Investigación

Comparison of Ellipsys Percutaneous and Proximal Forearm Gracz-Type Surgical Arteriovenous Fistulas

Comparison of Ellipsys Percutaneous and Proximal Forearm Gracz-Type Surgical Arteriovenous Fistulas Rationale & Objective Percutaneous arteriovenous fistulas (AVF) are created by establishing a proximal forearm anastomosis and offer a safe and reliable vascular access. This study compares the Ellipsys percutaneous AVF with a proximal forearm Gracz-type surgical AVF, chosen for comparison as it is constructed […]

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Are Fourth-Year Medical Students as Prepared to Manage Unstable Patients as They Are to Manage Stable Patients?

Are Fourth-Year Medical Students as Prepared to Manage Unstable Patients as They Are to Manage Stable Patients? Abstract Purpose To evaluate the fourth-year medical student’s assessment and management of an unstable patient. Method The authors compared the performance of fourth-year medical students in a clinical performance examination (CPX) across a spectrum of simulated stable conditions […]

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The relation of 12 lead ECG to the cardiac anatomy: The normal CineECG

The relation of 12 lead ECG to the cardiac anatomy: The normal CineECG Background The interpretation of the 12‑lead ECG is notoriously difficult and requires experts to distinguish normal from abnormal ECG waveforms. ECG waveforms depend on body build and electrode positions, both often different in males and females. To relate the ECG waveforms to cardiac anatomical […]

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Blood urea nitrogen, blood urea nitrogen to creatinine ratio and incident stroke: The Dongfeng-Tongji cohort

Highlights Both lower and higher levels of BUN were associated with excess risks of total and ischemic stroke independent of eGFR. Extreme BUN levels, even within the clinically normal range, may confer potential risks of stroke previously unidentified. A U-shaped relationship was identified between BUN/Cr and total stroke and its subtypes. Abstract Background and aims […]

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Kidney damage from nonsteroidal anti‐inflammatory drugs—Myth or truth? Review of selected literature

Abstract Nonsteroidal anti‐inflammatory drugs (NSAIDs) are widely available drugs with anti‐inflammatory and analgesic properties. Their mechanism of action is associated with the enzymes of the arachidonic acid cycle (cyclooxygenases: COX‐1 and COX‐2). The cyclooxygenase pathway results in the formation of prostanoids (prostaglandins [PGs], prostacyclins, and thromboxanes). It affects various structures of the human body, including […]

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Severe pulmonary hypertension associated with chronic obstructive pulmonary disease: A prospective French multicenter cohort

Background A small proportion of patients with chronic obstructive pulmonary disease (COPD) patients present severe pulmonary hypertension (PH), defined by mean pulmonary artery pressure (mPAP) ≥35 mm Hg measured by right heart catheterization. Little is known about the characteristics of severe PH-COPD. The aim of the study based on a national registry was to describe […]

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Una Perspectiva Futura de la Historia Clínica

¿Cuánto tiempo le dedicamos a realizar una historia clínica? ¿Cuánto tiempo le dedicamos a nuestros pacientes? ¿Qué especialidad le dedica más tiempo a realizar una historia clínica? ¿Cuál es la perspectiva de nuestros pacientes? ¿Inteligencia artificial vs razonamiento clínico humano?  ¿iPatients?  Descubre las respuestas a todas estas preguntas…   Related Posts:Veinte errores comunes en la […]

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Angioplastia pulmonar: un paso más en el panorama en constante cambio del tratamiento de la hipertensión pulmonar tromboembólica crónica

• La HPTEC es una condición incapacitante pero potencialmente mejorable. • Recientemente, la AP con balón ha surgido como una terapia alternativa valiosa. • Los pacientes elegibles típicos para la angioplastia son aquellos sin opción quirúrgica. • Actualmente, las técnicas de angioplastia son heterogéneas y requieren estandarización. • Las imágenes previas al tratamiento y el […]

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Antibodies to watch in 2021

ABSTRACT In this 12th annual installment of the Antibodies to Watch article series, we discuss key events in antibody therapeutics development that occurred in 2020 and forecast events that might occur in 2021. The coronavirus disease 2019 (COVID-19) pandemic posed an array of challenges and opportunities to the healthcare system in 2020, and it will continue […]

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Nueva guía de los CDC sobre transmisión de SARS-COV2

Resumen ¿Qué se sabe ya sobre este tema? Estados Unidos está experimentando altos niveles de transmisión del SARS-CoV-2. ¿Qué agrega este informe? El control de la pandemia de COVID-19 requiere una aplicación múltiple de estrategias basadas en evidencia mientras se mejora la equidad en la salud: uso de mascarilla facial universal, distanciamiento físico, evitar espacios […]

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