Sign in

Alexandre Serafim

@2210alex.bsky.social
568 followers 949 following 53 posts

Pediatric Intensivist at Brasilia, Brazil

PostsRepliesMedia
Reposted by Alexandre Serafim
Eric Topol @erictopol.bsky.social · 01/10/2026
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/...
science.org
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...
215558
Reposted by Alexandre Serafim
NEJM.org @nejm.org · 01/10/2026
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: nej.md/4h7h0SP
An illustrated diagram of multisystem findings in patients with Duchenne Muscular Dystrophy. The image highlights physical features such as shoulder and arm positioning, a protruding belly, calf muscles with pseudohypertrophy, and a waddling gait. Annotations describe muscle weakness, respiratory challenges, positional deformity, and difficulty maintaining balance, leading to frequent falls.
063
Reposted by Alexandre Serafim
ATS Blue Journal @atsblueeditor.bsky.social · 01/10/2026
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
academic.oup.com
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
022
Reposted by Alexandre Serafim
Critical Care Reviews @criticalcarereviews.com · 30/09/2026
2026 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery CCR Journal Watch criticalcarereviews.com/latest-evid…
022
Reposted by Alexandre Serafim
Stanford Neurology & Neurological Sciences @stanfordneuro.bsky.social · 27/09/2026
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. med.stanford.edu/news/insights/2026…
med.stanford.edu
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.
023
Reposted by Alexandre Serafim
50501: The People’s Movement ❌👑 @50501movement.bsky.social · 27/09/2026
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
7203163
Reposted by Alexandre Serafim
Annals of Emergency Medicine @annalsofem.bsky.social · 25/09/2026
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...
022
Reposted by Alexandre Serafim
WFPICCS @wfpiccs.bsky.social · 23/09/2026
🌏 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
011
Alexandre Serafim @2210alex.bsky.social · 23/09/2026
#PedsICU
021
Reposted by Alexandre Serafim
NEJM.org @nejm.org · 23/09/2026
In a new NEJM Voices blog post, Don Dizon, MD, argues that artificial intelligence tools used in medicine will never replace clinicians. See why: nej.md/46BpP1a
This image is an illustration of two individuals sitting in a medical office. One is wearing a white coat with a stethoscope around his neck, and holding a tablet, representing a doctor, while the other is engaged in conversation. In the background, a computer monitor displays a document. The text reads: "NEJM Voices | Don Dizon, M.D. The Limits of AI in the Art of Medicine."
042
Reposted by Alexandre Serafim
Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 19/09/2026
Following up on BEST FLUIDS - this RCT of ringers versus D5-NS post transplant with surrogate outcomes www.kireports.org/article/S246... in @kireports.bsky.social A bit more confidence that RL may be ~ plasmalyte?
Visual abstract
132
Reposted by Alexandre Serafim
Ryan Marino, MD @ryanmarino.bsky.social · 19/09/2026
Hotter, wetter summers, and milder winters - in addition to a lack of supportive infrastructure to prevent it - have helped dengue spread drastically around the globe in recent years, and into the continental United States. We do not have an approved vaccine for it and it’s difficult to test for.
theconversation.com
Dengue-carrying mosquitoes expand their reach into new territories – including Florida
As dengue spreads further outside its normal tropical zones, doctors and patients need to know what to watch for.
27619
Reposted by Alexandre Serafim
Critical Care Reviews @criticalcarereviews.com · 19/09/2026
The 2nd trial for CCR Frankfurt is CONFIDENCE To be presented by Frederique Paulus & Siebe Blok Can lung ultrasound-guided fluid removal increase ventilator-free days? Join us 22–23 February, 2027 Registration opens shortly criticalcarereviews.com/meetings/ccr... #CCRFrankfurt
Flyer for the CONFIDENCE trial, to be presented at CCR Frankfurt
112
Reposted by Alexandre Serafim
WFPICCS @wfpiccs.bsky.social · 16/09/2026
🌏 Explore the future of intensive care in vibrant #Melbourne at #WFPICCS26! 🎥 Prof @fenellagill.bsky.social shares what awaits 📍26–30 Sept 2026 👉 wfpiccs2026intensivecareasm.com/program/ 🦘Stay longer to discover Melbourne & Victoria! melbournecb.com.au/welcome-to-melbourne #PedsICU #visitmelbourne
011
Reposted by Alexandre Serafim
NEJM.org @nejm.org · 16/09/2026
For patients with esophageal cancer, 5-year survival has improved in recent decades but rarely exceeds 20%. A new review summarizes risk factors, screening, and treatment for the two main histologic types. Read the full review: nej.md/3Tb2NuX
031
Reposted by Alexandre Serafim
Ryan Marino, MD @ryanmarino.bsky.social · 15/09/2026
All 4 deaths have been in the unvaccinated.
