Covid 05-20-national geographic Dr. Freddy Flores Malpartida
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The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise boosts blood flow, releases endorphins, and promotes changes in the brain which help regulate emotions and stress levels.
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Pronunciamiento cmvp ivermectina
El Colegio Médico Veterinario del Perú recomienda autorizar la venta de ivermectina de uso veterinario para tratar pacientes humanos con COVID-19, debido a la escasez del medicamento. También pide informar a la población sobre los riesgos de la automedicación y monitorear efectos entre la ivermectina y la hidroxicloroquina. Finalmente, ofrece la experiencia de los veterinarios para ayudar a combatir la pandemia.
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Este documento presenta propuestas para enfrentar los efectos del COVID-19 en grupos vulnerables en el Perú. Introduce el contexto de nuevos escenarios sociales que surgirán debido a la pandemia y los cambios en la vida cotidiana. Luego, analiza siete grupos sociales clave que se verán afectados: trabajadores informales, migrantes venezolanos, mujeres, niños y jóvenes, población penitenciaria, pueblos indígenas y adultos mayores, con diagnósticos y recomendaciones de polí
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1) This study analyzed clinical risk factors for death from COVID-19 using electronic health records from 17 million adults in England linked to COVID-19 death data. It found increased risks for males, older age, deprivation, uncontrolled diabetes, severe asthma, and various medical conditions.
2) Black and Asian people had higher risks of death from COVID-19 compared to white people, even after adjusting for clinical risk factors. Further research is needed to understand the drivers of this association.
3) Deprivation was also a major risk factor, with little of the excess risk explained by clinical risk factors. The findings support policies in the UK for protecting high-risk groups. The study represents the largest cohort analysis conducted on
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This study evaluated the effectiveness of Ivermectin in treating COVID-19. It analyzed data from over 1,400 patients across 3 continents, comparing outcomes of patients who received Ivermectin to matched controls. It found lower mortality in the Ivermectin group (1.4% vs 8.5%), with a hazard ratio of 0.20. For patients requiring ventilation, mortality was also lower in the Ivermectin group (7.3% vs 21.3%). The study concludes Ivermectin is associated with improved survival in COVID-19 and randomized controlled trials are needed to confirm this.
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This document discusses the ethical challenges of rationing scarce medical resources during the COVID-19 pandemic. It makes several key points:
1) The COVID-19 pandemic is likely to overwhelm healthcare systems and create shortages of resources like ICU beds, ventilators, and medical staff. Rationing will be necessary.
2) Ethical frameworks for rationing emphasize maximizing benefits, treating people equally, prioritizing the worst off, and rewarding those who can save others. However, no single value is sufficient.
3) The document recommends prioritizing those most likely to benefit from treatment, such as younger patients and those who can be saved with critical care. It also recommends prioritizing
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This study examined the effects of hydroxychloroquine treatment on outcomes in 1376 patients hospitalized with COVID-19 at Columbia University Irving Medical Center in New York City. The primary outcome was a composite of intubation or death. 811 patients (58.9%) received hydroxychloroquine treatment. There was no significant association between hydroxychloroquine use and the primary outcome after adjusting for baseline differences, with a hazard ratio of 1.04 (95% CI, 0.82 to 1.32). Randomized controlled trials are still needed to determine if hydroxychloroquine provides any benefit for COVID-19.
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This document summarizes evidence that SARS-CoV-2, the virus that causes COVID-19, may infect and damage neurological tissue. It finds that the brain expresses high levels of ACE2 receptors, which SARS-CoV-2 uses to enter cells. This raises the possibility that the virus could spread to and infect the brain. It also reviews cases that suggest neurological involvement in some COVID-19 patients. The document argues that more investigation is needed but that SARS-CoV-2 infection may contribute to COVID-19 morbidity and mortality through neurological tissue damage.
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This document reviews potential pharmacologic treatments for COVID-19. It summarizes the virology of SARS-CoV-2 and potential drug targets. Currently, there are no proven effective therapies but remdesivir shows promise based on in vitro activity. Over 300 clinical trials are investigating potential treatments including repurposed drugs like chloroquine/hydroxychloroquine and lopinavir/ritonavir. The review summarizes the mechanisms and pharmacology of select proposed treatments and provides an overview of ongoing clinical trials.
