Comparison of Home Antigen Testing With RT-PCR and Viral Culture During the Course of SARS-CoV-2 Infection | Infectious Diseases | JN Learning | AMA Ed Hub

Sensibilidad más alta 2 día de los síntomas.
https://edhub.ama-assn.org/jn-learning/module/2791915


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Protection by a Fourth Dose of BNT162b2 against Omicron in Israel | NEJM

https://www.nejm.org/doi/full/10.1056/NEJMoa2201570


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Fourth Dose of BNT162b2 mRNA Covid-19 Vaccine in a Nationwide Setting | NEJM

https://www.nejm.org/doi/full/10.1056/NEJMoa2201688


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Retirada de la vareniclina y el bupropión. ¿Y ahora qué? | guiaterapeutica

https://guiaterapeutica.wordpress.com/2022/12/28/retirada-de-la-vareniclina-y-el-bupropion-y-ahora-que/


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Heart failure: an update from the last years and a look at the near future - Riccardi - 2022 - ESC Heart Failure - Wiley Online Library

https://onlinelibrary.wiley.com/doi/10.1002/ehf2.14257#.Y6t51zE2Jhp.twitter


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¿Por qué cambiar duele? | Saludconcosas

https://saludconcosas.es/cambiar-duele/


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Anxiety Disorders: A Review | Anxiety Disorders | JAMA | JAMA Network

https://jamanetwork.com/journals/jama/fullarticle/2799904


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AMF - SEMFYC

https://amf-semfyc.com/es/web/articulo/organizacion-de-la-atencion-primaria-hacia-un-nuevo-paradigma


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Switching Between Glucagon-Like Peptide-1 Receptor Agonists: Rationale and Practical Guidance | Clinical Diabetes | American Diabetes Association

https://diabetesjournals.org/clinical/article/38/4/390/35426/Switching-Between-Glucagon-Like-Peptide-1-Receptor


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ANGPTL3 as a Drug Target in Hyperlipidemia and Atherosclerosis | SpringerLink

https://link.springer.com/article/10.1007/s11883-022-01071-1


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Dosis de ejercicio

https://bjsm.bmj.com/content/bjsports/56/12/692.full.pdf

Tweet de Xavier Marcet en Twitter

	Xavier Marcet ⁦‪@XavierMarcet‬⁩ Cosas que aprendemos después Hay cosas que aprendemos después de vivirlas, como por decantación. Cosas que aprendemos escapando de los manuales del perfeccionismo. El Management, y la vida, están llenos de cosas que aprendemos después. Hoy en ⁦‪@LaVanguardia‬⁩ FELIZ NAVIDAD pic.twitter.com/izHNVLt1xc   25/12/22, 7:59

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Home and Online Management and Evaluation of Blood Pressure (HOME BP) using a digital intervention in poorly controlled hypertension: randomised controlled trial | The BMJ

https://www.bmj.com/content/372/bmj.m4858


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Digital interventions for hypertension and asthma to support patient self-management in primary care: the DIPSS research programme including two RCTs [Internet] - PubMed

https://pubmed.ncbi.nlm.nih.gov/36538606/


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RedgedapS: Los Standars of Care in Diabetes de la American Diabetes Association—2023

https://redgedaps.blogspot.com/2022/12/los-standards-of-medical-care-in.html?m=1

12-year evolution of multimorbidity patterns among older adults based on Hidden Markov Models | Aging

https://www.aging-us.com/article/204395/text

SARS-CoV-2 infection and persistence in the human body and brain at autopsy | Nature

https://www.nature.com/articles/s41586-022-05542-y


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¿ Lomo de Delfin o aleta de tiburon? ¿Es un menu ó hablamos de ecg? Desde JAMA caso clinico interesante.

https://docs.google.com/document/d/e/2PACX-1vRhLOECWHCuQ6Mzop3v3EZv9TarpPAyKJ2hX5D5rUVq0NhsOjWgMTbyd96MtDHh_g/pub

Factors affecting prescription of sodium-glucose co-transporter 2 inhibitors in patients with type 2 diabetes mellitus with established cardiovascular disease/ chronic kidney disease in Hong Kong: a qualitative study | BMC Primary Care | Full Text

https://bmcprimcare.biomedcentral.com/articles/10.1186/s12875-022-01928-z

Preevid: Tratamiento antibiótico en los cambios de sonda en sondaje vesical permanente / Antibiotic treatment in catheter changes in permanent bladder catheterization.

https://www.murciasalud.es/preevid/18315

High-dimensional characterization of post-acute sequelae of COVID-19 | Nature

https://www.nature.com/articles/s41586-021-03553-9#MOESM4

La extraña paradoja tras los suplementos de vitamina D — Cuaderno de Cultura Científica

https://culturacientifica.com/2022/12/05/la-extrana-paradoja-tras-los-suplementos-de-vitamina-d/


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https://jamanetwork.com/journals/jama/fullarticle/2798745?guestAccessKey=99dd03e3-3730-4687-b04f-a8e27ee4da4e&utm_source=silverchair&utm_campaign=jama_network&utm_content=covid_weekly_highlights&utm_medium=email

https://jamanetwork.com/journals/jama/fullarticle/2798745?guestAccessKey=99dd03e3-3730-4687-b04f-a8e27ee4da4e&utm_source=silverchair&utm_campaign=jama_network&utm_content=covid_weekly_highlights&utm_medium=email


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Objetivos de presión arterial para el tratamiento de personas con hipertensión y enfermedad cardiovascular - Saiz, LC - 2022 | Cochrane Library

https://www.cochranelibrary.com/content?templateType=full&urlTitle=/cdsr/doi/10.1002/14651858.CD010315.pub5&doi=10.1002/14651858.CD010315.pub5&type=cdsr&contentLanguage=es


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Data-driven identification of post-acute SARS-CoV-2 infection subphenotypes | Nature Medicine

https://www.nature.com/articles/s41591-022-02116-3


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Preparing for the "tripledemic": RSV, influenza, and COVID-19 | AAFP

https://www.aafp.org/pubs/afp/community-blog/entry/Preparing-for-the-tripledemic-RSV,-influenza-and-COVID-19.html

Risk for newly diagnosed diabetes after COVID-19: a systematic review and meta-analysis | BMC Medicine | Full Text

https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-022-02656-y

Minimal Difference, if Any, in the Efficacy of Intramuscular vs. Intra-articular Steroid Injection for Knee Osteoarthritis | AAFP

https://www.aafp.org/pubs/afp/issues/2022/1100/poems-steroid-injection-knee-osteoarthritis.html?cmpid=5d88f2a8-1674-4044-88bb-9e383cc5506b&utm_campaign=afp&utm_div=pub&utm_mission=ce&utm_prod=afpj&utm_soc=twitter&utm_prof=afpjournal


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Uno de los nuestros.

