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QJM: An International Journal of Medicine最新文献

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Association between Epstein-Barr virus infection and gastric cancer. eb病毒感染与胃癌的关系
IF 7.3 4区 医学
QJM: An International Journal of Medicine Pub Date : 2025-05-27 DOI: 10.1093/qjmed/hcaf119
Shu Yuan, Zhong-Wei Zhang, Si-Cong Jiang
{"title":"Association between Epstein-Barr virus infection and gastric cancer.","authors":"Shu Yuan, Zhong-Wei Zhang, Si-Cong Jiang","doi":"10.1093/qjmed/hcaf119","DOIUrl":"https://doi.org/10.1093/qjmed/hcaf119","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":7.3,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Response to Letter to Editor "Association between Epstein-Barr virus infection and gastric cancer". 对致编辑“eb病毒感染与胃癌的关系”的回复。
IF 7.3 4区 医学
QJM: An International Journal of Medicine Pub Date : 2025-05-27 DOI: 10.1093/qjmed/hcaf123
Ngoc-Niem Bui, Shih-Chiang Huang, Thi Nhu Le Tran, Ngoc Hien Nguyen, Hang Nga Do, Ya-Fang Chiu, Chih-Ho Lai
{"title":"Response to Letter to Editor \"Association between Epstein-Barr virus infection and gastric cancer\".","authors":"Ngoc-Niem Bui, Shih-Chiang Huang, Thi Nhu Le Tran, Ngoc Hien Nguyen, Hang Nga Do, Ya-Fang Chiu, Chih-Ho Lai","doi":"10.1093/qjmed/hcaf123","DOIUrl":"https://doi.org/10.1093/qjmed/hcaf123","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":7.3,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mixing studies in viral haemorrhagic fever. 病毒性出血热的混合研究。
IF 7.3 4区 医学
QJM: An International Journal of Medicine Pub Date : 2025-05-26 DOI: 10.1093/qjmed/hcaf121
Tirlangi Praveen Kumar, Sushma Belurkar, Muralidhar Varma, Pothumarthy Venkata Swathi Kiran, Nitin Gupta
{"title":"Mixing studies in viral haemorrhagic fever.","authors":"Tirlangi Praveen Kumar, Sushma Belurkar, Muralidhar Varma, Pothumarthy Venkata Swathi Kiran, Nitin Gupta","doi":"10.1093/qjmed/hcaf121","DOIUrl":"https://doi.org/10.1093/qjmed/hcaf121","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":7.3,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144216715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical pictures: Eagle's syndrome with pulsatile tinnitus. 临床表现：鹰氏综合征伴搏动性耳鸣。
IF 7.3 4区 医学
QJM: An International Journal of Medicine Pub Date : 2025-05-21 DOI: 10.1093/qjmed/hcaf118
Yasushi Shibue
{"title":"Clinical pictures: Eagle's syndrome with pulsatile tinnitus.","authors":"Yasushi Shibue","doi":"10.1093/qjmed/hcaf118","DOIUrl":"https://doi.org/10.1093/qjmed/hcaf118","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":7.3,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Washed microbiota transplantation in refractory intestinal Behçet's disease with trisomy 8/myelodysplastic features. 洗涤菌群移植治疗伴有8三体/骨髓增生异常特征的难治性肠behet病。
IF 7.3 4区 医学
QJM: An International Journal of Medicine Pub Date : 2025-05-20 DOI: 10.1093/qjmed/hcaf115
Aoli Diao, Jie Xu, Rujun Ai, Sheng Zhang, Faming Zhang, Cui Bota
{"title":"Washed microbiota transplantation in refractory intestinal Behçet's disease with trisomy 8/myelodysplastic features.","authors":"Aoli Diao, Jie Xu, Rujun Ai, Sheng Zhang, Faming Zhang, Cui Bota","doi":"10.1093/qjmed/hcaf115","DOIUrl":"https://doi.org/10.1093/qjmed/hcaf115","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":7.3,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144187844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transthyretin leptomeningeal amyloidosis. 甲状腺素转移型薄脑膜淀粉样变性。
IF 7.3 4区 医学
QJM: An International Journal of Medicine Pub Date : 2025-05-20 DOI: 10.1093/qjmed/hcaf116
Yusen Qiu, Dandan Tan, Min Zhu, Daojun Hong
{"title":"Transthyretin leptomeningeal amyloidosis.","authors":"Yusen Qiu, Dandan Tan, Min Zhu, Daojun Hong","doi":"10.1093/qjmed/hcaf116","DOIUrl":"https://doi.org/10.1093/qjmed/hcaf116","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":7.3,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144275835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Scarlet fever. 猩红热。
