NEJM

NEJM


The New England Journal of Medicine (http://t.co/YKINVyRNEl) is the world’s leading medical journal and website.

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Covid-19 has exposed the cracks in the U.S. system of providing and funding long-term care, and there are no easy fixes. We need comprehensive policies that take the care of aging Americans seriously and fund it accordingly and in a wider range of settings. #COVID19  #SARSCoV2 

The spectrum of #COVID19  presentations ranges from mild self-limited flu-like illness to life-threatening multi-organ failure. Prepare by engaging in these five treatment simulations that mimic the real-life unforgiving uncertainty of medicine. @NEJMGroup 

In this new Covid-19 audio interview, editors discuss newly published studies of remdesivir that highlight its potential and its problems. #COVID19  #SARSCoV2 

Special Article: Hospitalization and Mortality among Black and White Patients with Covid-19 #COVID19  #SARSCoV2 

Case Records from the MGH: A Man with Acute Respiratory Failure and Unclear Goals of Care #COVID19  #SARSCoV2 

Perspective: The Death Throes of Mercy #COVID19  #SARSCoV2 

Perspective: Long-Term Care Policy after Covid-19 #COVID19  #SARSCoV2 

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“Two semi-trailer trucks, cleverly marked as food-service vehicles, met us at the warehouse. When fully loaded, the trucks would take two distinct routes back to Massachusetts to minimize the chances that their contents would be detained or redirected.” #COVID19 

Medical students have higher rates of depression, suicidal ideation, and burnout than the general population. Schools have begun revisiting their procedures to ensure that they are doing everything possible to meet the #mentalhealth  care needs of their students.

Evidence is accumulating that eating in a 6-hour period and fasting for 18 hours can trigger a metabolic switch from glucose-based to ketone-based energy.

Data on 8910 patients hospitalized with a diagnosis of #COVID19  were analyzed. Neither the use of angiotensin-converting–enzyme inhibitors nor the use of angiotensin-receptor blockers was associated with an increased risk of in-hospital death.

Just published: article from China CDC describes a novel coronavirus detected in patients with pneumonia whose specimens were tested at an early stage of the outbreak. The authors describe clinical features of the pneumonia in three of these patients.

In this double-blind RCT in 1063 adults hospitalized with #COVID19 , a 10-day course of intravenous remidesivir was superior to placebo in shortening the time to recovery. The estimates of mortality at 14 days were 7.1% in the remdesivir group and 11.9% in the placebo group.

Among 1376 patients with #COVID19  admitted to a NYC hospital, 59% were treated with hydroxychloroquine. After adjustment for baseline characteristics, there was no significant association between hydroxychloroquine treatment and the composite end point of intubation or death.

SARS-CoV-2 was detected in three cats after they were cohoused with cats that had been experimentally inoculated with the virus. Cats may be a silent intermediate host of SARS-CoV-2. #COVID19  #SARSCoV2 

A 36-year-old man was admitted to the ICU with an acute exacerbation of chronic #heartfailure . After a ventricular assist device was placed & anticoagulation therapy initiated, hemoptysis developed, and he expectorated a cast of the right bronchial tree.

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