Este caso explicado en este post es similar a muchos de nuestros pacientes.
https://www.ti.ubc.ca/es/2022/11/28/138-reduciendo-la-prescripcion-en-cascada/


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estatinas versus suplementos valoracion de NEJM

Statins vs. Supplements for Reducing Low-Density Lipoprotein Cholesterol

Fatima Rodriguez, MD, MPH, FACC, FAHA, reviewing Laffin LJ et al. J Am Coll Cardiol 2022 Oct 19

In a randomized, controlled trial, a low dose of rosuvastatin wins by a landslide.

Patients commonly take supplements advertised to improve cardiovascular health, although the evidence to support this practice is limited. In the industry-funded Supplements, Placebo, or Rosuvastatin Study (SPORT) trial, investigators compared the efficacy for lowering low-density lipoprotein cholesterol (LDL-C) of six commonly used dietary supplements — fish oil, cinnamon, garlic, turmeric, plant sterols, and red yeast rice — with a low-dose statin and placebo.

One hundred and ninety-nine patients (mean age, 64 years; 59% women) with elevated LDL-C and increased 10-year risk of atherosclerotic cardiovascular disease identified from a single center were randomized to rosuvastatin (5 mg daily), placebo, or one of the supplements. The primary endpoint was the percent change of LDL-C from baseline after 28 days.

LDL-C percent reductions from baseline were significantly greater with rosuvastatin than with placebo (by an average difference of 35%) or any supplement. Compared with placebo, LDL-C was not significantly reduced with any of the supplements, and garlic was associated with a small but significant increase in LDL-C.

COMMENT

As a preventive cardiologist, I spend as much of my time in clinic convincing patients to take statins as I do telling them to throw away their untested dietary supplements. This highly practical study provides data to support this practice. Patients are better off skipping the supplements and sticking with statins.

Note: Karol E. Watson, MD is an author of this study and a co–Editor-in-Chief of NEJM Journal Watch Cardiology but had no role in selecting or summarizing this study.

At the time we reviewed this paper, its publisher noted that it was not in final form and that subsequent changes might be made.

CITATIONS

Laffin LJ et al. Comparative effects of low-dose rosuvastatin, placebo and dietary supplements on lipids and inflammatory biomarkers. J Am Coll Cardiol 2022 Oct 19; [e-pub]. (https://doi.org/10.1016/j.jacc.2022.10.013. opens in new tab)

Evaluación de la atención primaria, versión modificada del instrumento PCAT-A10 - ScienceDirect

https://www.sciencedirect.com/science/article/pii/S0212656719303786?via=ihub

¿Que dispositivo utilizo en broncodilatacion,? este articulo ayuda bastante. Desde Cadime.

https://www.cadime.es/images/documentos_archivos_web/BTA/2018/CADIME_BTA_33_02_-.pdf

 

Fwd: RECOMENDACIONES VACUNA PAPILOMA CONSEJO INTERTERRITORIAL

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Inicio del mensaje reenviado:

Asunto: RECOMENDACIONES VACUNA PAPILOMA CONSEJO INTERTERRITORIAL



Virus de papiloma humano

Las vacunas frente a VPH no contienen el virus completo ni material

 genético del virus, de forma que no pueden producir la enfermedad. La vacuna tiene la capacidad de estimular la producción de defensas (anticuerpos) frente a VPH.

https://www.sanidad.gob.es/profesionales/saludPublica/prevPromocion/vacunaciones/vacunas/ciudadanos/vph.htm

One-year temporal changes in long COVID prevalence and characteristics: a systematic review and meta-analysis - Value in Health

https://www.valueinhealthjournal.com/article/S1098-3015(22)04743-X/fulltext

semfyc dermatoscopia 2 videos geniales

https://youtu.be/vlaAWkuEnt8( parte 1)

https://youtu.be/4IPTtQQFpRQ(parte 2)

Comparative Effects of Low-Dose Rosuvastatin, Placebo and Dietary Supplements on Lipids and Inflammatory Biomarkers | Journal of the American College of Cardiology

Los suplementos naturales baja eficacia a la hora de disminuir colesterol comparados con rosuvastatina.

https://www.jacc.org/doi/10.1016/j.jacc.2022.10.013

Noteworthy P Waves in an Elderly Woman | Cardiology | JAMA Internal Medicine | JAMA Network

https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2798314?guestAccessKey=5a69a6b0-24ef-4a54-9940-4e54885efc3c&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamainternalmedicine&utm_content=olf&utm_term=112122

Preevid: Utilidad del test de antígeno en heces en paciente con sospecha de infección por Helicobacter pylori. / Stool antigen test in patients with suspected Helicobacter pylori infection.

https://www.murciasalud.es/preevid/24931#


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Las sesiones de San Blas: Planes de Acción. Marcos estrategico Por Comunidades Autónomas

http://sesionessanblas.blogspot.com/2022/11/planes-de-accion-marcos-estrategico-por.html


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Overdiagnosis and overuse of diagnostic and screening tests in low-income and middle-income countries: a scoping review | BMJ Global Health

https://gh.bmj.com/content/7/10/e008696


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La consulta del doctor Casado: La solución de la Atención Primaria de Madrid. The solution for Primary Care in Madrid. 马德里初级保健解决方案。

https://doctorcasado.blogspot.com/2022/11/la-solucion-de-la-atencion-primaria-de.html


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Documento de consenso sobre el tratamiento de las infecciones en el pie del diabético | Angiología

https://www.elsevier.es/es-revista-angiologia-294-articulo-documento-consenso-sobre-el-tratamiento-S0003317011001556

Salud y Prevención PAPPS: Manual OMS para integrar las Intervenciones Breves sobre los factores de riesgo de las enfermedades no transmisibles en Atención Primaria (1).

http://educacionpapps.blogspot.com/2022/11/manual-oms-para-integrar-las.html


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Plan de acción atención primaria

https://www.sanidad.gob.es/profesionales/excelencia/docs/Plan_de_Accion_de_Atencion_Primaria.pdf

La financiación de la investigación en Atención Primaria de Salud, quid farem?

http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1699-695X2022000300001


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investigacion en Atencion Primaria

