Clínica Médica

Podcast | Suplementação de vitaminas e minerais: atualização USPSTF.

15 Ago, 2022 | 13:24h

#345 Vitamin and Mineral supplementation: A USPSTF Update with Dr. Michael Barry – The Curbsiders

Conteúdo relacionado: USPSTF Statement: The current evidence is insufficient to recommend vitamins for the prevention of cardiovascular disease or cancer.

Podcast | Dicas sobre esclerose múltipla para o clínico geral.

15 Ago, 2022 | 13:22h

#344 Multiple Sclerosis with Dr. Annette Okai – The Curbsiders

Estudo randomizado | Remoção de cálculos renais pequenos e assintomáticos e incidência de recorrência.

12 Ago, 2022 | 18:15h

Removal of Small, Asymptomatic Kidney Stones and Incidence of Relapse – New England Journal of Medicine (link para o resumo – $ para o texto completo)

Comentário no Twitter

Removal of small, asymptomatic kidney stones during surgery to remove ureteral or contralateral stones resulted in less relapse than nonremoval and in similar numbers of subsequent emergency department visits. https://t.co/MRgFUnF1C0 pic.twitter.com/19ahPuHyNS

— NEJM (@NEJM) August 10, 2022

Atenção ao trauma em idosos: traçando um caminho em direção à excelência.

12 Ago, 2022 | 18:09h

Trauma care in older people: charting a path from outlier to excellence – Age and Ageing

Estudo randomizado | Solução inalatória de tobramicina é efetiva em adultos com bronquiectasia e infecção por Pseudomonas aeruginosa.

12 Ago, 2022 | 18:08h

A Double-blind Randomized Placebo-controlled Phase-3 Trial of Tobramycin Inhalation Solution in Adults with Bronchiectasis with Pseudomonas aeruginosa Infection – CHEST

Comentário: Tobramycin Tames Infection in Bronchiectasis – Medscape (necessário cadastro gratuito)

Estudo relacionado: Testing the effects of combining azithromycin with inhaled tobramycin for P. aeruginosa in cystic fibrosis: a randomised, controlled clinical trial – Thorax

Estudo de coorte | Risco de fratura de quadril entre pessoas que consomem carne, que só consomem peixes e em vegetarianos.

12 Ago, 2022 | 18:06h

Risk of hip fracture in meat-eaters, pescatarians, and vegetarians: results from the UK Women’s Cohort Study – BMC Medicine

Comunicado de imprensa: Vegetarian women are at a higher risk of hip fracture – University of Leeds

Diretriz de consenso | Tratamento farmacológico da rinite alérgica.

12 Ago, 2022 | 18:04h

Pharmacological Management of Allergic Rhinitis: A Consensus Statement from the Malaysian Society of Allergy and Immunology – Journal of Asthma and Allergy

Conteúdos relacionados:

Pharmacologic Treatment of Seasonal Allergic Rhinitis: Synopsis of Guidance From the 2017 Joint Task Force on Practice Parameters – Annals of Internal Medicine

Chinese Society of Allergy Guidelines for Diagnosis and Treatment of Allergic Rhinitis – Allergy Asthma & Immunology Research

Revisão sistemática | Antibióticos inalados para exacerbações pulmonares na fibrose cística.

12 Ago, 2022 | 17:55h

Inhaled antibiotics for pulmonary exacerbations in cystic fibrosis – Cochrane Library

Resumo: Inhaling antibiotics to treat temporary worsening of lung infection in people with cystic fibrosis – Cochrane Library

M-A | Efeitos dos substitutos do sal em desfechos clínicos.

12 Ago, 2022 | 17:44h

Effects of salt substitutes on clinical outcomes: a systematic review and meta-analysis – Heart

Comentário: Swapping salt for substitutes reduces risk of stroke and heart conditions – study – The Guardian

Conteúdos relacionados:

Replacing salt with low‐sodium salt substitutes (LSSS) for cardiovascular health in adults, children and pregnant women – Cochrane Library

Cluster RCT: A household salt substitution intervention is a cost-effective intervention for preventing stroke and improving quality of life.

#ESCCongress – Cluster RCT: Among patients at increased risk for stroke, salt substitution (75% sodium chloride and 25% potassium chloride by mass) reduced the rates of stroke, major cardiovascular events, and death from any cause.

RCT: Reduced-sodium added-potassium salt substitute reduces blood pressure in hypertensive patients

Potassium Enriched Salt Substitution Could Prevent a Large Number of Cardiovascular Deaths

Cluster Randomized Trial: Effect of Salt Substitution on Community-wide Blood Pressure and Hypertension Incidence

Comentário da autora no Twitter

Our latest meta-analysis shows consistent effects of salt substitutes on BP across diverse geographies and populations. Protective effects on clinical outcomes are likely to be generalizable to countries worldwide. https://t.co/C273yK6Bek

— Xuejun Yin (@XuejunYin) August 10, 2022