(POLICY NOW). – In a fact without any precedent, the prestigious scientific journal New England Journal of Medicine published an editorial in which asks voters in the United States to vote to remove the current political leadership from power.
In its 208 years of history, the most prestigious medical journal in the world he had never supported or condemned a political candidate, but had remained staunchly nonpartisan.
But in an editorial, written by all its editors who criticizes the rejection of science by the administration of President Donald Trump, the publication now indicates that it was forced to do so.
Instead of relying on experience, the administration has turned to uninformed ‘opinion leaders’ and charlatans that hide the truth and facilitate the promulgation of blatant lies, ”the letter says.
“But this choice gives us the power to make judgments“, Add. “When it comes to responding to the greatest public health crisis of our time, our current political leaders have shown themselves to be dangerously incompetent. We must not help them and allow thousands more Americans to die by allowing them to keep their jobs. “
The magazine did not endorse a candidate, but offers scathing criticism of the Trump administration for its handling of the coronavirus pandemic.
Political leadership has failed Americans in many ways that contrast clearly with responses from leaders of other countriesthe magazine noted in the editorial, detailing how the US leads the world in Covid-19 cases and deaths.
So far, more than 7.5 million people in the US have been diagnosed with Covid-19 and more than 212,000 people have died from the disease.
“This crisis has produced a test of leadership. Without good options to combat a new pathogen, countries were forced to make difficult decisions about how to respond. Here in America, our leaders failed that test. They’ve taken a crisis and turned it into a tragedySays the editorial.
“Anyone that will recklessly waste lives and money in this way I would be suffering legal consequences ”, adds the editorial. “Our leaders have largely claimed immunity for their actions.”
The New England Journal of Medicine began publication in 1812. There have been only four previous editorials collectively signed by its editors in the recent past: one in 2014 on contraception; an obituary that same year for a former editor-in-chief; an editorial from that year on standard of care research and an editorial in 2019 on abortion.
The beautiful young socialite and professional model, Kendall Jenner, was in charge of giving us a taste of what we will find in his new collaboration with a magazine, in which there are more than 200 pages that can be torn out and used as a poster.
It’s all about the brand Chaos, which focuses on luxury and lifestyle accessories, so couldn’t forget to tag its founders and editors, Katie Lyall, Charlotte Stockdale Co-Editor-in-Chief and the two photographers, Luigi and Lango, who are fully dedicated in fashion.
The beautiful girl shared several photographs that are included in the magazineHowever, within it we will surely find many more surprises, it seems that there were many photographs selected to appear to be one of the most beautiful models that they have to promote their brand, something that Kendall knows how to do perfectly and is an expert in this.
This photo shoot was so elegant that the photos are in black and white, so it seems that they took that range as the basis for a complete section, although it is very likely that some of color will also appear since the young woman stands out quite a lot with color or without he enchants the pupils of all who observe it.
This time we will address one of the photos that stood out the most of all, one that became a small video which has been reproduced more than 7 million times so you can imagine how beautiful it looks in this great content.
It is a snapshot in which he sings or has he is wearing stockings, very long boots, gloves that are also quite long, only and finally a fairly ornate belt, so that the upper part of his figure is exposed and is covered by his hand which was in charge of avoiding the censorship of the famous Instagram photo application.
This is how the girl was not ashamed or embarrassed about appearing almost completely uncovered because she has already been working in this industry for years and is used to showing off to the fullest in this way
Another of the photographs that was quite liked was one in which Kendall dressed completely in black and with a white bow, so her pretty face stood out, which was the protagonist. There is also another one that looks very interesting since it is a dress full of glitter and ornamentation on the head of flowers as well as curls on the forehead, a detail that left many of its fans thinking that it was a culture, however. It seems that everything is the creation of the fashion of these geniuses in charge of producing it.
Recently we saw some videos of Kendall in which she appeared walking light as a feather demonstrating how professional she is to model, but today’s snapshots made us consider things a bit, it turns out so well that we could even say that it is much better to pose in front of the camera, although without detracting from the catwalk.
Subscribe to our channel YouTube and get more from Show News!
Something very curious that happens with these girls belonging to the Kardashian Jenner family is that despite being experts in modeling and the makeup or fashion industry, young women are normal people, so recently we saw a very funny situation that turned them trending quickly.