 

Asimetría mamaria (anisomastia) | Clínica e Investigación en Ginecología y Obstetricia

https://www.elsevier.es/es-revista-clinica-e-investigacion-ginecologia-obstetricia-7-articulo-asimetria-mamaria-anisomastia--8197

Are Patient Satisfaction Instruments Harming Both Patients and Physicians? | Health Care Quality | JAMA | JAMA Network

https://jamanetwork.com/journals/jama/fullarticle/2798954


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Omicron sublineage BQ.1.1 resistance to monoclonal antibodies - The Lancet Infectious Diseases

https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(22)00733-2/fulltext

Journal of Medical Internet Research - The Current Status of Telemedicine Technology Use Across the World Health Organization European Region: An Overview of Systematic Reviews

https://www.jmir.org/2022/10/e40877/

Helen Salisbury: When did you last see your doctor? | The BMJ

https://www.bmj.com/content/373/bmj.n1508


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Sano y salvo: Atención urgente y en el día: cómo abordar los problemas causados por la sobrecarga de la Atención Primaria. Artículo publicado en AMF

https://sano-y-salvo.blogspot.com/2022/03/atencion-urgente-y-en-el-dia-como.html


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Portal del Medicamento (Los Mejores POEMs de 2021)

https://www.saludcastillayleon.es/portalmedicamento/es/noticias-destacados/destacados/mejores-poems-2021

Preevid: Antipsicótico parenteral a utilizar en pacientes con Enfermedad de Parkinson y crisis de agitación.

agitacion en demencia parkinsoniana.¿Que neuroleptico utilizar?

https://www.murciasalud.es/preevid/19701

Sano y salvo: Longitudinalidad en Atención Primaria: un factor protector de la salud. Editorial de la Revista Clínica de Medicina de Familia que mueve a la reflexión y a la acción

https://sano-y-salvo.blogspot.com/2022/06/longitudinalidad-en-atencion-primaria.html


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Preevid: ¿Que evidencias hay acerca de la efectividad de la oclusión de las úlceras corneales y su tratamiento medicamentoso?.

https://www.murciasalud.es/preevid/10255

Should We Continue ACE Inhibitors and ARBs in Patients with Advanced Kidney Disease?

Allan S. Brett, MD, reviewing Bhandari S et al. N Engl J Med 2022 Nov 3

A randomized trial suggests that continuing them is safe in patients who are followed carefully.

Angiotensin-converting–enzyme (ACE) inhibitors and angiotensin-receptor blockers (ARBs) can slow progression of mild-to-moderate chronic kidney disease (CKD). But are they beneficial, harmful, or neutral in patients with advanced CKD? To address this question, U.K. researchers identified 411 adults with estimated glomerular filtration rate (GFR) <30 mL/minute/1.73 m2 who had been receiving ACE inhibitors or ARBs and randomized them to discontinue or continue these drugs. At baseline, median serum creatinine was 3.4 mg/dL and median GFR was 18 mL/minute. Patients on dialysis were excluded.

At median follow-up of 3 years, these outcomes were noted:

• Mean GFR was about 13 mL/minute in both groups; however, the proportion of patients progressing to renal replacement therapy or terminal palliative care was 62% with discontinuation and 56% with continuation; this difference just missed statistical significance (hazard ratio, 1.28; 95% confidence interval, 0.99–1.65).
• Mortality was ≈10% in both groups.
• Proteinuria and blood pressure increased transiently in the discontinuation group, but later, no differences were noted between groups.
• Incidences of myocardial infarction, stroke, and heart failure hospitalizations were similar in the two groups.

COMMENT

Continuing ACE inhibitors or ARBs was not harmful in patients with estimated GFR lower than 30 mL/minute. The big question — not quite resolved here — is whether continuing these drugs confers any benefit: The 6 percentage-point difference in progression to end-stage renal disease, favoring the continuation group, would have been significant in a slightly larger study. In my view, these results support continuing ACE inhibitors and ARBs in patients with advanced CKD unless substantial hyperkalemia or otherwise unexplained sudden deterioration in renal function occurs.

https://www.jwatch.org/na55503/2022/11/10/should-we-continue-ace-inhibitors-and-arbs-patients-with?ijkey=VfBUreTV9

Long-lasting Symptoms After an Acute COVID-19 Infection and Factors Associated With Their Resolution | Infectious Diseases | JAMA Network Open | JAMA Network

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2798224


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Should We Continue ACE Inhibitors and ARBs in Patients with Advanced Kidney Disease?

https://www.jwatch.org/na55503/2022/11/10/should-we-continue-ace-inhibitors-and-arbs-patients-with


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El Gerente De Mediado: La atención urgente en diferido, un modelo liberiano para Madrid

https://gerentedemediado.blogspot.com/2022/11/la-atencion-urgente-en-diferido-un.html


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Acute and postacute sequelae associated with SARS-CoV-2 reinfection | Nature Medicine

Las reinfecciones empeoran el pronostico

https://www.nature.com/articles/s41591-022-02051-3

Data Lake sanitario: una oportunidad transformadora para el manejo de una salud más predecible

https://gacetamedica.com/politica/data-lake-sanitario-una-oportunidad-transformadora-para-el-manejo-de-una-salud-mas-predecible/

Preevid: Monitorización de los niveles de calcio ante tratamiento con denosumab para osteoporosis.

Parestesias y calambres tras comenzar Prolia. Debemos investigar.

https://www.murciasalud.es/preevid/22010

Preevid: Tratamiento del temblor esencial en paciente en el que están contraindicados los betabloqueantes.

paciente con temblor esencial contraindicado para betabloqueantes.

https://www.murciasalud.es/preevid/18103

Treatment of Hypertension: A Review | Hypertension | JAMA | JAMA Network

https://jamanetwork.com/journals/jama/fullarticle/2798165


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Post-COVID-19-associated morbidity in children, adolescents, and adults: A matched cohort study including more than 157,000 individuals with COVID-19 in Germany | PLOS Medicine

https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1004122


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Long covid—an update for primary care | The BMJ

https://www.bmj.com/content/378/bmj-2022-072117

The Post-COVID-19 Functional Status scale: a tool to measure functional status over time after COVID-19 - PMC

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7236834/

Construct validity of the Spanish version of the Post-COVID-19 Functional Status scale and validation of the web-based form in COVID-19 survivors | PLOS ONE

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0269274

fosfomicina ITU gestantes.