cnn.com
Pennsylvania reports fourth measles-related death, the most in US in decades | CNN
Pennsylvania has reported a fourth death related to measles, the latest in a growing outbreak that has also sparked ongoing political clashes.
718058
Reposted by Alexandre Serafim
Critical Care Reviews @criticalcarereviews.com · 15/09/2026
Clinical Management of Myocardial Infarction CCR Journal Watch criticalcarereviews.com/latest-evid…
011
Reposted by Alexandre Serafim
WFPICCS @wfpiccs.bsky.social · 14/09/2026
🎥Our Immediate Past President, Brenda Morrow previews her #WFPICCS26 talks on🌐research capacity & ethical challenges in resource-limited care 📍 Join us in Melbourne from Sep 26-30! ➡️Explore the program here 👉🔗https://wfpiccs2026intensivecareasm.com/program/ #PedsICU #globalhealth
011
Reposted by Alexandre Serafim
Papertis @papertis.bsky.social · 12/09/2026
Interesting to see a pragmatic trial design tackle a question that's been debated for years. The equipoise here seems genuine—speaks to how much we still don't know about fluid choice despite how fundamental it is to critical care.
011
Reposted by Alexandre Serafim
BMJ Medicine @bmjmedicine.bsky.social · 12/09/2026
New research from Padmini Selvaganesan and colleagues evaluates the effectiveness of SGLT2 inhibitors in reducing the risk of hospital admission for heart failure and mortality in patients with heart failure with preserved ejection fraction bit.ly/4gQXE30
011
Reposted by Alexandre Serafim
It's ME(Jaime) @exceedhergrasp1.bsky.social · 12/09/2026
An article from @iwashyna.bsky.social about witnessing & reacting to misogynoir in an ED setting led me Prof. Koritha Mitchell's ( @profkori.bsky.social ) definition of know-your-place aggression and whewboy: voices.nejm.org/doi/full/10....
I define know-your-place aggression as the flexible, dynamic array of forces that answer the achievements of marginalized groups such that their success brings aggression as often as praise. Any progress by those who are not straight, white, and male is answered by a backlash of violence—both literal and symbolic, both physical and discursive—that essentially says, know your place!
2248
Reposted by Alexandre Serafim
The BMJ @bmj.com · 10/09/2026
Nearly a third of the government’s nutrition advisors still have “significant” ties to the food industry including Coca Cola, Sainsbury’s, and Danone, reveals our new investigation. Despite a new code of conduct banning links to the food industry, members with ties are allowed to remain in post
bmj.com
A third of UK government’s nutrition advisers are still paid by food industry, including Coca-Cola and Nestlé
Financial conflicts of interest remain rife in the Scientific Advisory Committee on Nutrition (SACN), BMJ analysis reveals. Despite a new code of conduct banning links to the food industry, members wi...
21614
Reposted by Alexandre Serafim
British Journal of Anaesthesia @bjajournals.bsky.social · 09/09/2026
#Correspondence by Raul Bustos et al reporting a #PRIS induced by low dose propofol infusion in an #infant. #Fatty acid oxidation should be checked in children with metabolic symptoms before #sedation. www.bjanaesthesia.org.uk/article/S0…
023
Reposted by Alexandre Serafim
haysamrady @sodatroubles.bsky.social · 09/09/2026
Acute glucagon infusion induces natriuresis and diuresis through a direct tubular mechanism involving overlapping receptor pathways #nephsky #nephrology journals.physiology.org/doi/full/10....
journals.physiology.org
Acute glucagon infusion induces natriuresis and diuresis through a direct tubular mechanism involving overlapping receptor pathways | American Journal of Physiology-Renal Physiology | American Physiol...
