Andrea Viviani

406 posts

Andrea Viviani banner
Andrea Viviani

Andrea Viviani

@propofol90

🇪🇦🇮🇹 || cuando uno enseña, dos aprenden

Spain Katılım Mart 2012
379 Takip Edilen113 Takipçiler
Andrea Viviani retweetledi
Gabriel
Gabriel@gabriel_horwitz·
You open ChatGPT. You type the question. A clean, structured answer comes back in three seconds. You read it, it makes sense, you move on. You feel like you learned something. Forty-five days later, a professor walks in and hands you a test you weren't expecting. You don't remember most of it. André Barcaui at the Federal University of Rio de Janeiro ran the experiment to find out if the feeling was accurate. 120 undergraduate business students, ages 18 to 24. All told to spend two weeks researching AI concepts, ethics, societal impacts, technical foundations, and prepare a 10-minute presentation. Sixty used ChatGPT freely. Sixty used textbooks, library databases, articles, and standard web search. Then, 45 days later, with no warning, a retention test. The ChatGPT group scored 57.5%. The traditional group scored 68.5%. Cohen's d was 0.68, a medium-to-large effect. In most grading systems, that's the difference between passing and failing. This is called cognitive offloading. When your brain delegates thinking to an external tool, it reduces the mental effort required during encoding. Effort is what makes memories durable. Struggling to find, synthesize, and connect information is not an inefficiency in the learning process. It is the learning process. ChatGPT removes the struggle and takes the encoding with it. Barcaui calls what the AI group experienced "borrowed competence." The answer was structured, the vocabulary was right, the reasoning felt sound. It just wasn't theirs. And 45 days later, it was gone. The AI group's forgetting curve was steeper and didn't stabilize the way the traditional group's did. The memories weren't just smaller. They were more fragile from the start. You didn't learn it. You borrowed it.
Nicholas Fabiano, MD@NTFabiano

Students who used AI to study remembered less than those who did not.

