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Covid-19, structure and conjuncture, ideology and politics

8 Aug

No one knows very well how to save the capitalist economy from its own general and pandemic debacles. There are only conjectures. They seem to express an ideological and desiderative a priori rather than a realistic and rigorous analysis of the present state of affairs: neoliberals stubbornly demanding for more market and lesser state (as [...]

COVID-19 meets slums: drug cartels respond to the pandemic

8 Aug

From an epidemiological perspective favelas need to be protected not only due to population density, but also given the high social vulnerability; in view of equity, a key principle of the SUS. However, when protective measures are guided by crime organizations instead of by the government itself, we question whether the former have greater humanitarian [...]

Coronavirus from Wuhan (China). 2019-nCoV. What you need to know to avoid a panic epidemic

23 Mar

Coronaviruses have been with us for thousands of years, and we are prepared to overcome their infections.  If you have traveled to Wuhan (China) or have had close contact with those who have traveled there and have severe catarrhal symptoms with respiratory distress, consult your doctor especially if you have any underlying disease.  In all [...]

What has evidence based medicine (EBM) done for our patients? We do not know. We must abandon it

18 Sep

We must admit that: a / “if the final objective of EBM (Evidence Based Medicine) is to improve patients-populations’ health, do we have evidence of succeed in this objective?” No, b / is EBM harming patients-populations’ health? We do not know. Evidence-Based Medicine (#EBM) has not demonstrated any impact on patients’ health. It is honest [...]

Ovarian cancer screening: could you recommend it? No

15 Aug

In December 2015, The Lancet published the final results of The UK Collaborative Trial of Ovarian Cancer Screening (UKCTOCS)  which “was designed to determine how many lives could be saved by screening for ovarian cancer”.  The UKCTOCS is another ovarian cancer screening that demonstrates that screening did not reduce  ovarian cancer specific mortality neither all-cause [...]

Ten commandments for the rational use of vaccines. November 2015

1 Nov

Vaccines are a treasure that is not defended and it is improved by simply repeating that mantra. The vaccine treasure requires good use and a continuous critical evaluation, in relation to developing and maintaining the vaccination schedules. Vaccination policies have been very poor in the recent decades, in the scientific, professional and political areas. This [...]

“Dr Cholesterol” against the “British Medical Journal”. Do not measure your cholesterol, be happy

26 May

The British Medical Journal has had problems with two papers about primary prevention of coronary artery disease (heart disease). Both papers have data that demonstrate statins have no use in primary prevention for most patients. The British Medical Journal problems relate to power, money and censorship. In this text a teacher explain the situation to [...]