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Pronunciamiento cmvp ivermectina
El Colegio Médico Veterinario del Perú recomienda autorizar la venta de ivermectina de uso veterinario para tratar pacientes humanos con COVID-19, debido a la escasez del medicamento. También pide informar a la población sobre los riesgos de la automedicación y monitorear efectos entre la ivermectina y la hidroxicloroquina. Finalmente, ofrece la experiencia de los veterinarios para ayudar a combatir la pandemia.
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Este documento presenta propuestas para enfrentar los efectos del COVID-19 en grupos vulnerables en el Perú. Introduce el contexto de nuevos escenarios sociales que surgirán debido a la pandemia y los cambios en la vida cotidiana. Luego, analiza siete grupos sociales clave que se verán afectados: trabajadores informales, migrantes venezolanos, mujeres, niños y jóvenes, población penitenciaria, pueblos indígenas y adultos mayores, con diagnósticos y recomendaciones de polí
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1) This study analyzed clinical risk factors for death from COVID-19 using electronic health records from 17 million adults in England linked to COVID-19 death data. It found increased risks for males, older age, deprivation, uncontrolled diabetes, severe asthma, and various medical conditions.
2) Black and Asian people had higher risks of death from COVID-19 compared to white people, even after adjusting for clinical risk factors. Further research is needed to understand the drivers of this association.
3) Deprivation was also a major risk factor, with little of the excess risk explained by clinical risk factors. The findings support policies in the UK for protecting high-risk groups. The study represents the largest cohort analysis conducted on
Observacional de ivermectina
This study evaluated the effectiveness of Ivermectin in treating COVID-19. It analyzed data from over 1,400 patients across 3 continents, comparing outcomes of patients who received Ivermectin to matched controls. It found lower mortality in the Ivermectin group (1.4% vs 8.5%), with a hazard ratio of 0.20. For patients requiring ventilation, mortality was also lower in the Ivermectin group (7.3% vs 21.3%). The study concludes Ivermectin is associated with improved survival in COVID-19 and randomized controlled trials are needed to confirm this.
covid 19 Fair allocation - Nejm
This document discusses the ethical challenges of rationing scarce medical resources during the COVID-19 pandemic. It makes several key points:
1) The COVID-19 pandemic is likely to overwhelm healthcare systems and create shortages of resources like ICU beds, ventilators, and medical staff. Rationing will be necessary.
2) Ethical frameworks for rationing emphasize maximizing benefits, treating people equally, prioritizing the worst off, and rewarding those who can save others. However, no single value is sufficient.
3) The document recommends prioritizing those most likely to benefit from treatment, such as younger patients and those who can be saved with critical care. It also recommends prioritizing
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This study examined the effects of hydroxychloroquine treatment on outcomes in 1376 patients hospitalized with COVID-19 at Columbia University Irving Medical Center in New York City. The primary outcome was a composite of intubation or death. 811 patients (58.9%) received hydroxychloroquine treatment. There was no significant association between hydroxychloroquine use and the primary outcome after adjusting for baseline differences, with a hazard ratio of 1.04 (95% CI, 0.82 to 1.32). Randomized controlled trials are still needed to determine if hydroxychloroquine provides any benefit for COVID-19.
MECANISMO DE ACCIÓN covid 19
This document summarizes evidence that SARS-CoV-2, the virus that causes COVID-19, may infect and damage neurological tissue. It finds that the brain expresses high levels of ACE2 receptors, which SARS-CoV-2 uses to enter cells. This raises the possibility that the virus could spread to and infect the brain. It also reviews cases that suggest neurological involvement in some COVID-19 patients. The document argues that more investigation is needed but that SARS-CoV-2 infection may contribute to COVID-19 morbidity and mortality through neurological tissue damage.
Jama sanders 2020 tto
This document reviews potential pharmacologic treatments for COVID-19. It summarizes the virology of SARS-CoV-2 and potential drug targets. Currently, there are no proven effective therapies but remdesivir shows promise based on in vitro activity. Over 300 clinical trials are investigating potential treatments including repurposed drugs like chloroquine/hydroxychloroquine and lopinavir/ritonavir. The review summarizes the mechanisms and pharmacology of select proposed treatments and provides an overview of ongoing clinical trials.