It all happened in a preview of the new chapters of the Keeping up with the Kardashians series, which oor true is about to come to an end, in this video Kylie Kendall appeared, arguing about using one of Kourtney’s outfits.
It all happened thanks to the fact that Kendall had asked to borrow the Kourtney dress and the beautiful Kylie Jenner did not care, taking it to use it for her so a pitched battle arose that became a spectacle.
MEXICO CITY (proces.com.mx) .– When the bicentennial of Wolfang Amadeus Mozart’s death was commemorated in 1991, the Mexican doctor, scientist and academic Adolfo Martínez Palomo (1941) began the bibliographic search, writing and public presentation of the texts now published by El Colegio Nacional in fourteen double installments.
This new compact format series includes the biographies of: Monteverdi and Vivaldi, Bach and Handel, Haydn and Mozart, Beethoven and Paganini, Rossini and Schubert, Donizetti and Bellini, Berlioz and Mendelssohn, Chopin and Schumann, Liszt and Wagner, Verdi and Gounod , Clara Schumann and Brahms, Borodin and Bizet, Tchaikovski and Puccini, Mahler and Shostakovich.
Today we offer excerpts from the second volume entitled Musicians and medicine. Clinical histories of great composers. Bach and Handel (86 pages in 12 by 18 centimeter format, bibliography, illustrations and iconographic credits, www.colnal.mx), written by Martínez Palomo who has stood out for his research on the painful Herpes Zoster virus.
“Two colossi of classical music Johann Sebastian Bach (1685-1750) and Georg Frideric Handel (1685-1759), both born the same year in Germany and yet they did not manage to know each other personally. Bach always stays in his country, where he has twenty children. Handel, on the other hand, makes fame and fortune in England, without getting married. Long and prolific lives both, united with a common ending: blindness, caused by the clumsy intervention of the same apprentice eye surgeon. “
Creativity: inheritance or learning?
(…) With the forgiveness of fans of the hereditary theory of creativity, I would like to insist that nothing indicates in Johann Sebastian’s childhood or early adolescence the existence of a genius, rather, an exceptional effort to learn from their elders. (…)
At fifteen, our character eagerly copies compositions from others, at night, at an age when other musical geniuses have been writing music for a long time. At that age he has to leave his brother’s house, which is already insufficient due to the birth of four more nephews.
By the way, one of the physical attributes of Johann Sebastian that has caught the attention of his biographers has been… the strength of his legs! And is not for less. What a path he had to go in his youth to absorb the musical knowledge of the greats of his time! Nothing was too far away, nor was the weather so bad that it prevented him from making trips on foot in search of better knowledge. Thus, it traveled 40 km between Ohrdeuf and Eisenach and 360 km between Ohrdruf and Lüneburg. (…)
Bach, as we have said, had a foolproof health throughout his life, well into his period of maturity. A neurologist has commented, when analyzing the portrait of Bach, the obvious obesity of the composer and the presence of a slight facial paralysis, perhaps due to a cerebral infarction. If anything, the only well-documented physical weakness was his eye problem.
For ophthalmologists who have reviewed his history, Bach was probably nearsighted, judging by the appearance of the eyes in the only true portrait that survives, taken at age sixty-one [por Elias Gottlob Haussmann, en 1746, reproducido a colores en este libro de Martínez Palomo] which shows the composer “straining his eyes.” This myopia may have allowed him the hard work of reading and writing countless scores. (…)
On the advice of his friends, the composer consulted an English eye doctor, the gentleman John Taylor, who had operated, sometimes with some success, on many European personalities, including the contemporary Handel. Taylor was actually a great charlatan, dominating more of the art of advertising than of science (…)
In Bach’s time the usual medical treatment for cataracts ranged from esoteric diets, to bloodletting and the application of leeches. The surgical procedure was followed by washing the eyes with a mixture of Peruvian balsam and hot water. This was followed by poultices added with cassia pulp, camphorized fosters, bandages, a light diet, and medications to evacuate without effort.
