Alexandre Serafim
@2210alex.bsky.social
Pediatric Intensivist at Brasilia, Brazil
Shero!
Public schools in Utah banned a best-selling Jodi Picoult novel and ordered all copies destroyed. So ... Picoult arrived at a Salt Lake City high school this weekend with 600 copies of the book. And she gave them all away, for free. "Applause and cheers erupted." www.sltrib.com/news/educati...
An antiviral therapy has not been approved for dengue. In a new report, mosnodenvir, a small-molecule antiviral, was shown to be protective in a human challenge model of dengue, and a weekly regimen provided adequate blood levels. Read the full report: https://nej.md/3VEGbnz
Today's Paper of the Day is: Meningitis, encephalitis, and beyond: A practical intensive care unit guide to severe central nervous system infections https://criticalcarereviews.com/latest-evidence/paper-of-the-day Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of cr
Today's Paper of the Day is: Advances in the diagnosis and management of skin and soft tissue infections https://criticalcarereviews.com/latest-evidence/paper-of-the-day Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2026
A Beginner’s Guide to Vasoactive Drugs for Children with Septic Shock dontforgetthebubbles.com/a-beginners-... @dennisrenmd.bsky.social
A Beginner’s Guide to Vasoactive Drugs for Children with Septic Shock
Which vasoactive drugs should you use for a child with septic shock? Our basic guide will help you make the right decisions.
dontforgetthebubbles.com
Des bisous aux experts français de la vasopressine 🤡. Venez à mes séances de bibliographie du jeudi : je vous réexpliquerez lentement que corrélation n'est pas causalité. Et aussi les problèmes causés par les conflits d'intérêt avec AOP Pharma... jamanetwork.com/journals/jam...
Vasopressin Initiation Threshold in Septic Shock
This large, pragmatic randomized clinical trial compares the effects of hospital-level strategies initiating vasopressin infusion at a lower- vs higher-dose threshold on septic shock outcomes in adult...
jamanetwork.com
New research article Immunogenicity and shedding of live-attenuated intranasal respiratory syncytial virus #vaccine in children aged 6–18 months by baseline serostatus www.thelancet.com/journals/lan... #IDSky #ClinMicro #MicroSky #ViroSky #RSV #OpenAccess #OA
6 people are no longer with us in PA because of the measles. @bachynski.bsky.social
Sixth person who had measles has died in Pennsylvania, local coroner says
Measles cases have surpassed 4,000 this year, according to CDC data. In the past week it rose to 4080, the highest since 1991. Measles is a vaccine preventable illness. publications.aap.org/aapnews/news...
Measles cases top 4,000; flu increasing
The tally increased by 193 cases over the past week to 4,080, the highest since 1991.
publications.aap.org
www.nature.com/articles/s41...
The role of the respiratory microbiome in acute and chronic respiratory diseases - Nature Reviews Microbiology
In this Review, Heinzinger, Segal and Dickson summarize recent advances in our understanding of the respiratory microbiome in health, examine how it is altered in acute and chronic respiratory disease...
nature.com
A new specialist review by Kendra Gilreath and colleagues summarises the pathogenesis of hypertrophic cardiomyopathy to help clinicians screen, diagnose, and improve the treatment of patients. Read now in BMJ Medicine: https://bit.ly/4y1o60k #Cardiology
Pathogenesis, screening, and diagnosis of hypertrophic cardiomyopathy
Hypertrophic cardiomyopathy is a common heritable heart disease. The disease is genetically, anatomically, and clinically heterogeneous. Hypertrophic cardiomyopathy is inherited in an autosomal domina...
bit.ly
In 2023, about 1 in 5 people had spending on #CorrectiveLenses, and about half of those purchases were paid entirely out-of-pocket. ja.ma/3VtPc2L
Op-eds from VIP types are tricky for medical journals. You don't often see a president & the WHO head co-authoring a piece in ... the NEJM. But here we have a commentary describing their efforts to coordinate #Hantavirus response & affirming the importance of solidarity and collaboration in health:
Hantavirus — Lessons Learned about Security and Solidarity | NEJM
Pedro Sánchez and Tedros Adhanom Ghebreyesus reflect on the management of Andes hantavirus and the way in which careful, coordinated outbreak response can limit risk without undermining dignity.
nejm.org
New research article Regional expansion and adaptive evolution of multidrug-resistant #Candida tropicalis in China: a retrospective, multicentre, genomic study www.thelancet.com/journals/lan... #IDSky #ClinMicro #MicroSky #MycoSky #AMR #OpenAccess #OA
Sensing the skeleton: sensorineural regulation in bone — a Review by Zhao Li, Manyu Zhu, Neelima Thottappillil, Sowmya Ramesh & Aaron W. James #neuroscience #neuroskyence www.nature.com/articles/s41...
Sensing the skeleton: sensorineural regulation in bone - Nature Reviews Neuroscience
The skeleton is innervated by neurons that convey sensory information to the CNS and release neuroregulatory peptides to influence the bone microenvironment. James and colleagues describe the mechanis...
nature.com
Measles amnesia “is an under appreciated” complication of the disease. What is it? Read my story.
