Psiquiatria

Fadiga como queixa principal: epidemiologia, causas, diagnóstico e tratamento.

29 Nov, 2021 | 10:44h

Fatigue as the Chief Complaint: Epidemiology, Causes, Diagnosis, and Treatment – Deutsches Ärzteblatt International

Conteúdo relacionado: NICE Guideline | Myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome: diagnosis and management.

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Revisão sistemática | Quantificação do impacto anticolinérgico e sedativo em idosos com polifarmácia.

26 Nov, 2021 | 11:52h

Quantifying Anticholinergic Burden and Sedative Load in Older Adults with Polypharmacy: A Systematic Review of Risk Scales and Models – Drugs & Aging

 

Comentário no Twitter

Systematic review of risk scales for anticholinergic burden and sedative overload – authors developed a comprehensive table on anticholinergics & sedatives (with potency). Check Table 2 and Table S2 (supplementary) for usable info to guide decision-making!https://t.co/JYaSuOeHqv

— Deprescribing (@Deprescribing) November 25, 2021

 

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Revisão sistemática | As evidências são insuficientes para recomendar ácidos graxos ômega 3 para depressão em adultos.

26 Nov, 2021 | 11:48h

Omega‐3 fatty acids for depression in adults – Cochrane Library

 

Comentário no Twitter

'At present, we do not have sufficient high‐certainty evidence to determine the effects of Omega‐3 fatty acids as a treatment for depression in adults' – updated @Cochrane_CCMD systematic review https://t.co/Bg9VNMnyGx

— The Cochrane Library (@CochraneLibrary) November 25, 2021

 

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Atualização em prática clínica da AGA sobre tratamento da dor gastrintestinal crônica nos distúrbios de interação intestino–cérebro.

24 Nov, 2021 | 11:30h

AGA Clinical Practice Update on Management of Chronic Gastrointestinal Pain in Disorders of Gut–Brain Interaction: Expert Review – Clinical Gastroenterology and Hepatology

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Dose ideal de aripiprazol como adjuvante na depressão refratária a antidepressivos: achados preliminares baseados em revisão sistemática e metanálise dose-efeito.

24 Nov, 2021 | 11:09h

Optimal dose of aripiprazole for augmentation therapy of antidepressant-refractory depression: preliminary findings based on a systematic review and dose–effect meta-analysis – The British Journal of Psychiatry

 

Comentário no Twitter

Low-doses of aripiprazole [2-5 mg] as augmentation treatment for depression might achieve the optimal balance between efficacy, tolerability and acceptability, per this meta-analysis (certainty of evidence low to moderate)https://t.co/aTkcQOsORp

— Awais Aftab (@awaisaftab) November 21, 2021

 

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Estudo randomizado | Entre pacientes com transtorno bipolar ou depressão que sobreviveram a evento recente relacionado a suicídio, lítio como terapia adicional não foi efetivo na prevenção de desfechos repetidos relacionados a suicídio.

22 Nov, 2021 | 09:28h

Lithium Treatment in the Prevention of Repeat Suicide-Related Outcomes in Veterans With Major Depression or Bipolar Disorder – JAMA Psychiatry (gratuito por tempo limitado)

Entrevista com o autor: Lithium for Suicide-Related Outcome Prevention in Veterans With Major Depression or Bipolar Disorder

Comentário: Lithium Added To Current Tx Fails to Reduce Suicide-Related Events in Veterans – Physician’s Weekly

 

Comentário no Twitter

VA Trial findings suggest simply adding lithium to existing medication in patients with #bipolar disorder or major depressive disorder is unlikely to be effective for preventing a broad range of repeat suicide-related events. https://t.co/QOj5UhEFKh

— JAMA Psychiatry (@JAMAPsych) November 17, 2021

 

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O que a distinção funcional/orgânica está realmente fazendo na psiquiatria e na neurologia?

19 Nov, 2021 | 12:57h

What is the functional/organic distinction actually doing in psychiatry and neurology? – Wellcome Open Research

 

Comentário no Twitter

Beautiful paper puts nails in coffin of outdated/inaccurate distinction "Functional" Vs "Organic".

Confusion causes great harms:
I've seen many 100s patients mislabeled primary psych disorder whose symptoms were really caused by medical illness/med side effect/drugs.

Must read: https://t.co/Fl492ADrjE

— Allen Frances (@AllenFrancesMD) November 12, 2021

 

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Hipotensão ortostática induzida por medicamentos: revisão sistemática e metanálise de estudos randomizados controlados.

17 Nov, 2021 | 12:41h

Drug-induced orthostatic hypotension: A systematic review and meta-analysis of randomised controlled trials – PLOS Medicine

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Ponto de vista | Como medir o progresso na condução do bem-estar médico: além do burnout.

15 Nov, 2021 | 13:41h

How to Measure Progress in Addressing Physician Well-being: Beyond Burnout – JAMA

Conteúdos relacionados:

Physician Well-being 2.0: Where Are We and Where Are We Going?

Consensus Study – Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being – National Academies of Medicine

[Abstract Only] Assessment of Risk Factors for Suicide Among US Health Care Professionals

Beyond Burnout: Docs Decry ‘Moral Injury’ From Financial Pressures of Health Care

Perspective: Hospital Administration Response to Physician Stress and Burnout

Opinion: It’s Time to Talk About Physician Burnout and Moral Injury

Systematic Review: Effect of Organization-Directed Workplace Interventions on Physician Burnout

Perspective: The 3 Causes Of Physician Burnout (And Why There’s No Simple Solution)

Physician Burnout: A Global Crisis (várias fontes sobre o tema)

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A pandemia de COVID prejudicou a produtividade de pesquisadores – bem como sua saúde mental – “Pesquisas mostram que mulheres, pais de crianças pequenas e pessoas não brancas são as mais afetadas pelas disrupções causadas pela pandemia e precisam de mais apoio.”

12 Nov, 2021 | 13:44h

The COVID pandemic has harmed researcher productivity – and mental health – Nature

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