{"id":7035,"date":"2022-02-09T19:44:16","date_gmt":"2022-02-10T00:44:16","guid":{"rendered":"https:\/\/abudinen.com\/blog\/?p=7035"},"modified":"2022-02-09T19:44:17","modified_gmt":"2022-02-10T00:44:17","slug":"cov-exposed","status":"publish","type":"post","link":"https:\/\/abudinen.com\/blog\/2022\/02\/09\/cov-exposed\/","title":{"rendered":"Cov exposed"},"content":{"rendered":"\nDurante una conferencia de prensa que se realz\u00f3 el 19 de enero de 2022, Sajid Javid, secretario de salud de Reino Unido, admiti\u00f3 que las cifras diarias del gobierno son poco confiables, ya que las personas murieron y a\u00fan mueren a causa de otras enfermedades, pero se incluyen en el recuento de muertes por COVID-19 porque ten\u00edan una prueba positiva.1\n\n\n\nTambi\u00e9n admiti\u00f3 que alrededor del 40 % de los pacientes hospitalizados con COVID no ingresaron al hospital por s\u00edntomas de COVID, sino por otras enfermedades, pero dieron positivo cuando se les hizo la prueba.\n\n\n\nHigh Covid death rates skewed by people who died from other causes, admits Sajid Javid\n\n\n\nHealth Secretary reveals daily government figures might be unreliable as ONS data show fewer deaths registered to CovidBySarah Knapton,&nbsp;SCIENCE EDITOR19 January 2022 \u2022 8:37pm   \n\n\n\nDaily reported Covid death figures are too high because people are dying from conditions&nbsp;unrelated to the virus&nbsp;after testing positive, Sajid Javid has admitted.\n\n\n\nOn Wednesday, there were 359 deaths reported in Britain, but the Health Secretary said that \u201cmany\u201d people were being included in the count who \u201cwould not have necessarily died of Covid\u201d.\n\n\n\nCampbell tambi\u00e9n se\u00f1ala que de las 17 371 personas que ten\u00edan COVID-19 como \u00fanica causa de muerte, 13 597 ten\u00edan de 65 a\u00f1os en adelante. En el Reino Unido, la edad promedio de muerte por COVID en 2021 fue de 82.5 a\u00f1os. Mient<span class=\"maquina-leer-mas\">[...x]<\/span><div id=\"premium-content-gate\" style=\"display:none;\" class=\"contenido-premium\">ras que la esperanza de vida proyectada es de 79 a\u00f1os para los hombres y 82.9 para las mujeres.<sup>2<\/sup>&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"national-life-tables-life-expectancy-in-the-uk-2018-to-2020\">National life tables \u2013 life expectancy in the UK: 2018 to 2020<\/h2>\n\n\n\n<p>Trends in period life expectancy, a measure of the average number of years people will live beyond their current age, analysed by age and sex for the UK and its constituent countries. <\/p>\n\n\n\n<p><strong>Contact:<\/strong> EmailJulian Buxton <strong>Release date:<\/strong> 23 September 2021 <\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Life expectancy at birth in the UK in 2018 to 2020 was 79.0 years for males and 82.9 years for females; this represents a fall of 7.0 weeks for males and almost no change for females (a slight increase of 0.5 weeks) from the latest non-overlapping period of 2015 to 2017. &nbsp;<\/li><li>Life expectancy at age 65 years was 18.5 years for males and 21.0 years for females; these estimates are very similar to those for 2015 to 2017 with a slight decline of 1.0 weeks for males and an increase of 3.1 weeks for females.<\/li><li>Across the UK, life expectancy at birth in 2018 to 2020 was estimated to be 79.3 years for males and 83.1 years for females in England, 76.8 years for males and 81.0 years for females in Scotland, 78.3 years for males and 82.1 years for females in Wales, and 78.7 years for males and 82.4 years for females in Northern Ireland.<\/li><li>These life tables cover mortality in the UK for the period from 2018 to 2020 and are the first to include the higher mortality observed in 2020 during the coronavirus (COVID-19) pandemic.<\/li><li>In the UK the median age at death was 82.3 years for males and 85.8 years for females and the modal (most common) age at death was 86.7 years for males and 89.3 years for females in 2018 to 2020; these show the typical ages at which death occurs and were very similar to the estimates for 2015 to 2017.