| 1 | 国际糖尿病足工作组:糖尿病足溃疡周围动脉病变诊断、预后与管理指南——《国际糖尿病足工作组:糖尿病足防治国际指南(2019)》的一部分显示文摘1999年以来,国际糖尿病足工作组(IWGDF)已经多次发表循证医学基础上的糖尿病足预防与管理指南。该指南是有关糖尿病足溃疡合并周围动脉病变(PAD)患者的诊断、预后和管理指南,更新了以前IWGDF指南的内容。高达50%的糖尿病足溃疡患者同时患有PAD,这种病变使得患者截肢和心血管病变的风险明显增加。这类患者的诊断、预后和治疗明显地不同于那些没有PAD的糖尿病患者,但仅有很少的关于这类患者的高质量的研究强调了这点。我们遵循GRADE方法来提出临床问题并以至少包括患者-干预-比较-结局(PICO)形式说明重要结局,进行了系统的医学科学文献评价,写出推荐意见及其合理性。这类推荐是建立在系统文献评价的循证医学基础上的,没有证据时则在权衡利弊和患者选择、便宜性和干预的费用等因素后,采用专家的观点。这里我们发布更新的2019年糖尿病足溃疡合并PAD患者的有关PAD诊断、预后和管理的指南,以及一些需要未来特别关注的研究课题。 | Robert J.Hinchliffe Rachael O.Forsythe Jan Apelqvist Ed J.Boyko Robert Fitridge Joon Pio Hong Konstantinos Katsanos Joseph L.Mills Sigrid Nikol Jim Reekers Maarit Venermo R.Eugene Zierler Nicolaas C.Schaper 无 许樟荣(译) 冉兴无(审校) | 2019 | 感染.炎症.修复2019，20，4： | 10 |
| 3 | Just us显示文摘Introduction:A thorough understanding of ecology is a necessity as the Earth becomes crowded,there is more intense resource use and exhaustion,and the exposure to pollutants has diversified.Outcomes:Everyone must be involved as we develop the moral compass and maps for a desirable world.The transition will be made within the context of complex social forces,which must be engaged in purposeful collaboration and action.All individuals have the embryonic need and possess diverse abilities to contribute to the transcendence of problems arising from the human response to social inequities.Discussion:These will be difficult and nuanced transitions.One example is the Balinese water distribution system,whose site-specific adjustments developed over thousands of years.Examples from country-to-country comparisons show that Eco-civilizations,to be'civil',must be fair,inclusive,and joyful,and more than about misleading metrics like Gross Domestic Product,individuality,material accumulations and competition.Conclusion:We are in this together;it is not'them or us'-it is only'Us'. | R.Eugene Turner | 2017 | Ecosystem Health and Sustainability2017，3，12： | 0 |
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