https://www.boletinfarmacologia.hc.edu.uy/images/stories/fosfomicina_y_embarazo.pdf

https://gruposdetrabajo.sefh.es/genesis/genesis/Documents/Fosfomicina_HCabuenes_08.pdf

Renin–Angiotensin System Inhibition in Advanced Chronic Kidney Disease | NEJM

El retirar los IECA o ARA II en pacientes con IRCclase 4-5(EFG< 30%) no mejora el pronostico en este estudio.

https://www.nejm.org/doi/full/10.1056/NEJMoa2210639?query=clinical-medicine

Frequency, signs and symptoms, and criteria adopted for long COVID‐19: A systematic review - PMC

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8236920/

Uso adecuado de los gabapentinoides – El rincón de Sísifo

https://elrincondesisifo.org/2022/11/08/uso-adecuado-de-los-gabapentinoides/

Novel antihyperglycaemic drugs and prevention of chronic obstructive pulmonary disease exacerbations among patients with type 2 diabetes: population based cohort study | The BMJ

https://www.bmj.com/content/379/bmj-2022-071380

El misterio de la demencia menguante: la proporción de personas mayores afectadas cae hasta un 30% en 15 años | Ciencia | EL PAÍS

https://elpais.com/ciencia/2022-11-07/el-misterio-de-la-demencia-menguante-la-proporcion-de-personas-mayores-afectadas-cae-hasta-un-30-en-15-anos.html?ssm=TW_CC

Conciliación medicación crónicos

https://www.ismp-espana.org/ficheros/Conciliación%20en%20Atención%20Primaria-Pendiente%20NIPO-%20%20Octubre%202022.pdf

El Gerente De Mediado: Más allá del síndrome de Mr. Chance

https://gerentedemediado.blogspot.com/2022/11/mas-alla-del-sindrome-de-mr-chance.html


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Clinical Characteristics, Treatment Persistence, and Outcomes Among Patients With COPD Treated With Single- or Multiple-Inhaler Triple Therapy: A Retrospective Analysis in Spain - CHEST

https://journal.chestnet.org/article/S0012-3692(22)01212-0/fulltext


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IJERPH | Free Full-Text | Face-to-Face and Tele-Consults: A Study of the Effects on Diagnostic Activity and Patient Demand in Primary Healthcare

https://www.mdpi.com/1660-4601/19/21/14119


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Trial of an Intervention to Improve Acute Heart Failure Outcomes | NEJM

https://www.nejm.org/doi/full/10.1056/NEJMoa2211680


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Triglyceride Lowering with Pemafibrate to Reduce Cardiovascular Risk | NEJM

Parece que los fibratos en pacientes diabéticos con elevación de Triglicéridos y bajo Hdl colesterol no disminuye los eventos.
https://www.nejm.org/doi/full/10.1056/NEJMoa2210645


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Empagliflozin in Patients with Chronic Kidney Disease | NEJM

https://www.nejm.org/doi/full/10.1056/NEJMoa2204233


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Salud, dinero y atención primaria: Sesión Zoom "¿Faltan Médicos en España?", por Beat...

Salud, dinero y atención primaria: Sesión Zoom "¿Faltan Médicos en España?", por Beat...: Difundo esta charla-zoom titulada " ¿Faltan Médicos en España? " que tengo el placer de compartir con Beatriz Gónzalez López-Valcá...

adherencia al tratamiento de la diabetes.

https://www.primary-care-diabetes.com/action/showPdf?pii=S1751-9918(22)00170-X

Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal Persons: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force | Breast Cancer | JAMA | JAMA Network

Mujer que acude a consulta con traductora por sintomas de sofocos secundarios a menopausia. La ginecologa de nuestro CSSR le ha prescrito THS. ¿Que aporta en prevencion de problemas cronicos?

https://jamanetwork.com/journals/jama/article-abstract/2797868

Cardiovascular and renal efficacy and safety of sodium-glucose cotransporter-2 inhibitors in patients without diabetes: a systematic review and meta-analysis of randomised placebo-controlled trials | BMJ Open

https://bmjopen.bmj.com/content/12/10/e060655

Preevid: ¿Es necesario retirar los sensores para monitorizar la glucosa cuando se va a realizar una resonancia magnética ? / Is it necessary to remove the sensors to monitor glucose when an MRI is to be performed?

https://www.murciasalud.es/preevid/24911

Unintended consequences of patient online access to health records: a qualitative study in UK primary care | British Journal of General Practice

https://bjgp.org/content/early/2022/10/21/BJGP.2021.0720

El Gerente De Mediado: Integralidad: la necesidad de un nuevo equipo

https://gerentedemediado.blogspot.com/2022/10/integralidad-la-necesidad-de-un-nuevo.html

National Imaging Trends for Suspected Urinary Stone Disease in the Emergency Department | JAMA Internal Medicine | JAMA Network

¿Con que prueba de imagen diagnosticamos litiasis colico nefritico en urgencias? Con RX? Eso es viejo oiga..

Curioso pero la asociacion de Urologia Americana recomienda como prueba de eleccion de imagen en urgencias el TAC frente a la ecografia(recomendada en asociaciones urologicas europeas).

En el estudio la cantidad de TAC frente a Eco es muy relevante y segun investigadores no se basa en ela superioridad en estudios(evidencia??)

https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2798196?guestAccessKey=8a1c89e9-91be-4525-8b33-68d3486efb9c&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamainternalmedicine&utm_content=olf&utm_term=103122

Qualitative Analysis of Patient–Physician Discussions Regarding Anticoagulation for Atrial Fibrillation | JAMA Internal Medicine | JAMA Network

Medicina basada en valor. 

