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Confronting three great men of cardiologyThis is an extract from Dr Samways Writes to the Editor, The Life and Times of an Exceptional Physician (1857-1931) by Tom Treasure. 面对三位心脏病学伟人这是摘录自萨姆威斯医生给编辑的信,一位杰出医生的生活和时代(1857-1931),作者是汤姆·特雷。
IF 7.1 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-07-01 Epub Date: 2025-05-15 DOI: 10.1177/01410768251337024
Tom Treasure
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引用次数: 0
Quiet quitting and medical education disruption: lessons from South Korea. 悄悄辞职和医学教育中断:来自韩国的教训。
IF 7.1 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-07-01 Epub Date: 2025-06-26 DOI: 10.1177/01410768251352668
Seunghyeon Lee, Taegu Kim, Sukhyun Ryu
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引用次数: 0
The short-, medium- and long-term risk and the multi-organ involvement of clinical sequelae after COVID-19 infection: a multinational network cohort study. COVID-19感染后临床后遗症的短、中、长期风险及多器官累及:一项跨国网络队列研究
IF 7.1 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-07-01 Epub Date: 2025-07-08 DOI: 10.1177/01410768251352666
Ivan Chun Hang Lam, Yi Chai, Kenneth Keng Cheung Man, Wallis Cheuk Yin Lau, Hao Luo, Xiaoyu Lin, Can Yin, Celine Sze Ling Chui, Xue Li, Qingpeng Zhang, Esther Wai Yin Chan, Eric Yuk Fai Wan, Ian Chi Kei Wong

ObjectivesTo generate comprehensive evidence on the risk of clinical sequelae involving different organ systems over time after coronavirus disease 2019 (COVID-19) infection.DesignMultinational retrospective cohort study.SettingElectronic medical records from the US, UK, France, Germany and Italy standardised to the Observational Medical Outcomes Partnership Common Data Model.ParticipantsA total of 303,251 individuals with a COVID-19 infection between 1 December 2019 and 1 December 2020 and propensity score matched non-COVID-19 comparators from 22,108,925 eligible candidates.Main outcome measuresIncidence of 73 clinical sequelae involving multiple organ systems including the respiratory, cardiovascular, dermatological and endocrine systems over the short- (0-6 months), medium- (6-12 months) and long-term (1-2 years) after COVID-19 infection. The hazard ratio (HR) and 95% confidence interval (95% CI) of individual disease outcomes were estimated using Cox proportional hazard regression.ResultsIndividuals with COVID-19 incurred a greater risk of clinical sequelae involving multiple organ systems including respiratory (France HR 2.23, 95%CI [2.10,2.37] to Italy 13.13 [11.80,14.63]), cardiovascular (Germany 1.39 [1.30,1.50] to US 1.79 [1.74,1.85]) and dermatological (UK 1.13 [1.01,1.25] to Italy 1.77 [1.42,2.21]) disorder over the short-term. While the risk of clinical sequelae has largely subsided during the medium-term, the risk of cardiovascular- (US 1.16 [1.11,1.21], France 1.10 [1.01,1.19]) and endocrine- (US 1.18 [1.12,1.24], Germany 1.15 [1.03,1.29]) related complications may continue to persist for up to two years.ConclusionsThrough a network of multinational healthcare databases, this study generated comprehensive and robust evidence supporting the extensive multi-organ involvement of post-COVID-19 condition over the short-term period and the reduction in risk for most complications over the medium- and long-term.

