Clínica Médica

Estudo de coorte retrospectiva | A incidência de AVC isquêmico em pacientes com estenose carotídea grave assintomática (70 a 99%) sem intervenção cirúrgica foi de 4,7% ao longo de 5 anos.

26 Mai, 2022 | 13:29h

Incidence of Ischemic Stroke in Patients With Asymptomatic Severe Carotid Stenosis Without Surgical Intervention – JAMA (gratuito por tempo limitado)

Comunicado de imprensa: Low stroke risk in patients with very narrowed neck arteries – Kaiser Permanente

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Diretriz de recomendação USPSTF | As evidências atuais são insuficientes para recomendar o rastreamento de glaucoma de ângulo aberto primário em adultos.

26 Mai, 2022 | 13:28h

Screening for Primary Open-Angle Glaucoma: US Preventive Services Task Force Recommendation Statement – JAMA

Editoriais:

Identifying Glaucoma in Primary Care Offices – JAMA Ophthalmology

Screening for Glaucoma – JAMA

Relatório de evidência: Screening for Glaucoma in Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force – JAMA

Página do paciente: Screening for Primary Open-Angle Glaucoma – JAMA

Entrevista com a autora: USPSTF Recommendations: Screening for Primary Open-Angle Glaucoma and Screening for Impaired Visual Acuity in Older Adults

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Diretriz de recomendação USPSTF | As evidências atuais são insuficientes para recomendar o rastreamento de comprometimento da acuidade visual em idosos.

26 Mai, 2022 | 13:26h

Screening for Impaired Visual Acuity in Older Adults: US Preventive Services Task Force Recommendation Statement – JAMA

Editoriais:

Visual Acuity Screening in Older Adults – JAMA Ophthalmology

Screening for Impaired Visual Acuity in Older Adults – JAMA

Vision Impairment Has Implications for Aging and Health Outcomes, Beyond Ophthalmology – JAMA Network Open

Relatório de evidência: Screening for Impaired Visual Acuity in Older Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force – JAMA

Página do paciente: Screening for Impaired Visual Acuity in Older Adults – JAMA

Entrevista com a autora: USPSTF Recommendations: Screening for Primary Open-Angle Glaucoma and Screening for Impaired Visual Acuity in Older Adults – JAMA

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Estudo randomizado | Baricitinibe vs. dexametasona para adultos internados com COVID-19.

26 Mai, 2022 | 13:23h

Baricitinib versus dexamethasone for adults hospitalised with COVID-19 (ACTT-4): a randomised, double-blind, double placebo-controlled trial – The Lancet Respiratory Medicine

 

Comentário no Twitter

💥Just Out
ACTT-4 Trial👉First Double Placebo-Controlled Double-Blind Randomized-Stratified Head-to-Head#DEXAMETHASONE vs #BARICITINIB for hospitalized pts w/#COVID19 Low/High-Flow/NIV
Relevant👉Patient Care/Public Health/Guidelines
Our results
👇https://t.co/4Tmue7HK7V
🧵1/4 pic.twitter.com/aF1Y7BAdu3

— Andre Kalil, MD MPH (@DrAndreKalil) May 24, 2022

 

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Diretrizes de consenso sobre diagnóstico e tratamento da esofagite eosinofílica em crianças e adultos.

26 Mai, 2022 | 13:20h

British Society of Gastroenterology (BSG) and British Society of Paediatric Gastroenterology, Hepatology and Nutrition (BSPGHAN) joint consensus guidelines on the diagnosis and management of eosinophilic oesophagitis in children and adults – Gut

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Diretriz sobre lesão renal aguda associada a contraste.

26 Mai, 2022 | 13:18h

Canadian Association of Radiologists Guidance on Contrast Associated Acute Kidney Injury – Canadian Association of Radiologists Journal

Conteúdos relacionados:

Use of Intravenous Iodinated Contrast Media in Patients with Kidney Disease: Consensus Statements from the American College of Radiology and the National Kidney Foundation – Radiology

SIRM-SIN-AIOM: appropriateness criteria for evaluation and prevention of renal damage in the patient undergoing contrast medium examinations—consensus statements from Italian College of Radiology (SIRM), Italian College of Nephrology (SIN) and Italian Association of Medical Oncology (AIOM) – La radiologia medica

Association of Intravenous Radiocontrast With Kidney Function: A Regression Discontinuity Analysis – JAMA Internal Medicine

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Síndrome de Takotsubo: fisiopatologia, novos conceitos e implicações clínicas.

26 Mai, 2022 | 13:17h

Takotsubo Syndrome: Pathophysiology, Emerging Concepts and Clinical Implications – Circulation

 

Comentário no Twitter

#InDepth: Explore the pathophysiology, clinical implications and emerging concepts in #Takotsubo Syndrome @dana_dawson16 #AHAJournals https://t.co/sVXBZB02bT pic.twitter.com/tfZIMt00zG

— Circulation (@CircAHA) March 30, 2022

 

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Opinião | Melhora da eficiência no diagnóstico médico.

26 Mai, 2022 | 13:16h

Improving Efficiency in Medical Diagnosis – JAMA (gratuito por tempo limitado)

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Estudo de coorte | Em pacientes com doença arterial coronariana, níveis muito altos de HDL-colesterol são paradoxalmente associados com mortalidade mais alta tanto cardiovascular quanto por todas as causas.

26 Mai, 2022 | 13:12h

Association Between High-Density Lipoprotein Cholesterol Levels and Adverse Cardiovascular Outcomes in High-risk Populations – JAMA Cardiology (link para o resumo – $ para o texto completo)

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Estudo de coorte | Análise de diagnósticos neuropsiquiátricos após início do uso de montelucaste.

26 Mai, 2022 | 13:09h

Analysis of Neuropsychiatric Diagnoses After Montelukast Initiation – JAMA Network Open

Conteúdos relacionados:

FDA requires Boxed Warning about serious mental health side effects for asthma and allergy drug montelukast (Singulair); advises restricting use for allergic rhinitis – U.S. Food & Drug Administration

Adverse drug reactions of montelukast in children and adults – Pharmacology Research & Perspectives

 

Comentário no Twitter

This cohort study of patients with asthma or allergic rhinitis found montelukast use is associated with higher odds of neuropsychiatric outcomes, including anxiety and insomnia. https://t.co/HAzcADsHZc

— JAMA Network Open (@JAMANetworkOpen) May 24, 2022

 

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