<\/li><\/ul>\n\n\n\n<p>En los Estados Unidos, los datos sugieren un patr\u00f3n similar en las estad\u00edsticas de muertes por COVID. Hace poco, la Dra. Rochelle Walensky, directora de los Centros para el Control y la Prevenci\u00f3n de Enfermedades, cit\u00f3 una investigaci\u00f3n<sup>3<\/sup>&nbsp;que demuestra que el 77.8 % de las personas que hab\u00edan recibido la vacuna antiCOVID y que hab\u00edan muerto por o con COVID tambi\u00e9n ten\u00edan un promedio de cuatro comorbilidades.<sup>4,<\/sup><sup>5<\/sup><\/p>\n\n\n\n<p>&#8220;Por lo que, desde antes, estas personas estaban mal de salud&#8221;, dijo Walensky. Pero mientras Walensky se\u00f1ala este estudio como evidencia de que la vacuna antiCOVID hace maravillas para reducir el riesgo de muerte, se ha observado este mismo patr\u00f3n en las personas sin vacunar. Cuando se trata de COVID, las personas sin comorbilidades tienen muy poco de qu\u00e9 preocuparse.<\/p>\n\n\n\n<p><sup>1<\/sup>Clinical Epidemiology Section, Critical Care Medicine Department, National Institutes of Health Clinical Center, Bethesda, Maryland;&nbsp;<sup>2<\/sup>Laboratory of Malaria and Vector Research, National Institute of Allergy and Infectious Diseases, Rockville, Maryland;&nbsp;<sup>3<\/sup>CDC COVID-19 Response Team. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"cdc-director-75-of-covid-deaths-among-vaccinated-had-four-comorbidities\">CDC director: 75% of COVID deaths among vaccinated had four comorbidities<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>By Casey Harper |&nbsp;The Center Square Jan 10, 2022 <\/li><\/ul>\n\n\n\n<p>Dr. Rochelle Walensky, director of the Centers for Disease Control and Prevention, testifies during a Senate Health, Education, Labor and Pensions Committee hearing on the federal coronavirus response on Capitol Hill in Washington, Thursday, March 18, 2021.Anna Moneymaker | The New York Times via AP <\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"cdc-director-says-study-of-vaccinated-people-show-75-of-covid-19-deaths-had-four-or-more-comorbidities\">CDC director says study of vaccinated people show 75% of COVID-19 deaths &#8216;had four or more comorbidities&#8217;<\/h2>\n\n\n\n<p>by&nbsp;Asher Notheis, Breaking News Reporter&nbsp;|&nbsp;&nbsp;&nbsp;| January 10, 2022 05:19 PM&nbsp;|&nbsp;<em>Updated Jan 10, 2022, 09:48 PM<\/em> <\/p>\n\n\n\n<p>Por ejemplo, un estudio de 2020<sup>6<\/sup>&nbsp;encontr\u00f3 que, en la ciudad de Nueva York, el 88 % de los pacientes hospitalizados con COVID ten\u00edan dos o m\u00e1s comorbilidades, mientras que el 6.3 % ten\u00eda un problema de salud subyacente y el 6.1 % no ten\u00eda ninguno. En ese momento, todav\u00eda no estaban disponibles las vacunas antiCOVID.<\/p>\n\n\n\n<p>April 22, 2020 <strong>Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area<\/strong> Safiya&nbsp;Richardson,&nbsp;MD, MPH<sup>1,2<\/sup>;&nbsp;Jamie S.&nbsp;Hirsch,&nbsp;MD, MA, MSB<sup>1,2,3<\/sup>;&nbsp;Mangala&nbsp;Narasimhan,&nbsp;DO<sup>2<\/sup>;&nbsp;et alJames M.&nbsp;Crawford,&nbsp;MD, PhD<sup>2<\/sup>;&nbsp;Thomas&nbsp;McGinn,&nbsp;MD, MPH<sup>1,2<\/sup>;&nbsp;Karina W.&nbsp;Davidson,&nbsp;PhD, MASc<sup>1,2<\/sup>;&nbsp;and the Northwell COVID-19 Research ConsortiumAuthor AffiliationsArticle Information<em>JAMA.&nbsp;<\/em>2020;323(20):2052-2059. doi:10.1001\/jama.2020.6775 <\/p>\n\n\n\n<p><strong>Question<\/strong>&nbsp;&nbsp;What are the characteristics, clinical presentation, and outcomes of patients hospitalized with coronavirus disease 2019 (COVID-19) in the US?<\/p>\n\n\n\n<p><strong>Findings<\/strong>&nbsp;&nbsp;In this case series that included 5700 patients hospitalized with COVID-19 in the New York City area, the most common comorbidities were hypertension, obesity, and diabetes. Among patients who were discharged or died (n\u2009=\u20092634), 14.2% were treated in the intensive care unit, 12.2% received invasive mechanical ventilation, 3.2% were treated with kidney replacement therapy, and 21% died.<\/p>\n\n\n\n<p><strong>Meaning<\/strong>&nbsp;&nbsp;This study provides characteristics and early outcomes of patients hospitalized with COVID-19 in the New York City area.Abstract<\/p>\n\n\n\n<p><strong>Importance<\/strong>&nbsp;&nbsp;There is limited information describing the presenting characteristics and outcomes of US patients requiring hospitalization for coronavirus disease 2019 (COVID-19).