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Dr Sulaiman Al Habib Medical Journal最新文献

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Dr. Sulaiman Al Habib Medical Journal: A New Journey into Academic Excellence 苏莱曼·阿尔·哈比卜博士医学杂志:迈向卓越学术的新旅程
Pub Date : 2019-06-01 DOI: 10.2991/DSAHMJ.K.190617.001
A. A. Mutair, Awad Al-omari
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引用次数: 0
Essential Diagnostics: A Key Element of Universal Health Coverage 基本诊断:全民健康覆盖的一个关键要素
Pub Date : 2019-03-28 DOI: 10.2991/DSAHMJ.K.190225.001
M. Pai, Mikashmi Kohli
Health is a human right. Yet, the sad reality is that, 40 years after the Alma Ata declaration “Health For All by 2000”, half the world is still without access to essential healthcare services. To address this healthcare crisis, all countries have committed to the Sustainable Development Goals by 2030, which include Universal Health Coverage (UHC) [1]. UHC involves financial risk protection, access to quality essential healthcare services and access to essential medicines and vaccines for all.
健康是一项人权。然而,令人遗憾的现实是,在《阿拉木图宣言》“到2000年人人享有卫生保健”40年后,世界上仍有一半人无法获得基本卫生保健服务。为了解决这一卫生保健危机,所有国家都承诺到2030年实现可持续发展目标,其中包括全民健康覆盖[1]。全民健康覆盖涉及财务风险保护、获得优质基本卫生保健服务以及人人获得基本药物和疫苗。
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引用次数: 12
Prospects for the Management of Sepsis in an Era of Personalised Medicine 个体化医疗时代脓毒症管理的前景
Pub Date : 2019-03-28 DOI: 10.2991/DSAHMJ.K.190319.001
Jonathan Cohen
Improving the outcome for patients with sepsis has been an enduring challenge in clinical medicine for at least the past 30 years. It would be wrong, of course, to say that nothing has changed and that there has been little improvement in survival rates. On the contrary, there have been extraordinary developments in our understanding of the basic science, and marked improvement in the clinical management of sick patients in the care of intensivists and infectious diseases physicians. Nevertheless, it is right to acknowledge that those improvements have largely been incremental changes in supportive care, better ventilator and fluid management, infection prevention and control, and microbiological diagnosis [1]. We have not seen the successful introduction of a specific therapeutic agent that targets the pathological processes in sepsis per se, and which can reverse, or at least ameliorate the tissue injury and consequent organ damage that are the clinical hallmarks of sepsis. It is no accident that in 2017 the World Health Organization (WHO) identified sepsis as the final common pathway for most deaths due to infectious disease worldwide, and urged member states to improve the detection, prevention, and treatment of sepsis as a priority [2]. As the statement from the WHO pointed out, much could be achieved by the better use of techniques already well known and widely available, even in less-developed economies, by improving hand hygiene and other infection prevention methods and by better antibiotic stewardship.
至少在过去的30年里,改善脓毒症患者的预后一直是临床医学的一个持久挑战。当然,如果说一切都没有改变,生存率也没有什么改善,那就错了。相反,我们对基础科学的理解有了非凡的发展,重症监护医生和传染病医生对病人的临床管理有了显著的改善。然而,我们应该承认,这些改善在很大程度上是支持性护理、更好的呼吸机和液体管理、感染预防和控制以及微生物诊断方面的渐进式变化。我们还没有看到一种针对脓毒症本身病理过程的特定治疗剂的成功引入,这种治疗剂可以逆转或至少改善脓毒症的临床标志组织损伤和随之而来的器官损伤。2017年,世界卫生组织(世卫组织)将败血症确定为全球大多数传染病导致死亡的最终共同途径,并敦促会员国将改进败血症的检测、预防和治疗作为优先事项,这并非偶然。正如世界卫生组织的声明所指出的那样,通过更好地利用即使在欠发达经济体也已经广为人知和广泛可用的技术,通过改善手部卫生和其他感染预防方法,以及通过更好地管理抗生素,可以取得很大成就。
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引用次数: 0
Retinopathy of Prematurity—A Brief Review 早产儿视网膜病变——综述
Pub Date : 2019-01-01 DOI: 10.2991/dsahmj.k.191214.001
Saba Al Rashaed
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引用次数: 0
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Dr Sulaiman Al Habib Medical Journal
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