6121. From a Lancet Commission to the NCDI Poverty Network: reaching the poorest billion through integration science.
作者: Gene Bukhman.;Ana Olga Mocumbi.;Neil Gupta.;Mary Amuyunzu-Nyamongo.;Moses Echodu.;Anu Gomanju.;Yogesh Jain.;Biraj Karmacharya.;Sharon Kapambwe.;Aimée Lulebo.;Julie Makani.;Jones Kaponda Masiye.;Paladie Kampuhwe Mategeko.;Eunice Owino.; .
来源: Lancet. 2021年398卷10318期2217-2220页 6123. Tirzepatide versus insulin glargine in type 2 diabetes and increased cardiovascular risk (SURPASS-4): a randomised, open-label, parallel-group, multicentre, phase 3 trial.
作者: Stefano Del Prato.;Steven E Kahn.;Imre Pavo.;Govinda J Weerakkody.;Zhengyu Yang.;John Doupis.;Diego Aizenberg.;Alan G Wynne.;Jeffrey S Riesmeyer.;Robert J Heine.;Russell J Wiese.; .
来源: Lancet. 2021年398卷10313期1811-1824页
We aimed to assess efficacy and safety, with a special focus on cardiovascular safety, of the novel dual GIP and GLP-1 receptor agonist tirzepatide versus insulin glargine in adults with type 2 diabetes and high cardiovascular risk inadequately controlled on oral glucose-lowering medications.
6125. Management of disease-related malnutrition for patients being treated in hospital.
作者: Philipp Schuetz.;David Seres.;Dileep N Lobo.;Filomena Gomes.;Nina Kaegi-Braun.;Zeno Stanga.
来源: Lancet. 2021年398卷10314期1927-1938页
Disease-related malnutrition in adult patients who have been admitted to hospital is a syndrome associated with substantially increased morbidity, disability, short-term and long-term mortality, impaired recovery from illness, and cost of care. There is uncertainty regarding optimal diagnostic criteria, definitions for malnutrition, and how to identify patients who would benefit from nutritional intervention. Malnutrition has become the focus of research aimed at translating current knowledge of its pathophysiology into improved diagnosis and treatment. Researchers are particularly interested in developing nutritional interventions that reverse the negative effects of disease-related malnutrition in the hospital setting. High-quality randomised trials have provided evidence that nutritional therapy can reduce morbidity and other complications associated with malnutrition in some patients. Screening of patients for risk of malnutrition at hospital admission, followed by nutritional assessment and individualised nutritional interventions for malnourished patients, should become part of routine clinical care and multimodal treatment in hospitals worldwide.
6140. Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic.
Before 2020, mental disorders were leading causes of the global health-related burden, with depressive and anxiety disorders being leading contributors to this burden. The emergence of the COVID-19 pandemic has created an environment where many determinants of poor mental health are exacerbated. The need for up-to-date information on the mental health impacts of COVID-19 in a way that informs health system responses is imperative. In this study, we aimed to quantify the impact of the COVID-19 pandemic on the prevalence and burden of major depressive disorder and anxiety disorders globally in 2020.
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