<\/p>\n\n\n\n<p><strong>Objective<\/strong>&nbsp;&nbsp;To describe the clinical characteristics and outcomes of patients with COVID-19 hospitalized in a US health care system.<\/p>\n\n\n\n<p><strong>Design, Setting, and Participants<\/strong>&nbsp;&nbsp;Case series of patients with COVID-19 admitted to 12 hospitals in New York City, Long Island, and Westchester County, New York, within the Northwell Health system. The study included all sequentially hospitalized patients between March 1, 2020, and April 4, 2020, inclusive of these dates.<\/p>\n\n\n\n<p><strong>Exposures<\/strong>&nbsp;&nbsp;Confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection by positive result on polymerase chain reaction testing of a nasopharyngeal sample among patients requiring admission.<\/p>\n\n\n\n<p><strong>Main Outcomes and Measures<\/strong>&nbsp;&nbsp;Clinical outcomes during hospitalization, such as invasive mechanical ventilation, kidney replacement therapy, and death. Demographics, baseline comorbidities, presenting vital signs, and test results were also collected.<\/p>\n\n\n\n<p><strong>Results<\/strong>&nbsp;&nbsp;A total of 5700 patients were included (median age, 63 years [interquartile range {IQR}, 52-75; range, 0-107 years]; 39.7% female). The most common comorbidities were hypertension (3026; 56.6%), obesity (1737; 41.7%), and diabetes (1808; 33.8%). At triage, 30.7% of patients were febrile, 17.3% had a respiratory rate greater than 24 breaths\/min, and 27.8% received supplemental oxygen. The rate of respiratory virus co-infection was 2.1%. Outcomes were assessed for 2634 patients who were discharged or had died at the study end point. During hospitalization, 373 patients (14.2%) (median age, 68 years [IQR, 56-78]; 33.5% female) were treated in the intensive care unit care, 320 (12.2%) received invasive mechanical ventilation, 81 (3.2%) were treated with kidney replacement therapy, and 553 (21%) died. As of April 4, 2020, for patients requiring mechanical ventilation (n\u2009=\u20091151, 20.2%), 38 (3.3%) were discharged alive, 282 (24.5%) died, and 831 (72.2%) remained in hospital. The median postdischarge follow-up time was 4.4 days (IQR, 2.2-9.3). A total of 45 patients (2.2%) were readmitted during the study period. The median time to readmission was 3 days (IQR, 1.0-4.5) for readmitted patients. Among the 3066 patients who remained hospitalized at the final study follow-up date (median age, 65 years [IQR, 54-75]), the median follow-up at time of censoring was 4.5 days (IQR, 2.4-8.1).<\/p>\n\n\n\n<p><strong>Conclusions and Relevance<\/strong>&nbsp;&nbsp;This case series provides characteristics and early outcomes of sequentially hospitalized patients with confirmed COVID-19 in the New York City area.<\/p>\n\n\n\n<p>A finales de agosto de 2020, los CDC publicaron datos que demostraban que solo el 6 % del recuento total de muertes ten\u00eda al COVID-19 como la \u00fanica causa. El otro 94 % ten\u00eda un promedio de 2.6 comorbilidades o enfermedades preexistentes que contribuyeron con su muerte.<sup>7<\/sup>&nbsp;Entonces, como dijo Walensky, el COVID solo representa una amenaza mortal para las personas que tienen alguna enfermedad, sin importar si tiene la vacuna o no.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"content\">Weekly Updates by Select Demographic and Geographic Characteristics<\/h2>\n\n\n\n<p>Provisional Death Counts for Coronavirus Disease 2019 (COVID-19) <\/p>\n\n\n\n<p>Adem\u00e1s de la cuesti\u00f3n de si las personas mueren &#8220;por COVID&#8221; o &#8220;con una prueba positiva de SARS-CoV-2&#8221;, existe otra cuesti\u00f3n importante: el papel del tratamiento en las muertes de los pacientes que tienen COVID. A principios de abril de 2020, los m\u00e9dicos advirtieron que poner a los pacientes con COVID-19 bajo ventilaci\u00f3n mec\u00e1nica incrementaba su riesgo de muerte.<sup>8,9<\/sup><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"is-protocol-driven-covid-19-ventilation-doing-more-harm-than-good\">Is Protocol-Driven COVID-19 Ventilation Doing More Harm Than Good?