Less than four months after Bach’s death, the operating room was installed in the Tres Cisnes restaurant (…) Three months and three weeks after the operation, Bach presented cerebral palsy of vascular origin and was unconscious. He developed a fever, possibly pneumonia, and died on the night of July 28, 1750 at the age of sixty-five, despite the best Leipzig physicians. (…)
The dear Saxon
HAMBURG, DECEMBER 5, 1704.- During the performance of the opera Cleopatra by Johann Mattheson, a nineteen-year-old German musician who leads the singers from the harpsichord. He refuses to let the composer displace him from his instruments: the dispute escalates and the two heated musicians decide to settle it in a duel. Fortunately for mankind, the sword that struck the young interpreter’s chest only broke a metal button on his coat, thus saving Handel’s life and with it the work of one of the greatest and most prolific composers remained for posterity. of music. (…)
His fame reached Italy, where he was invited by a Medici prince (…) At the age of twenty-five Handel returned for a few weeks to Germany, to Hannover. Why did he receive the appointment of “master of the chapel” of the court there, with a very high salary (fifty times higher than he had received as an organist) and permission to be absent for a year, when in reality what that court was interested in was send it to London? For some, this appointment disguised the true task assigned to the composer: to insert him into the English court and receive from him information about the state of health of Queen Anne, already very ill. The interest was that the direct successor to the throne of England was precisely the Elector of Hannover, Georg Ludwig, so the sickly Queen Anne died, Hannover needed to be aware of the events in London. (…)
His contemporaries described him as impetuous, brusque and authoritarian, but completely devoid of malice and wickedness, despite the many enemies that success produced him in London. From time to time he had uncontrolled bouts of irritability and rage. For example, on one occasion he argued with the famous French Italian singer Cuzzoni and said “Oh, ma’am! I know well that you are a true devil, but I am going to show you that I am the boss of all devils.” He then took her by the waist and led her to the window, where he threatened to throw her out into the street.
For much of his life Handel was physically healthy, endowed with a remarkable capacity for work. With a thick complexion like his father, he soon showed a frank tendency to obesity due to his irrepressible enthusiasm for food and his no less joyous fondness for alcohol, especially for Port and Madeira wines. His contemporaries called him “the Bear” for his corpulence and decomposed walk, but also for his tenacity, energy and strength. In it, several factors were combined that could well cause high blood pressure and hardening of the arteries in adulthood: being overweight, the habit of smoking tobacco (in the pipe), a sedentary life and economic and work stress.
Handel’s good health began to decline after the age of fifty, just at a time of great financial and administrative tension due to the difficulties of staging his operas; headaches, irritability, colic, rheumatic pain.
In 1737, after a period of great fatigue and disappointment, “the machine broke”: he suffered paralysis of the right arm that affected mainly the fingers of that hand, and consequently prevented him from playing the harpsichord and the organ. Along with the paralysis, he presented certain mental alterations, “which modified his understandings,” according to a written comment by a contemporary, perhaps referring to mental confusion or speech problems. (…)
MEXICO CITY (apro) .- The Russian Direct Investment Fund (RDIF) and the ChemRar Group have agreed to supply 17 countries with Avifavir, Russia’s first drug approved for the treatment of covid-19. Among the nations that have the drug are 11 from Latin America, which is not included Mexico.
According to a statement posted on the RDIF website, Avifavir will be delivered to Argentina, Bulgaria, Brazil, Chile, Colombia, Ecuador, El Salvador, Honduras, Kuwait, Panama, Paraguay, Saudi Arabia, Serbia, Slovakia, South Africa, United Arab Emirates and Uruguay.
The drug has previously been delivered to Belarus, Bolivia, Kazakhstan, Kyrgyzstan, Turkmenistan and Uzbekistan, he added.
Avifavir, the statement highlights, is the first drug registered in the world made based on the substance favipiravir against the coronavirus and the first in Russia approved for the treatment of covid-19.
In its statement, Russia’s sovereign wealth fund recalled that on May 29 Avifavir received a registration certificate from the Russian Ministry of Health and became the first favipiravir-based medicine in the world approved for the treatment of covid- 19.
He also highlighted that approximately five months after the Avifavir clinical trials in Russia, Fujifilm from Japan confirmed the efficacy of favipiravir against the novel coronavirus infection.
“Avifavir is now Russia’s leading anticovid drug in terms of exports. In particular, on September 21, the start of deliveries to Bolivia and other Latin American countries was announced as part of the agreement to deliver 150 thousand packages. Avifavir has also been approved by regulators in Europe, the Middle East and Asia ”, underlined the RDIF.