En el estudio se observa como los profesionales en la entrevista enfocan hacia el uso de anticoagulantes directo frente a Warfarina. Interesante como se detecta en las entrevistas grabadas.

https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2798191?guestAccessKey=88e349ab-51fa-45c3-892b-f8cf8839b9ce&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamainternalmedicine&utm_content=olf&utm_term=103122

Development and validation in Ecuador of the EPD Questionnaire, a diabetes‐specific patient‐reported experience and outcome measure: A mixed‐methods study - Martin‐Delgado - 2022 - Health Expectations - Wiley Online Library

https://onlinelibrary.wiley.com/doi/10.1111/hex.13366#.Y1wosHhhWdE.twitter


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https://www.euskadi.eus/contenidos/informacion/cevime_infac_2022/es_def/adjuntos/INFAC_Vol_30_5_HTA_es.pdf

https://t.co/WzzDHS1WnT


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Long COVID: An inevitable sequela of SARS-CoV-2 infection - ScienceDirect

https://www.sciencedirect.com/science/article/pii/S1684118222001864


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Opioid prescribing and medical education: can primary care fill in the gaps? | British Journal of General Practice

https://bjgp.org/content/72/724/535.full

Unadjuvanted intranasal spike vaccine elicits protective mucosal immunity against sarbecoviruses | Science

https://www.science.org/doi/10.1126/science.abo2523

L’ICS Catalunya Central aposta per la intel·ligència artificialInstitut Català de la Salut Catalunya Central

https://icscatalunyacentral.cat/2022/09/07/lics-catalunya-central-estudia-implantar-algorismes-dintelligencia-artificial-per-analitzar-radiografies-i-imatges-de-la-pell-i-dels-ulls/


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GuiA long Covid

https://www.publichealth.va.gov/n-coronavirus/docs/Whole-Health-System-Approach-to-Long-COVID_080122_FINAL.pdf

Vitamin D Deficiency Linked to Death, New Study Finds

https://www.medscape.com/viewarticle/982923


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https://www.nejm.org/doi/full/10.1056/NEJMoa2209367?query=featured_home#figures_media

https://www.nejm.org/doi/full/10.1056/NEJMoa2209367?query=featured_home#figures_media


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Overview | Osteoarthritis in over 16s: diagnosis and management | Guidance | NICE

https://www.nice.org.uk/guidance/ng226

Diabetes in CKD – KDIGO

https://kdigo.org/guidelines/diabetes-ckd/

Right Bundle-Branch Block Pattern in Precordial Leads and Left Bundle-Branch Block Pattern With Left Axis Deviation in Frontal Plane Leads—What Does This Mean? | Cardiology | JAMA Internal Medicine | JAMA Network

para los frikis que les gustan los electrocardios dificiles

https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2797847?guestAccessKey=e4c36e88-9c1f-4b25-8e96-01f5def61d38&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamainternalmedicine&utm_content=olf&utm_term=102422

Benefits of Streamlined Point-of-Care Trial Designs: Lessons Learned From the UK RECOVERY Study | Research, Methods, Statistics | JAMA Internal Medicine | JAMA Network

https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2797846?guestAccessKey=226daa45-5fa2-42fe-a3e9-a9a7b3b970d2&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamainternalmedicine&utm_content=olf&utm_term=102422

A ‘Tripledemic’? Flu and Other Infections Return as Covid Cases Rise - The New York Times

https://www.nytimes.com/2022/10/23/health/flu-covid-risk.html?smtyp=cur&smid=tw-nytimes

Risks and management for treating osteoporosis

https://www.nps.org.au/australian-prescriber/articles/treating-osteoporosis-risks-and-management

Diarrea crónica: definición, clasificación y diagnóstico | Gastroenterología y Hepatología

https://www.elsevier.es/es-revista-gastroenterologia-hepatologia-14-articulo-diarrea-cronica-definicion-clasificacion-diagnostico-S0210570515002472

Avances en gestión clínica: ¿Cómo sacar el máximo provecho a la atención primaria virtual?

Esta frase citada abajo es mi impresion desde que me he incorporado a mi plaza basica como medico de atencion primaria:

"En primer lugar, los pacientes que tienen menor necesidad de atención sanitaria, los jóvenes y las personas de alto nivel socioeconómico, son los que tienen más posibilidades de beneficiarse del acceso virtual a la atención primaria".

"suelen ser patologias leves"

En el blog de gestion clinica Varela aportan informacion de esta posible alteracion de la digitalizacion.

http://gestionclinicavarela.blogspot.com/2022/05/como-sacar-el-maximo-provecho-la.html

DIARREA CRONICA ALGORITMO DEL UPTODATE

 ENLACE DEL DOCUMENTO POR SI SE VE MEJOR

Cómo saber si tengo gripe o covid. Así funcionan los nuevos test de antígenos | Sociedad | EL PAÍS

https://elpais.com/sociedad/2022-10-20/como-saber-si-tengo-gripe-o-covid-asi-funcionan-los-nuevos-test-de-antigenos.html


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deprescribir antipsicoticos demencia

https://www.england.nhs.uk/london/wp-content/uploads/sites/8/2022/10/Antipsychotic-Prescribing-Toolkit-for-Dementia.pdf

Opi oïdes y dolor

https://www.saludcastillayleon.es/portalmedicamento/es/terapeutica/seguridad-uso-adecuado/fichas-utilizacion/9-pasos-exito-prescripcion-opioides-dolor-cronico-1534a4.ficheros/1226525-9%20pasos%20para%20el%20éxito%20en%20la%20prescripción%20de%20opioides%20en%20dolor%20crónico.pdf

Therapeutic advances in COVID-19 | Nature Reviews Nephrology

https://www.nature.com/articles/s41581-022-00642-4

Effect of a test-and-treat approach to vitamin D supplementation on risk of all cause acute respiratory tract infection and covid-19: phase 3 randomised controlled trial (CORONAVIT) | The BMJ

https://www.bmj.com/content/378/bmj-2022-071230

La Farmacia Hospitalaria ante situaciones de emergencia nuclear - ILAPHAR | Revista de la OFIL

Esperemos que nunca haga falta conocer estos farmacos.

https://www.ilaphar.org/la-farmacia-hospitalaria-ante-situaciones-de-emergencia-nuclear/

Endothelial dysfunction in COVID-19: an overview of evidence, biomarkers, mechanisms and potential therapies | Acta Pharmacologica Sinica

https://www.nature.com/articles/s41401-022-00998-0

Referral interventions from primary to specialist care: a systematic review of international evidence | British Journal of General Practice

https://bjgp.org/content/64/629/e765.long

PAXLOVID Patient Eligibility Screening Checklist Tool for Prescribers

https://www.fda.gov/media/158165/download

Omicron sublineage BA.2.75.2 exhibits extensive escape from neutralising antibodies - The Lancet Infectious Diseases

https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(22)00663-6/fulltext


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Trial of Endovascular Treatment of Acute Basilar-Artery Occlusion | NEJM

https://www.nejm.org/doi/full/10.1056/NEJMoa2206317

The data is clear: long Covid is devastating people’s lives and livelihoods | Tedros Adhanom Ghebreyesus | The Guardian

https://www.theguardian.com/society/2022/oct/12/long-covid-who-director-general-oped-tedros-adhanom-ghebreyesus