IF 7.3 4区 医学
QJM: An International Journal of Medicine Pub Date : 2025-05-19 DOI: 10.1093/qjmed/hcaf117
Yu-Hua Su, Zhi-Fu Chang, Te-Chun Shen
{"title":"Scarlet fever.","authors":"Yu-Hua Su, Zhi-Fu Chang, Te-Chun Shen","doi":"10.1093/qjmed/hcaf117","DOIUrl":"https://doi.org/10.1093/qjmed/hcaf117","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":7.3,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144187843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Artificial intelligence for clinical reasoning: the reliability challenge and path to evidence-based practice. 临床推理的人工智能：可靠性挑战和循证实践之路。
IF 7.3 4区 医学
QJM: An International Journal of Medicine Pub Date : 2025-05-19 DOI: 10.1093/qjmed/hcaf114
He Xu, Yueqing Wang, Yangqin Xun, Ruitai Shao, Yang Jiao
{"title":"Artificial intelligence for clinical reasoning: the reliability challenge and path to evidence-based practice.","authors":"He Xu, Yueqing Wang, Yangqin Xun, Ruitai Shao, Yang Jiao","doi":"10.1093/qjmed/hcaf114","DOIUrl":"https://doi.org/10.1093/qjmed/hcaf114","url":null,"abstract":"<p><p>The integration of generative artificial intelligence (AI), particularly large language models (LLMs), into clinical reasoning heralds transformative potential for medical practice. However, their capacity to authentically replicate the complexity of human clinical decision-making remains uncertain-a challenge defined here as the reliability challenge. While studies demonstrate LLMs' ability to pass medical licensing exams and achieve diagnostic accuracy comparable to physicians, critical limitations persist. Crucially, LLMs mimic reasoning patterns rather than executing genuine logical reasoning, and their reliance on outdated or non-regional data undermines clinical relevance. To bridge this gap, we advocate for a synergistic paradigm where physicians leverage advanced clinical expertise while AI evolves toward transparency and interpretability. This requires AI systems to integrate real-time, context-specific evidence, align with local healthcare constraints, and adopt explainable architectures (e.g. multi-step reasoning frameworks or clinical knowledge graphs) to demystify decision pathways. Ultimately, reliable AI for clinical reasoning hinges on harmonizing technological innovation with human oversight, ensuring ethical adherence to beneficence and non-maleficence while advancing evidence-based, patient-centered care.</p>","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":7.3,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bouquet of flower calcification in Renal Tubular Acidosis. 肾小管酸中毒的花束钙化。
IF 7.3 4区 医学
QJM: An International Journal of Medicine Pub Date : 2025-05-16 DOI: 10.1093/qjmed/hcaf113
Somdatta Giri, S M Tahaseen, Shinjan Patra, Ayan Roy
{"title":"Bouquet of flower calcification in Renal Tubular Acidosis.","authors":"Somdatta Giri, S M Tahaseen, Shinjan Patra, Ayan Roy","doi":"10.1093/qjmed/hcaf113","DOIUrl":"https://doi.org/10.1093/qjmed/hcaf113","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":7.3,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Owl eye inclusion bodies for cytomegalovirus disease. 巨细胞病毒病的猫头鹰眼包涵体。
IF 7.3 4区 医学
QJM: An International Journal of Medicine Pub Date : 2025-05-13 DOI: 10.1093/qjmed/hcaf110
Praveen Kumar Tirlangi, Muralidhar Varma, Sharada Mailankody, Vishwapriya Godkhindi, Ananth Pai, Anjely Sebastian, Nitin Gupta
{"title":"Owl eye inclusion bodies for cytomegalovirus disease.","authors":"Praveen Kumar Tirlangi, Muralidhar Varma, Sharada Mailankody, Vishwapriya Godkhindi, Ananth Pai, Anjely Sebastian, Nitin Gupta","doi":"10.1093/qjmed/hcaf110","DOIUrl":"https://doi.org/10.1093/qjmed/hcaf110","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":7.3,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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