Clínica Médica

#ScholarlySunday

In 2007, antibiotic prophylaxis to prevent VGS IE was scaled back.

“There was no convincing evidence that VGS IE frequency, morbidity, or mortality has increased since 2007.”

Thanks Drs. @LBaddour1, Daniel DeSimone and Walter Wilsonhttps://t.co/r9It8c3IwA pic.twitter.com/EO3gcKZAzG

— Mayo Clinic Infectious Diseases (@MayoClinicINFD) April 18, 2021

Estudo de coorte: Uso concomitante de drogas-Z (zolpidem, zopiclona, zaleplona) e opioides aumenta sobremaneira o risco de overdose

30 Abr, 2021 | 09:08h

The Risk of Overdose With Concomitant Use of Z-Drugs and Prescription Opioids: A Population-Based Cohort Study – American Journal of Psychiatry (link para o resumo – $ para o texto completo)

Comentário: Co-prescribing Opioids, Z-Drugs May Increase Risk of Overdose – Psychiatric News Alert

Orientações da AHA/ASA: Diagnóstico e tratamento da trombose de seio venoso cerebral associada a trombocitopenia trombótica induzida por vacina – “Nenhum tipo de heparina, em qualquer dose, deve ser administrado.”

30 Abr, 2021 | 09:02h

Diagnosis and Management of Cerebral Venous Sinus Thrombosis with Vaccine-Induced Thrombotic Thrombocytopenia – Stroke

Comunicado de Imprensa: Guidance on treatment for rare blood clots and low platelets related to COVID-19 vaccine – American Heart Association

Relacionado: ISTH Interim Guidance for the Diagnosis and Treatment on Vaccine Induced Immune Thrombotic Thrombocytopenia

Estudo com 6.9 milhões de pessoas na Inglaterra mostra que a Covid-19 grave em jovens pode ser explicada, em grande parte, pela obesidade – Com IMC acima de 23 kg/m2, há um aumento linear no risco de Covid-19 grave

30 Abr, 2021 | 08:59h

Associations between body-mass index and COVID-19 severity in 6·9 million people in England: a prospective, community-based, cohort study – The Lancet Diabetes & Endocrinology

Comentários: Severe COVID in young people can mostly be explained by obesity – new study – The Conversation E Obesity studies highlight severe COVID outcomes, even in young adults – CIDRAP E Expert reaction to study looking at a potential link between body weight and risk of severe COVID-19, especially for younger adults – Science Media Centre

Comentário no Twitter (fio – clique para saber mais)

NEW—Study of health records of nearly 7 million people in England found that the risk of worse outcomes from #COVID19 starts rising in people with a BMI above 23kg/m2—considered to be in the healthy range.

Read in @TheLancetEndo: https://t.co/5ibn3yb1xO 1/2 pic.twitter.com/4MwnGq95Sz

— The Lancet (@TheLancet) April 29, 2021

Debate: Deve-se usar máscaras ao ar livre?

30 Abr, 2021 | 08:55h

Should masks be worn outdoors? – The BMJ

Comentários: Experts debate on wearing masks outdoors – News Medical E Do masks need to be worn outdoors? – Advanced Science News

Comentário no Twitter (Fio – clique para saber mais)

Who do so many of us go off about outdoor masking?

Because if governments can show its people that it's taking #COVID19 seriously by focusing on outdoor masking while ignoring the living and working conditions driving so many infections, we'll get nowhere.#endpandemictheatre

— Stefan Baral (@sdbaral) April 29, 2021

Aulas presenciais e o risco de transmissão domiciliar de COVID-19 – “Embora as aulas presenciais sejam associadas a risco de transmissão domiciliar de Covid-19, este risco pode ser bastante controlado com medidas adequadas de prevenção implementadas na escola”

30 Abr, 2021 | 08:51h

Household COVID-19 risk and in-person schooling – Science

Comunicado de Imprensa: In-Person Schooling with Inadequate Mitigation Measures Raises Household Member’s COVID-19 Risk – Johns Hopkins Bloomberg School of Public Health

Comentário no Twitter

After analyzing responses from the #COVID19 Symptom Survey, @JustinLessler et al. find support for the idea that in-person schooling increases COVID-19 risk to household members; but also evidence that common mitigation measures can reduce this risk. https://t.co/DFtCoN0FEE pic.twitter.com/gxt7nkhdMb

— Science Magazine (@ScienceMagazine) April 29, 2021

“Brain fog” causada pela COVID-19 inspira busca por causas e tratamentos

30 Abr, 2021 | 08:41h

COVID-19 ‘brain fog’ inspires search for causes and treatments – Science (alguns artigos gratuitos por mês)

Estudo com 5 milhões de suecos aponta ligação entre grupos sanguíneos e riscos de doenças

M-A: Prescrição tardia de antibióticos para infecções do trato respiratório é uma estratégia segura e eficaz para a maioria dos pacientes

Diretriz da AHA: Tratamento da hipertensão grau 1 em adultos com baixo risco em 10 anos para doença cardiovascular – “Faltam estudos clínicos randomizados que avaliem o risco de DCV entre indivíduos com hipertensão grau 1 e baixo risco em 10 anos para doença aterosclerórica vascular”