“When we registered the world’s first favipiravir-based coronavirus drug, there was a lot of skepticism as people wondered how we could register it when Japan had not yet registered it,” said Kirill Dmitriev, executive director of Russia’s Direct Investment Fund.
“Now, five months after our clinical trials, we see that Japan has confirmed the clinical efficacy of favipiravir. Avifavir has been tested in more than 1,300 patients, including 408 patients in clinical trials and 940 patients during the post-registration observational clinical trial, ”he explained.
Dmitriev concluded in the release that Avifavir is also three to four times cheaper than Remdesivir, the drug approved by the United States for the treatment of Covid-19.
TAHDZIÚ, Yuc. (apro) .- The State Secretary of Health (SSY) confirmed the suicide of a young medical intern at the Medical Unit of this town.
The victim, identified with the initials KJGK, 25 years old, was originally from Mérida, and for about a month she was assigned by the Institute of Health and Wellbeing (Insabi) to the clinic in this municipality, one of the poorest from the continent, where until yesterday he was seen working.
This morning, employees of the health center found the young woman dead, suspended from the ventilator in her office, for which they gave notice to the authorities of the Ministry of Health and the State Attorney General’s Office (FGE).
In a bulletin, the SSY regretted the fact and pointed out that, with the support of Mental Health professionals from the dependency, they carry out comprehensive actions to support family members, “who will be given the necessary help to carry out the procedures corresponding to the State Attorney General’s Office, where the rigorous legal procedure will be given.
MÉRIDA, Yuc. (appro). – Students from the Faculty of Medicine once again attacked the authorities of the Autonomous University of Yucatán (UADY), this time due to the recent suicide of one of their colleagues at the Tahdziú clinic, where she was doing her residency.
For reasons presumably related to her career, the young intern, KJGK, 25 years old and originally from Mérida, took her own life on September 15 in her office at the Tahdziú medical center, a municipality that by the way is among the most impoverished of the continent.
The case unleashed the anger and indignation of the students who once again filled social networks with accusations and reproaches against the authorities of the UADY and its Faculty of Medicine for the lack of interest and lack of support towards their students.
Although the girl’s death was made public on September 15, it was until the next day that the Faculty of Medicine issued a statement on the matter.
In a statement, the Faculty of Medicine expressed that it was “deeply moved by the death of the intern, KJGK, who was rendering her social service at the Tahdziú Medical Unit.”
He assured that university authorities in coordination with personnel from the Subdirectorate of Mental Health and Education of the Ministry of Health “are already taking the pertinent actions.”
“The irreparable loss of a young doctor fills us with consternation and mourns the entire community of the Faculty,” he reiterated.
He argued that “Medicine is an arduous, hard and demanding career that demands the maximum of our abilities”, and stated: “At the Faculty we understand it that way and that is why our psychopedagogical department provides support to our students every day to prevent moments crisis ”.
Finally, he endorsed his commitment “to the comprehensive, humanistic and responsible training of students”, for which he asked heads of teaching and teachers “to maintain close communication with students and make available to those who require it, the services of the professionals who work in the psycho-pedagogical department of our dependency ”.
However, such a statement stirred the anger of the students, who questioned the sayings of their authorities who, with the campaign “UADY, I do not believe you anything”, reproached a string of situations suffered by students of that maximum house of studies.
The flow of complaints from medical students includes various types of human rights violations, exploitation, excessive pressure, mistreatment, harassment.
“The department of psychopedagogy is a joke, I say it from my own skin and I know it from that of many colleagues. ‘If you can’t unsubscribe’, this has been said over and over again to students, to all those who at some point have a crisis.
Where is the humanist side? Where was the empathy? Are you moved? What if they do something about it with those doctors who only humiliate their interns? Or how about those teachers who have different colored hair or tattoos that won’t turn you down? Why don’t they do something with all the staff who are sexist and misogynistic? ”, Refuted a student.
“Don’t become a School of Medicine. Nobody puts a Civil Engineer intern to supervise ONLY the construction of a bridge. No career puts an intern to be 24 HOURS X 6 DAYS A WEEK AWAY FROM ALL SOCIAL CONTACT OTHER THAN HIS JOB “, reproached another of the nonconformists.
