Acesso livre
Acesso livre

Medicina de Família

Diretriz preliminar da USPSTF recomenda rastreamento de ansiedade e depressão em crianças e adolescentes de 8 a 18 anos de idade.

14 Abr, 2022 | 17:54h

Diretrizes preliminares:

Screening for Anxiety in Children and Adolescents – US Preventive Services Task Force

Screening for Depression and Suicide Risk in Children and Adolescents – US Preventive Services Task Force

Comentário: USPSTF Recommends Anxiety, Depression Screening for Children – HealthDay


Achados do Global Burden of Disease Study 2019 | Impacto de transtornos mentais, transtornos de uso de substâncias e autolesão entre jovens na Europa, 1990-2019.

14 Abr, 2022 | 17:52h

The burden of mental disorders, substance use disorders and self-harm among young people in Europe, 1990–2019: Findings from the Global Burden of Disease Study 2019 – The Lancet Regional Health Europe

Comentário convidado: The burden of young people’s mental health conditions in Europe: No cause for complacency – The Lancet Regional Health Europe

Conteúdos relacionados:

Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019.

New Global Burden of Disease analyses show depression and anxiety among the top causes of health burden worldwide, and a significant increase due to the COVID-19 pandemic.

 

Comentário no Twitter

(Artigos e imagens sob licença de CC BY 4.0)


Estudo randomizado | Intervenção de mudança comportamental baseada em exercícios domiciliares de caminhada aumentaram a distância percorrida em testes de avaliação por adultos com doença arterial periférica.

14 Abr, 2022 | 17:50h

Effect of a Home-Based, Walking Exercise Behavior Change Intervention vs Usual Care on Walking in Adults With Peripheral Artery Disease: The MOSAIC Randomized Clinical Trial – JAMA (gratuito por tempo limitado)

 

Comentário no Twitter

 


M-A | Inibidores de SGLT2 estão associados com risco reduzido de hiperpotassemia em pessoas com diabetes tipo 2.

14 Abr, 2022 | 17:44h

Sodium-glucose Cotransporter 2 Inhibitors and Risk of Hyperkalemia in People with Type 2 diabetes: A Meta-analysis of Individual Participant Data from Randomized Controlled Trials – Circulation


Estudo randomizado | Dapagliflozina não trouxe melhora significativa para o controle glicêmico de crianças e jovens adultos com diabetes tipo 2.

14 Abr, 2022 | 17:42h

Efficacy and safety of dapagliflozin in children and young adults with type 2 diabetes: a prospective, multicentre, randomised, parallel group, phase 3 study – The Lancet Diabetes & Endocrinology (link para o resumo – $ para o texto completo)


Revisão | Menos é mais: deprescrição de medicamentos em idosos com doença renal.

14 Abr, 2022 | 17:41h

Less is More: Deprescribing Medications in Older Adults with Kidney Disease: A Review – Kidney360

Conteúdos relacionados:

Process evaluation of implementation strategies to reduce potentially inappropriate medication prescribing in older population: A scoping review.

AGA clinical practice update on de-prescribing of proton pump inhibitors.

Development of a metric to detect and decrease low-value prescribing in older adults.

Cluster Randomized Clinical Trial: An electronic decision support system for deprescribing in hospitalized older adults was safe and led to improvements in deprescribing but did not reduce adverse drug events.

Systematic Review: Quantifying anticholinergic burden and sedative load in older adults with polypharmacy.

Deprescribing in palliative patients with cancer: a concise review of tools and guidelines.

Systematic review: Prescribing practices, patterns, and potential harms in patients receiving palliative care – “many patients receiving palliative care receive multiple medications closer to the time of death”.

A narrative review of evidence to guide deprescribing among older adults.

Polypharmacy, inappropriate prescribing, and deprescribing in older people: through a sex and gender lens.

Polypharmacy Management in Older Patients – Mayo Clinic Proceedings

Psychopharmacological Treatment in Older People: Avoiding Drug Interactions and Polypharmacy – Deutsches Ärzteblatt internationa

Eliminating Medication Overload: A National Action Plan

Deprescribing in Older Adults With Cardiovascular Disease – Journal of the American College of Cardiology

Position Statement: Reducing Inappropriate Medication Use & Polypharmacy (vários artigos e comentários sobre o tema)


M-A | Desfechos perinatais adversos associados com terapia antirretroviral baseada em inibidor de protease em gestantes vivendo com HIV.

14 Abr, 2022 | 17:32h

Adverse perinatal outcomes associated with protease inhibitor-based antiretroviral therapy in pregnant women living with HIV: A systematic review and meta-analysis – EClinicalMedicine

Comunicado de imprensa: Protease inhibitors safer than thought for pregnant women with HIV – University of Oxford


Tuberculose resistente a medicamentos – Desenvolvimentos mais recentes em epidemiologia, diagnóstico e tratamento.

14 Abr, 2022 | 17:25h

Drug resistant TB – latest developments in epidemiology, diagnostics and management – International Journal of Infectious Diseases

Conteúdos relacionados:

Summary | WHO recommendations on the treatment of drug-resistant tuberculosis, 2020 update.

WHO Consolidated Guidelines on Drug-resistant Tuberculosis Treatment

Randomized Trial: 9-month Treatment for Multi-drug Resistant TB is as Effective as 24-month Treatment

Canadian Tuberculosis Standards – 8th Edition.

Guideline: Treatment of Drug-Resistant Tuberculosis

NICE Guideline: Tuberculosis

The Lancet Commission: Management of Multidrug-resistant and Incurable Tuberculosis

Regimens to Treat Multidrug-resistant Tuberculosis: Past, Present and Future Perspectives


Estudo randomizado | Vacinação em dose única contra o HPV se mostrou efetiva entre mulheres jovens na África.

14 Abr, 2022 | 17:07h

Efficacy of Single-Dose Human Papillomavirus Vaccination among Young African Women – NEJM Evidence

Comunicado de imprensa:

Study boosts support for single-dose HPV vaccine regimen – University of Washington

One-dose Human Papillomavirus (HPV) vaccine offers solid protection against cervical cancer – World Health Organization

Conteúdo relacionado: Three-year follow-up of 2-dose versus 3-dose HPV vaccine

 

Comentário no Twitter (fio – clique para saber mais)

 


Estudo de coorte | Risco de eventos adversos após Covid-19 em crianças e adolescentes dinamarqueses e efetividade da vacina da Pfizer em adolescentes.

14 Abr, 2022 | 17:04h

Risk of adverse events after covid-19 in Danish children and adolescents and effectiveness of BNT162b2 in adolescents: cohort study – The BMJ


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