BMJ：不可不看的研究结论集合

2015-11-07 seven L 译 MedSci原创

如果你有几乎任何类型的心脏问题或心血管危险因素，那么脂肪对你大有裨益！最新一项关于BMI和动脉粥样硬化风险结局的国际性、前瞻性队列研究，涉及54285名参与者。当校正混杂因素后发现，全因死亡、心血管疾病死亡、心血管风险最低的组竟然是BMI 30-40人群。很多病毒会导致癌症,但是现在发现一个细菌可能会加入他们的行列。Fusobacterium nucleatum（具核梭杆菌）居住在口腔，当它进入肠

一、如果你有几乎任何类型的心脏问题或心血管危险因素，那么脂肪对你大有裨益！最新一项关于BMI和动脉粥样硬化风险结局的国际性、前瞻性队列研究，涉及54285名参与者。当校正混杂因素后发现，全因死亡、心血管疾病死亡、心血管风险最低的组竟然是BMI 30-40人群！！

二、很多病毒会导致癌症,但是现在发现一个细菌可能会加入他们的行列。Fusobacterium nucleatum（具核梭杆菌）居住在口腔，当它进入肠道后会导致结直肠癌风险增加。

三、Heart上一篇研究指出，心衰的预后由心室压力决定，是NT-BNP，而不是LVEF。研究结构显示NT-BNP水平相当的心衰患者其预后相同，不管LVEF情况如何。

四、丹麦的一项研究调查了个人或团体在对医学生进行乳突切开术教学时，模拟现实训练是否是最佳途径。研究结果表明，自我指导模拟器实践可有效加速最初的学习曲线，当重复9次后，该曲线达到一个平台。

五、儿童脓毒性关节炎是一种少见但严重的疾病。对该类患者早期使用地塞米松（短疗程）+抗生素可改善临床和实验室结局。

六、四大致癌人类乳头状瘤病毒(HPVs) 疫苗接种可成功预防年轻女性HPV的感染。不仅如此，该疫苗还有其他好处。四价HPV疫苗治愈了一名60+岁免疫力低下的男性，嘴唇、舌头和颊粘膜的慢性复发疣状丘疹。

七、瑞士的绝症患者几乎不能完成预设医疗指示或向其亲密的人传达意愿。

1979年,出版了第一版治疗常见急救指南“The Grey Book”。在随后的30年每6月更新一次。现在是第63版。该书籍最终失去了纸质版，现在可以在网上免费下载电子版，通过电子设备可得到更广泛应用。

原始出处：

The benefits of being overweight and other stories . . . BMJ 2015;351:h5095

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2016-01-05 xyfg98

赞

149 0
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2016-01-05 三毛坨

I'm so excited

169 0
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2016-01-05 三毛坨

I'm at a time when you

129 0
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2016-01-05 三毛坨

The fact is not so

118 0
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2016-01-05 三毛坨

I'm at work on a Friday

161 0
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2016-01-05 三毛坨

The only way

202 0
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2016-01-05 三毛坨

I'm at work on a Friday afternoon

135 0
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2016-01-05 三毛坨

I'm so tired and my

162 0
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2016-01-05 三毛坨

The only way

171 0
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2016-01-05 三毛坨

I'm so tired

192 0

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