And he assured that the deceased doctor asked for help and “they told him to stay.”
Last April, the Faculty of Medicine came into conflict with its interns after seven of them filed a claim for protection for having been dropped from the school for refusing to return to the institutions to which they had been assigned due to the lack of security guarantees to reduce the risk of contracting covid-19.
MEXICO CITY (apro) .- The pharmaceutical company Eli Lilly announced that the combination of its rheumatoid arthritis treatment baricitinib with remdesivir reduced the recovery time in hospitalized patients with covid-19.
Eli Lilly explained that during the Covid-19 Adaptive Treatment Trial (ACTT-2), researchers observed a reduction of approximately one day in the mean recovery time of patients treated with baricitinib combined with the substance remdesivir, compared to those who were only treated with remdesivir, therefore they rated the finding as statistically significant.
The study, sponsored by the National Institute of Allergy and Infectious Diseases (NIAID), part of the US National Institute of Health (NIH), included more than 1,000 patients and began on May 8 to evaluate the efficacy and safety of a dose. of 4 mg baricitinib plus remdesivir versus remdesivir in hospitalized patients with COVID-19.
According to Eli Lilly, the combination met the primary endpoint of reduced recovery time, which was defined as that the participant was well enough for hospital discharge, meaning that they no longer needed supplemental oxygen or care continued in the hospital, or was no longer hospitalized on the 29th.
Eli Lilly reported that additional analysis is underway to understand other clinical outcome data, including mortality and safety data, and that NIAID is expected to publish full study details in a peer-reviewed journal.
Eli Lilly also indicated that he plans to discuss the emergency use authorization of the combination with the US Food and Drug Administration (FDA) and explore similar measures with other regulatory agencies for baricitinib as a treatment. of hospitalized patients with covid-19. If authorized, the company will propose make baricitinib available through commercial channels and will work with hospitals and governments to ensure patient access.
At the end of May, a follow-up care and rehabilitation unit (SSR), dedicated to Covid patients, opened at the Saint-Vincent clinic in Saint-Denis. These 25 beds take care of patients previously hospitalized for coronavirus, in intensive care or in conventional service. But that’s just as many beds less for the follow-up and rehabilitation care of non-Covid patients.
This is why the Clinifutur health group and the CHU worked together with the ARS to increase capacity in the north of the island. Hence the installation of a 20-bed follow-up and rehabilitation service for non-Covid patients, in a vacant unit at the Sainte-Clotilde clinic. The unit will be operated by teams from the SSR department of the Saint-Vincent clinic. This unit will be located on the 3rd floor of building G of the Sainte-Clotilde clinic.
“Equipped with double and single rooms, an adapted technical platform and trained nursing and medico-technical staff, it will allow the rehabilitation and rehabilitation of adult patients with multiple pathologies whose admissions will be made at the request of upstream health establishments (MCO) by the software “Via trajectoire” either by fax or email for general practitioners, according to the usual contact details of the secretariat of the SSR of the Saint-Vincent Clinic “, specifies Clinifutur.
The health group continues: “The SSR establishments and services play the role of downstream beds for the services of the medical or surgical establishments and participate in streamlining the care pathways in the medicine, surgery or intensive care unit. . It is within this framework of regional cooperation that all the establishments of the Clinifutur Health Group are organized in order to be able to support the public hospital “.
For the time being, the development operations are still finishing, and the opening of this non-Covid SSR unit is scheduled for next Monday, September 14.
Martine Ladoucette, director general of ARS, as every week takes stock of the health situation in Reunion. “The situation is not improving and even is getting worse,” she warns.
-> “The active circulation of the virus is necessarily a source of concern for all of us, with indicators that show that the situation is not improving and even is getting worse.“. 598 weekly cases were seen this week.The alert threshold has been crossed concerning the incidence rate, now 76 per 100,000 inhabitants.
-> 4% positivity rate, but below the national average, and the alert threshold. It was around 3% last week.
-> 25 active clusters, 14 have therefore been closed since the appearance of the first. Around 200 cases are attached to these clusters. They are spread over 8 municipalities. “But that means that more than 2,500 people have been exposed to risk in these clusters“(contact persons).
