𝙄𝙉𝘼𝘼𝙌𝘾 ᴮᴼ

23/04/2026

𝗝𝐨𝐮𝐫𝐧𝐚𝐥 𝗥𝐞𝐯𝐢𝐞𝐰 (𝐉𝐑)
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Performed on: Thursday, March 12, 2026
𝟐𝟎𝟐𝟔 𝐏𝐬𝐲𝐀𝐝𝐯 - 𝐏𝐬𝐲𝐜𝐡𝐨𝐭𝐡𝐞𝐫𝐚𝐩𝐲 𝐂𝐚𝐧 𝐈𝐦𝐩𝐫𝐨𝐯𝐞 𝐆𝐫𝐢𝐞𝐟 𝐃𝐢𝐬𝐨𝐫𝐝𝐞𝐫 𝐟_𝐁𝐞𝐫𝐞𝐚𝐯𝐞𝐝 𝐏𝐱𝐬 (𝐀𝐈𝐌).𝐩𝐝𝐟

Codified by YAPG

1. 𝙄𝙌𝘾 BS ➩ Y, J, C ➖ T ➕ N ➕ t ➖ P I C O:
2. 𝙄𝙌𝘾 BS 🟰 2026, AIM, USA, California ➖ r ➕ 169 RCT, 303 publications ➕ -Feb 3 ➖ P I C O:
- P: Adults + children: bereaved persons
- 🅸: Pshychotherapy ➖ expert-facilitated support groups ➖ 💊 ➖ 👨🏽‍🤝‍👨🏻 ➖ self-help 🅸 ➖ ✍️ ➖ 🎶 ➖ 🎨 ➖ enhanced provider contact ➖ integrative medicine
- 🅲: NA
- O: **pOC** = ↗️ grief disorder, grief, depression symptoms
3. EVIDENCE.
1. Also for soon-to-be bereaved persons
4. RESULTS.
1. ROB = substantial
2. Children only in 15 RCT
3. Strength of evidence:
1. MODERATE ➩ individual psychotherapy
2. LOW ➩ expert-facilitated support groups
3. CONFLICTING ➩ other 🅸
4. INSUFFICIENT ➕ NO EVIDENCE ➩ others
5. RATIONALE.
1. Growth in research ➩ past 3 decades.
2. More info is needed to TARGET these 🅸 ➩ specific circumstances
𝗩𝗲𝗿 𝗺á𝘀 𝗲𝗻: https://www.inaaqc.org/journal_reviews_2026

22/04/2026

22/04/2026

La Facultad de Medicina UAEMéx realza el esfuerzo de la Terapia Intensiva del Hospital General Las Américas del ISEM-IMSS Bienestar, que bajo el liderazgo del Dr. Montelongo, Profesor Titular de la Especialidad de Medicina Crítica en la misma sede, concretaron que la residente Angeles Hernández Ortega👩🏻‍⚕️✨️, fuera aceptada para hacer una rotación en la unidad de cuidados intensivos del Hospital Universitario Erasme y de la Universidad Libre de Bruselas en la Ciudad de Bruselas, Bélgica,🇧🇪 logrando estar a un lado de los grandes maestros de la Medicina Moderna en Medicina Crítica y realizando pase de visita con el Dr Jean-Louis Vincent, Fabio Silvio Taccone, Armin Quispe Cornejo y teniendo como profesores al Dr. Michael Pinsky y al Dr. Daniel De Becker, entre otros.

Un gran acuerdo y logro para el crecimiento académico de nuestros residentes. Enhorabuena e instamos a los Profesores Titulares de todas nuestras especialidades a buscar alternativas de colaboración internacional.🤝🏻🩺

Secretaría de Investigación y Estudios Avanzados UAEMéx UAEMéx Internacional Secretaría de Salud del Estado de México


💚💛

22/04/2026

𝐒𝐨𝐟𝐭 𝐃𝐫𝐢𝐧𝐤 𝐂𝐨𝐧𝐬𝐮𝐦𝐩𝐭𝐢𝐨𝐧 𝐚𝐧𝐝 𝐃𝐞𝐩𝐫𝐞𝐬𝐬𝐢𝐨𝐧 𝐌𝐞𝐝𝐢𝐚𝐭𝐞𝐝 𝐛𝐲 𝐆𝐮𝐭 𝐌𝐢𝐜𝐫𝐨𝐛𝐢𝐨𝐦𝐞 𝐀𝐥𝐭𝐞𝐫𝐚𝐭𝐢𝐨𝐧𝐬
In this cohort study, soft drink consumption was significantly associated with a diagnosis of major depressive disorder, as well as with the severity of depression, in a cohort of 932 clinically diagnosed patients and healthy controls. This association was significantly mediated by the abundance of Eggerthela in both female patients and controls. Therefore, education, prevention strategies, and policies aimed at reducing soft drink consumption are urgently needed to mitigate depressive symptoms; furthermore, interventions for depression targeting the gut microbiome composition appear promising.

