SARS-CoV-2, the coronavirus that causes Covid-19, enters human cells by binding of its viral spike protein to the membrane-bound form of the aminopeptidase angiotensin-converting enzyme 2 (ACE2). From the viewpoint of human physiology, ACE2 plays an important regulatory role in the…
Fri May 01, 2020 03:00
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Thu Apr 30, 2020 03:00
Presentation of Case. Dr. John H. Stone: A 37-year-old man was evaluated in the rheumatology clinic of this hospital for joint pain and rash. The patient had been well until 2 years before this evaluation, when intermittent arthralgias developed in the joints of the hands. Four months before…
Thu Apr 30, 2020 03:00
Thu Apr 30, 2020 03:00
Persons with mental disorders are at increased risk for other types of mental disorders and for a range of general medical conditions. These medical conditions contribute to a decreased quality of life, increased health care utilization, and premature death in many persons with mental disorders.…
Thu Apr 30, 2020 03:00
How long will this pandemic last? When will we find a treatment or vaccine? Which drug should we give our patients? Will we run out of personal protective equipment (PPE)? When will everyone return to work? We find ourselves in a time of great economic, social, and medical uncertainty. Faced with a…
Tue Apr 28, 2020 03:00
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Studies in animals have shown that angiotensin-converting enzyme 2 (ACE2), a membrane-bound aminopeptidase that is abundantly expressed in the lungs, the heart, and other tissues, is used by coronaviruses as a functional receptor for their entrance into the cells. Angiotensin-receptor blockers…
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus that causes coronavirus disease 2019 (Covid-19), can infect host cells by means of interaction with membrane-bound angiotensin-converting enzyme 2 (ACE2) on respiratory epithelium. ACE2 is part of the…
Caustic substances injure tissue by means of a chemical reaction on direct physical contact. Often thought of as acids or bases, caustics broadly include desiccants, vesicants, and protoplasmic poisons. The term "corrosive" is often used interchangeably with "caustic," but corrosion implies a…
To the Editor: Brodifacoum, a long-acting vitamin K epoxide cycle antagonist, is a rodenticide encountered in intentional ingestions and as a contaminant of some synthetic cannabinoid products. Serious brodifacoum poisoning is characterized by life-threatening hemorrhage. Brodifacoum poisoning is…
To the Editor: Despite the risk of rapid respiratory failure and cardiac complications due to Covid-19, it is unclear whether there is an association between Covid-19 and out-of-hospital cardiac arrest. The Lombardy region of Italy was among the first areas to have an outbreak of Covid-19 outside…
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