<\/h2>\n\n\n\n<p>Sharon Worcester April&nbsp;06,&nbsp;2020 <\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"are-doctors-harming-coronavirus-patients-by-putting-them-on-ventilators-too-early-doctors-warn-the-gadgets-may-be-overused-and-could-even-damage-the-lungs-of-the-infected\">Are doctors HARMING coronavirus patients by putting them on ventilators too early? Doctors warn the gadgets may be overused and could even damage the lungs of the infected<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Almost two-thirds of coronavirus sufferers on ventilators in UK do not survive<\/strong><\/li><li><strong>Experts say ventilators are being implemented too soon and causing more harm<\/strong><\/li><li><strong>The machines, a last resort for patients, can make inflammation in lungs worse&nbsp;<\/strong><\/li><li><strong>Learn more about how to help people impacted by COVID<\/strong><\/li><\/ul>\n\n\n\n<p>By&nbsp;CONNOR BOYD HEALTH REPORTER FOR MAILONLINE<\/p>\n\n\n\n<p><strong>PUBLISHED:<\/strong>&nbsp;16:34 GMT, 9 April 2020&nbsp;|&nbsp;<strong>UPDATED:<\/strong>&nbsp;20:02 GMT, 9 April 2020 <\/p>\n\n\n\n<p>Una investigaci\u00f3n demostr\u00f3 que, en la ciudad de nueva York, hasta el 80 % de los pacientes con COVID-19, que recibieron ventilaci\u00f3n, murieron,<sup>10<\/sup>&nbsp;por lo que algunos m\u00e9dicos comenzaron a cuestionar su uso. Los datos del Reino Unido presentan una cifra del 66 % y un peque\u00f1o estudio en Wuhan encontr\u00f3 que el 86 % de los pacientes que recibieron ventilaci\u00f3n tambi\u00e9n murieron.<sup>11<\/sup>&nbsp;En un art\u00edculo del 8 de abril de 2020, el portal STAT News inform\u00f3:<sup>12<\/sup><\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><em>&#8220;Muchos pacientes tienen niveles de ox\u00edgeno tan bajos que deber\u00edan estar muertos. Pero no jadean por falta de aire, sus corazones no tienen la frecuencia adecuada y sus cerebros no muestran signos de parpadeo por falta de ox\u00edgeno.<\/em><\/p><\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><em>Eso ha ocasionado que los m\u00e9dicos de cuidados intensivos sospechen que en el caso del COVID-19, ha sido un error basarse en el enfoque de tratamiento de asistencia respiratoria que han utilizado durante d\u00e9cadas en pacientes con neumon\u00eda y s\u00edndrome de dificultad respiratoria aguda.<\/em><\/p><\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><em>Y cada vez est\u00e1n m\u00e1s preocupados por el uso de la intubaci\u00f3n y de los ventiladores mec\u00e1nicos, por lo que argumentan que la mayor\u00eda de los pacientes podr\u00eda recibir asistencia respiratoria no invasiva, como la mascarilla que se utiliza en la apnea del sue\u00f1o, al menos al principio y tal vez durante el transcurso de la enfermedad&#8221;.<\/em><\/p><\/blockquote>\n\n\n\n<p>En ese momento, el Dr. Cameron Kyle-Sidell, m\u00e9dico de sala de emergencias, dijo que los s\u00edntomas de los pacientes se parec\u00edan m\u00e1s a los del mal de monta\u00f1a que a los de la neumon\u00eda.<sup>13<\/sup>&nbsp;Del mismo modo, un art\u00edculo<sup>14<\/sup>&nbsp;de los Dres. Luciano Gattinoni y John J. Marini describi\u00f3 dos tipos diferentes de manifestaciones del COVID-19, a los que se refieren como Tipo L y Tipo H. En los que uno se beneficia de la ventilaci\u00f3n mec\u00e1nica, mientras que el otro no.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"80-of-nyc-s-coronavirus-patients-who-are-put-on-ventilators-ultimately-die-and-some-doctors-are-trying-to-stop-using-them\">80% of NYC&#8217;s coronavirus patients who are put on ventilators ultimately die, and some doctors are trying to stop using them<\/h2>\n\n\n\n<p>Sin\u00e9ad Baker&nbsp;Apr 9, 2020, 5:56 AM <\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"some-doctors-moving-away-from-ventilators-for-virus-patients\">Some doctors moving away from ventilators for virus patients<\/h2>\n\n\n\n<p>By MIKE STOBBEApril 8, 2020 <\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"with-ventilators-running-out-doctors-say-the-machines-are-overused-for-covid-19\">With ventilators running out, doctors say the machines are overused for Covid-19<\/h2>\n\n\n\n<p><em>By<\/em>&nbsp;Sharon Begley&nbsp;April 8, 2020 <\/p>\n\n\n\n<p>April 24, 2020<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"management-of-covid-19-respiratory-distress\">Management of COVID-19 Respiratory Distress<\/h2>\n\n\n\n<p>John J.&nbsp;Marini,&nbsp;MD<sup>1<\/sup>;&nbsp;Luciano&nbsp;Gattinoni,&nbsp;MD<sup>2<\/sup>Author AffiliationsArticle Information<em>JAMA.