English
114
1.2K
4.8K
771.9K
Andrea Viviani retweetledi
Ross Prager
Ross Prager@ross_prager·
Delivering bad news as an ICU doctor is one of the harder parts of the job. Here are some lessons I've learned along the way👇 1. Always sit down 2. Don't just jump into it. Spend the first couple of minutes with introductions to yourself, your team (if present), but more importantly who all is in the room (patient, family etc.) 3. If you will be needing consent for something (procedure, palliation etc.) as part of the discussion, ensure you know who the decision maker(s) are. 4. Preface the bad news "I have to share something that might be hard to hear" 5. Clearly in <30 seconds deliver the bad news then STOP TALKING. The biggest mistake I see is people give the news and keep going. It takes time to process what may be the worst news they've ever received. Silence is the solution here. They will talk or ask questions when they are ready... it could be 10 seconds, 1 minute, or 10minutes. Give them the time they need before you proceed. 6. Ask if they have any questions about what you have delivered. 7. Be prepared to answer 'what comes next' .. 8. Ask about spirtual / religious beliefs when appropriate and offer support if that is available. 9. Let them know you or someone from your team will be available to answer questions that might come to mind... often in the moment, questions slip people's mind but come to them minutes after you leave. Make sure they know how they can have them clarified. Just some thoughts here... any others? Bonus: Don't construe family members becoming angry as them being angry at you or the team. Anger when faced with this news is common, normalize it and realize it likely isn't directed at you!
English
28
66
367
58K
Andrea Viviani retweetledi
MediSueldos
MediSueldos@medisueldos·
🕵️‍♂️ La Estafa de la Guardia nació el 03/10/2000. El Tribunal UE (Caso SIMAP) soltó la bomba: "La Guardia ES tiempo de trabajo". Pánico en el Estado: Si eran horas reales, violaban el límite legal y el sistema quebraba. ¿La solución? Un crimen administrativo 👇
MediSueldos tweet media
Español
7
244
338
30.4K
Andrea Viviani
Andrea Viviani@propofol90·
@tommy_chav 😁👍🏻 Además: 1. La R a PTZ no se da en todas las AmpC, puede haber expresión baja y salir S. Poco probable con 2 días de tto 2. Prácticamente todas las AmpC son S a cefepime. 3. RC 3 en el MIR, incorrecta en la vida real: no hace falta usar un antipseudomónico (ertapenem mejor)
Español
0
0
1
90
Tommy Chavero
Tommy Chavero@tommy_chav·
@propofol90 No jajaja la verdad que revisándola tiene perfil CTXM por que no es R a PTZ; gracias por la aclaración!
Español
1
0
0
20
Tommy Chavero
Tommy Chavero@tommy_chav·
#Pregunta35 Mala evolución hacia shock séptico (infección + disfunción orgánica + soporte vasopresor) , a pesar de control de foco y antibioterapia. Bacteria no filiada con perfil de resistencias AMPc: viraje a carbapenémico con mejor perfil de sensibilidad. RC: 3
Tommy Chavero tweet mediaTommy Chavero tweet mediaTommy Chavero tweet media
Español
2
0
0
495
Andrea Viviani retweetledi
david andina
david andina@daandina·
‼️ Sobre las guardias médicas y el borrador del Estatuto Marco que quieren aprobar la ministra Mónica Garcia y los sindicatos que tienen una representación minoritaria o nula entre los médicos como CCOO, UGT, CSIF o SATSE: 🔴 Las guardias siguen siendo obligatorias hasta los 55 años 🔴 La hora de guardia se podrá seguir pagando peor que la hora ordinaria 🔴 Las guardias de días festivos seguirán siendo de 24 horas “voluntariamente” 🟠 Las guardias de días laborables seguirán siendo de 17 horas pero sin trabajar la jornada ordinaria (única mejora objetiva y real aunque suponga seguir trabajando 17 horas seguidas) 🪧 Por estas y por otras razones la huelga médica continuará los días 14 y 15 de enero.
Español
19
226
569
55.2K
M Velia Antonini
M Velia Antonini@FOAMecmo·
⏳ Beyond the edge: how far can we go in (safely) expanding warm ischemia time? Reflections on pushing the boundaries of WIT in donors undergoing circulatory determination of death, with the aim of leaving no heart behind. Thoraco-abdominal normothermic regional perfusion made it feasible to overcome limits deemed as prohibitive until recently. Editorial by @CAmarelli74 on @TheJHLT 🔗 bit.ly/4pRZB2r 🫀 Refers to the Bologna #Transplantation center experience with recovery of cardiac function through TA #NRP in DCD donors undergoing extremely prolonged WI & no-touch times. 🔗 bit.ly/4nwQZfQ
M Velia Antonini tweet media
English
1
9
26
2.4K
Andrea Viviani retweetledi
Sundar Sankaran
Sundar Sankaran@sundar_s1955·
Sundar Sankaran tweet media
ZXX
52
2.9K
11.4K
871.3K
Andrea Viviani retweetledi
UnNeurocx
UnNeurocx@Unneurocx·
Feliz guardia de Nochebuena y de Navidad y lo que sea a los q les toque. Y no os quejéis, que cobráis mucho.
Español
93
138
4.2K
163.8K
Cliff Reid
Cliff Reid@cliffreid·
'Pseudohyponatremia' due to hyperglycemia is REAL hyponatremia which gets better when you fix the glucose 'Pseudohyponatremia' due to elevated lipids or protein is NOT real hyponatremia. The lab tells you the sodium is low but there is no true hyponatremia I made this animated graphic using the latest Gemini AI model with a single simple prompt that explains the difference nicely gemini.google.com/share/63f5703b…
Cliff Reid tweet mediaCliff Reid tweet media
English
6
26
163
21.9K
Andrea Viviani
Andrea Viviani@propofol90·
@cliffreid Excelent! And blood gas analizers dont suffer this artifact (direct ISE technology) so for real Na levels just check the ABG and forget the lab. For the same mechanism ICU patients with severe hypoalb could have pseudoHIPERnatremia.
English
0
1
8
854
Tim Cook
Tim Cook@doctimcook·
@Anaes_Journal Same in ICU The “obesity paradox” suggests optimal BMI for surviving critical illness is 30-32 kg/m2. ….food for thought
English
3
0
7
785
Andrea Viviani
Andrea Viviani@propofol90·
@ehlJAMA Ohhh very glad to hear that BUT >90% of recents cardiology trials (included those published in JAMA) used composite outcomes just like this one, leaving to questionable changes in guidelines recomendations @drjohn
English
0
0
0
67
Ed Livingston
Ed Livingston@ehlJAMA·
Sorry, it can’t be that important if the composite outcome has both length to stay and mortality in it. Composite outcomes have to combine events of equal magnitude. If not, they are meaningless.
Ross Prager@ross_prager

