapy (ADT), specifically surgical or medical castration, is the first line of treatment against advanced prostate cancer and is also used as an adjuvant to local treatment of high-risk disease.
971. Efficacy and safety of opioid agonists in the treatment of neuropathic pain of nonmalignant origin: systematic review and meta-analysis of randomized controlled trials.
In the United States, an estimated 2 million persons have neuropathic pain that is often resistant to therapy. The use of opioids for neuropathic pain remains controversial, in part because studies have been small, have yielded equivocal results, and have not established the long-term risk-benefit ratio of this treatment.
972. Routine vs selective invasive strategies in patients with acute coronary syndromes: a collaborative meta-analysis of randomized trials.
作者: Shamir R Mehta.;Christopher P Cannon.;Keith A A Fox.;Lars Wallentin.;William E Boden.;Rudolf Spacek.;Petr Widimsky.;Peter A McCullough.;David Hunt.;Eugene Braunwald.;Salim Yusuf.
来源: JAMA. 2005年293卷23期2908-17页
Patients with unstable angina or non-ST-segment elevation myocardial infarction (NSTEMI) can be cared for with a routine invasive strategy involving coronary angiography and revascularization or more conservatively with a selective invasive strategy in which only those with recurrent or inducible ischemia are referred for acute intervention.
973. Effects of antibiotic therapy on outcomes of patients with coronary artery disease: a meta-analysis of randomized controlled trials.
Although Chlamydia pneumoniae infection has been associated with the initiation and progression of atherosclerosis, results of clinical trials investigating antichlamydial antibiotics as adjuncts to standard therapy in patients with coronary artery disease (CAD) have been inconsistent.
974. Personal use of hair dyes and risk of cancer: a meta-analysis.
Use of hair dyes has been suggested recently as a risk factor for several types of cancer in epidemiologic studies. This alarming news and controversial declarations by scientific organizations and general media have made necessary a systematic evaluation of the epidemiologic evidence.
975. Behavior problems and mental health referrals of international adoptees: a meta-analysis.
International adoption involves more than 40,000 children a year moving among more than 100 countries. Before adoption, international adoptees often experience insufficient medical care, malnutrition, maternal separation, and neglect and abuse in orphanages.
976. Is this patient having a stroke?
Patients suspected of having a stroke or transient ischemic attack require accurate assessment for appropriate acute treatment and use of secondary preventive interventions.
977. Neonatal signs after late in utero exposure to serotonin reuptake inhibitors: literature review and implications for clinical applications.
作者: Eydie L Moses-Kolko.;Debra Bogen.;James Perel.;Amy Bregar.;Kathleen Uhl.;Bob Levin.;Katherine L Wisner.
来源: JAMA. 2005年293卷19期2372-83页
A neonatal behavioral syndrome linked to in utero serotonin reuptake inhibitor (SRI) exposure during the last trimester of pregnancy has been identified. The US Food and Drug Administration (FDA) and drug manufacturers have recently agreed to a class labeling change for SRIs, which include selective serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs), to include information about potential adverse events in neonates exposed in utero. Integration of data about the neonatal behavioral syndrome into the management of pregnancy in women who take SRIs is a current challenge for physicians.
978. Fracture prevention with vitamin D supplementation: a meta-analysis of randomized controlled trials.
作者: Heike A Bischoff-Ferrari.;Walter C Willett.;John B Wong.;Edward Giovannucci.;Thomas Dietrich.;Bess Dawson-Hughes.
来源: JAMA. 2005年293卷18期2257-64页
The role and dose of oral vitamin D supplementation in nonvertebral fracture prevention have not been well established.
979. Outcomes of routine episiotomy: a systematic review.
作者: Katherine Hartmann.;Meera Viswanathan.;Rachel Palmieri.;Gerald Gartlehner.;John Thorp.;Kathleen N Lohr.
来源: JAMA. 2005年293卷17期2141-8页
Episiotomy at the time of vaginal birth is common. Practice patterns vary widely, as do professional opinions about maternal risks and benefits associated with routine use.
980. Clinical validity of a negative computed tomography scan in patients with suspected pulmonary embolism: a systematic review.
作者: Rene Quiroz.;Nils Kucher.;Kelly H Zou.;Florian Kipfmueller.;Philip Costello.;Samuel Z Goldhaber.;U Joseph Schoepf.
来源: JAMA. 2005年293卷16期2012-7页
The clinical validity of using computed tomography (CT) to diagnose peripheral pulmonary embolism is uncertain. Insufficient sensitivity for peripheral pulmonary embolism is considered the principal limitation of CT.
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