共查询到20条相似文献,搜索用时 31 毫秒
1.
2.
3.
4.
Lichtenberg R 《Archives of internal medicine》2006,166(13):1422; author reply 1423-1422; author reply 1424
5.
6.
Kilgore L 《Clinical and experimental rheumatology》2006,24(1):113; author reply 113-113; author reply 114
7.
8.
9.
10.
11.
12.
13.
Guidry MM Drennan RH Weise J Hamm LL 《The American journal of the medical sciences》2011,341(2):88-91
Rarely taught in medical schools, clinical reasoning is the ability to discern the important from the unimportant and to arrive at accurate and efficient clinical conclusions. Identifying errors in reasoning is difficult; however, undetected clinical reasoning errors can have exponential consequences. As quality and patient safety come into focus, identifying and preventing clinical reasoning errors have become imperative. The authors present a case of a man sent for admission from a subspecialty clinic diagnosed with infliximab-induced serum sickness. Not countering the expert's diagnosis, initial workup failed to diagnose joint abscess and sepsis. Heuristics are mental shortcuts used to make decision making more efficient but can lead to error. The anchoring heuristic, premature closure, confirmation bias and the blind obedience heuristic are examples. Introspective surveillance and interactive hypothesis testing defend against heuristics. The authors conclude by discussing 4 types of hypersensitivity reactions, serum sickness in particular, and the chimeric nature of infliximab. 相似文献
14.
16.
Austrian R 《The Journal of infectious diseases》1999,179(Z2):S338-S341
In the 12 decades that will have elapsed between the first isolation of the pneumococcus and the coming millennium, much of fundamental biologic importance has been learned from the study of this bacterium and the diseases it causes. Streptococcus pneumoniae is associated with the development of Gram's stain, the Quellung reaction, and many of the fundamentals of immunology. It has also played a significant role in the history of antimicrobial therapy. After a transitory period of euphoria engendered by the improved prognosis of pneumococcal pneumonia resulting from therapeutic advances, recognition that the newer treatments could not bring about the recovery of those sustaining early irreversible physiologic injury led to renewed interest in immunoprophylaxis. Added impetus to this approach has been fostered by the recent rapid increase in the number of pneumococcal isolates resistant to antimicrobial agents and in the magnitude of their resistance. Pneumococcal vaccines are increasingly relevant. 相似文献
17.
Skoyles JR 《Proceedings of the National Academy of Sciences of the United States of America》2011,108(42):E835; author reply E836
18.
Cefalu CA 《Journal of the American Geriatrics Society》2006,54(12):1950-1951
19.
20.