Acesso livre
Acesso livre

Clínica Médica

Revisão | Diagnóstico e tratamento do distúrbio neurológico funcional.

25 Jan, 2022 | 14:49h

Diagnosis and management of functional neurological disorder – The BMJ

Estudo randomizado | Ertapenem 1.000 mg em dose única é não inferior a ceftriaxona 500 mg em dose única para o tratamento da gonorreia.

25 Jan, 2022 | 14:48h

Efficacy of ertapenem, gentamicin, fosfomycin, and ceftriaxone for the treatment of anogenital gonorrhoea (NABOGO): a randomised, non-inferiority trial – The Lancet Infectious Diseases (link para o resumo – $ para o texto completo)

 

Comentário no Twitter (fio – clique para saber mais)

 

Podcast | Dicas sobre disfunção erétil.

25 Jan, 2022 | 14:44h

#317 Erectile Dysfunction – The Curbsiders

Estudo de coorte | Em pacientes com prótese articular, a antibioticoprofilaxia provavelmente não é necessária para procedimentos dentais invasivos.

25 Jan, 2022 | 14:39h

Analysis of Prosthetic Joint Infections Following Invasive Dental Procedures in England – JAMA Network Open

Comentário: Prophylactic Antibiotics Not Needed Before Invasive Dental Procedures – HealthDay

 

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Estudo randomizado | Dieta de baixo FODMAP reduz os sintomas em pacientes celíacos tratados e que persistem com sintomas.

25 Jan, 2022 | 14:34h

A low FODMAP diet reduces symptoms in treated celiac patients with ongoing symptoms – a randomized controlled trial – Clinical Gastroenterology and Hepatology

 

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Estudo de caso-controle | 3 doses de vacinas de mRNA foram associadas com redução nas infecções pelas variantes Ômicron e Delta do SARS-CoV-2 em comparação com 2 doses ou nenhuma vacinação.

25 Jan, 2022 | 12:07h

Association Between 3 Doses of mRNA COVID-19 Vaccine and Symptomatic Infection Caused by the SARS-CoV-2 Omicron and Delta Variants – JAMA

Editorial: Booster Vaccination to Prevent COVID-19 in the Era of Omicron: An Effective Part of a Layered Public Health Approach – JAMA

Comentários: New data show booster doses protect against Omicron – CIDRAP

Boosters provide the best protection against Omicron variant, CDC studies show, raising new questions about what it means to be fully vaccinated – CNN

Estudos do CDC relacionados:

COVID-19 Incidence and Death Rates Among Unvaccinated and Fully Vaccinated Adults with and Without Booster Doses During Periods of Delta and Omicron Variant Emergence — 25 U.S. Jurisdictions, April 4–December 25, 2021 – CDC Morbidity and Mortality Weekly Report

Effectiveness of a Third Dose of mRNA Vaccines Against COVID-19–Associated Emergency Department and Urgent Care Encounters and Hospitalizations Among Adults During Periods of Delta and Omicron Variant Predominance — VISION Network, 10 States, August 2021–January 2022 – CDC Morbidity and Mortality Weekly Report

 

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CDC da Europa sobre a Ômicron: “Entre os casos de Ômicron reportados ao TESSy, 1,14% foram internados, 0,16% necessitaram de internação em UTI/suporte respiratório e 0,06% morreram.”

25 Jan, 2022 | 12:05h

Weekly epidemiological update: Omicron variant of concern (VOC) – week 2 (data as of 20 January 2022) EU/EEA – European Centre for Disease Prevention and Control (ECDC)

Diretriz atualizada | Medicamentos e agentes biológicos recomendados para pacientes adultos com COVID-19.

25 Jan, 2022 | 12:04h

Clinical Practice Guideline Summary: Recommended Drugs and Biologics in Adult Patients with COVID-19 – Covid-19 Advisory for Ontario

 

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Guia para imunoterapia na COVID-19.

25 Jan, 2022 | 11:57h

A guide to immunotherapy for COVID-19 – Nature Medicine

As diretrizes WSES/SICG/ACOI/SICUT/AcEMC/SIFIPAC para diagnóstico e tratamento da diverticulite colônica esquerda aguda em idosos.

25 Jan, 2022 | 11:53h

The WSES/SICG/ACOI/SICUT/AcEMC/SIFIPAC guidelines for diagnosis and treatment of acute left colonic diverticulitis in the elderly – World Journal of Emergency Surgery

Conteúdos relacionados:

ACP Guideline: Diagnosis and management of acute left-sided colonic diverticulitis.

Review: Changing paradigms in the management of acute uncomplicated diverticulitis.

RCT: Another study shows that non-antibiotic outpatient treatment in mild acute diverticulitis is safe.

Review: Elective surgical management of diverticulitis

State of the Art Review | Management of colonic diverticulitis

Drains, germs, or steel: Multidisciplinary management of acute colonic diverticulitis

Randomized trial: Laparoscopic lavage vs. primary resection for perforated purulent diverticulitis; similar long-term results, but recurrence was more common after laparoscopic lavage

Randomized trial: In patients with recurrent, complicated, or persistent painful diverticulitis, sigmoid resection improved quality of life but was associated with a small but significant risk of major complications

Systematic review: Management of colonic diverticulitis

WSES Guidelines for the Management of Acute Colonic Diverticulitis

ASCRS Guidelines for the Treatment of Left-Sided Colonic Diverticulitis

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