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41. Fostering Support and Inclusion for Physicians, Postgraduate Trainees, and Medical Students With Disabilities: A Position Paper From the American College of Physicians.
Over the past several decades, federal laws have instituted sweeping antidiscrimination protections to foster inclusion for people with disabilities in education and employment, but substantial barriers remain to full and meaningful inclusion in the practice of medicine. In this position paper, the American College of Physicians (ACP) highlights the barriers to entering medicine and offers policy recommendations to improve the accessibility of medical schools, training programs, and the practice of medicine. ACP affirms that a diverse physician workforce, inclusive of disability, is a key component of reducing disparities in health and health care.
42. Respiratory Syncytial Virus Vaccines in Adults Who Are Not Pregnant or Immunocompromised: Rapid Practice Points From the American College of Physicians.
作者: Amir Qaseem.;Adam J Obley.;Curtis S Harrod.;Timothy J Wilt.;Kate Carroll.;Linda L Humphrey.; .;Ray Haeme.;Christopher D Jackson.;Devan Kansagara.;Alysa Krain.;Katherine Mackey.;Thejaswi Poonacha.;Sameer Saini.;Chelsea Vigna.
来源: Ann Intern Med. 2026年
The American College of Physicians (ACP) developed these rapid practice points addressing the efficacy, comparative effectiveness, and harms of respiratory syncytial virus (RSV) vaccines in adults aged 18 years or older who are not pregnant or immunocompromised.
43. In critically ill adults with shock, early noninvasive vs. invasive BP monitoring was noninferior for all-cause mortality at 28 d.
GIM/FP/GP: [Formula: see text] Cardiology: [Formula: see text] Critical Care: [Formula: see text].
44. Neither Metformin nor Ursodeoxycholic Acid Effectively Treats Postacute Sequelae of COVID-19 : A Randomized Clinical Trial.
作者: So Yun Lim.;Jacob Lee.;Euijin Chang.;Ji-Soo Kwon.;Choi Young Jang.;Yubin Seo.;Jin Ju Park.;Sun Hee Na.;Hyejin Park.;Hyeon Mu Jang.;Sung-Cheol Yun.;Sung-Han Kim.
来源: Ann Intern Med. 2026年
There is no proven treatment to alleviate symptoms of postacute sequelae of SARS-CoV-2 infection (PASC), despite its substantial public health burden.
46. Outcomes of Density-Targeted Supplemental Breast Magnetic Resonance Imaging Screening by Breast Cancer Risk: Long-Term Health and Economic Considerations.
作者: Anna N A Tosteson.;Natasha K Stout.;Yu-Ru Su.;Nicolien T van Ravesteyn.;Kathryn P Lowry.;Linn Abraham.;Oguzhan Alagoz.;Roberta DiFlorio-Alexander.;Harry J de Koning.;John M Hampton.;Louise Henderson.;Jeanne S Mandelblatt.;Tracy Onega.;Clyde B Schechter.;Brian L Sprague.;Sarah Stein.;Amy Trentham-Dietz.;Diana L Miglioretti.;Karla Kerlikowske.;Christoph I Lee.
来源: Ann Intern Med. 2026年
Federally mandated breast density notifications motivate consideration of supplemental breast magnetic resonance imaging (MRI).
48. Efficacy, Comparative Effectiveness, and Harm of Respiratory Syncytial Virus Vaccines in Adults Who Are Not Pregnant or Immunocompromised: A Rapid Review for the American College of Physicians.
作者: Isabel T K Moser.;Andreea I Dobrescu.;Isolde Sommer.;Stella Goeschl.;Amin Sharifan.;Dominic Ledinger.;Irma Klerings.;Gerald Gartlehner.
来源: Ann Intern Med. 2026年
Respiratory syncytial virus (RSV) causes respiratory disease with a high disease burden in older adults and people with comorbid conditions.
50. In older adults, high- vs. standard-dose influenza vaccine reduced hospitalization for influenza or pneumonia in those with CKD.
GIM/FP/GP: [Formula: see text] Geriatrics: [Formula: see text] Nephrology: [Formula: see text].
51. In adults with prediabetes and overweight or obesity, an AI- vs. human-led lifestyle intervention was noninferior for a composite outcome at 12 mo.
GIM/FP/GP: [Formula: see text] Endocrinology: [Formula: see text] Public Health: [Formula: see text].
53. In severe pneumonia or ARDS, low-dose, short-course corticosteroids vs. placebo or usual care reduce short-term mortality.
GIM/FP/GP: [Formula: see text] Infectious Disease: [Formula: see text] Critical Care: [Formula: see text] Pulmonology: [Formula: see text].
54. In adults at high CV risk and without previous MI or stroke, evolocumab reduced major adverse CV event composites at a median 4.6 y.
GIM/FP/GP: [Formula: see text] Cardiology: [Formula: see text].
55. After cardioversion in AF, continued caffeinated coffee consumption vs. abstinence reduced AF or atrial flutter recurrence at 6 mo.
GIM/FP/GP: [Formula: see text] Cardiology: [Formula: see text].
56. Nicotine e-cigarettes increase smoking cessation more than nicotine replacement therapy or non-nicotine e-cigarettes at ≥6 mo.
GIM/FP/GP: [Formula: see text] Public Health: [Formula: see text].
57. After successful catheter ablation for AF, rivaroxaban did not reduce a composite of stroke or systemic embolism vs. aspirin at 36 mo.
GIM/FP/GP: [Formula: see text] Cardiology: [Formula: see text] Hematology: [Formula: see text].
58. In healthy adults, a modified RNA vs. inactivated influenza vaccine reduced laboratory-confirmed influenza-like illness at ≥14 d.
GIM/FP/GP: [Formula: see text] Infectious Disease: [Formula: see text] Public Health: [Formula: see text].
59. In adults with severe metabolic acidosis and moderate to severe AKI, IV sodium bicarbonate did not reduce mortality at 90 d.
GIM/FP/GP: [Formula: see text] Critical Care: [Formula: see text] Nephrology: [Formula: see text].
60. Stable Supportive Footwear for Self-managing Hip Osteoarthritis Pain : A Randomized Clinical Trial.
作者: Kade L Paterson.;Kim L Bennell.;Ben R Metcalf.;Fiona McManus.;Karen E Lamb.;Jesse Pardo.;Sarah Jones.;Rana S Hinman.
来源: Ann Intern Med. 2026年
Few effective nonsurgical treatments exist for hip osteoarthritis. Footwear influences hip forces and may be a promising novel approach.
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