METGE DEL RAVAL-ELX

jueves, 3 de septiembre de 2020

“A Menace to the Public Health” — Contact Tracing and the Limits of Persuasion | NEJM

https://www.nejm.org/doi/full/10.1056/NEJMp2021887?source=nejmtwitter&medium=organic-social

"A Menace to the Public Health" — Contact Tracing and the Limits of Persuasion
Many countries have been recruiting Covid-19 contact tracers as part of a "test, track, and trace" strategy. In the United Kingdom and the United States, for example, large corps of volunteers have signed up for online classes on the concepts and methods that have served South Korea, Singapore, and Taiwan throughout the pandemic.

Saliva or Nasopharyngeal Swab Specimens for Detection of SARS-CoV-2 | NEJM

https://www.nejm.org/doi/full/10.1056/NEJMc2016359?query=recirc_mostViewed_railB_article

Saliva or Nasopharyngeal Swab Specimens for Detection of SARS-CoV-2
Recent studies have shown that SARS-CoV-2 can be detected in the saliva of asymptomatic persons and outpatients.^1-3 We therefore screened 495 asymptomatic health care workers who provided written informed consent to participate in our prospective study, and we used RT-qPCR to test both saliva and nasopharyngeal samples obtained from these persons. We detected SARS-CoV-2 RNA in saliva specimens obtained from 13 persons who did not report any symptoms at or before the time of sample collection. Of these 13 health care workers, 9 had collected matched nasopharyngeal swab specimens by themselves on the same day, and 7 of these specimens tested negative (Fig. S2). The diagnosis in the 13 health care workers with positive saliva specimens was later confirmed in diagnostic testing of additional nasopharyngeal samples by a CLIA (Clinical Laboratory Improvement Amendments of 1988)–certified laboratory.

2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association of Cardio-Thoracic Surgery (EACTS): The Task Force for the diagnosis and management of atrial fibrillation of the European Society of Cardiology (ESC) Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC

https://academic.oup.com/eurheartj/advance-article/doi/10.1093/eurheartj/ehaa612/5899003

Corticoides en el Covid/ documento WHO

https://apps.who.int/iris/bitstream/handle/10665/334125/WHO-2019-nCoV-Corticosteroids-2020.1-eng.pdf

miércoles, 2 de septiembre de 2020

JMIR - Telemonitoring for Patients With COVID-19: Recommendations for Design and Implementation | Silven | Journal of Medical Internet Research

https://www.jmir.org/2020/9/e20953/

Telemonitoring for Patients With COVID-19: Recommendations for Design and Implementation
Despite significant efforts, the COVID-19 pandemic has put enormous pressure on health care systems around the world, threatening the quality of patient care. Telemonitoring offers the opportunity to carefully monitor patients with a confirmed or suspected case of COVID-19 from home and allows for the timely identification of worsening symptoms. Additionally, it may decrease the number of hospital visits and admissions, thereby reducing the use of scarce resources, optimizing health care capacity, and minimizing the risk of viral transmission. In this paper, we present a COVID-19 telemonitoring care pathway developed at a tertiary care hospital in the Netherlands, which combined the monitoring of vital parameters with video consultations for adequate clinical assessment. Additionally, we report a series of medical, scientific, organizational, and ethical recommendations that may be used as a guide for the design and implementation of telemonitoring pathways for COVID-19 and other diseases worldwide.