Medscape 2008年 トップ10

アラフォーなどという周辺に聞いたが聞いたこともないと異口同音に言う流行語に比べればましかもしれない。Medscapeのランキング

TOP 10 INTERNAL MEDICINE ARTICLES OF 2008:
1. THE DISAPPEARING DOCTORS
http://mp.medscape.com/cgi-bin1/DM/y/eB2tJ0Uuupb0WQW0JbQy0Et

2. NEW GUIDELINES FOR MANAGEMENT OF URINARY TRACT INFECTION IN NONPREGNANT WOMEN CME/CE
http://mp.medscape.com/cgi-bin1/DM/y/eB2tJ0Uuupb0WQW0JKan0Eb

3. PRACTICE GUIDELINES ISSUED FOR SCREENING, DIAGNOSING, AND TREATING DIABETES CME/CE
http://mp.medscape.com/cgi-bin1/DM/y/eB2tJ0Uuupb0WQW0JF6f0Ef

4. BETA-BLOCKERS IN HYPERTENSION: SHOULD WE DISCARD THEM? CME
http://mp.medscape.com/cgi-bin1/DM/y/eB2tJ0Uuupb0WQW0JOMs0EQ

5. DRUG USED FOR COPD LINKED TO INCREASED MORTALITY RISK CME/CE
http://mp.medscape.com/cgi-bin1/DM/y/eB2tJ0Uuupb0WQW0Jjha0E1

6. A 33-YEAR-OLD WOMAN WITH SUDDEN-ONSET SEVERE HEADACHE AND VOMITING CME
http://mp.medscape.com/cgi-bin1/DM/y/eB2tJ0Uuupb0WQW0JS8U0Ed

7. FAMILIAR NAMES TOP US NEWS BEST-HOSPITAL RANKINGS FOR HEART CARE
http://mp.medscape.com/cgi-bin1/DM/y/eB2tJ0Uuupb0WQW0Jfqs0EP

8. OSTEOPOROSIS DRUG PROMOTES ATRIAL FIBRILLATION IN POPULATION-BASED STUDY CME http://mp.medscape.com/cgi-bin1/DM/y/eB2tJ0Uuupb0WQW0JS8Y0Eh

9. ADVANCE DOES NOT CONFIRM ACCORD RESULTS
http://mp.medscape.com/cgi-bin1/DM/y/eB2tJ0Uuupb0WQW0JHxx0E6

10. SHOULD WE USE SALINE OR TAP WATER FOR CLEANSING WOUNDS?
http://mp.medscape.com/cgi-bin1/DM/y/eB2tJ0Uuupb0WQW0JWtI0EV




一位は小児科医の減少を報告したもので、洋の東西を問わないようだ。
Nobody wants procedures or important decisions to be made by exhausted, blurry-eyed, muddle-brained doctors, so the intent was to form medical teams that would work in rotating shifts, thus providing the physicians with adequate time off.


一方的に献身的努力を要求されても、だれも“ローテーションシフトに入り休養も充分とれないため、常に疲れきり、目もかすみ、もうろうとした頭で、仕事をしたいと思わないし、重大な決定をくだそうと考えない”という現実・・・日本では総理大臣・閣僚・官僚から医者を罵倒し、過酷な労働をしないのは医者の人格に問題があるという始末



10位のはおもしろいが、見逃していた。
“Tap water was statistically more effective than saline at reducing infection rates in adults with acute wounds and no different than saline in children. No statistically significant differences in infection rates were seen when wounds were cleansed with tap water or not cleansed at all.”「水道水は生理食塩水より統計的に成人での急性外傷の感染率を有意に減少させる。こどもでは差がない。感染率の統計学的差は水道水洗浄と、洗浄しない場合で見られない。故に、急性外傷例では多くの選択肢となってしまった」

参考文献は、
1. Fernandez R, Griffiths R. Water for wound cleansing. Cochrane Database Syst Rev. 2008;(1):CD003861.

2. Pediatrics in Medscape Best Evidence, powered by McMaster Plus. Available at: http://www.medscape.com/pages/features/newsletters/bestevidence/pediatrics Accessed May 29, 2008.


by internalmedicine | 2008-12-02 11:14 | 医療一般  

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