目的对冠状病毒病2019 (COVID-19)感染后不同器官系统的临床后遗症风险进行综合研究。设计多国回顾性队列研究。将美国、英国、法国、德国和意大利的电子病历标准化到观察性医疗结果伙伴关系公共数据模型。在2019年12月1日至2020年12月1日期间,共有303251名COVID-19感染者,倾向评分与22108925名符合条件的候选人的非COVID-19比较者相匹配。主要观察指标在COVID-19感染后短期(0-6个月)、中期(6-12个月)和长期(1-2年)73例涉及呼吸、心血管、皮肤和内分泌等多器官系统的临床后遗症发生率。使用Cox比例风险回归估计个体疾病结局的风险比(HR)和95%置信区间(95% CI)。结果COVID-19患者在短期内出现多器官系统临床后遗症的风险更高,包括呼吸系统(法国HR 2.23, 95%CI[2.10,2.37]至意大利13.13[11.80,14.63])、心血管疾病(德国1.39[1.30,1.50]至美国1.79[1.74,1.85])和皮肤疾病(英国1.13[1.01,1.25]至意大利1.77[1.42,2.21])。虽然临床后遗症的风险在中期已基本消退,但心血管(US 1.16[1.11,1.21],法国1.10[1.01,1.19])和内分泌(US 1.18[1.12,1.24],德国1.15[1.03,1.29])相关并发症的风险可能会持续长达两年。通过跨国医疗数据库网络,本研究产生了全面而有力的证据,支持covid -19后病情在短期内广泛涉及多器官,并且在中长期内大多数并发症的风险下降。
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引用次数: 0
The history of controlled clinical trials in China. Part 1: from the advent of clinical trials through the conduct of single-centre or small-sample RCTs. 中国对照临床试验的历史。第一部分:从临床试验的出现到单中心或小样本随机对照试验的开展。
IF 7.1 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-07-01 Epub Date: 2025-05-23 DOI: 10.1177/01410768251337693
Xuan Yu, Yaolong Chen, Scott H Podolsky
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引用次数: 0
Long term sequelae of COVID-19: new data. COVID-19的长期后遗症:新数据。
IF 7.1 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-07-01 Epub Date: 2025-09-15 DOI: 10.1177/01410768251370215
Kamran Abbasi
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引用次数: 0
Pulmonary mischief 1893-1894. 肺损伤1893- 1874这是摘录自萨姆威斯医生给编辑的信,一位杰出的医生的生活和时代(1857-1931),作者是汤姆·特雷。
IF 7.1 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-06-01 Epub Date: 2025-05-15 DOI: 10.1177/01410768251337019
Tom Treasure

This is an extract from Dr. Samways Writes to the Editor, The Life and Times of an Exceptional Physician (1857-1931) by Tom Treasure.

这是摘录自萨姆威斯医生给编辑的信,一位杰出医生的生活和时代(1857-1931),作者是汤姆·特雷。
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引用次数: 0
What is clinical noise and how to silence it. 什么是临床噪音以及如何消除它。
IF 8.8 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-06-01 Epub Date: 2025-06-26 DOI: 10.1177/01410768251355957
Kamran Abbasi
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引用次数: 0
Social media interventions for non-communicable diseases: a call for a holistic approach considering eating disorders, mental health and wellbeing. 社交媒体对非传染性疾病的干预:呼吁采用一种考虑到饮食失调、心理健康和幸福的整体方法。
IF 7.1 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-06-01 Epub Date: 2024-11-22 DOI: 10.1177/01410768241290306
Avani Ela, Georgia Peers, Richard J Pinder, Azeem Majeed, Shyam Sundar Budhathoki
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引用次数: 0
Why do doctors make poor decisions? Spotlighting 'noise' as an under-recognised source of error in clinical practice. 为什么医生会做出糟糕的决定?突出“噪音”作为临床实践中未被认识到的错误来源。
IF 8.8 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-06-01 Epub Date: 2025-02-28 DOI: 10.1177/01410768251324822
Isaac Ks Ng, Daniel J Morgan, Tow Keang Lim
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引用次数: 0
Chairing a committee for what purpose? Chairing online and conferences? 担任委员会主席的目的是什么?主持在线会议?
IF 8.8 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-06-01 Epub Date: 2025-04-16 DOI: 10.1177/01410768251331909
Dinesh Bhugra
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引用次数: 0
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