Riviste scientifiche

[Comment] Algorithm-based management of complications after pancreatic resection

The Lancet - Ve, 29/04/2022 - 00:30
Improving the failure-to-rescue rate (ie, the mortality rate of patients who have major postoperative complications), is an important priority for surgical quality improvement.1,2 Pancreatic resections are complex operations with a high risk of postoperative complications. One of the most common complications after pancreatic surgery is postoperative pancreatic fistula (POPF). The incidence of POPF ranges from 3% to 45% at high-volume institutions. POPF can lead to further devastating complications, such as bleeding requiring intervention, multiple organ failure, and mortality.

[Articles] Algorithm-based care versus usual care for the early recognition and management of complications after pancreatic resection in the Netherlands: an open-label, nationwide, stepped-wedge cluster-randomised trial

The Lancet - Ve, 29/04/2022 - 00:30
The algorithm for the early recognition and minimally invasive management of complications after pancreatic resection considerably improved clinical outcomes compared with usual care. This difference included an approximate 50% reduction in mortality at 90 days.

Extreme global warming could see major ocean life extinction

New Scientist - Gi, 28/04/2022 - 21:00
A computer model based on past mass extinctions predicts the percentages of marine organisms that may be lost in best and worst-case scenarios

Your dog's breed doesn’t really determine how it behaves

New Scientist - Gi, 28/04/2022 - 21:00
After examining data from more than 18,000 dogs, researchers have reached a clear conclusion: breed doesn’t explain why dogs behave the way they do

Quantum encryption could stop scammers from faking their locations

New Scientist - Gi, 28/04/2022 - 18:00
A technique that uses quantum computers to verify a device's location can only be hacked with a quantum machine thousands of times larger than those currently in existence

Plesiosaurs evolved awkward long necks thanks to their big bodies

New Scientist - Gi, 28/04/2022 - 18:00
An ultra-long neck would seem to put aquatic plesiosaurs at a disadvantage, but it turns out their big bodies helped avoid drag while swimming

Mysterious gamma rays at centre of Milky Way could be from pulsars

New Scientist - Gi, 28/04/2022 - 18:00
A glow of gamma rays from within our galaxy has long puzzled astronomers, but now it seems they could be produced by a specific type of millisecond pulsar

People instinctively run at their most energy-efficient speed

New Scientist - Gi, 28/04/2022 - 18:00
Findings from people running in the lab and in the real world show that men and women tend to run at a speed that minimises energetic costs, though men run faster

We may know why some childhood cancers resolve on their own

New Scientist - Gi, 28/04/2022 - 18:00
Neuroblastoma is a childhood cancer that can go into remission on its own. Now, researchers have identified a possible reason why and used the underlying mechanism to treat tumours in mice

French bulldogs are the shortest-lived dog breed in the UK

New Scientist - Gi, 28/04/2022 - 18:00
Life expectancy tables for 18 breeds show that Jack Russells are the top dogs for longevity, while French bulldogs come in last

Hepatitis: Adenovirus is prime suspect in mystery outbreak in children

New Scientist - Gi, 28/04/2022 - 13:00
It is still unclear what is behind a worrying surge in cases of liver disease among young children in several countries, but a lack of social mixing during lockdowns could be a factor

Exocomets are probably born the same way as comets in our solar system

New Scientist - Gi, 28/04/2022 - 12:00
Observations of comets orbiting the star Beta Pictoris have revealed their range of sizes, which suggest that they probably form via a series of collisions just like comets that orbit the sun

Climate change may increase the spread of viruses between land mammals

New Scientist - Gi, 28/04/2022 - 12:00
Models of mammal migration in response to 2°C of global warming show that there could be more than 4500 new types of viral transmission between species by the end of the century

Global forest destruction continues despite COP26 deforestation pledge

New Scientist - Gi, 28/04/2022 - 11:01
Satellite data shows 3.75 million hectares of tree cover, or 10 football pitches a minute, disappeared across primary tropical forests in 2021

Your brain may have a warning system that suppresses unwanted thoughts

New Scientist - Gi, 28/04/2022 - 09:00
Researchers have identified a signal in the brain that may suppress unwanted memories, which could lead to treatments for OCD, anxiety and depression

Ichthyosaur tooth from the Swiss Alps is largest ever discovered

New Scientist - Gi, 28/04/2022 - 07:01
An ichthyosaur tooth fossil with a root 6 centimetres wide is so large that it may mean that the marine reptiles were even larger than we previously thought 

[Comment] Optimising child and adolescent health and development in the post-pandemic world

The Lancet - Gi, 28/04/2022 - 00:30
Our Series on optimising child and adolescent health and development follows on almost two decades after the original Lancet Series on child survival and its corresponding call for action.1 With less than 10 years left to meet the 2030 Sustainable Development Goals (SDGs), we are concerned that, once again, the world is failing its children. The evidence is strong and calls for change abound; however, effective actions are few and far between.

[Comment] Opportunities in crisis for optimising child health and development

The Lancet - Gi, 28/04/2022 - 00:30
The Lancet Series on optimising child and adolescent health and development1–4 arrives at the right time. For many years, the global health community has known that quality primary health care, including antenatal care, immunisation, and optimal nutrition, helps children survive past their fifth birthday and live healthy lives. Child survival has improved because of combined efforts in these areas; but the scale and scope of the global threats to child health and wellbeing, including conflicts, climate crises, and other humanitarian emergencies, all compounded by COVID-19, now put decades of progress at grave risk.

[Series] What can work and how? An overview of evidence-based interventions and delivery strategies to support health and human development from before conception to 20 years

The Lancet - Gi, 28/04/2022 - 00:30
Progress has been made globally in improving the coverage of key maternal, newborn, and early childhood interventions in low-income and middle-income countries, which has contributed to a decrease in child mortality and morbidity. However, inequities remain, and many children and adolescents are still not covered by life-saving and nurturing care interventions, despite their relatively low costs and high cost-effectiveness. This Series paper builds on a large body of work from the past two decades on evidence-based interventions and packages of care for survival, strategies for delivery, and platforms to reach the most vulnerable.

[Series] Improving health and social systems for all children in LMICs: structural innovations to deliver high-quality services

The Lancet - Gi, 28/04/2022 - 00:30
Despite health gains over the past 30 years, children and adolescents are not reaching their health potential in many low-income and middle-income countries (LMICs). In addition to health systems, social systems, such as schools, communities, families, and digital platforms, can be used to promote health. We did a targeted literature review of how well health and social systems are meeting the needs of children in LMICs using the framework of The Lancet Global Health Commission on high-quality health systems and we reviewed evidence for structural reforms in health and social sectors.
Condividi contenuti