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This research letter summarizes a study investigating the environmental contamination of SARS-CoV-2 from symptomatic patients. Samples were collected from various surfaces in the rooms of 3 patients, as well as air samples and samples from healthcare workers' personal protective equipment (PPE). One patient's room tested positive for SARS-CoV-2 on 13 of 15 room surfaces and 3 of 5 toilet surfaces before routine cleaning, but all surfaces tested negative after cleaning. Air samples and most PPE samples were negative, except for one shoe sample. The findings suggest fomite and fecal-oral transmission of SARS-CoV-2 are possible, but current cleaning procedures are sufficient to decontaminate the environment.
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protección de sars cov2
This document provides recommendations for protecting healthcare workers from SARS-CoV-2 infection through proper use of respiratory devices and safety measures. It discusses:
1) The risk of transmission during various oxygen therapies and ventilation methods, finding CPAP via oronasal mask and NIV via helmet with tight seal have minimal dispersion.
2) Safety measures like handwashing, distancing, and masks to minimize contact/droplet transmission.
3) Precautions for aerosol-generating procedures in COVID-19 patients, including negative pressure rooms and appropriate PPE like N95 masks.
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El documento ofrece recomendaciones para el manejo de la salud mental de los profesionales de la salud durante la pandemia de COVID-19. Señala que los profesionales de la salud enfrentan altos niveles de estrés y ansiedad debido a la alta demanda de atención, el riesgo de contagio y escasez de equipos de protección. Recomienda que los profesionales practiquen el autocuidado a través de una dieta saludable, ejercicio, descanso adecuado y actividades de relajación. Tamb
Covid reference01 book
This document outlines the timeline of key events related to the COVID-19 pandemic from December 2019 to January 2020. It describes how Chinese health officials began investigating cases of viral pneumonia in Wuhan in December. By late December, doctors were warned about the new disease but were later reprimanded by police for spreading rumors. In early January, a seafood market was shut down and a new coronavirus was identified. The genetic sequence was shared internationally on January 12th, allowing diagnostic tests to be developed. The first cases outside of China were reported shortly after.
Covid19 Hemoglobina
The document discusses how COVID-19 may attack hemoglobin and disrupt human heme metabolism. It finds that the ORF8 and spike proteins can bind to porphyrin, while orf1ab, ORF10, and ORF3a can coordinate to attack the heme on hemoglobin's beta chain. This releases iron to form porphyrin, reducing oxygen carrying capacity and causing lung inflammation. It also interferes with human heme pathways. Chloroquine may prevent these attacks and binding, relieving symptoms, though individual effectiveness may vary. Favipiravir may inhibit viral protein binding to porphyrins, preventing cell entry and free porphyrin capture.
Covid19 mgh treatment guidance 031820
This document provides guidance from Massachusetts General Hospital on potential treatment options for COVID-19, including both approved and experimental therapies. It recommends supportive care for mild cases but considers investigational antivirals like remdesivir for moderate or severe cases. It also outlines monitoring and treatment guidance for special populations, potential side effects of therapies, and criteria for considering treatments targeting cytokine release syndrome. The guidance is intended to be updated frequently as new data emerges on COVID-19 treatment.
Covid 19 jama
This research letter summarizes a study investigating the environmental contamination of SARS-CoV-2 from symptomatic patients. Samples were collected from various surfaces in the rooms of 3 patients, as well as air samples and samples from healthcare workers' personal protective equipment (PPE). One patient's room tested positive for SARS-CoV-2 on 13 of 15 room surfaces and 3 of 5 toilet surfaces before routine cleaning, but all surfaces tested negative after cleaning. Air samples and most PPE samples were negative, except for one shoe sample. The findings suggest fomite and fecal-oral transmission of SARS-CoV-2 are possible, but current cleaning procedures are sufficient to decontaminate the environment.
Covid 19 and diabetes mellitus what we know how our patients
This document discusses the relationship between COVID-19 and diabetes based on clinical observations from China, Italy, and the United States. Emerging evidence shows that diabetes is a common comorbidity in patients with severe COVID-19 and may increase the risk of mortality. The document then reviews the pathogenesis and immune response to SARS-CoV-2 before discussing potential mechanisms by which diabetes could increase susceptibility to infection and severe disease. It concludes by highlighting areas for further investigation and management considerations for clinicians.