Post-acute symptoms four months after SARS-CoV-2 infection during the Omicron period: a nationwide Danish questionnaire study | medRxiv

https://www.medrxiv.org/content/10.1101/2022.10.12.22280990v1


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Translational gaps and opportunities for medical wearables in digital health | Science Translational Medicine

https://www.science.org/doi/10.1126/scitranslmed.abn6036


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Five-Year Outcomes of the Danish Cardiovascular Screening (DANCAVAS) Trial | NEJM

https://www.nejm.org/doi/full/10.1056/NEJMoa2208681


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Colonoscopy Screening for Colorectal Cancer: A Randomized Trial

https://www.jwatch.org/na55409/2022/10/11/colonoscopy-screening-colorectal-cancer-randomized-trial?ijkey=ml2XZXi3o

Cardiovascular outcomes in adults with hypertension with evening versus morning dosing of usual antihypertensives in the UK (TIME study): a prospective, randomised, open-label, blinded-endpoint clinical trial - The Lancet

La pastilla de la tension por la mañana o por la tarde….Parece que da igual.

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)01786-X/fulltext

Fwd: INSUFICIENCIA CARDIACA GUIA 2022

Guideline title 2022 American College of Cardiology (ACC)/American Heart Association AHA)/Heart Failure Society of America (HFSA) Guidelines for the Management of Heart Failure

https://jamanetwork.com/journals/jama/fullarticle/2796605?guestAccessKey=48660083-0de7-4e55-9be1-84d0a18b3bdf&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamainternalmedicine&utm_content=olf&utm_term=101022

COVID-19 Symptoms and Duration of Rapid Antigen Test Positivity at a Community Testing and Surveillance Site During Pre-Delta, Delta, and Omicron BA.1 Periods | Public Health | JAMA Network Open | JAMA Network

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2797070


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Defining the Role of SGLT2 Inhibitors in Primary Care: Time to Think Differently - PubMed

https://pubmed.ncbi.nlm.nih.gov/35349120/

La biblioteca de Springfield: Glifozinas en diabetes mellitus

https://rubenroa.blogspot.com/2019/12/glifozinas-en-diabetes-mellitus.html


Enviado desde mi iPhone

¿De verdad el NPS es la mejor medida de la experiencia del paciente? En favor de los PREM Carlos Bezos Daleske

https://www.newmedicaleconomics.es/wp-content/uploads/2022/03/experiencia-del-paciente.pdf

From the Eyeball Test to the Algorithm — Quality of Life, Disability Status, and Clinical Decision Making in Surgery | NEJM

https://www.nejm.org/doi/full/10.1056/NEJMms2207408


Enviado desde mi iPhone

Diabetes Management in Chronic Kidney Disease: A Consensus Report by the American Diabetes Association (ADA) and Kidney Disease: Improving Global Outcomes (KDIGO) | Diabetes Care | American Diabetes Association

https://diabetesjournals.org/care/article/doi/10.2337/dci22-0027/147614/Diabetes-Management-in-Chronic-Kidney-Disease-A


Enviado desde mi iPhone

https://nej.md/3BE8y7y

https://nej.md/3BE8y7y


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ThinkCascades: A Tool for Identifying Clinically Important Prescribing Cascades Affecting Older People | SpringerLink

https://link.springer.com/article/10.1007/s40266-022-00964-9


Enviado desde mi iPhone

Tweet de Sara Barrachina en Twitter

	Sara Barrachina ⁦‪@SaraBarrachinaH‬⁩ #Empatia #ElABCdelaAtencionSanitaria pic.twitter.com/zD2lJrKRm2   5/10/22, 20:09

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Transcriptomic profiling of cardiac tissues from SARS‐CoV‐2 patients identifies DNA damage

Daños en adn cardiaco en pacientes fallecidos por covid.

https://onlinelibrary.wiley.com/doi/epdf/10.1111/imm.13577

Journal of Obesity & Metabolic Syndrome

https://www.jomes.org/journal/view.html?doi=10.7570/jomes22050


Enviado desde mi iPhone

Big Data en Sanidad: Desafíos y Retos - Informes y reportajes de Sanidad en Alimarket

https://www.alimarket.es/sanidad/informe/357176/big-data-en-sanidad--desafios-y-retos/informe-completo


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Effect of High-Flow Nasal Cannula Oxygen vs Standard Oxygen Therapy on Mortality in Patients With Respiratory Failure Due to COVID-19: The SOHO-COVID Randomized Clinical Trial | Critical Care Medicine | JAMA | JAMA Network

https://jamanetwork.com/journals/jama/fullarticle/2796693


Enviado desde mi iPhone

Repercusiones de la telemedicina en la práctica asistencial: empezando la casa por el teléfono - ScienceDirect

https://www.sciencedirect.com/science/article/pii/S1134207222001426


Enviado desde mi iPhone

https://www.ecdc.europa.eu/en/publications-data/eu-experience-first-phase-covid-19-implications-measuring-preparedness

https://www.ecdc.europa.eu/en/publications-data/eu-experience-first-phase-covid-19-implications-measuring-preparedness


Enviado desde mi iPhone

Targeted protein S-nitrosylation of ACE2 inhibits SARS-CoV-2 infection | Nature Chemical Biology

https://www.nature.com/articles/s41589-022-01149-6


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How Accurate Are Home Antigen Tests for Omicron?

https://www.jwatch.org/na55354/2022/09/27/how-accurate-are-home-antigen-tests-omicron


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REVISION GLIFOCINAS E INSUFICIENCIA CARDIACA.

https://cosago.nl/wp-content/uploads/2022/06/nejmra2115011-1.pdf

Fwd: broncodilatadores sin epoc??