Measles outbreaks could leave thousands vulnerable to infectious diseases for years The measles virus kills crucial immune cells, putting survivors at risk of being reinfected with diseases they’ve already had. Read more: https://bit.ly/4diczSQ
Co-occurrence of Heterozygous Variants in PKD1 and ALG9 in a Patient With Early-Onset ESKD: A Case Report - Kidney International Case Reports www.kicasereports.org/article/S311... March issue highlights
Co-occurrence of Heterozygous Variants in PKD1 and ALG9 in a Patient With Early-Onset ESKD: A Case Report
Autosomal dominant polycystic kidney disease (ADPKD) is a hereditary disorder, predominantly caused by pathogenic variants in the PKD1 and PKD2 genes. Variants in other genes, including ALG9, have eme...
kicasereports.org
Volatile anesthetic sedation in acute respiratory distress syndrome CCR Journal Watch https://criticalcarereviews.com/latest-evidence/journal-watch
Essential, brilliant reporting by @by-cjewett.bsky.social It's TERRIFYING: MAHA folks are INVESTIGATING pediatricians, who are some of the lowest paid docs in the professions, for vaccinating kids It's part of a 20-year anti-vaxx campaign by RFK Jr "that some of his political allies have joined"
NEW: Ken Paxton's office is investigating pediatricians for vaccinating children. He alleged a sprawling profit-driven conspiracy. Pediatricians say the accusations are an attempt at intimidation. 🎁 www.nytimes.com/2026/10/05/h...
"Paired Spo2 measurements differed by ≥ 3% during 33% of monitored time (95% CI, 30%-35%) and by ≥ 5% during 13% of the time (95% CI, 12%-15%). The concordance correlation coefficient was 0.41, indicating poor agreement between paired Spo2 measurements." www.chestcc.org/article/S294...
Discrepancy Between Peripheral Oxygen Saturation Measurements Obtained Simultaneously From 2 Pulse Oximeters Made by Different Manufacturers in Acutely Ill Patients
Among adults hospitalized with acute hypoxemia, Spo2 values measured simultaneously by 2 pulse oximeters from different manufacturers differed by a clinically meaningful amount approximately one-third...
chestcc.org
In the new @science.org special issue on women's health, a 5★ review of menopause hormone therapy to promote healthy aging science.org/doi/10.1126/...
Reframing menopause and menopause hormone therapy as opportunities for healthy aging
Menopause is an important biological transition with up to 72 symptoms that shapes aging trajectories across organs and encompasses ~40% of the female lifespan. Although menopause awareness is increas...
science.org
Duchenne muscular dystrophy, the most common childhood muscular dystrophy, with an estimated prevalence of 1 in 5000 boys 5 to 9 years of age, is a recessive degenerative disorder caused by variants in the dystrophin gene that lead to deficiency of dystrophin. Learn more: https://nej.md/4h7h0SP
Editorial: From mechanisms to clinical practice: introduction to an AJRCCM special section on interstitial lung disease #ILD academic.oup.com/ajrccm/artic... @atscommunity.bsky.social
From mechanisms to clinical practice: introduction to an AJRCCM special section on interstitial lung disease
This issue's special section on interstitial lung disease (ILD) spans the translational spectrum of ILD research, encompassing clinical practice guidelines
academic.oup.com
2026 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery CCR Journal Watch https://criticalcarereviews.com/latest-evidence/journal-watch
Biological age vs chronological age—what the science says. Tony Wyss-Coray, PhD explains that biological age reflects the body’s aging trajectory and functional health—not just calendar years. https://med.stanford.edu/news/insights/2026/09/biological-chronological-age.html
Biological age versus chronological age: What the science says
Stanford Health Care delivers the highest levels of care and compassion. SHC treats cancer, heart disease, brain disorders, primary care issues, and many more.
med.stanford.edu
Do you know your voting deadlines? Depending on your state, you may be running out of time to register to vote in the midterm elections. Take 10 minutes today to make sure you’re ready to vote by November 3 & vote early if you’re able. #HandsOffOurVote
Dexmedetomidine may offer a new option for selected adolescents with recurrent severe agitation during prolonged ED psychiatric boarding. This editorial asks the key questions: Is it necessary, feasible, safe, and ethical? Paper 🔗 www.annemergmed.com/article/S019...
🌏 Sharing ideas, advancing science & turning knowledge into practice that’s what brings Dr Vinay Nadkarni to #WFPICCS26 in Melbourne! 📍 Melbourne | 26–30 September 2026 👉 Explore the program 🔗 wfpiccs2026intensivecareasm.com/program/ #PedsICU @openpediatrics.bsky.social @sapnakmd.bsky.social
Performance Inconsistency of Pulse Oximeters Over Five Years of Clinical Use: A Single-Center Study of Masimo Devices. @ashfawzy.bsky.social, Qin MM, Sun X, Yan L, @chadhoc.bsky.social, Dziedzic PH, Suarez JI, Xu Y, Jackson JW, Iwashyna TJ pubmed.ncbi.nlm.nih.gov/42768440/ @annalsats.bsky.social