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A 67-year-old woman presented with respiratory symptoms and was diagnosed with COVID-19. One week later, she presented with worsening symptoms and was found to have a large hemorrhagic pericardial effusion causing cardiac tamponade. She underwent pericardiocentesis, draining 800ml of fluid. After the procedure, she developed signs of takotsubo cardiomyopathy. The case report discusses the rare presentation of cardiac tamponade secondary to COVID-19 infection and the subsequent development of takotsubo cardiomyopathy.
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A 58-year-old woman was admitted with COVID-19 symptoms and developed cardiogenic and septic shock. An echocardiogram showed findings consistent with takotsubo cardiomyopathy - also known as stress cardiomyopathy - with left ventricular dysfunction. Her left ventricular function improved over the next few days, supporting the diagnosis of reversible acute stress cardiomyopathy secondary to COVID-19. This is the first reported case of takotsubo cardiomyopathy associated with COVID-19 in the United States.
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Este documento presenta predicciones sobre la evolución de casos confirmados de COVID-19 en el Perú. Se estima que la zona de contención se alcanzará entre el 8 y 15 de abril. Sin embargo, debido a limitaciones en las pruebas de detección, las cifras podrían ser mayores. El Perú tendría una trayectoria inferior a países como Brasil y Chile, y podría controlar la pandemia en un plazo similar al de China. Actualmente, el Perú tiene una baja tasa de letalidad en comparación internacional.
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This document provides recommendations for managing acute myocardial infarction (AMI) during the COVID-19 pandemic. It addresses the varied clinical presentations of cardiovascular issues related to COVID-19 and recommends the appropriate use of personal protective equipment (PPE) by healthcare workers. For ST-elevation myocardial infarction (STEMI) patients, primary percutaneous coronary intervention (PCI) remains the standard at PCI-capable hospitals when it can be performed quickly by an expert team using PPE in a dedicated cardiac catheterization laboratory (CCL) room. Fibrinolysis may be considered at non-PCI hospitals or if primary PCI cannot be performed safely and quickly. The recommendations aim to ensure cardiovascular patients continue receiving timely care while protecting healthcare workers during the pandemic.
Ivermectina y covid disminuye mortalidad
This study evaluated the effectiveness of ivermectin in treating COVID-19 patients. The study reviewed 280 hospitalized COVID-19 patients, 173 of whom received ivermectin and 107 received usual care. Patients who received ivermectin had a lower mortality rate compared to those who received usual care (15.0% vs 25.2%). Mortality was also lower in patients with severe disease who received ivermectin (38.8% vs 80.7%). After adjusting for potential confounding factors, ivermectin treatment remained significantly associated with lower mortality. The study concludes that ivermectin may be effective in treating COVID-19, especially in severe cases, but
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El documento discute el potencial uso de tratamientos antivirales en casos leves de COVID-19. Señala que aunque actualmente no hay evidencia concluyente, estudios in vitro muestran que medicamentos como la cloroquina y la hidroxicloroquina tienen efecto antiviral contra el virus. También, las guías de varios países incluyen estos tratamientos. El documento argumenta que un tratamiento temprano en casos leves podría prevenir casos severos y que bajo un sistema estructurado, los centros de atención primaria en Perú podrían
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Este documento resume la situación actual de COVID-19 en Perú. Se describe la propagación inicial del virus desde el primer caso importado en marzo hasta la transmisión comunitaria en la mayoría de las regiones a inicios de mayo. La mayoría de los casos se concentran en Lima y Callao, y la población adulta entre 30-59 años representa el 67% de los infectados. Los síntomas más comunes son tos, fiebre, malestar general y dolor de garganta.
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This document discusses policies on respiratory protection for healthcare workers during the COVID-19 pandemic. There is disagreement between health organizations like WHO, CDC, and ECDC on when masks or respirators should be used. Some recommend masks for routine care and respirators for high-risk procedures, while others recommend respirators for all patient contact. Individual countries also have varying policies. Due to shortages, extended use and reuse of masks and respirators has occurred, though evidence on their effectiveness is limited. Overall, the document examines inconsistencies in respiratory protection policies for healthcare workers globally during the COVID-19 outbreak.