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► 𝐎𝐫𝐢𝐠𝐢𝐧𝐚𝐥 𝐬𝐨𝐮𝐫𝐜𝐞: Edwin Thanarajah S, Ribeiro AH, Lee J, et al. Soft Drink Consumption and Depression Mediated by Gut Microbiome Alterations. JAMAPsychiatry. 2025;82(11):1095–1102.doi:10.1001/jamapsychiatry. 2025.2579
► 𝗦𝗲𝗰𝗼𝗻𝗱𝗮𝗿𝘆 𝘀𝗼𝘂𝗿𝗰𝗲: https://www.inaaqc.org/2025_asobat

22/04/2026

𝐂𝐨𝐧𝐬𝐮𝐦𝐨 𝐝𝐞 𝐫𝐞𝐟𝐫𝐞𝐬𝐜𝐨𝐬 𝐲 𝐝𝐞𝐩𝐫𝐞𝐬𝐢ó𝐧 𝐦𝐞𝐝𝐢𝐚𝐝𝐨𝐬 𝐩𝐨𝐫 𝐚𝐥𝐭𝐞𝐫𝐚𝐜𝐢𝐨𝐧𝐞𝐬 𝐝𝐞𝐥 𝐦𝐢𝐜𝐫𝐨𝐛𝐢𝐨𝐦𝐚 𝐢𝐧𝐭𝐞𝐬𝐭𝐢𝐧𝐚𝐥
En este estudio de cohorte, el consumo de refrescos se asoció significativamente con el diagnóstico de trastorno depresivo mayor, así como con la gravedad de la depresión, en una cohorte de 932 pacientes con diagnóstico clínico y controles
sanos. Esta asociación estuvo mediada significativamente por la abundancia de Eggerthela en las pacientes y los controles femeninos. Es decir, se requieren con urgencia educación, estrategias de prevención y políticas destinadas a reducir el consumo de refrescos para mitigar los síntomas depresivos; además, las intervenciones para la depresión dirigidas a la composición del
microbioma parecen prometedoras.

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► 𝐎𝐫𝐢𝐠𝐢𝐧𝐚𝐥 𝐬𝐨𝐮𝐫𝐜𝐞: Edwin Thanarajah S, Ribeiro AH, Lee J, et al. Soft Drink Consumption and Depression Mediated by Gut Microbiome Alterations. JAMAPsychiatry. 2025;82(11):1095–1102.doi:10.1001/jamapsychiatry. 2025.2579
► 𝗦𝗲𝗰𝗼𝗻𝗱𝗮𝗿𝘆 𝘀𝗼𝘂𝗿𝗰𝗲: https://www.inaaqc.org/2025_asobat

22/04/2026

E-learning | 𝙄𝙉𝘼𝘼𝙌𝘾 ᴮᴼ
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𝙵𝙾𝚁 𝙷𝙴𝙰𝙻𝚃𝙷𝙲𝙰𝚁𝙴 𝙿𝚁𝙾𝚅𝙸𝙳𝙴𝚁𝚂 / 𝙿𝙰𝚁𝙰 𝙿𝚁𝙾𝚅𝙴𝙴𝙳𝙾𝚁𝙴𝚂 𝙳𝙴 𝚂𝙰𝙻𝚄𝙳
𝐂𝐡𝐫𝐨𝐧𝐢𝐜 𝐒𝐩𝐨𝐧𝐭𝐚𝐧𝐞𝐨𝐮𝐬 𝐔𝐫𝐭𝐢𝐜𝐚𝐫𝐢𝐚: 𝐁𝐫𝐢𝐝𝐠𝐢𝐧𝐠 𝐇𝐞𝐚𝐥𝐭𝐡𝐜𝐚𝐫𝐞 𝐆𝐚𝐩𝐬 𝐔𝐬𝐢𝐧𝐠 𝐂𝐨𝐥𝐥𝐚𝐛𝐨𝐫𝐚𝐭𝐢𝐯𝐞 𝐒𝐨𝐥𝐮𝐭𝐢𝐨𝐧𝐬
Upon successful completion of this activity, participants should be better able to:
• Discuss the impact of CSU on patient quality of life, including its association with psychological, functional, and productivity impairments.
• Explain the pathophysiological mechanisms associated with CSU.
• Summarize evidence-based diagnostic strategies to differentiate CSU from other conditions.
• Evaluate the latest clinical trial data surrounding and differentiating current and emerging therapies for CSU, including biologics.