It is unclear whether the reported natriuretic and diuretic effects of glucagon are mediated by renal hemodynamic changes or by direct tubular actions within the kidney. We investigated the renal effe...
042
Reposted by Alexandre Serafim
European Society of Paediatric and Neonatal Intensive Care @espnic.bsky.social · 09/09/2026
The #ESPNIC Journal Club begins TOMORROW! Join us tomorrow at 3 PM to learn more about the Association between Protein Intake and Muscle Wasting in Critically Ill Children with leading experts! Free Registration✅: bit.ly/4zNbbBd
011
Reposted by Alexandre Serafim
BMJ Medicine @bmjmedicine.bsky.social · 08/09/2026
Deshi Chen and colleagues compare the efficacy and safety of GLP-1 based treatments for weight loss in non-diabetic adults with overweight or obesity, finding weight loss was greater with next generation incretin based treatments than conventional GLP-1 receptor agonists bit.ly/4zPl2X8
bit.ly
Comparative efficacy and safety of glucagon-like peptide 1 based drugs for weight loss in adults with overweight or obesity without diabetes: network meta-analysis of randomised controlled trials
Objective To compare the efficacy and safety of glucagon-like peptide 1 (GLP-1) based drug treatments for weight loss in adults with overweight or obesity without diabetes.Design Network meta-analysis...
021
Alexandre Serafim @2210alex.bsky.social · 07/09/2026
#PedsICU
000
Reposted by Alexandre Serafim
JAMA Cardiology @jamacardiology.com · 28/08/2026
📝 Narrative Review: #RightVentricle metrics, such as strain, fractional area change, and ejection fraction, offer mechanistic insight in cardiovascular trials but remain underused due to acquisition variability and lack of standardization. ja.ma/4wDRKIr
ja.ma
Right Ventricular Metrics as End Points in Clinical Trials
This narrative review discusses the current and emerging role of right ventricular–focused imaging and hemodynamic parameters as end points in clinical trials and a comprehensive framework for their development, validation, and broader implementation.
044
Reposted by Alexandre Serafim
John Ross @johnrossmd.bsky.social · 05/09/2026
Modern studies from the Amazon have shown that a 1% increase in deforestation is associated with a 6.3% increase in malaria cases
pnas.org
Ecological change increases malaria risk in the Brazilian Amazon | PNAS
Ecological change in the Brazilian Amazon is closely linked to human mobility and health. Mining, agriculture, logging, and other activities alter ...
12010
Reposted by Alexandre Serafim
NEJM.org @nejm.org · 05/09/2026
Among 16 patients with refractory neurologic autoimmune disorders, lentiviral CD19 CAR T-cell therapy was associated with manageable side effects, complete B-cell depletion, and preliminary clinical improvement across disease groups. Full trial results: nej.md/4zPPwbD
A figure showing the clinical outcome measures after treatment, including scores on the Expanded Disability Status Scale (EDSS; range, 0 to 10, with higher scores indicating greater disability) in patients with MS or MOGAD (left), Manual Muscle Testing 8 (MMT-8) scores (range, 0 to 150, with higher scores indicating stronger muscles) in those with IIM or gMG (middle), and scores on the Quantitative Myasthenia Gravis (QMG) scale (range, 0 to 39; higher scores indicate greater disease activity) in those with gMG (right).
