Ethical and Scientific Implications of the Globalization of Clinical Research

被引:460
作者
Glickman, Seth W. [1 ,3 ]
McHutchison, John G. [1 ,2 ]
Peterson, Eric D. [1 ,2 ]
Cairns, Charles B. [1 ,3 ]
Harrington, Robert A. [1 ,2 ]
Califf, Robert M. [1 ,2 ]
Schulman, Kevin A. [1 ,2 ]
机构
[1] Duke Univ, Sch Med, Duke Clin Res Inst, Duke Translat Med Inst,Ctr Clin & Genet Econ, Durham, NC 27715 USA
[2] Duke Univ, Sch Med, Dept Med, Durham, NC 27715 USA
[3] Univ N Carolina, Sch Med, Dept Emergency Med, Chapel Hill, NC USA
关键词
MEDICAL-RESEARCH; HEALTH RESEARCH; TRIALS; CONDUCT; BARRIERS; DESIGN; FUTURE;
D O I
10.1056/NEJMsb0803929
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 61-year-old man presents to the emergency room with left-sided epistaxis that has continued for 1 hour. He estimates having lost approximately 1/2 cup of blood and reports no history of nasal obstruction, epistaxis, trauma, bleeding diathesis, or easy bruising. He has a history of hypertension. Medications include atenolol and baby aspirin. How should this patient be evaluated and treated? Copyright © 2009 Massachusetts Medical Society.All rights reserved.
引用
收藏
页码:816 / 823
页数:8
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