(1/x) Andromeda-Shock 2 was just published in JAMA and is the most important septic shock trial in the past DECADE. They found that phenotyped resuscitation improves the composite outcome of mortality, vital support, and hospital LOS. Here's how you can apply this protocol to your practice 👇

English
14
19
160
52.5K
Andrea Viviani retweetledi
Ron Barbosa MD FACS
Ron Barbosa MD FACS@rbarbosa91·
In honor of Dr. Robert Bartlett’s passing, here is the first ECMO patient, Esperanza Pineda, both on ECMO shortly after birth in 1975 and at age 44. She is now 50.
Ron Barbosa MD FACS tweet mediaRon Barbosa MD FACS tweet media
English
9
106
796
38.2K
Andrea Viviani retweetledi
ELSO
ELSO@ELSOOrg·
◾️In Memoriam of Robert H. Bartlett, MD 1939-2025 Without Dr. Bartlett, there is no ECMO: he saved more than 100,000 patients through his life’s work. He changed the world. He will forever be the Father of ECMO. Vale, Dr B 🔗 elso.org/ecmo-resources… 🎥 youtube.com/watch?v=4sfPgP…
YouTube video
YouTube
ELSO tweet media
English
1
211
525
72.7K
Andrea Viviani retweetledi
SEMICYUC
SEMICYUC@semicyuc·
La Dra. Mónica Talavera (@SOVAMICYUC) fue entrevistada por la Cadena COPE por el Día Mundial de la RCP. La intensivista del Hosp. Univ. La Fe (Valencia), junto a la residente Laura de Rivas (R4), explicó por qué todos deberíamos saber RCP y salvar vidas, así como la importancia de la reacción rápida y los conocimientos avanzados de un intensivista. bit.ly/4qcVnD2 #intensivistas #losprofesionalesdelenfermocrítico
SEMICYUC tweet media
Español
0
6
5
669
Andrea Viviani retweetledi
Rafael Melo
Rafael Melo@intensivaev·
This is how a lot of people see IVC....if i earned a dollar for every time i heard this, i would have already bought a ferrari
Rafael Melo tweet media
English
2
5
23
8.6K
Andrea Viviani retweetledi
Dr. Javier Flores
Dr. Javier Flores@farmacotips·
3️⃣ Prácticas incorrectas que promueven dependencia de IA y afectan el pensamiento critico. ❌ Copiar y pegar respuestas de IA sin verificar ❌ Usarla para saltar pasos en el razonamiento clínico ❌ Dejar que la IA resuelva preguntas tipo USMLE sin analizar por qué. Así no se aprende medicina. Se automatiza la ignorancia.
Español
1
5
39
4.5K
Andrea Viviani
Andrea Viviani@propofol90·
@PPodrid Lyme disease, Complete heart block with isorhythmic AV dissociation
English
1
0
3
186
Philip J Podrid MD
Philip J Podrid MD@PPodrid·
47 year old with no prior cardiac history or cardiac symptoms presents with rash, fever and arthralgias that occurred a few weeks after a camping trip. What is the diagnosis and what does the ECG show? #PodridECGs #ECG #meded #cardiotwitter
Philip J Podrid MD tweet media
English
8
7
30
2.1K
Andrea Viviani
Andrea Viviani@propofol90·
@ucite12 Paracetamol?? 😜
San Giuliano Terme, Toscana 🇮🇹 Español
0
0
0
619