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El documento resume la evidencia sobre la asociación entre COVID-19 y enfermedad cardiovascular. Se reportó un grupo de pacientes con neumonía de origen desconocido en Wuhan, China en diciembre de 2019. En enero de 2020 se identificó el SARS-CoV-2 como la causa. A medida que aumentaron los casos, se observó que la enfermedad cardiovascular jugaba un papel fundamental en el desarrollo y pronóstico de la infección. Los factores de riesgo más importantes para mortalidad son la edad avanzada y las comorbilidades
8 tromboprofilaxis y covid
1) Growing evidence indicates that hospitalized COVID-19 patients are at an increased risk of venous and arterial thrombosis. D-dimer levels at admission predict outcomes like ARDS, ICU admission, and mortality.
2) The working party on hemostasis proposes recommendations for thromboprophylaxis in COVID-19 patients, including use of low molecular weight heparin or unfractionated heparin based on renal function. Monitoring of lab values like D-dimers, platelets, and coagulation markers is also suggested.
3) Higher doses of anticoagulants or switching to intermediate or therapeutic doses should be considered for critically ill patients or those with signs of organ dysfunction. Monitoring for hepar
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This research letter summarizes a study investigating the environmental contamination of SARS-CoV-2 from symptomatic patients. Samples were collected from various surfaces in the rooms of 3 patients, as well as air samples and samples from healthcare workers' personal protective equipment (PPE). One patient's room tested positive for SARS-CoV-2 on 13 of 15 room surfaces and 3 of 5 toilet surfaces before routine cleaning, but all surfaces tested negative after cleaning. Air samples and most PPE samples were negative, except for one shoe sample. The findings suggest fomite and fecal-oral transmission of SARS-CoV-2 are possible, but current cleaning procedures are sufficient to decontaminate the environment.
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This study analyzed 232 patients with COVID-19 admitted to hospitals in China between January 19th and March 6th. The study found that 21% of patients experienced diarrhea, with those patients more likely to have severe symptoms and require intensive care. As the outbreak progressed, a greater proportion of patients experienced diarrhea. This suggests that gastrointestinal symptoms may be more common with COVID-19 than initially reported, and patients with diarrhea appear to have worse outcomes.
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This document provides recommendations for protecting healthcare workers from SARS-CoV-2 infection through proper use of respiratory devices and safety measures. It discusses:
1) The risk of transmission during various oxygen therapies and ventilation methods, finding CPAP via oronasal mask and NIV via helmet with tight seal have minimal dispersion.
2) Safety measures like handwashing, distancing, and masks to minimize contact/droplet transmission.
3) Precautions for aerosol-generating procedures in COVID-19 patients, including negative pressure rooms and appropriate PPE like N95 masks.
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El documento ofrece recomendaciones para el manejo de la salud mental de los profesionales de la salud durante la pandemia de COVID-19. Señala que los profesionales de la salud enfrentan altos niveles de estrés y ansiedad debido a la alta demanda de atención, el riesgo de contagio y escasez de equipos de protección. Recomienda que los profesionales practiquen el autocuidado a través de una dieta saludable, ejercicio, descanso adecuado y actividades de relajación. Tamb
Covid reference01 book
This document outlines the timeline of key events related to the COVID-19 pandemic from December 2019 to January 2020. It describes how Chinese health officials began investigating cases of viral pneumonia in Wuhan in December. By late December, doctors were warned about the new disease but were later reprimanded by police for spreading rumors. In early January, a seafood market was shut down and a new coronavirus was identified. The genetic sequence was shared internationally on January 12th, allowing diagnostic tests to be developed. The first cases outside of China were reported shortly after.
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The document discusses how COVID-19 may attack hemoglobin and disrupt human heme metabolism. It finds that the ORF8 and spike proteins can bind to porphyrin, while orf1ab, ORF10, and ORF3a can coordinate to attack the heme on hemoglobin's beta chain. This releases iron to form porphyrin, reducing oxygen carrying capacity and causing lung inflammation. It also interferes with human heme pathways. Chloroquine may prevent these attacks and binding, relieving symptoms, though individual effectiveness may vary. Favipiravir may inhibit viral protein binding to porphyrins, preventing cell entry and free porphyrin capture.