083
Alexandre Serafim @2210alex.bsky.social · 05/09/2026
#PedsICU
000
Reposted by Alexandre Serafim
sccmcriticalcare.bsky.social @sccmcriticalcare.bsky.social · 05/09/2026
Effective transitions of care are vital, particularly for children who have spent months in the NICU. Hear Philip D. Cohen, MD, MSc, discuss his PCCM article on non-emergent NICU to PICU transfers. 🎙️ sccm.org/pod575 #SCCM
021
Reposted by Alexandre Serafim
Heidi Flori MD, FAAP @drheidiflori.bsky.social · 05/09/2026
#PedsICU 👇
031
Reposted by Alexandre Serafim
Critical Care Reviews @criticalcarereviews.com · 05/09/2026
Biomarkers of perioperative neurocognitive disorders after cardiac surgery: from mechanistic insights to clinical translation CCR Journal Watch criticalcarereviews.com/latest-evid…
021
Reposted by Alexandre Serafim
The BMJ @bmj.com · 04/09/2026
"People with relevant competing interests, particularly financial ones, should not be members of clinical or public policy guideline committees." @kamranabbasi.bsky.social on why the notion that transparency alone is enough hasn’t stood the test of time
bmj.com
The £50m case for eliminating financial interests from clinical guidelines
263
Reposted by Alexandre Serafim
ISNkidneycare @theisn.org · 04/09/2026
📖 This weekend don't miss our @kireports.bsky.social #ISNFridaySelection: Anti-CD20 Therapies and Antinephrin Autoantibodies in IgA Nephropathy With Minimal Change Disease www.kireports.org/article/S2468-024…
054
Reposted by Alexandre Serafim
Critical Care Reviews @criticalcarereviews.com · 02/09/2026
Trauma-Induced Coagulopathy: From Endotheliopathy and Fibrinolysis Phenotypes to Viscoelastic-Guided Resuscitation CCR Journal Watch criticalcarereviews.com/latest-evid…
052
Reposted by Alexandre Serafim
Ken Tegtmeyer, MD @pccmdoc.bsky.social · 02/09/2026
Giving a 5 hour window…then arriving in the last 5 minutes of the window is the worst kind of “technically” correct.
061
Reposted by Alexandre Serafim
Cincinnati Children’s Research @cincyresearch.bsky.social · 03/09/2026
What does it mean to be "practice ready"? A new study from Cincinnati Children's researchers explores how residency program directors answer that question. ow.ly/jXyP50ZIZ29
044
Reposted by Alexandre Serafim
Journal of Hospital Medicine @jhospmedicine.bsky.social · 26/08/2026
TWDFNR; Sitting versus standing at the bedside during rounds. What is best for physician-patient communication? 🔗: doi.org/10.1002/jhm.70293 ✍️: Gray et al 🖼️: #VisualAbstract by @Eric Burnett #JournalofHospitalMedicine #SHM #TWDFNR
031
Reposted by Alexandre Serafim
Journal of Hospital Medicine @jhospmedicine.bsky.social · 22/08/2026
Are we still giving antibiotics for too long? 💊⏱️ Evidence for shorter courses continues to grow. So how short is too short? 🔗: shmpublications.onlinelibrary.wiley… ✍️: @WAaronManning, @MattMil81732351 🖼️: Catie Glatz #SHM #JHM #MedED #IDTwitter
242
Reposted by Alexandre Serafim
Craig Joseph, MD @craigmjoseph.bsky.social · 19/08/2026
JAMA’s message for healthcare leaders: “doing less” is often harder than doing more. Trials of deprescribing and de-escalation show that some interventions can safely be reduced, while others cannot. Success requires patient selection, monitoring, and shared decision-making. #MedSky buff.ly/1S9Z0fJ
jamanetwork.com
Deescalation, Discontinuation, and Deimplementation Trials
Deescalation, discontinuation, and deimplementation trials have emerged in multiple health care contexts in which interventions are suspected of being inappropriately used, applied beyond their…
042
Reposted by Alexandre Serafim
Anesthesia & Analgesia @iarsjournals.bsky.social · 19/08/2026
🩸 The rate of neonatal RBC transfusion in noncardiac surgery was 22.8% with >50% of those transfused being over transfused (defined Hb ≥12 g/dL). Neonates who received higher transfusion volumes had a significantly higher 30-day postoperative mortality. journals.lww.com/anesthesia-a...
013
Reposted by Alexandre Serafim
geraldmcgrew @geraldmcgrew.bsky.social · 10/08/2026
*The escalated abuse against Dr. Hussam Abu Safiya following a legal challenge to his detention has sent a chilling message to the families of detained medical workers in Gaza* Ismail Nofal Aug 08, 2026 www.dropsitenews.com/p/doctor-hus...
dropsitenews.com
Israel's Brutal Retaliation Against Imprisoned Palestinian Doctors Seeking Legal Appeals
The escalated abuse against Dr. Hussam Abu Safiya following a legal challenge to his detention has sent a chilling message to the families of detained medical workers in Gaza.