&nbsp;<\/em>2020;323(22):2329-2330. doi:10.1001\/jama.2020.6825<\/p>\n\n\n\n<p>Acute respiratory distress syndrome (ARDS) can originate from either the gas or vascular side of the alveolus. Although the portal for coronavirus disease 2019 (COVID-19) is inhalational, and alveolar infiltrates are commonly found on chest x-ray or computed tomography (CT) scan, the respiratory distress appears to include an important vascular insult that potentially mandates a different treatment approach than customarily applied for ARDS. Indeed, the wide variation in mortality rates across different intensive care units raises the possibility that the approach to ventilatory management could be contributing to outcome.<sup>1<\/sup><sup>&#8211;3<\/sup><\/p>\n\n\n\n<p>COVID-19 is a systemic disease that primarily injures the vascular endothelium. If not expertly and individually managed with consideration of the vasocentric features, a COVID-19 patient with ARDS (\u201cCARDS\u201d) may eventually develop multiorgan failure, even when not of advanced age or predisposed by preexisting comorbidity. <\/p>\n\n\n\n<p>Los m\u00e9dicos tambi\u00e9n han obtenido excelentes resultados al usar c\u00e1nulas nasales de alto flujo en lugar de ventiladores. Como lo se\u00f1alaron los m\u00e9dicos de&nbsp;<em>UChicago Medicine<\/em>&nbsp;durante un comunicado de prensa en abril de 2020:<sup>15<\/sup><\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><em>&#8220;Las c\u00e1nulas nasales de alto flujo (HFNC, por sus siglas en ingl\u00e9s), son c\u00e1nulas nasales no invasivas que se colocan debajo de las fosas nasales y expulsan grandes vol\u00famenes de ox\u00edgeno tibio y humidificado hacia la nariz y los pulmones.<\/em><\/p><\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><em>Un equipo de la sala de emergencias de UChicago Medicine tom\u00f3 a 24 pacientes con COVID-19 que ten\u00edan dificultad respiratoria y les colocaron HFNC en lugar de ponerlos en ventiladores. Todos los pacientes tuvieron excelentes resultados y solo uno de ellos requiri\u00f3 intubaci\u00f3n despu\u00e9s de 10 d\u00edas.<\/em><\/p><\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><em>Las HFNC suele combinarse con una posici\u00f3n de dec\u00fabito prono, una t\u00e9cnica en la que los pacientes se acuestan boca abajo para mejorar la respiraci\u00f3n. Todo esto ayud\u00f3 a los m\u00e9dicos de UChicago Medicine a evitar docenas de intubaciones y redujo las posibilidades de malos resultados para los pacientes con COVID-19, dijo el Dr. Thomas Spiegel, director m\u00e9dico del Departamento de Emergencias de UChicago Medicine.<\/em><\/p><\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><em>Combinar la posici\u00f3n de dec\u00fabito prono y las c\u00e1nulas nasales de alto flujo ayud\u00f3 a incrementar los niveles de ox\u00edgeno de los pacientes, de casi el 40 % al 80 % y 90 %&#8221;.<\/em><\/p><\/blockquote>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"uchicago-medicine-doctors-see-remarkable-success-using-ventilator-alternatives-to-treat-covid-19\">UChicago Medicine doctors see \u2018remarkable\u2019 success using ventilator alternatives to treat COVID-19<\/h2>\n\n\n\n<figure class=\"wp-block-image\"><\/figure>\n\n\n\n<p>23-Apr-2020 10:50 AM EDT,&nbsp;by&nbsp;University of Chicago Medical Center <\/p>\n\n\n\n<p id=\"como-realizar-la-posicion-de-decubito-prono-en-casa\"><strong>C\u00f3mo realizar la posici\u00f3n de dec\u00fabito prono en casa<\/strong> Si tiene problemas para toser o respirar, tambi\u00e9n puede implementar la posici\u00f3n de dec\u00fabito prono en casa. Pero si tiene dificultades para respirar, busque atenci\u00f3n m\u00e9dica de emergencia. Para los casos leves de tos o falta de aire que se pueden tratar en casa, evite pasar mucho tiempo acostado boca arriba.<\/p>\n\n\n\n<p>Las directrices del Hospital Elmhurst sugieren que &#8220;recostarse boca abajo y en diferentes posiciones ayudar\u00e1 a que su cuerpo lleve aire a todas las \u00e1reas de su pulm\u00f3n&#8221; y recomiendan cambiar a las siguientes posiciones en periodos de 30 minutos y dos horas:<sup>16<\/sup><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Acostarse boca abajo<\/li><li>Acostarse sobre el lado derecho<\/li><li>Sentarse<\/li><li>Acostarse sobre el lado izquierdo<\/li><\/ul>\n\n\n\n<p>Instructions for patients with cough or trouble breathing:<br>Instrucciones para pacientes con tos o dificultad para respirar:<br>Please try to not spend a lot of time lying flat on your back! Laying on your stomach and in different positions will help your body to<br>get air into all areas of your lung.