🚥 𝗦𝘁𝗮𝗿𝘁 𝗮𝗰𝘁𝗶𝘃𝗶𝘁𝘆: https://www.healio.com/cme/dermatology/20250908/chronic-spontaneous-urticaria-bridging-healthcare-gaps/overview?utm_source=SMC&utm_medium=email&utm_campaign=Template_Videos&utm_content=H458-HEA001
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✔ 𝗘 -𝗹𝗲𝗮𝗿𝗻𝗶𝗻𝗴: https://www.inaaqc.org/e-learning

21/04/2026

𝐄𝐬𝐭𝐫𝐚𝐒𝐭𝐫𝐚𝐭𝐞𝐠𝐢𝐞𝐬 𝐭𝐨 𝐭𝐫𝐚𝐧𝐬𝐟𝐨𝐫𝐦 𝐰𝐨𝐫𝐤𝐢𝐧𝐠 𝐠𝐫𝐨𝐮𝐩𝐬 𝐢𝐧𝐭𝐨 𝐭𝐞𝐚𝐦𝐬
Your team is a "group" if they only feel accountable to you but not to each other, writes CEO coach Sabina Nawaz, who recommends leading with curiosity to learn about their experiences without judgment and repeating what you've heard them say to check your understanding. "With a newfound understanding of our collective and individual frustrations, we can empathize with each other, learn to work better together, and shift from being a group to a team invested in a shared outcome rather than individual agendas," Nawaz writes.

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► 𝗦𝗼𝘂𝗿𝗰𝗲: https://r.smartbrief.com/resp/rFvjCzorxuDzduxFCigmqHCicNmKRa?format=multipart
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✔𝗖𝗔𝗟𝗘𝗡𝗗𝗔𝗥: https://www.inaaqc.org/calendar_2025

21/04/2026

𝐄𝐬𝐭𝐫𝐚𝐭𝐞𝐠𝐢𝐚𝐬 𝐩𝐚𝐫𝐚 𝐭𝐫𝐚𝐧𝐬𝐟𝐨𝐫𝐦𝐚𝐫 𝐠𝐫𝐮𝐩𝐨𝐬 𝐝𝐞 𝐭𝐫𝐚𝐛𝐚𝐣𝐨 𝐞𝐧 𝐞𝐪𝐮𝐢𝐩𝐨𝐬.
Un equipo es un "grupo" si sus miembros solo se sienten responsables ante ti, pero no entre sí, escribe la coach de directores ejecutivos Sabina Nawaz, quien recomienda liderar con curiosidad para conocer sus experiencias sin juzgar y repetir lo que has escuchado decir para verificar tu comprensión. "Con una nueva comprensión de nuestras frustraciones colectivas e individuales, podemos empatizar entre nosotros, aprender a trabajar mejor juntos y pasar de ser un grupo a un equipo comprometido con un resultado común en lugar de con agendas individuales", escribe Nawaz.

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► 𝗦𝗼𝘂𝗿𝗰𝗲: https://r.smartbrief.com/resp/rFvjCzorxuDzduxFCigmqHCicNmKRa?format=multipart
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✔𝗖𝗔𝗟𝗘𝗡𝗗𝗔𝗥: https://www.inaaqc.org/calendar_2025

20/04/2026

𝐊𝐞𝐭𝐨𝐠𝐞𝐧𝐢𝐜 𝐃𝐢𝐞𝐭𝐬 𝐚𝐧𝐝 𝐃𝐞𝐩𝐫𝐞𝐬𝐬𝐢𝐨𝐧 𝐚𝐧𝐝 𝐀𝐧𝐱𝐢𝐞𝐭𝐲
Results: In this systematic review and meta-analysis of 50 studies, ketogenic diets were associated with mild to moderate improvements in depressive symptoms in randomized controlled trials and with greater improvements in quasi-experimental studies. No significant associations with anxiety were found in the randomized controlled trials. This means that ketogenic diets show possible associations with the reduction of depressive symptoms, but the evidence for anxiety is inconclusive; larger, high-quality trials are needed to clarify efficacy and generalizability.

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► 𝐎𝐫𝐢𝐠𝐢𝐧𝐚𝐥 𝐬𝐨𝐮𝐫𝐜𝐞: Janssen-Aguilar R, Vije T, Peera M, et al. Ketogenic Diets and Depression and Anxiety: A Systematic Review and Meta-Analysis. JAMA
Psychiatry. November 05, 2025. doi:10.1001/jama psychiatry.2025. 3261
► 𝗦𝗲𝗰𝗼𝗻𝗱𝗮𝗿𝘆 𝘀𝗼𝘂𝗿𝗰𝗲: https://www.inaaqc.org/2025_asobat