Covid19 mgh treatment guidance 031820
This document provides guidance from Massachusetts General Hospital on potential treatment options for COVID-19, including both approved and experimental therapies. It recommends supportive care for mild cases but considers investigational antivirals like remdesivir for moderate or severe cases. It also outlines monitoring and treatment guidance for special populations, potential side effects of therapies, and criteria for considering treatments targeting cytokine release syndrome. The guidance is intended to be updated frequently as new data emerges on COVID-19 treatment.
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This research letter summarizes a study investigating the environmental contamination of SARS-CoV-2 from symptomatic patients. Samples were collected from various surfaces in the rooms of 3 patients, as well as air samples and samples from healthcare workers' personal protective equipment (PPE). One patient's room tested positive for SARS-CoV-2 on 13 of 15 room surfaces and 3 of 5 toilet surfaces before routine cleaning, but all surfaces tested negative after cleaning. Air samples and most PPE samples were negative, except for one shoe sample. The findings suggest fomite and fecal-oral transmission of SARS-CoV-2 are possible, but current cleaning procedures are sufficient to decontaminate the environment.
Covid 19 and diabetes mellitus what we know how our patients
This document discusses the relationship between COVID-19 and diabetes based on clinical observations from China, Italy, and the United States. Emerging evidence shows that diabetes is a common comorbidity in patients with severe COVID-19 and may increase the risk of mortality. The document then reviews the pathogenesis and immune response to SARS-CoV-2 before discussing potential mechanisms by which diabetes could increase susceptibility to infection and severe disease. It concludes by highlighting areas for further investigation and management considerations for clinicians.
Taponamiento cardica covid
A 67-year-old woman presented with respiratory symptoms and was diagnosed with COVID-19. One week later, she presented with worsening symptoms and was found to have a large hemorrhagic pericardial effusion causing cardiac tamponade. She underwent pericardiocentesis, draining 800ml of fluid. After the procedure, she developed signs of takotsubo cardiomyopathy. The case report discusses the rare presentation of cardiac tamponade secondary to COVID-19 infection and the subsequent development of takotsubo cardiomyopathy.
Takotsubo y covid
A 58-year-old woman was admitted with COVID-19 symptoms and developed cardiogenic and septic shock. An echocardiogram showed findings consistent with takotsubo cardiomyopathy - also known as stress cardiomyopathy - with left ventricular dysfunction. Her left ventricular function improved over the next few days, supporting the diagnosis of reversible acute stress cardiomyopathy secondary to COVID-19. This is the first reported case of takotsubo cardiomyopathy associated with COVID-19 in the United States.
Prediccion covid19 peru mar 24.pdf
Este documento presenta predicciones sobre la evolución de casos confirmados de COVID-19 en el Perú. Se estima que la zona de contención se alcanzará entre el 8 y 15 de abril. Sin embargo, debido a limitaciones en las pruebas de detección, las cifras podrían ser mayores. El Perú tendría una trayectoria inferior a países como Brasil y Chile, y podría controlar la pandemia en un plazo similar al de China. Actualmente, el Perú tiene una baja tasa de letalidad en comparación internacional.
Manejo del iam covid
This document provides recommendations for managing acute myocardial infarction (AMI) during the COVID-19 pandemic. It addresses the varied clinical presentations of cardiovascular issues related to COVID-19 and recommends the appropriate use of personal protective equipment (PPE) by healthcare workers. For ST-elevation myocardial infarction (STEMI) patients, primary percutaneous coronary intervention (PCI) remains the standard at PCI-capable hospitals when it can be performed quickly by an expert team using PPE in a dedicated cardiac catheterization laboratory (CCL) room. Fibrinolysis may be considered at non-PCI hospitals or if primary PCI cannot be performed safely and quickly. The recommendations aim to ensure cardiovascular patients continue receiving timely care while protecting healthcare workers during the pandemic.