13423
Reposted by Alexandre Serafim
NEJM.org @nejm.org · 12/08/2026
Among unresponsive adults undergoing mechanical ventilation in the ICU after a cardiac arrest, conservative oxygen therapy did not result in a higher likelihood of survival with a favorable functional outcome than liberal oxygen therapy. Full LOGICAL trial results: nej.md/4x7TavY
This image contains an excerpt from the Research Summary "Conservative Oxygen for Unresponsive Patients after Cardiac Arrest" published in the New England Journal of Medicine. Key statistics: 1840 patients, average age 60, with 71% men and 29% women. It compares two groups: Conservative Oxygen (N=882) and Liberal Oxygen (N=958). A prompt to read the full Research Summary at NEJM.org sits at the bottom.
052
Reposted by Alexandre Serafim
Prof Peter Hotez MD PhD DSc(hon) @peterhotezmdphd.bsky.social · 12/08/2026
Burnout
17218
Reposted by Alexandre Serafim
Ryan Marino, MD @ryanmarino.bsky.social · 25/07/2026
Important www.nejm.org/doi/full/10....
PERSPECTIVE
"A clinician who cannot reason independently through a clinical problem has no internal reference against which to judge
AI output."

from “Crew Resource Management - Navigating Al's Automation Paradox" by R.-E.E. Abdulnour et al.
The NEW ENGLAND JOURNAL of MEDICINE
817552
Reposted by Alexandre Serafim
British Journal of Anaesthesia @bjajournals.bsky.social · 20/07/2026
In this secondary analysis of the VIDEOLAR-SURGERY trial, Taboada et al shows that modified Cormack-Lehane grade correlates with first-pass #intubation success whether using direct or #videolaryngoscopy. www.bjanaesthesia.org/article/S0007…
022
Reposted by Alexandre Serafim
BMC @bmc.springernature.com · 19/07/2026
A study in BMC Medicine finds that breastfeeding up to 12 months of age is associated with reduced infection burden and inflammation, as well as differences in metabolomic biomarkers and lipids, mediating much of these beneficial effects. #MedSky
bit.ly
The protective effect of breastfeeding on infant inflammation: a mediation analysis of the plasma lipidome and metabolome - BMC Medicine
Background Inflammation has long-term health impacts across the life course. Breastfeeding substantially reduces inflammation risk, but key pathways, including the extent that this is due to protection against early life infection, are poorly understood. We aimed to investigate the relationships between breastfeeding, inflammation, and infection burden, and to determine the extent to which metabolomic and lipidomic profiles associated with breastfeeding mediate these health outcomes. Methods We utilised data from the Barwon Infant Study (BIS), a longitudinal birth cohort in Victoria, Australia. Infants (n = 889) with available breastfeeding (categorised as yes/no) clinical, metabolomic, and Lipidomic data at 6 and/or 12 months were included (n = 793 at 6 months, n = 734 at 12 months). Inflammation, measured via glycoprotein acetyls (GlycA), at 6 and 12 months and infection burden, including parent-reported and medically attended infections assessed through standardised 3-monthly questionnaires were used as outcomes. Results Any breastfeeding, regardless of supplementary feeding, was associated with lower inflammation, fewer infections, and significant, potentially beneficial changes in metabolomic and lipidomic markers, particularly plasmalogens. There was evidence of bidirectional mediation: metabolomic biomarkers and lipids mediated breastfeeding’s effects on inflammation, while inflammation partly mediated breastfeeding’s impact on certain metabolites and lipids. Conclusions These findings highlight pathways through which breastfeeding reduces inflammation and infection burden, identifying potential targets for optimising infant feeding.
033
Reposted by Alexandre Serafim
Kai Kupferschmidt @kakape.bsky.social · 13/07/2026
The Ebola outbreak in the DRC keeps growing at a shocking pace. We're already close to 2000 confirmed cases. Right now: 1926 confirmed cases (incl. 53 new cases in the last 24 hours) 702 of these have died insp.cd/sitrep-n058-...
314092