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Lebanon: Israeli attack endangers a healthcare system reliant on Hezbollah. With 3.5 million people in need, a doctor exodus, and some regions served by the very military group that Israel seeks to rout, Lebanon’s healthcare system is in crisis. Sally Howard reports. News. ∙ Lebanon’s health system struggles as dozens of clinics close ...
Strengthening the basics: public health responses to prevent the …
2021年11月29日 · Victoria Haldane and colleagues argue that to make covid-19 the last pandemic, public health responses to outbreaks must be strengthened, starting with their most basic functions The covid-19 pandemic has challenged countries to mount and sustain comprehensive public health responses that identify and control an emerging infectious …
Virology, transmission, and pathogenesis of SARS-CoV-2 - The BMJ
2020年10月23日 · SARS-CoV-2 is an enveloped β-coronavirus, with a genetic sequence very similar to SARS-CoV-1 (80%) and bat coronavirus RaTG13 (96.2%). 2 The viral envelope is coated by spike (S) glycoprotein, envelope (E), and membrane (M) proteins (fig 1). Host cell binding and entry are mediated by the S protein. The first step in infection is virus binding ...
Gout: diagnosis and management—summary of NICE guidance
2022年8月30日 · Measure the serum urate level in people with symptoms and signs of gout to confirm the clinical diagnosis (serum urate level ≥360 μmol/L (6 mg/dL)). If serum urate level is <360 μmol/L during a flare and gout is strongly suspected, repeat the serum urate level measurement at least two weeks after the flare has settled.
Latest guidance on the management of gout | The BMJ
2018年7月18日 · Gout is the most common inflammatory arthritis and its incidence in the UK has steadily increased from 1.5% in 1997 to 2.5% in 2012. 1 2 It is characterised by deposition of monosodium urate crystals in joints and tissues and usually presents with intermittent painful attacks followed by long periods of remission. 3 Here, we review the latest ...
Management of pneumonia in critically ill patients | The BMJ
2021年12月6日 · Severe pneumonia is associated with high mortality (short and long term), as well as pulmonary and extrapulmonary complications. Appropriate diagnosis and early initiation of adequate antimicrobial treatment for severe pneumonia are crucial in improving survival among critically ill patients. Identifying the underlying causative pathogen is also critical for …
Acute vertigo: getting the diagnosis right | The BMJ
2022年8月12日 · Light-headedness— A feeling you are “going to faint”. Imbalance— A state of being out of equilibrium, or with loss of balance. Gait disorder— A problem or difficulty with walking. Acute vestibular syndrome— Sudden onset of vertigo, nausea, postural instability, and nystagmus lasting for ≥24 hours. Transient vestibular syndrome ...
Article submission - The BMJ
Article submission. At The BMJ, we use a system called ScholarOne to manage our submission processes. Essentially, ScholarOne will convert your manuscript to a PDF for the review process. Most common word processing formats are accepted for text and tables, although the system prefers Microsoft Word, and images should be submitted as GIF, TIFF ...
The challenges facing the NHS in England in 2021 | The BMJ
2020年12月31日 · An ambitious programme encompassing social care and health inequalities is needed The NHS in England faces unprecedented challenges in 2021. It will require an equally unprecedented, and long term, response from the government to do two things—first to deal with the backlog of both physical and mental healthcare that the pandemic has caused, and …
Covid-19: What do we know about airborne transmission of SARS …
2021年4月22日 · How covid-19 spreads is one of the most debated questions of the pandemic. Chris Baraniuk explains what the evidence tells us about airborne transmission of the virus Scientists distinguish between respiratory infectious diseases classed as “airborne”—which spread by aerosols suspended in the air—and infections that spread through other routes, …