Poetry in a Head CT Campo, Rafael
JAMA,
06/2023, Letnik:
329, Številka:
24
Journal Article
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Sometimes poetry that responds to illness doesn't have to be all that dire. By engaging in imaginative wordplay, the poet of "Innumerable" describes a potentially frightful medical story ...lightheartedly. The poet's bemusement at imagining his own scan, and his somehow intact ability to understand its implications despite what it shows, is revelatory and almost joyful, and becomes an expression of hope and healing. The poem's time inversions and the 'anagram-adjacent' relationship in the poem's stuttering reference to "innumerable," "emboli," and "incredible" are a textual illustration of the likely jumbled yet beguiling nature of the TIA-like symptoms the emboli may have caused--and of the wonder at what words arranged poetically on the page, like emboli on a CT scan, or perhaps like stars in the night sky, can make us feel.
Estudios clínicos con inhibidores de la PCSK9 Campo, Rafael
Revista colombiana de cardiologia/Revista colombiana de cardiología,
November 2017, 2017-11-00, 2017-11-01, Letnik:
24, Številka:
S2
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Los inhibidores de la enzima proproteína convertasa subtilisina kexina tipo 9 (PCSK9) constituyen una herramienta terapéutica novedosa para el selecto grupo de pacientes de muy alto riesgo en quienes ...no se han alcanzado las metas de colesterol LDL. Han demostrado tener efecto hipolipemiante potente y buen perfil de seguridad. Se confía en que su uso se traduzca en beneficio para los pacientes al disminuir su riesgo cardiovascular.
Proprotein convertase subtilisin kexin 9 enzyme inhibitors are a novel therapeutic tool for the select group of very high risk patients who have not achieved LDL cholesterol goals. They have proven to have a powerful hypolipidemic effect and a good safety profile. Their use is expected to benefit patients by reducing their cardiovascular risk.
Poetry and Seeing the Sacred in Medicine Campo, Rafael
JAMA : the journal of the American Medical Association,
07/2024, Letnik:
332, Številka:
2
Journal Article
Mimesis: Poetry and Imitating Medicine Campo, Rafael
JAMA : the journal of the American Medical Association,
06/2024, Letnik:
331, Številka:
24
Journal Article
Poetry and the Meaning of Care Campo, Rafael
JAMA : the journal of the American Medical Association,
06/2024, Letnik:
331, Številka:
22
Journal Article
Recenzirano
Health care is becoming more and more distanced. Clinicians must overcome not just mountains of data, burdensome electronic health records, and ever-increasing numbers of machines that separate us ...from patients, but more recently also navigate telemedicine and AI-driven chatbots. Physician-writer Dr Abraham Verghese and others have lamented that consequently we rely less on the physical exam and the connection it fosters with patients, as echocardiography and CT scans impersonally scrutinize them instead. So, a poem like "Even Joy" is a welcome corrective, a poignant reminder of the value of simple human touch in medicine. The speaker of the poem, whose relationship to the cradled newborn is never disclosed is certainly a healer in a fundamental sense. Poetry has as much value here as the imaging study that diagnoses anencephaly, and by the comfort it provides, perhaps is even more "miraculous" than any technology that can only soullessly peer inside us.
This randomized, open-label trial compared two regimens for the initial treatment of human immunodeficiency virus (HIV) infection: tenofovir disoproxil fumarate and emtricitabine plus efavirenz or a ...fixed dose of zidovudine and lamivudine plus efavirenz. Through week 48, the first regimen was superior in terms of viral suppression, CD4-cell response, and adverse events leading to discontinuation of the medication. As this trial continues, it will be important to assess any differences in long-term toxic effects, especially with regard to lipoatrophy and hyperlipidemia.
For the initial treatment of HIV, a regimen of tenofovir and emtricitabine plus efavirenz was superior in terms of viral suppression, CD4-cell response, and adverse events through week 48.
Highly active antiretroviral therapy has fundamentally altered the course of human immunodeficiency virus (HIV) infection by making it possible to suppress the plasma viral load below the limit of detection and to increase the number of CD4 cells.
1
The cornerstone of durable suppression of HIV replication is maintenance of a potent and tolerable regimen to which the patient can adhere. Adherence is necessary to prevent the emergence and replication of drug-resistant strains of the virus.
2
Current guidelines for the management of HIV infection recommend the use of zidovudine or tenofovir disoproxil fumarate (DF) with lamivudine or emtricitabine as preferred nucleoside . . .
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