<br>\u00a1Por favor, trate de no estar mucho tiempo acostado sobre su espalda (boca arriba)! Acostarse sobre su est\u00f3mago (boca abajo), y en<br>diferentes posiciones, le ayudar\u00e1 a su cuerpo a que le llegue aire a todas las \u00e1reas de sus pulmones.<br>Your healthcare team recommends trying to change your position every 30 minutes to 2 hours and even sitting up is better than<br>laying on your back. If you are able to, please try this:<br>El grupo de sus cuidadores de salud le recomienda tratar de cambiar de posici\u00f3n entre cada 30 minutos y 2 horas, y a\u00fan permanecer<br>sentado es mejor que estar acostado de espalda. Si puede, por favor, intente esto:<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>30 minutes \u2013 2 hours: lying on your belly<br>30 minutos \u2013 2 horas: acostado sobre su est\u00f3mago (boca abajo)<\/li><li>30 minutes \u2013 2 hours: lying on your right side<br>30 minutos \u2013 2 horas: acostado sobre su lado derecho<\/li><li>30 minutes \u2013 2 hours: sitting up<br>30 minutos \u2013 2 horas: sentado<\/li><li>30 minutes \u2013 2 hours: lying on your left side; then back to position #1.<br>30 minutes \u2013 2 horas: acostado sobre su lado izquierdo; y luego vuelva a la posici\u00f3n # 1<\/li><\/ol>\n\n\n\n<p><\/p>\n\n\n\n<p>La respuesta m\u00e1s obvia es que buscan proteger su inter\u00e9s econ\u00f3mico. En los Estados Unidos, si los hospitales administran este tipo de tratamientos no solo corren el riesgo de perder los fondos federales, sino que tambi\u00e9n obtienen varios incentivos por implementar tratamientos poco efectivos. Los hospitales reciben remuneraci\u00f3n econ\u00f3mica por lo siguiente:<sup>17<\/sup><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Cada prueba de COVID<\/td><td>Cada diagn\u00f3stico de COVID<\/td><\/tr><tr><td>Cada ingreso de un &#8220;paciente con COVID&#8221;<\/td><td>Utilizar remdesivir<\/td><\/tr><tr><td>Utilizar ventilaci\u00f3n mec\u00e1nica<\/td><td>Cada muerte por COVID-19<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>Para empeorar las cosas, hay evidencia de que ciertos sistemas hospitalarios obligan a los pacientes a renunciar a sus derechos, lo que convierte a cualquier persona que se diagnostica con COVID en un prisionero del hospital, sin capacidad para ejercer el consentimiento informado. En pocas palabras, los hospitales hacen lo que quieren con los pacientes y reciben varios incentivos por administrar los tratamientos poco efectivos que recomiendan los Institutos Nacionales de Salud.<\/p>\n\n\n\n<p>Seg\u00fan el portal&nbsp;<em>Citizens Journal<\/em>,<sup>18<\/sup>&nbsp;el gobierno estadounidense les da una &#8220;bonificaci\u00f3n&#8221; a los hospitales si utilizan remdesivir, un medicamento que ha demostrado causar da\u00f1os graves en los \u00f3rganos. Incluso, los m\u00e9dicos forenses reciben bonificaciones por cada muerte por COVID-19.<\/p>\n\n\n\n<p id=\"su-vida-tiene-un-precio\"><strong>Su vida tiene un precio<\/strong> <em>Citizens Journal<\/em>&nbsp;hace la siguiente pregunta: \u00bfQu\u00e9 significa todo esto para la salud y seguridad de los pacientes en los hospitales?<sup>19<\/sup>&nbsp;Sin rodeos, significa que su salud est\u00e1 en grave peligro.&nbsp;<em>Citizen Journal<\/em>&nbsp;compara los tratamientos que recomienda el gobierno contra el COVID con ponerle un precio a su vida, donde se remunera por la enfermedad y no por la salud.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><em>&#8220;En el caso del Remdesivir, los estudios demuestran que entre el 71 % y el 75 % de los pacientes que lo utilizan sufrieron alg\u00fan efecto secundario y, en la mayor\u00eda de los casos, se tuvo que suspender su uso despu\u00e9s de cinco a 10 d\u00edas debido a los efectos que causa, que incluyen da\u00f1o renal, hep\u00e1tico y muerte&#8221;,<\/em>&nbsp;se\u00f1al\u00f3 Citizen Journal.