20/04/2026

𝐃𝐢𝐞𝐭𝐚𝐬 𝐜𝐞𝐭𝐨𝐠é𝐧𝐢𝐜𝐚𝐬 𝐲 𝐝𝐞𝐩𝐫𝐞𝐬𝐢ó𝐧 𝐲 𝐚𝐧𝐬𝐢𝐞𝐝𝐚𝐝
Resultados: En esta revisión sistemática y metaanálisis de 50 estudios, las dietas cetogénicas se asociaron con mejoras leves a moderadas en los síntomas depresivos en ensayos clínicos aleatorizados y con mejoras mayores en estudios cuasiexperimentales. No se encontraron asociaciones significativas con la ansiedad en los ensayos clínicos aleatorizados. Esto significa que las dietas cetogénicas muestran posibles asociaciones con la reducción de los síntomas depresivos, pero la evidencia para la ansiedad no es concluyente; se necesitan ensayos más amplios y de alta calidad para aclarar la eficacia y la generalización.

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► 𝐎𝐫𝐢𝐠𝐢𝐧𝐚𝐥 𝐬𝐨𝐮𝐫𝐜𝐞: Janssen-Aguilar R, Vije T, Peera M, et al. Ketogenic Diets and Depression and Anxiety: A Systematic Review and Meta-Analysis. JAMA
Psychiatry. November 05, 2025. doi:10.1001/jama psychiatry.2025. 3261
► 𝗦𝗲𝗰𝗼𝗻𝗱𝗮𝗿𝘆 𝘀𝗼𝘂𝗿𝗰𝗲: https://www.inaaqc.org/2025_asobat

17/04/2026

𝗝𝐨𝐮𝐫𝐧𝐚𝐥 𝐂𝐥𝐮𝐛𝐬 (𝐉𝐂)
Performed on: Friday, March 13, 2026
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𝟐𝟎𝟐𝟔 𝐀𝐈𝐂 - 𝐒𝐮𝐛𝐩𝐡𝐞𝐧𝐨𝐭𝐲𝐩𝐢𝐧𝐠 𝐡𝐲𝐩𝐨𝐭𝐞𝐧𝐬𝐢𝐨𝐧 𝐢𝐧 𝐞𝐚𝐫𝐥𝐲 𝐒•, 𝐀 𝐩𝐡𝐲𝐬𝐢𝐨𝐥𝐨𝐠𝐲-𝐠𝐮𝐢𝐝𝐞𝐝 𝐭𝐡𝐞𝐫𝐚𝐩𝐞𝐮𝐭𝐢𝐜 𝐚𝐩𝐩𝐫𝐨𝐚𝐜𝐡 (𝐬𝐚𝐧𝐜𝐡𝐞𝐳) [𝐞𝐝].𝐩𝐝𝐟
Codified by 𝙄𝙉𝘼𝘼𝙌𝘾 ᴮᴼ (YAPG)

1. ↓ MAP ➩ poor OC
2. S• induced ↓BP ▶︎
a. ↓ VOL ➩ preload
b. ↓ vascular tone ➩ afterload
c. 🫀 DYSF ➩ contractility
d. Combination
3. Vasoplegia does NOT allow ↑ tissue perfusion
4. FLUID ACCUMULATION ➩ worse OC
5. Concerns ▶︎ need for early subphenotype-tailored therapeutic strategy.
6. Bedside variables to guide therapy:
a. CRT. Does not define ↓AP subphenotype alone, but CENTRAL to decision-making
i. Prolonged = need for therapy.
ii. Normal = correction of ↓➰ unnecessary UNLESS other signs of ↓💨 (altered mental status)
iii. Its RESPONSE helps identify the underlying mech and the plan (continue ⌄ change ).
b. PP.
i. ↓PP = ↓SV
ii. Arterial stiffness 🚨
iii. Elderly + cHTA + DM ▶︎ “apparently” normal (40-50 mmHg) 🟰 ↓SV
c. DAP.
i. Except ↓HR, ↓ DAP (3) ▶︎ severe VASODILATION
iii. More reliably than ↓DAP
iv. ≠ SI ▶︎ HR / SAP.
4. P-PHY subphenotypes
a. ↓VOL
b. ↓ vascular tone
c. 🫀 DYSF
1. 𝙄𝙌𝘾 BS ➩ Y, J, C ➖ T ➕ N ➕ t ➖ P I C O:
2. 𝙄𝙌𝘾 BS 🟰 2021, IJGO, UK ➖ srMA ➕ 2524, 59 IN ➕ -Nov 11, 2020 ➖ P I C O:
- P: hALT pregnant
- 🅸: preg hALT
- 🅲: preg non-hALT
- O: pOC = hALT impact on LBW, SGA, SPTB | sOC = magnitude LBW

𝗩𝗲𝗿 𝗺á𝘀 𝗲𝗻: https://www.inaaqc.org/journal_club_2026
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𝗣𝗿𝗶𝗺𝗮𝗿𝘆 𝘀𝗼𝘂𝗿𝗰𝗲: https://bit.ly/4bm54tA