Medicina de Família

Podcast | Dicas sobre meningites.

15 Ago, 2022 | 13:25h

#346 Meningitis – The Curbsiders

 

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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.

 

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Podcast | Dicas sobre esclerose múltipla para o clínico geral.

15 Ago, 2022 | 13:22h

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

 

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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

 

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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

 

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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

 

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Revisão sistemática | Efeitos da troca de sal por substitutos de sal com baixo sódio na saúde cardiovascular em adultos, crianças e gestantes.

12 Ago, 2022 | 17:42h

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

Resumo: Does using low-sodium salt substitutes (LSSS) instead of regular salt reduce blood pressure and heart disease risks, and is it safe? – Cochrane Library

Conteúdos relacionados:

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

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

 

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Estudo de coorte | Mudanças na incidência de AVC e outros eventos vasculares nos jovens vs. em idosos, 2002-2018.

12 Ago, 2022 | 17:33h

Association of Younger vs Older Ages With Changes in Incidence of Stroke and Other Vascular Events, 2002-2018 – JAMA (gratuito por tempo limitado)

Ver também: Diverging Temporal Trends in Stroke Incidence in Younger vs Older People: A Systematic Review and Meta-analysis – JAMA Neurology (gratuito por tempo limitado)

 

Comentários no Twitter

Data from Oxford area in @JAMA_current show worrisome incr. in stroke rate in adults <55 yrs comparing two time periods. 67% incr seen in younger adults, 15% decr in older adults. Need further study of why young stroke rates are on the rise#MYStrokeCenterhttps://t.co/MG4MgUGAA4

— Seemant Chaturvedi (@ChaturvediNeuro) August 9, 2022

The consistently divergent temporal trend in stroke incidence at younger vs older ages highlights the urgent need to better understand etiology and prevention of stroke at younger ages. https://t.co/phhRcpWwRw

— JAMA Neurology (@JAMANeuro) August 9, 2022

 

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Ponto de vista | Tornando os registros eletrônicos de saúde melhores e mais seguros.

12 Ago, 2022 | 17:31h

Making Electronic Health Records Both SAFER and SMARTER – JAMA (gratuito por tempo limitado)

Entrevista com os autores: Making Electronic Health Records More Supportive for Clinicians – JAMA

Comentário: Opinion: physicians need to use smarter, safer EHRS – healthleaders

Conteúdos relacionados:

Putting Patients First by Reducing Administrative Tasks in Health Care: A Position Paper of the American College of Physicians

Care-Centered Clinical Documentation in the Digital Environment: Solutions to Alleviate Burnout – National Academy of Medicine

To Combat Physician Burnout and Improve Care, Fix the Electronic Health Record – Harvard Business Review

The EMR has changed the doctor-patient duet into a ménage-à-trois – STAT

The future of electronic health records – Nature

 

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Estudo randomizado | Efetividade da restrição do tempo de alimentação para perda de peso, perda de gordura e saúde cardiometabólica em adultos com obesidade.

10 Ago, 2022 | 14:45h

Effectiveness of Early Time-Restricted Eating for Weight Loss, Fat Loss, and Cardiometabolic Health in Adults With Obesity: A Randomized Clinical Trial – JAMA Internal Medicine

Entrevista com a autora: Effectiveness of Early Time-Restricted Eating for Weight Loss and Fat Loss in Adults With Obesity – JAMA

Comentários:

Time-Restricted Eating to Improve Health—A Promising Idea in Need of Stronger Clinical Trial Evidence – JAMA Internal Medicine (gratuito por tempo limitado)

Expert reaction to study looking at early time-restricted eating and weight loss in obese adults – Science Media Centre

Conteúdos relacionados:

Effects of Intermittent Fasting in Human Compared to a Non-intervention Diet and Caloric Restriction: A Meta-Analysis of Randomized Controlled Trials – Frontiers in Nutrition

Time-Restricted Eating: Integrating The What With The When – Advances in Nutrition

Calorie Restriction with or without Time-Restricted Eating in Weight Loss- New England Journal of Medicine (link para o resumo – $ para o texto completo)

Intermittent Fasting and Obesity-Related Health Outcomes: An Umbrella Review of Meta-analyses of Randomized Clinical Trials – JAMA Network Open

 

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