<\/p><\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><em>&#8220;En 2018, durante el brote de \u00e9bola en \u00c1frica Occidental se suspendieron los ensayos de remdesivir<sup>20<\/sup>&nbsp;porque<\/em>&nbsp;la tasa de mortalidad super\u00f3 el 50 %.&nbsp;<em>Pero en 2020, Anthony Fauci orden\u00f3 que el Remdesivir fuera el medicamento que utilizar\u00edan los hospitales para tratar el COVID-19, incluso cuando en los ensayos cl\u00ednicos del Remdesivir contra el COVID hubo efectos adversos similares.<\/em><\/p><\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><em>La tasa de mortalidad entre los pacientes bajo ventilaci\u00f3n es impresionante. [El abogado Thomas] Renz anunci\u00f3 en una conferencia de prensa de Truth for Health Foundation que los datos de CMS demostraron que, en los hospitales de Texas, el 84.9 % de los pacientes que recibieron ventilaci\u00f3n murieron despu\u00e9s de 96 horas de iniciar el tratamiento.<\/em><\/p><\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><em>Tambi\u00e9n est\u00e1 el n\u00famero de muertes por restricciones de tratamientos efectivos para pacientes hospitalizados. Renz y un equipo de analistas de datos estiman que m\u00e1s de 800 000 muertes en los hospitales de Estados Unidos, en pacientes con COVID-19 y otras enfermedades, se debieron a que los enfoques no utilizan los l\u00edquidos, nutrici\u00f3n, antibi\u00f3ticos, antivirales, antiinflamatorios y dosis terap\u00e9uticas de anticoagulantes adecuadas.<\/em><\/p><\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><em>Ahora, la atenci\u00f3n m\u00e9dica se encuentra en el peor momento de su historia, todo gracias a que el gobierno federal se apoder\u00f3 de ella e implement\u00f3 estos tratamientos contra el COVID que son poco efectivos y peligrosos, pero no solo eso, tambi\u00e9n cre\u00f3 incentivos financieros para que los hospitales y los m\u00e9dicos solo utilicen sus enfoques &#8216;aprobados&#8217; (y patrocinados).<\/em><\/p><\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><em>Nuestra comunidad y personal m\u00e9dico en los hospitales se han convertido en unos aut\u00e9nticos caza recompensas, pero en este caso, su vida es el premio mayor.<\/em><\/p><\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><em>Ahora, las personas deben hacer todo lo posible para evitar ir al hospital si tienen COVID y deben tomar medidas activas para planificar su tratamiento casero con anticipaci\u00f3n, ya que esto podr\u00eda salvar su vida&#8221;.<\/em><\/p><\/blockquote>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"biden-s-bounty-on-your-life-hospitals-incentive-payments-for-covid-19\">Biden\u2019s Bounty on Your Life: Hospitals\u2019 Incentive Payments for COVID-19<\/h2>\n\n\n\n<p>Added by&nbsp;Debra Tash&nbsp;on December 20, 2021.<br>Saved under&nbsp;Government,&nbsp;Health,&nbsp;Politics<br>Tags:&nbsp;Ali Shultz J.D,&nbsp;COVID-19,&nbsp;Federal government,&nbsp;Hospital,&nbsp;Jane Orient M.D.,&nbsp;treatment<\/p>\n\n\n\n<p><strong>Health and Politics<\/strong><\/p>\n\n\n\n<p><strong>By Elizabeth Lee Vliet, M.D. and Ali Shultz, J.D.<\/strong>&nbsp;\u2013&nbsp; <\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"a-bounty-on-your-life\">A bounty on your life<\/h2>\n\n\n\n<p>November 2, 2021&nbsp;\/&nbsp;Bill Wilson&nbsp;\/&nbsp;No Comments <\/p>\n\n\n\n<p>An investigation of Centers for Medicare and Medicaid Services (CMS) documents and the Federal Register reveals that CMS, as authorized by the CARES Act in March 2020, established the treatments for COVID 19 and the coding system that financially incentivized hospitals to receive bonuses for all things COVID. Hospitals were incentivized to vaccinate, test, diagnose, hospital admission, use add-on treatments such as remdesivir and ventilators, and reporting COVID 19-related deaths. While this is not new news, it confirms why hospitals and doctors are reluctant to use new and effective COVID treatments and protocols because CMS won\u2019t pay for them, even though they are known to save lives.