Este es un blog medico que nunca podrá sustituir el buen juicio médico en la toma de decisiones.Intentamos compartir con los profesionales nuestras experiencias, conocimientos,lecturas,etc con la finalidad de mejorar la practica clinica.No es un blog para pacientes aunque no rechazamos sus comentarios
lunes, 29 de febrero de 2016
Toward Evidence-Based End-of-Life Care — NEJM
Toward Evidence-Based End-of-Life Care — NEJM: Perspective from The New England Journal of Medicine — Toward Evidence-Based End-of-Life Care
domingo, 28 de febrero de 2016
MEDFAM-APS] El controvertido asunto de la vacunación antigripal
Desde Medfam Mateu Segui lo comparto.
El controvertido asunto de la vacunación antigripalExisten cada vez más personas en contra, sea por su falta de eficacia, eficiencia o incluso por los posibles efectos secundarios. Sin embargo, es una vacuna recomendada vivamente en grupos de riesgo en nuestro país e incluso de manera generalizada desde la infancia en EEUU. ¿Qué hay de cierto en todo ello?.--
**Grohskopf LA, Sokolow LZ, Olsen SJ, Bresee JS, Broder KR, Karron RA. Prevention and control of influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices, United States, 2015-16 influenza season. MMWR Morb Mortal Wkly Rep. 2015;64:818-825. Acceso 12-02-2016
**Committee on Infectious Diseases. Recommendations for Prevention and Control of Influenza in Children, 2015–2016 . PEDIATRICS Volume 136, number 4, October 2015
Acceso 12-02-2016
** Biondi EA; Aligne A Flu Vaccine for All: A Critical Look at the Evidence . Medscape December 21, 2015
**AEP. Calendarios de vacunación (acceso 12-02-2016).
**CDC . acceso 12-02-2016
**Grijalva CG, Zhu Y, Williams DJ, Self WH, Ampofo K, Pavia AT, Stockmann CR, et al. Association Between Hospitalization With Community-Acquired Laboratory-Confirmed Influenza Pneumonia and Prior Receipt of Influenza Vaccination. JAMA. 2015 Oct 13;314(14):1488-97. doi: 10.1001/jama.2015.12160.
**Jefferson T, Rivetti A, Di Pietrantonj C, Demicheli V, Ferroni E. Vaccines for preventing influenza in healthy children. Cochrane Database Syst Rev. 2012;8:CD004879. Acceso 12-02-2016
***Jefferson T, Di Pietrantonj C, Rivetti A, Bawazeer GA, Al-Ansary LA, Ferroni E. Vaccines to prevent influenza in healthy adults. Cochrane Database Syst Rev. 2014;3:CD001269. Acceso 12-02-2016.
**Gross PA, Hermogenes AW, Sacks HS, Lau J, Levandowski RA. The efficacy of influenza vaccine in elderly persons: a meta-analysis and review of the literature. Ann Intern Med. 1995;123:518-527. http://www.ncbi.nlm.nih.gov/pubmed/7661497
**Salmon DA, Proschan M, Forshee R, Gargiullo P, Bleser W, Burwen DR, et al; H1N1 GBS Meta-Analysis Working Group. Association between Guillain-Barré syndrome and influenza A (H1N1) 2009 monovalent inactivated vaccines in the USA: a meta-analysis. Lancet. 2013 Apr 27;381(9876):1461-8. doi: 10.1016/S0140-6736(12)62189-8. Epub 2013 Mar 13.
**Martín Arias LH, Sanz R1, Sáinz M, Treceño C1, Carvajal A. Guillain-Barré syndrome and influenza vaccines: A meta-analysis. Vaccine. 2015 Jul 17;33(31):3773-8. doi: 10.1016/j.vaccine.2015.05.013. Epub 2015 May 18.mateu seguí díaz
sábado, 27 de febrero de 2016
Rafael Olalde Quintana: En la Osteoporosis los medicamentos no lo son todo...
Rafael Olalde Quintana: En la Osteoporosis los medicamentos no lo son todo...: Una nueve entrega de los compañeros de la i Botika en la que nos explican de forma clara las medidas no farmacológicas para prevenir la ...
viernes, 26 de febrero de 2016
trabajo sobre gestion cronicos TU MOVIL PUEDE HACER MAS SOSTENIBLE EL SISTEMA SANITARIO.EL PAIS
ENLACE
Esther is 88 and lives alone in a small apartment. During the past few nights her breathing has become worse and worse, and her legs have edema severely enough that she cannot lie down, but sits up all night. She knows she needs health care. She phones her daughter in a nearby town, who tells her to call her home nurse. The home nurse visits and says she needs to see her general practitioner (GP). But Esther lives on the third floor and can't manage the stairs.
"So the nurse calls an ambulance, and Esther goes to the doctor,
who says she needs to go to the hospital. Now three hours have passed.
An ambulance takes her to the emergency room (ER), where she meets an
assistant nurse and waits for three hours. She meets with a doctor, who
examines her and orders an x-ray, and says she will have to be admitted.
She comes to the ward and meets more nurses."
http://elpais.com/elpais/2016/02/24/ciencia/1456314372_678739.html
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