The BMJ: Leading Medical Research, News, Education, Opinion
High impact medical journal. Champion of better research, clinical practice & healthcare policy since 1840. For GPs, hospital doctors, educators, policymakers.
Strengthening the basics: public health responses to prevent the …
2021年11月29日 · Victoria Haldane and colleagues argue that to make covid-19 the last pandemic, public health responses to outbreaks must be strengthened, starting with their most basic functions The covid-19 pandemic has challenged countries to mount and sustain comprehensive public health responses that identify and control an emerging infectious …
Management of pneumonia in critically ill patients | The BMJ
2021年12月6日 · Severe pneumonia is associated with high mortality (short and long term), as well as pulmonary and extrapulmonary complications. Appropriate diagnosis and early initiation of adequate antimicrobial treatment for severe pneumonia are crucial in improving survival among critically ill patients. Identifying the underlying causative pathogen is also critical for …
Gout: diagnosis and management—summary of NICE guidance
2022年8月30日 · ### What you need to know Gout is a painful and debilitating condition with long term complications, including joint damage and renal stones. Although gout flares are often treated with NSAIDs, colchicine or steroids, those with gout often continue to have flares which could have been prevented with lifestyle modification or urate lowering medication. However, …
Covid-19: Two rare vaccine side effects detected in large ... - The BMJ
2024年2月26日 · The largest vaccine safety study to date has identified two new, but very rare, side effects associated with covid-19 vaccines—transverse myelitis and acute disseminated encephalomyelitis. The Global Vaccine Data Network cohort study included 99 million vaccinated people from 10 sites across eight countries. Researchers compared the observed with …
Low back pain and sciatica: summary of NICE guidance - The BMJ
2017年1月6日 · Low back pain is the leading cause of long term disability worldwide. 1 The lifetime incidence of low back pain is 58-84%, 2 and 11% of men and 16% of women have chronic low back pain. 3 Back pain accounts for 7% of GP consultations and results in the loss of 4.1 million working days a year. 2 More than 30% of people still have clinically significant …
Fetal monitoring in labour: summary and update of NICE guidance
2022年12月16日 · ### What you need to know The NHS must support high quality, safe care for women and babies, ensuring that the woman or birthing person is empowered to make decisions about their care. However, in recent years multiple reports have highlighted concerns about care in labour12 and safety concerns over inconsistent approaches to cardiotocograph (CTG) …
Antiphospholipid syndrome: advances in diagnosis ... - The BMJ
2023年2月27日 · Antiphospholipid syndrome (APS) is a thrombo-inflammatory disease propelled by circulating autoantibodies that recognize cell surface phospholipids and phospholipid binding proteins. The result is an increased risk of thrombotic events, pregnancy morbidity, and various other autoimmune and inflammatory complications. Although antiphospholipid syndrome was …
Pernicious anaemia - The BMJ
2020年4月24日 · Why does it matter? Patients can develop complications of B12 deficiency if not diagnosed and treated early.1 3 There have been case reports of heart failure due to severe anaemia.9 It is uncertain how common haematological and neurological complications are in pernicious anaemia. Peripheral neuropathy is an early neurological manifestation of pernicious …
Diabetic ketoacidosis in adults | The BMJ
2015年10月28日 · #### What you should know Diabetic ketoacidosis (DKA) is an extreme metabolic state caused by insulin deficiency. The breakdown of fatty acids (lipolysis) produces ketone bodies (ketogenesis), which are acidic. Acidosis occurs when ketone levels exceed the body’s buffering capacity (figure⇓).1 2 Diabetic ketoacidosis may follow absolute insulin …
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