<\/p>\n\n\n\n<p>&#8211;&nbsp;Fuentes y Referencias<\/p>\n\n\n\n<ul class=\"wp-block-list\" id=\"footnote-references2\"><li><sup>1<\/sup>&nbsp;The Telegraph January 19, 2022 (Archived)<\/li><li><sup>2<\/sup>&nbsp;Gov.UK National Life Tables 2018-2020<\/li><li><sup>3<\/sup>&nbsp;CDC MMWR January 7, 2022; 71(1): 19-25<\/li><li><sup>4<\/sup>&nbsp;Delta News January 10, 2022<\/li><li><sup>5<\/sup>&nbsp;Washington Examiner January 10, 2022<\/li><li><sup>6<\/sup>&nbsp;JAMA April 22, 2020 DOI: 10.1001\/jama.2020.6775 [Epub ahead of print]<\/li><li><sup>7<\/sup>&nbsp;CDC.gov August 26, 2020, Comorbidities Table 3, updated October 14, 2020<\/li><li><sup>8<\/sup>&nbsp;Medscape April 6, 2020<\/li><li><sup>9<\/sup>&nbsp;Daily Mail April 9, 2020<\/li><li><sup>10<\/sup>&nbsp;Business Insider April 9, 2020<\/li><li><sup>11<\/sup>&nbsp;The Associated Press April 8, 2020<\/li><li><sup>12,<\/sup>&nbsp;<sup>13<\/sup>&nbsp;STAT News April 8, 2020<\/li><li><sup>14<\/sup>&nbsp;JAMA Insights April 24, 2020 DOI: 10.1001\/jama.2020.6825<\/li><li><sup>15<\/sup>&nbsp;Newswise April 23, 2020<\/li><li><sup>16<\/sup>&nbsp;Elmhurst Hospital Self-Proning Positioning Guide<\/li><li><sup>17,<\/sup>&nbsp;<sup>18,<\/sup>&nbsp;<sup>19<\/sup>&nbsp;Citizens Journal December 20, 2021<\/li><li><sup>20<\/sup>&nbsp;The Daily Jot November 2, 2021<\/li><\/ul>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Durante una conferencia de prensa que se realz\u00f3 el 19 de enero de 2022, Sajid Javid, secretario de salud de Reino Unido, admiti\u00f3 que las cifras diarias del gobierno son poco confiables, ya que las personas murieron y a\u00fan mueren a causa de otras enfermedades, pero se incluyen en el recuento de muertes por COVID-19 &#8230; <a title=\"Cov exposed\" class=\"read-more\" href=\"https:\/\/abudinen.com\/blog\/2022\/02\/09\/cov-exposed\/\" aria-label=\"Read more about Cov exposed\">Leer m\u00e1s<\/a><\/p>\n\n        <p class=\"social-share\">\n            <strong><span>Sharing is caring<\/span><\/strong> <!--<i class=\"fa fa-share-alt\"><\/i>&nbsp;&nbsp;-->\n            <a href=\"https:\/\/www.facebook.com\/sharer.php?u=https%3A%2F%2Fabudinen.com%2Fblog%2F2022%2F02%2F09%2Fcov-exposed%2F\" target=\"_blank\" class=\"facebook\"><i class=\"fab fa-facebook\"><\/i> <span>Share<\/span><\/a>\n            <a href=\"https:\/\/plus.google.com\/share?url=https%3A%2F%2Fabudinen.com%2Fblog%2F2022%2F02%2F09%2Fcov-exposed%2F\" target=\"_blank\" class=\"gplus\"><i class=\"fab fa-google-plus\"><\/i> <span>+1<\/span><\/a>\n            <a href=\"https:\/\/twitter.com\/intent\/tweet?text=Cov%20exposed&amp;url=https%3A%2F%2Fabudinen.com%2Fblog%2F2022%2F02%2F09%2Fcov-exposed%2F&amp;via=YOUR_TWITTER_HANDLE_HERE\" target=\"_blank\" class=\"twitter\"><i class=\"fab fa-twitter\"><\/i> <span>Tweet<\/span><\/a>\n            <a href=\"http:\/\/www.linkedin.com\/shareArticle?mini=true&amp;url=Cov%20exposed\" target=\"_blank\" class=\"linkedin\"><i class=\"fab fa-linkedin\"><\/i> <span>Share<\/span><\/a>\n            <a href=\"https:\/\/wa.me\/?text=Cov%20exposed https%3A%2F%2Fabudinen.com%2Fblog%2F2022%2F02%2F09%2Fcov-exposed%2F\" target=\"_blank\" class=\"whatsapp\"><i class=\"fab fa-whatsapp\"><\/i> <span>Share<\/span><\/a>\n            <w>3861 words 143 views<\/w>\n        <\/p>","protected":false},"author":1,"featured_media":7106,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-7035","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sin-categoria"],"_links":{"self":[{"href":"https:\/\/abudinen.com\/blog\/wp-json\/wp\/v2\/posts\/7035","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/abudinen.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/abudinen.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/abudinen.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/abudinen.com\/blog\/wp-json\/wp\/v2\/comments?post=7035"}],"version-history":[{"count":35,"href":"https:\/\/abudinen.com\/blog\/wp-json\/wp\/v2\/posts\/7035\/revisions"}],"predecessor-version":[{"id":7071,"href":"https:\/\/abudinen.com\/blog\/wp-json\/wp\/v2\/posts\/7035\/revisions\/7071"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/abudinen.com\/blog\/wp-json\/wp\/v2\/media\/7106"}],"wp:attachment":[{"href":"https:\/\/abudinen.com\/blog\/wp-json\/wp\/v2\/media?parent=7035"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/abudinen.com\/blog\/wp-json\/wp\/v2\/categories?post=7035"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/abudinen.com\/blog\/wp-json\/wp\/v2\/tags?post=7035"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}