-> “The virus continues to circulate on the island, and this circulation is not only the result of clusters, it is largely the result of isolated cases”
-> Hospitalizations are increasing in conventional hospitalization, but the number of admissions in intensive care has decreased, we observe “a decrease in the occupancy of beds in hospitalization”.
-> “The objective is to be in the continuation and the deepening of the measures”, in terms of health response.
-> The ARS wishes to take some “flagship measures” to deal with:
Continuation of communication campaigns for the general public, including a campaign focused on respect for isolation when you are positive
Video sequences to apply barrier gestures in all circumstances of daily life
Sending weekly data to mayors accompanied by recommendations from the ARS
Population screening campaigns targeted at certain municipalities
Improve access to diagnostic testing for symptomatic people: each Covid center will have a diagnostic sampling center for symptomatic people
Contact tracing will benefit from more resources: Health Insurance and ARS will see their numbers increase to cope with the number of cases. Other premises will also allow the organization of this contact-tracing to evolve, and unify the teams.
Strengthening of resources to cope with the evolution of the epidemic: “continuous increase in the number of armed resuscitation beds”
Covid centers: “we will be able to open, in partnership with the municipalities, and at the initiative of private doctors and nurses, 8 Covid centers, some with inter-municipal vocation. These will be consultation centers but also sampling centers for patients who present with symptoms of Covid.
To develop resuscitation capacity, the national health crisis center has been warned that more medical and paramedical personnel are needed.
ARS has given authorization for the opening of 20 follow-up care and rehabilitation beds at the Sainte-Clotilde clinic, so that all patients can be taken care of despite a greater mobilization of beds for Covid patients.
Strengthen medical regulation at SAMU by liberal physicians, in addition to SAMU hospital physicians, and answer calls from people who need medical advice and guidance 24 hours a day.
Particular attention to fragile people, with a new communication campaign “protect yourself, protect them”, aimed at seniors and juniors.
The pandemic has shown us the excruciating reality that we live as a country in terms of health, warns Dr. Andrés Castañeda Prado. With updated figures, the specialist shows that the highest incidence of patients dying from covid occurs in public hospitals, in some of which there are even first and second beds for the sick. To these deaths, which mainly affect indigenous communities and the most precarious sectors of the cities, is added the prolonged confinement, which many cannot save due to lack of economic capacity.
MEXICO CITY (process) .- Six months after the first coronavirus contagion occurred in Mexico, on February 28, the pandemic has highlighted the social inequality that exists in the country: a huge gap separates the rich and the poor regarding access to medical care. And in this scenario, the second ones have been the most affected by the contagion.
Stratification in the health sector has shown that there is a lower mortality rate among those infected who can pay for private hospitals or who are beneficiaries of a government institution, compared to the marginalized classes without social security, among which are the lowest. isolated indigenous communities in the country.
The doctor Andrés Castañeda Prado, coordinator of the Causes of Health and Welfare of the Nosotrxs por la Democracia association, assures: “We have always known that in Mexico there is inequality everywhere. This is nothing new. But in this case, the pandemic has made it very clear to us that there is a huge gap between rich and poor in access to health, and that the latter are the most affected by the covid.
“Not all Mexicans infected with the coronavirus are treated equally: some receive first-world care, but the vast majority receive medical care that leaves much to be desired.”
This contrast is reflected in the statistics of the health sector itself: for example, until Sunday 16 private hospitals identified as positive and treated 15,991 patients in their facilities, of which 691 (4.3%) died; In turn, the IMSS hospitals treated 166 thousand 538, of which 31 thousand 883 (19.1%) of their patients with covid died.
Thus, the death toll is more than four times higher in the hospitals of the IMSS than in the private ones.
Castañeda points out that, in this stratification, those treated at the IMSS have an even lower mortality rate than those who attend institutions with fewer medical resources.
And it details: “Around 46% of patients who have social security and are admitted to IMSS or ISSSTE hospitals, among others, are dying. In contrast, the percentage rises to 53.4% of deaths among patients who enter institutions with fewer resources, such as Insabi (Health Institute for Well-being) or IMSS Well-being ”.
–The fewer resources of the hospital institutions, the greater the number of deaths? –Asks the reporter.
–Of course, since resources impact the quality of medical equipment, medicines, the number of health professionals, and hospital facilities. And in Mexico, the institutions with the fewest resources serve the poorest. Thats the reality.