Новости за 06.04.2021

Official estimates are that Iraq’s proven reserves of conventional natural gas amount to at least 3.5 trillion cubic meters (tcm), or about 1.5 percent of the world’s total, placing Iraq 13th among global reserve-holders, with around three-quarters of this figure comprising associated gas that is found in the same reservoirs as oil. The International Energy Agency, though, estimates that ultimately recoverable resources will be considerably larger, at 8.0 tcm, of which around 30 percent is thought... Читать дальше...

The project is located at the eastern foot of Mogan Mountain in Deqing City. The site retains the texture of the existing farmland and the long valley tourist corridor, and the outline of the site takes on an irregular shape, measuring about 109 meters from north to south and 112 meters from east to west. The total land area is about 10,000 square meters. The overall height of the slope increases from west to east and from north to south. In this project, we tried to break through the experience-based community under the real estate model... Читать дальше...

It is the perfect time to start a business in UAE, Dubai as City is getting back to normal from the Pandemic. Business activities are gearing up and there are enormous business opportunities in UAE that investors can...

This study uses police department registry data to describe trends in incidence of firearm shootings and deaths in January-November 2020, before and after the closure of nonessential businesses in March, the killing of George Floyd in May, and the partial lifting of containment policies in June.

In this issue of JAMA, Zhang and colleagues report the emergence of a novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variant in Southern California that accounted for 44% (37 of 85) of samples collected and studied in January 2021. The terminology of viral variation can be confusing because the media and even scientific communications often use the terms variant, strain, and lineage interchangeably. The terminology reflects the basic replication biology of RNA viruses that results... Читать дальше...

This research describes findings of sequencing and phylogenetic analyses of SARS-CoV-2 isolates from symptomatic patients cared for at Cedar-Sinai Medical Center in November-December 2020 during a regional surge in cases and hospitalizations.

This JAMA Insights clinical review explains different approaches to SARS-CoV-2 vaccine development, including inactivated and protein subunit, viral vector, and mRNA immunization strategies, and summarizes safety and efficacy data for global products authorized for use or in later-stage clinical trials.

In the context of widespread reuse and reprocessing of N95 respirators due to shortages caused by the COVID-19 pandemic, this systematic review summarizes evidence on effectiveness and feasibility of 5 decontaminating processes: UV irradiation, vaporized hydrogen peroxide, moist-heat incubation, microwave-generated steam, and ethylene oxide.

This Viewpoint discusses the prospect that COVID-19 could become a recurrent seasonal disease like influenza and proposes strategies to mitigate the consequences for communities and health systems, including changes in surveillance, medical and public health response, and socioeconomic programs.

This Viewpoint proposes ways to maximize vaccine efficacy and allocation given the rise of coronavirus variants and authorization of a Johnson & Johnson vaccine, including reserving the latter for younger healthier populations, boosting it with a single-dose messenger RNA (mRNA) vaccination, and single mRNA immunization of people with prior documented SARS-CoV-2 infection.

This Viewpoint summarizes views measured in national opinion polls about COVID-19 response, national health insurance reform, reforming the US health care system in general, and race and race disparities in health, with a focus on differences between Democrat and Republican respondents and implications of those differences for enacting meaningful legislation.

This Medical News feature examines what is known about the efficacy of COVID-19 vaccines against SARS-CoV-2 variants.

This Medical News article is a roundup of insights from recent livestream interviews with leading experts.

This Viewpoint makes 6 recommendations for how the Center for Medicare and Medicaid Innovation, as it enters its second decade, can better fulfill its mission of testing health care payment and service delivery models and scale them up to a national level to reduce health care expenditures and improve quality and safety.

We sincerely thank the 2880 peer reviewers who completed manuscript reviews for JAMA in 2020.

In this narrative medicine essay, a palliative care physician finds the space between professional and patient distance thinning as the COVID pandemic drags on and wonders whether abiding with them is the lesson.

It was foolish of me to swoon outside the room where your wife was going to die soon and end your natural life.

This JAMA Patient Page summarizes risk factors, symptoms, diagnosis, and treatment of giardiasis, an intestinal parasite infection that can cause gastrointestinal symptoms including nausea, stomach cramps, and prolonged diarrhea.

This cross-sectional survey assessed the risks of antimicrobial use among 15 276 nursing home residents across 161 facilities.

This randomized trial compares the effects of comfortable low-intensity home-based walking exercise vs high-intensity exercise sufficient to elicit ischemic symptoms vs nonexercise control on 6-minute walk distance among patients with peripheral arterial disease (PAD).

This randomized trial compares the effect of adding celecoxib to standard adjuvant chemotherapy in improving disease-free survival among patients treated for stage III colon cancer.

This Medical Letter provides a Table summarizing key information about topical corticosteroids available for atopic dermatitis published as part of a comprehensive review on the topic.

In Reply The letter from Dr Olshansky and colleagues proposes several hypotheses to explain the different outcomes in the REDUCE-IT and STRENGTH trials. They suggest that the greater content of EPA (4 g/d) administered in REDUCE-IT produced superior results but also suggest that the results were replicated in JELIS, an open-label study that used only 1.8 g/d. If EPA dosage is the critical issue, then the 4 g/d administered in STRENGTH should have produced some benefit. These authors suggest a threshold effect... Читать дальше...

In Reply Data indicate that whistleblower incentives are an important way to reduce the incidence of illegal activities by large pharmaceutical firms. Incentivized whistleblowing in the US includes the False Claims Act’s qui tam provision as well as a variety of other forms of whistleblowing. In response to our recent article, Dr Hashimoto and colleagues asked about the extent of whistleblowing activity in relation to financial penalties against large pharmaceutical firms in the US. We have now conducted... Читать дальше...

To the Editor I am concerned that the STRENGTH trial did not have adequate treatment adherence, as evidenced by plasma EPA and DHA levels that increased by 269% and 40%, respectively, after treatment with omega-3 fatty acids for 12 months. This increase was lower than expected because the authors had previously shown that treatment with the same omega-3 formulation at the same dose for 3 months increased plasma EPA and DHA by 406% and 72%, respectively. Another report demonstrated that treatment... Читать дальше...