NEJM AUDIO SUMMARY
Supplement to the New England Journal of Medicine, Vol. 356, No. 17
1. antidepressants for bipolar
comparing mood stabilizer and combine with antidepressants,which showed no difference
patients' past history and current medications are two important prognostic factor
講在bipolar的治療單用精神安定劑或合併抗憂鬱劑的使用,結論是差不多.
還是需要indivisulized因為病人過去有無自殺病史還有病人現在的狀況都會影響治療方針(廢話?~~~~)
2. anti-HIV drug with myocardial infarction: especially protease inhibitor (less in neucleotides-associated),
especially with DM and smoking
抗病毒藥物與引發心肌梗塞的相關性.此外病人如果有DM or smoking會增加具有這類副作用藥物的致心肌梗塞機率(廢話?~~~)
3. a kind of neuropathy was associated with abnormal mitochondria and peroxisome: DLP1 gene defect
某種疾病的基因探討(沒興趣)
4. relationship between physician and institude: common, especially cardiologist
很有趣,說明醫師與廠商之間的關係,發現心內醫師接受"金援"的比例最高.結論是兩者之間還是有點不夠中立.(沒聽錯吧?)
5. sleep apnea: principle of management is CPAP; improve cardiopulmonary function and sleep apnea
睡眠呼吸中止用CPAP治療還是首選,並解釋其附加優點就是也能增進心肺的功能.
6. orotracheal intubation: most for GA or respiratory failure condition,
others for cardiology and pulmonary subject, aspiration, unable to keep airway patency
說明何時需要on endo.臨床上的indication有哪些.(不錯!這樣以後就知道哪些病人需要on,不過前輩們說你覺得要on就是要on了~~~)
7. case report: 46y/o with gynecological and gastrointestinal cancer
這個病人有double cancer,另外也有這兩種cancer的family history.結論是遇到這樣的病人要高度懷疑有genetic association.(廢話?~~~)
8. vaccine: dendritic cell; TLR ligand
是說明vaccine的機轉.沒仔細聽了.跟dendritic cell有關,之後引發T cell immune.......
9.~之後都是醫學議題,所以不紀錄了.
結論: 其實沒什麼英國腔,不過是很悅耳的英文. 感謝許媽的推薦!!
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