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Autopsia pulmonar precoz en pacientes fallecidos con síndrome de distrés respiratorio agudo secundario a infección por SARS-CoV-2
F. Rodriguez, N. Nin, A. Fajardo, M. Aunchayna, R. Guerendiaín, J. Hurtado
Med Intensiva. 2023;47:173-5
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Med Intensiva. 2023;47:173-5
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Categorías: Revista Medicina Intensiva
Prone position improves ventilation-perfusion mismatch in patients with severe acute respiratory distress syndrome
M.C. Bachmann, R. Basoalto, O. Díaz, A. Bruhn, G. Bugedo, J. Retamal
Med Intensiva. 2023;47:175-8
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Med Intensiva. 2023;47:175-8
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Categorías: Revista Medicina Intensiva
Ventilación mecánica no invasiva u oxigenoterapia de alto flujo en la pandemia de COVID-19: el empate se deshizo
A. González-Castro, V. Modesto i Alapont, A. Medina, A. Fajardo Campoverde
Med Intensiva. 2023;47:178-80
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Med Intensiva. 2023;47:178-80
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Categorías: Revista Medicina Intensiva
Utilidad del strain en el manejo del síndrome coronario agudo: a propósito de un caso de hematoma espontáneo de arteria coronaria
J. Navarro Martínez, M. García Valiente, I. Keituqwa Yáñez
Med Intensiva. 2023;47:181-2
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Med Intensiva. 2023;47:181-2
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Categorías: Revista Medicina Intensiva
Evaluación diafragmática en paciente con COVID-19 durante el inicio de la ventilación mecánica no invasiva
V. Gascón Sánchez, M.J. Segrera Rovira, L. Bellver Bosch
Med Intensiva. 2023;47:183
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Med Intensiva. 2023;47:183
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Categorías: Revista Medicina Intensiva
Massive hemoptysis due to Aspergillus-related pulmonary artery pseudoaneurysm in a patient with COVID-19 pneumonia
Categorías: Revista Medicina Intensiva
An unusual foreign body aspiration
J.C. Suarez Montero, A. Cordon-Abalde, A. Torrego Fernández
Med Intensiva. 2023;47:186-7
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Med Intensiva. 2023;47:186-7
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Categorías: Revista Medicina Intensiva
Making Prescription Drugs More Affordable Under the Biden Administration
This Viewpoint discusses policies the Biden administration can enact to reduce costs, including benchmarking Medicare Part B drug payments to the lowest price paid in similar countries, preventing Part D plans from negotiating confidential rebates with manufacturers, and patent reform to promote generic drug use.
Categorías: Novedades Bibliográficas
Addressing Excess Health Care Pricing With Backstop Price Caps
This Viewpoint reviews evidence that higher hospital prices reflect greater market power more than higher-quality services and proposes that backstop price caps can mitigate harms from the most excessive prices without constraining or distorting competitive health care markets.
Categorías: Novedades Bibliográficas
JAMA
Categorías: Novedades Bibliográficas
Diagnosis and Treatment of Irritable Bowel Syndrome
This narrative review summarizes the epidemiology, pathophysiology, diagnosis, management, and prognosis of irritable bowel syndrome.
Categorías: Novedades Bibliográficas
It’s Not Your Fault—Forgiveness in Illness and Death
In this narrative medicine essay an infectious diseases physician shares the sense of forgiveness she brings to anyone possibly involved in COVID-19 transmission, having learned as a child the healing power of family absolution after she witnessed the death of a cousin.
Categorías: Novedades Bibliográficas
Reason for Everything
I will work. I will work without a mask. I will mask the work of courage. I will say there is a reason, bury my aunt, and say it again. I will walk on any street without a graveyard without a mask. I will let our children play there. I will see them share the sand. I will let them touch each other. I will see them slip in soil. I will remember I played dead. I will forget two hundred thousand bodies. I will sift anything but ash.
Categorías: Novedades Bibliográficas
Effect of Blinatumomab vs Chemotherapy on Event-Free Survival in Children With High-Risk First Relapse of B-Cell ALL
This randomized trial compares the effects of blinatumomab, an antibody construct that links CD3+ T cells to CD19+ leukemia cells, vs consolidation chemotherapy as a third consolidation block before allogeneic hematopoietic stem cell transplant (HST) on event-free survival in children with high-risk first-relapse B-cell acute lymphoblastic leukemia (B-ALL).
Categorías: Novedades Bibliográficas
Consolidation With Blinatumomab vs Chemotherapy in First Relapse of B-Cell Acute Lymphoblastic Leukemia
This randomized trial compares the effects of postreinduction therapy consolidation using blinatumomab, an antibody construct that links CD3+ T cells to CD19+ leukemia cells, vs chemotherapy on disease-free survival among children, adolescents, and young adults with first relapse of B-cell acute lymphoblastic leukemia (ALL).
Categorías: Novedades Bibliográficas
Ticagrelor vs Clopidogrel for Patients With Acute Coronary Syndrome Undergoing Percutaneous Intervention—Reply
In Reply Dr Kim and colleagues state that the results of our study are not comparable with those of PLATO and suggest that our findings may differ because patients enrolled in PLATO had a higher proportion of prior myocardial infarction. First, as we mention in our article, PLATO failed to show benefit in North America and included few Asian patients. It did show that ticagrelor reduced ischemic events and increased the rate of nonprocedural bleeding. However, several studies have demonstrated that high-risk patients with ACS do not have a net benefit with ticagrelor. For example, the SWEDEHEART registry showed that ticagrelor was associated with higher rates of bleeding and increased mortality in patents with ACS who were aged 80 years or older. A reduction in ischemic outcomes from ticagrelor was also not observed in this study. The open-label randomized clinical trial POPular AGE demonstrated that clopidogrel is favored for older patients with non–ST-elevation ACS, a high-risk subgroup. The TICA-KOREA trial showed that ticagrelor use was not associated with fewer ischemic events but was associated with increased risk of bleeding in Korean patients with ACS treated with PCI.
Categorías: Novedades Bibliográficas
Antiretroviral Drug Recommendations for HIV Treatment and Prevention—Reply
In Reply Our recommendations for initial antiretroviral therapy are based on evidence from randomized clinical trials demonstrating superiority of InSTI-based therapy vs comparators that included boosted protease inhibitors or efavirenz. Additional benefits of dolutegravir-based and bictegravir-based therapies include a low risk of treatment-emergent resistance, lack of need for pretreatment genotype results, few significant drug interactions, and a highly favorable tolerability profile, along with a very low rate of discontinuation due to adverse effects.
Categorías: Novedades Bibliográficas
The De-Adoption of Low-Value Health Care—Reply
In Reply We agree with Dr Donzelli that reforming health care payment is an essential step in reducing the delivery of low-value services. This is core to our argument around the economic forces that guide the de-adoption of low-value care. Within this realm of economic levers, Donzelli makes an important distinction between pay-for-performance and pay-for-health models, noting some inconsistent results from the former. Although there is evidence that targeted payment policies can reduce the provision of low-value care, we agree that more holistic value-based payment models are needed. Our understanding of how to best pay for health continues to evolve and requires precise measurement of and alignment around the definition of health. One approach raised by Donzelli is to move toward risk-adjusted capitated payments, an approach already used at scale within the Medicare Advantage program. There is also some evidence to suggest that other global payment structures influence the provision of low-value services. As the adoption of value-based payment continues to grow, it will be important to rigorously evaluate the impact on low-value care.
Categorías: Novedades Bibliográficas