Los broncodilatadores en pacientes fumadores sintomaticos sin criterios espirometricos de EPOC no son efectivos.

https://www.nejm.org/doi/full/10.1056/NEJMoa2204752

Improving breast cancer diagnostics with deep learning for MRI | Science Translational Medicine

https://www.science.org/doi/10.1126/scitranslmed.abo4802

Long-term neurologic outcomes of COVID-19 | Nature Medicine

https://www.nature.com/articles/s41591-022-02001-z

Infection Control: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) | CDC

https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html


Enviado desde mi iPhone

Duration of viral infectiousness and correlation with symptoms and diagnostic testing in non-hospitalized adults during acute SARS-CoV-2 infection: A longitudinal cohort study | medRxiv

https://www.medrxiv.org/content/10.1101/2022.09.26.22280387v1


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Long-term cardiac pathology in individuals with mild initial COVID-19 illness | Nature Medicine

https://www.nature.com/articles/s41591-022-02000-0

Tweet de Eric Topol en Twitter

	Eric Topol ⁦‪@EricTopol‬⁩ New ⁦‪@CellCellPress‬⁩ Why getting a booster too soon after Covid is not a good idea: suboptimal B-cell response cell.com/cell/fulltext/… ⁦‪@NIAIDNews‬⁩ pic.twitter.com/GGMfM2OATG   27/9/22, 15:33

Enviado desde mi iPhone

Finding the equilibrium of empathy | The BMJ

https://www.bmj.com/content/378/bmj.o2288


Enviado desde mi iPhone

Managing peripheral oedema caused by calcium channel blockers – SPS - Specialist Pharmacy Service – The first stop for professional medicines advice

https://www.sps.nhs.uk/articles/managing-peripheral-oedema-caused-by-calcium-channel-blockers/


Enviado desde mi iPhone

Más eficacia de inmunidad hibrida( vacuna infección)covid

https://www.cell.com/iscience/pdf/S2589-0042(22)01474-2.pdf?_returnURL=https%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS2589004222014742%3Fshowall%3Dtrue

Nanoparticle-modified microrobots for in vivo antibiotic delivery to treat acute bacterial pneumonia | Nature Materials

https://www.nature.com/articles/s41563-022-01360-9


Enviado desde mi iPhone

Genetics and mechanisms of thoracic aortic disease | Nature Reviews Cardiology

https://www.nature.com/articles/s41569-022-00763-0


Enviado desde mi iPhone

Tweet de Jose Gomez Rial en Twitter

	Jose Gomez Rial ⁦‪@gomez_rial5‬⁩ Identifican tres categorías de respondedores a la vacunación ARNm según niveles de Ac (S y RBD), células B reactivas (S) y células T polireactivas. La respuesta inmune es global (humoral y celular) *Leer con calma* Memory CD8+ T cell diversity and B cell nature.com/articles/s4159…   24/9/22, 9:45

Enviado desde mi iPhone

Guía práctica sobre el diagnóstico y tratamiento de la hipertensión arterial en España, 2022. Sociedad Española de Hipertensión - Liga Española para la Lucha contra la Hipertensión Arterial (SEH-LELHA) | Hipertensión y Riesgo Vascular

Ahora que me incorporo de nuevo a primaria esta guia es un clásico para revisar.

https://www.elsevier.es//es-revista-hipertension-riesgo-vascular-67-avance-resumen-guia-practica-sobre-el-diagnostico-S1889183722000666

Recomendaciones OMS rehabilitación long Covid

https://apps.who.int/iris/bitstream/handle/10665/362783/WHO-2019-nCoV-Clinical-2022.2-eng.pdf

La consulta del doctor Casado: Covid persistente y secuelas Covid

https://doctorcasado.blogspot.com/2022/06/covid-persistente-y-secuelas-covid.html


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Long-term neurologic outcomes of COVID-19 | Nature Medicine

https://www.nature.com/articles/s41591-022-02001-z


Enviado desde mi iPhone

Long covid—an update for primary care | The BMJ

No os perdais esta actualizacion sobre long covid desde perspectiva de atencion primaria.

https://www.bmj.com/content/378/bmj-2022-072117

The economics of medication safety : Improving medication safety through collective, real-time learning | OECD Health Working Papers | OECD iLibrary

Cite this content as:

de Bienassis, K., et al. (2022), "The economics of medication safety: Improving medication safety through collective, real-time learning", OECD Health Working Papers, No. 147, OECD Publishing, Paris,https://doi.org/10.1787/9a933261-en.

https://www.oecd-ilibrary.org/social-issues-migration-health/the-economics-of-medication-safety_9a933261-en

IL-1RA Antibodies in Myocarditis after SARS-CoV-2 Vaccination | NEJM

https://www.nejm.org/doi/full/10.1056/NEJMc2205667

Timing of Anticoagulants in Stroke Related to Atrial Fibrillation

https://www.jwatch.org/na55346/2022/09/19/timing-anticoagulants-stroke-related-atrial-fibrillation


Enviado desde mi iPhone

Nanomolar inhibition of SARS-CoV-2 infection by an unmodified peptide targeting the prehairpin intermediate of the spike protein | PNAS

https://www.pnas.org/doi/10.1073/pnas.2210990119

Estáticas en mayores de 70 años

https://sanidad.castillalamancha.es/sites/sescam.castillalamancha.es/files/documentos/farmacia/bft_2022_1_estatinas_en_mayores_de_75_anos_.pdf

Association Between BNT162b2 Vaccination and Long COVID After Infections Not Requiring Hospitalization in Health Care Workers | Vaccination | JAMA | JAMA Network

https://jamanetwork.com/journals/jama/fullarticle/2794072


Enviado desde mi iPhone

Overdiagnosis and overuse of diagnostic and screening tests in low-income and middle-income countries: a scoping review

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9442491/


Enviado desde mi iPhone

Análisis de causas de las causas de futuras pandemias: los retos para una nueva salud pública - ScienceDirect

https://www.sciencedirect.com/science/article/pii/S0213911122001315#fig0005

dispositivos y epoc

https://scientiasalut.gencat.cat/bitstream/handle/11351/8191/butll_prev_errors_medicacio_catalunya_2022_20_02_cas.pdf

Evaluation of medication dose adjustments in patients with impaired renal function using different online drug information databases | European Journal of Hospital Pharmacy

https://ejhp.bmj.com/content/29/5/255


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Los orígenes del «No hacer» fueron el profesionalismo y la ética médica | Primum non nocere 2022

https://rafabravo.blog/2018/12/08/los-origens-del-no-hacer-fueron-el-profesionalismo-y-la-etica-medica/


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Anti-Spike Mucosal IgA Protection against SARS-CoV-2 Omicron Infection | NEJM

https://www.nejm.org/doi/full/10.1056/NEJMc2209651


Enviado desde mi iPhone

The Lancet Commission on lessons for the future from the COVID-19 pandemic - The Lancet

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)01585-9/fulltext


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The Lancet COVID-19 Commission

https://www.thelancet.com/commissions/covid19


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CADIME - Recomendaciones para el uso racional de anticoagulantes orales directos.

https://www.cadime.es/noticias/destacados/956-recomendaciones-para-el-uso-racional-de-anticoagulantes-orales-directos.html


Enviado desde mi iPhone

Preevid: Sulfato de glucosamina y condroitín sulfato en la artrosis. / Glucosamine sulfato and chondroitin sulfate in osteoarthritis.