Ivermectina y covid disminuye mortalidad
This study evaluated the effectiveness of ivermectin in treating COVID-19 patients. The study reviewed 280 hospitalized COVID-19 patients, 173 of whom received ivermectin and 107 received usual care. Patients who received ivermectin had a lower mortality rate compared to those who received usual care (15.0% vs 25.2%). Mortality was also lower in patients with severe disease who received ivermectin (38.8% vs 80.7%). After adjusting for potential confounding factors, ivermectin treatment remained significantly associated with lower mortality. The study concludes that ivermectin may be effective in treating COVID-19, especially in severe cases, but
Inicio tto covid en primer nivel con ekg
El documento discute el potencial uso de tratamientos antivirales en casos leves de COVID-19. Señala que aunque actualmente no hay evidencia concluyente, estudios in vitro muestran que medicamentos como la cloroquina y la hidroxicloroquina tienen efecto antiviral contra el virus. También, las guías de varios países incluyen estos tratamientos. El documento argumenta que un tratamiento temprano en casos leves podría prevenir casos severos y que bajo un sistema estructurado, los centros de atención primaria en Perú podrían
Estado situacional covid 05 de mayo
Este documento resume la situación actual de COVID-19 en Perú. Se describe la propagación inicial del virus desde el primer caso importado en marzo hasta la transmisión comunitaria en la mayoría de las regiones a inicios de mayo. La mayoría de los casos se concentran en Lima y Callao, y la población adulta entre 30-59 años representa el 67% de los infectados. Los síntomas más comunes son tos, fiebre, malestar general y dolor de garganta.
Epp y covid 2020
This document discusses policies on respiratory protection for healthcare workers during the COVID-19 pandemic. There is disagreement between health organizations like WHO, CDC, and ECDC on when masks or respirators should be used. Some recommend masks for routine care and respirators for high-risk procedures, while others recommend respirators for all patient contact. Individual countries also have varying policies. Due to shortages, extended use and reuse of masks and respirators has occurred, though evidence on their effectiveness is limited. Overall, the document examines inconsistencies in respiratory protection policies for healthcare workers globally during the COVID-19 outbreak.
Enfermedad cv y covid
El documento resume la evidencia sobre la asociación entre COVID-19 y enfermedad cardiovascular. Se reportó un grupo de pacientes con neumonía de origen desconocido en Wuhan, China en diciembre de 2019. En enero de 2020 se identificó el SARS-CoV-2 como la causa. A medida que aumentaron los casos, se observó que la enfermedad cardiovascular jugaba un papel fundamental en el desarrollo y pronóstico de la infección. Los factores de riesgo más importantes para mortalidad son la edad avanzada y las comorbilidades
8 tromboprofilaxis y covid
1) Growing evidence indicates that hospitalized COVID-19 patients are at an increased risk of venous and arterial thrombosis. D-dimer levels at admission predict outcomes like ARDS, ICU admission, and mortality.
2) The working party on hemostasis proposes recommendations for thromboprophylaxis in COVID-19 patients, including use of low molecular weight heparin or unfractionated heparin based on renal function. Monitoring of lab values like D-dimers, platelets, and coagulation markers is also suggested.
3) Higher doses of anticoagulants or switching to intermediate or therapeutic doses should be considered for critically ill patients or those with signs of organ dysfunction. Monitoring for hepar
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国外毕业证学位证成绩单办理流程：
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When it comes to creating marketing strategies that target older adults, it is crucial to have insight into their media habits and preferences. Understanding how older adults consume and use media is key to creating acquisition and retention strategies. We recently conducted our seventh annual survey to gain insight into the media preferences of older adults in 2024. Here are the survey responses and marketing implications that stood out to us.
FACIAL NERVE
The facial nerve, also known as cranial nerve VII, is one of the 12 cranial nerves originating from the brain. It's a mixed nerve, meaning it contains both sensory and motor fibres, and it plays a crucial role in controlling various facial muscles, as well as conveying sensory information from the taste buds on the anterior two-thirds of the tongue.
Dr. Sherman Lai, MD — Guelph's Dedicated Medical Professional
Guelph native Dr. Sherman Lai, MD, is a committed medical practitioner renowned for his thorough medical knowledge and caring patient care. Dr. Lai guarantees that every patient receives the best possible medical care and assistance that is customized to meet their specific needs. She has years of experience and is dedicated to providing individualized health solutions.