Revisión de todas las evidencias.


https://www.murciasalud.es/preevid/24839#


Enviado desde mi iPhone

Australia ends daily COVID reporting after deadliest month of the pandemic - World Socialist Web Site

Cifras altas de mortalidad Covid en Australia.

https://www.wsws.org/en/articles/2022/09/10/covi-s10.html


Enviado desde mi iPhone

Are Doctors Getting Their COVID Boosters? | MedPage Today

https://www.medpagetoday.com/special-reports/exclusives/100665


Enviado desde mi iPhone

How to diagnose heart failure with preserved ejection fraction: the HFA–PEFF diagnostic algorithm: a consensus recommendation from the Heart Failure Association (HFA) of the European Society of Cardiology (ESC) | European Heart Journal | Oxford Academic

https://academic.oup.com/eurheartj/article/40/40/3297/5557740


Enviado desde mi iPhone

Is 112 the New 10 000?—Step Count and Dementia Risk in the UK Biobank | Dementia and Cognitive Impairment | JAMA Neurology | JAMA Network

https://jamanetwork.com/journals/jamaneurology/fullarticle/2795818


Enviado desde mi iPhone

Effectiveness of a Fourth Dose of COVID-19 mRNA Vaccine Against Omicron Variant Among Elderly People in Singapore | Annals of Internal Medicine

https://www.acpjournals.org/doi/10.7326/M22-2042


Enviado desde mi iPhone

SARS-CoV-2 in immunocompromised individuals: Immunity

https://www.cell.com/immunity/fulltext/S1074-7613(22)00500-3


Enviado desde mi iPhone

Understanding myalgic encephalomyelitis | Science

https://www.science.org/doi/10.1126/science.abo1261


Enviado desde mi iPhone

https://www.nature.com/articles/s41591-022-02000-0


En casos leves de Covid a los 100 días hasta 70%reportaban síntomas cardiológicos. Los siguieron con Rmn cardíaca…
https://www.nature.com/articles/s41591-022-02000-0


Enviado desde mi iPhone

Open-Source Automated Insulin Delivery in Type 1 Diabetes | NEJM

https://www.nejm.org/doi/full/10.1056/NEJMoa2203913


Enviado desde mi iPhone

Risk for Muscle Pain or Weakness with Statins Is Slight

https://www.jwatch.org/na55300/2022/09/06/risk-muscle-pain-or-weakness-with-statins-slight


Enviado desde mi iPhone

Growing Role of Gabapentin in Opioid-Related Overdoses Highlights Misuse Potential and Off-label Prescribing Practices | Clinical Pharmacy and Pharmacology | JAMA | JAMA Network

https://jamanetwork.com/journals/jama/fullarticle/2796287?guestAccessKey=b12b5e0b-0761-4db8-ba83-a78cac0c93bd&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jama&utm_content=olf&utm_term=090722


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Durability of Booster mRNA Vaccine against SARS-CoV-2 BA.2.12.1, BA.4, and BA.5 Subvariants | NEJM

https://www.nejm.org/doi/full/10.1056/NEJMc2210546


Enviado desde mi iPhone

Podcast 298: COPD exacerbations — 7 days of antibiotics versus 2 | Clinical Conversations

https://podcasts.jwatch.org/index.php/podcast-298-copd-exacerbations-7-days-of-antibiotics-versus-2/2022/09/02/


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Pruebas de imagen osteomuscular innecesarias como mejorar??

 Entre los médicos generales australianos que solicitan con frecuencia imágenes de diagnóstico musculoesquelético, una auditoría individualizada y una intervención de retroalimentación, en comparación con ninguna intervención, disminuyó significativamente la tasa de pruebas de imágenes musculoesqueléticas dirigidas ordenadas durante 12 meses

https://jamanetwork.com/journals/jama/fullarticle/2795890?guestAccessKey=a9321398-3aa5-4f0b-a362-ef3434b9f102&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamainternalmedicine&utm_content=olf&utm_term=090622

Long-term cardiac pathology in individuals with mild initial COVID-19 illness | Nature Medicine

https://www.nature.com/articles/s41591-022-02000-0


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The pride of being a family physician | The College of Family Physicians of Canada

El orgullo de ser un médico de familia.
https://www.cfp.ca/content/68/8/563


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Updates on COVID-19 Vaccine Effectiveness during Omicron

Actualizacion de la CDC de la efectividad de la vacuna. 

https://www.cdc.gov/vaccines/acip/meetings/downloads/slides-2022-09-01/04-COVID-Link-Gelles-508.pdf

Evasión de anticuerpos neutralizantes por sublinaje omicron BA.2.75

 Un sublinaje emergente, BA.2.75, está aumentando en frecuencia en India y se había detectado en al menos 15 países hasta el 19 de julio de 2022. Al parecer mantiene una menor frecuencia de escape que BA.5 y es aun sensible a algunos farmacos.

https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(22)00524-2/fulltext

How covid-19 spreads: narratives, counter narratives, and social dramas

Relato de como discusión entre transmision gotas versus aire genero consecuencias desfavorables en UK: 

https://www.bmj.com/content/378/bmj-2022-069940

Frequency and estimated costs of ten low-value practices in the Spanish primary care: a retrospective study: Expert Opinion on Drug Safety: Vol 21, No 7

https://www.tandfonline.com/doi/full/10.1080/14740338.2022.2026924


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Recent SARS-CoV-2 infection abrogates antibody and B-cell responses to booster vaccination | medRxiv

Preprint donde establece que el haber pasado la infección disminuye respuesta del booster por lo que hay que separarlo unos meses.

https://www.medrxiv.org/content/10.1101/2022.08.30.22279344v1


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JMIR Research Protocols - Using Artificial Intelligence as a Diagnostic Decision Support Tool in Skin Disease: Protocol for an Observational Prospective Cohort Study

https://www.researchprotocols.org/2022/8/e37531


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Risk of BA.5 Infection among Persons Exposed to Previous SARS-CoV-2 Variants | NEJM

En este articulo refuta el argumento de que infecciones previas de omicron no protegen de nuevas variantes de la misma.

We found that previous SARS-CoV-2 infection had a protective effect against BA.5 infection (Figure 1B and Table S1 in the Supplementary Appendix, available with the full text of this letter at NEJM.org), and this protection was maximal for previous infection with BA.1 or BA.2

https://www.nejm.org/doi/full/10.1056/NEJMc2209479


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