1比1制作(uofm毕业证书)美国密歇根大学毕业证学位证书原版一模一样
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【业务选择办理准则】
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三、进国企，银行，事业单位，考公务员等等，这些单位是必需要提供真实教育部认证的，办理教育部认证所需资料众多且烦琐，所有材料您都必须提供原件，我们凭借丰富的经验，快捷的绿色通道帮您快速整合材料，让您少走弯路。
留信网认证的作用:
1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
【关于价格问题（保证一手价格）】
我们所定的价格是非常合理的，而且我们现在做得单子大多数都是代理和回头客户介绍的所以一般现在有新的单子 我给客户的都是第一手的代理价格，因为我想坦诚对待大家 不想跟大家在价格方面浪费时间
对于老客户或者被老客户介绍过来的朋友，我们都会适当给一些优惠。
English Drug and Alcohol Commissioners June 2024.pptx
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Electrocardiogram_20240614_173859_0000.pdf
Basics of Electrocardiogram
CONTENTS
●Conduction System of the Heart
●What is ECG or EKG?
●ECG Leads
●Normal waves of ECG.
●Dimensions of ECG.
● Abnormalities of ECG
CONDUCTION SYSTEM OF THE HEART
ECG:
●ECG is a graphic record of the electrical activity of the heart.
●Electrical activity precedes the mechanical activity of the heart.
●Electrical activity has two phases:
Depolarization- contraction of muscle
Repolarization- relaxation of muscle
ECG Leads:
●6 Chest leads
●6 Limb leads
1. Bipolar Limb Leads:
Lead 1- Between right arm(-ve) and left arm(+ve)
Lead 2- Between right arm(-ve) and left leg(+ve)
Lead 3- Between left arm(-ve)
and left leg(+ve)
2. Augmented unipolar Limb Leads:
AvR- Right arm
AvL- Left arm
AvF- Left leg
3.Chest Leads:
V1 : Over 4th intercostal
space near right sternal margin
V2: Over 4th intercostal space near left sternal margin
V3:In between V2 and V4
V4:Over left 5th intercostal space on the mid
clavicular line
V5:Over left 5th intercostal space on the anterior
axillary line
V6:Over left 5th intercostal space on the mid
axillary line.
Normal ECG:
Waves of ECG:
P Wave
•P Wave is a positive wave and the first wave in ECG.
•It is also called as atrial complex.
Cause: Atrial depolarisation
Duration: 0.1 sec
QRS Complex:
•QRS’ complex is also called the initial ventricular complex.
•‘Q’ wave is a small negative wave. It is continued as the tall ‘R’ wave, which is a positive wave.
‘R’ wave is followed by a small negative wave, the ‘S’ wave.
Cause:Ventricular depolarization and atrial repolarization
Duration: 0.08- 0.10 sec
T Wave:
•‘T’ wave is the final ventricular complex and is a positive wave.
Cause:Ventricular repolarization Duration: 0.2 sec
Intervals and Segments of ECG:
P-R Interval:
•‘P-R’ interval is the interval
between the onset of ‘P’wave and onset of ‘Q’ wave.
•‘P-R’ interval cause atrial depolarization and conduction of impulses through AV node.
Duration:0.18 (0.12 to 0.2) sec
Q-T Interval:
•‘Q-T’ interval is the interval between the onset of ‘Q’
wave and the end of ‘T’ wave.
•‘Q-T’ interval indicates the ventricular depolarization
and ventricular repolarization,
i.e. it signifies the
electrical activity in ventricles.
Duration:0.4-0.42sec
S-T Segment:
•‘S-T’ segment is the time interval between the end of ‘S’ wave and the onset of ‘T’ wave.
Duration: 0.08 sec
R-R Interval:
•‘R-R’ interval is the time interval between two consecutive ‘R’ waves.
•It signifies the duration of one cardiac cycle.
Duration: 0.8 sec
Dimension of ECG:
How to find heart rhytm of the heart?
Regular rhytm:
Irregular rhytm:
More than or less than 4
How to find heart rate using ECG?
If heart Rhytm is Regular :
Heart rate =
300/No.of large b/w 2 QRS complex
= 300/4
=75 beats/mins
How to find heart rate using ECG?
If heart Rhytm is irregular:
Heart rate = 10×No.of QRS complex in 6 sec 5large box = 1sec
5×6=30
10×7 = 70 Beats/min
Abnormalities of ECG:
Cardiac Arrythmias:
1.Tachycardia
Heart Rate more than 100 beats/min
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