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Posicionamento científico | Nutrição enteral em prematuros

31 Jan, 2023 | 12:22h

Enteral Nutrition in Preterm Infants (2022): A Position Paper From the ESPGHAN Committee on Nutrition and Invited Experts – Journal of Pediatric Gastroenterology and Nutrition

 

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Poder condicional: qual a probabilidade de sucesso de um ensaio clínico randomizado?

31 Jan, 2023 | 12:21h

Conditional Power: How Likely Is Trial Success? – JAMA (gratuito por tempo limitado)

 

Comentário no Twitter

JAMA Guide to Statistics and Methods article examines conditional power, calculated while a trial is ongoing and based on both the currently observed data and an assumed treatment effect for future patients. https://t.co/h9Ky9rgF61

— JAMA (@JAMA_current) January 23, 2023

 

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Prevalência estimada e manifestações clínicas das variantes de UBA1 associada com síndrome VEXAS em uma população clínica

31 Jan, 2023 | 12:19h

Estimated Prevalence and Clinical Manifestations of UBA1 Variants Associated With VEXAS Syndrome in a Clinical Population – JAMA (gratuito por tempo limitado)

Comentários:

Study provides an estimate of people in the United States with VEXAS syndrome – News Medical

VEXAS Syndrome More Prevalent Than Previous Estimates, Certain Types Of Rheumatologic Conditions – HCP Live

Prevalence of VEXAS Syndrome Identified in U.S. Health System – HealthDay

Recently identified inflammatory disease VEXAS syndrome may be more common than thought, study suggests – CNN

 

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Estudo randomizado | Duodenoscópios com tampa descartável reduzem a contaminação microbiana durante colangiopancreatografia retrógrada endoscópica (CPRE)

31 Jan, 2023 | 12:18h

Effect of Disposable Elevator Cap Duodenoscopes on Persistent Microbial Contamination and Technical Performance of Endoscopic Retrograde Cholangiopancreatography: The ICECAP Randomized Clinical Trial – JAMA Internal Medicine

Comentário: Disposable elevator cap duodenoscopes may reduce contamination in endoscopic retrograde cholangiopancreatography – the ICECAP trial – JAMA Internal Medicine

 

Comentário no Twitter

In this RCT of 520 ERCP patients, disposable elevator cap duodenoscopes reduced persistent contamination (RR 0.34, 95% CI 0.16–0.75), with no differences in performance (technical success 94.6% vs. 90.7%, P=.13) or safety outcomes. https://t.co/km87WyxsvR

— JAMA Internal Medicine (@JAMAInternalMed) January 26, 2023

 

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Revisão sistemática | Não há evidências suficientes para recomendar corticosteroides no tratamento da fadiga relacionada ao câncer

31 Jan, 2023 | 12:16h

Corticosteroids for the management of cancer‐related fatigue in adults with advanced cancer – Cochrane Library

Resumo: What are the benefits and risks of using corticosteroid medicines in the treatment of fatigue related to advanced cancer? – Cochrane Library

 

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Revisão sistemática | Prognóstico de adultos e crianças após uma primeira convulsão não provocada

31 Jan, 2023 | 12:15h

Prognosis of adults and children following a first unprovoked seizure – Cochrane Library

Resumo: Predicting a second seizure after a single unprovoked seizure – Cochrane Library

 

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M-A | Tempo ótimo de intervenções para reduzir a mortalidade da pancreatite necrotizante

31 Jan, 2023 | 12:13h

The optimal timing and intervention to reduce mortality for necrotizing pancreatitis: a systematic review and network meta-analysis – World Journal of Emergency Surgery

Conteúdos relacionados:

Long-term follow-up of a RCT | Endoscopic versus surgical step-up approach for infected necrotizing pancreatitis.

RCT: Immediate drainage did not improve outcomes compared to postponed intervention in patients with infected necrotizing pancreatitis.

An Endoscopic Transluminal Approach, Compared With Minimally Invasive Surgery, Reduces Complications and Costs for Patients With Necrotizing Pancreatitis – Gastroenterology

Research: Endoscopic or Surgical Step-up Approach for Infected Necrotising Pancreatitis

Evidence-Based Approach to the Surgical Management of Acute Pancreatitis – The Surgery Journal

Intravenous fluid therapy in patients with severe acute pancreatitis admitted to the intensive care unit: a narrative review – Intensive Care Medicine

Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis – New England Journal of Medicine (link para o resumo – $ para o texto completo)

Acute Pancreatitis: Diagnosis and Treatment – Drugs

Revised Clinical Practice Guidelines of the Korean Pancreatobiliary Association for Acute Pancreatitis – Gut and Liver

Guidelines for the management of patients with severe acute pancreatitis, 2021 – Anaesthesia Critical Care & Pain Medicine

Evidence-Based Disposition of Acute Pancreatitis – emDocs

2019 WSES guidelines for the management of severe acute pancreatitis – World Journal of Emergency Surgery

American Gastroenterological Association Institute Guideline on Initial Management of Acute Pancreatitis

Pancreatitis – National Institute for Health and Care Excellence

 

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Nutrição em busca da melhora no desfecho de pacientes críticos: como interpretar estudos randomizados recentes sobre alimentação?

31 Jan, 2023 | 12:11h

Toward nutrition improving outcome of critically ill patients: How to interpret recent feeding RCTs? – Critical Care

 

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Estudo randomizado | Aspiração simples vs. drenagem para pneumotórax completo

31 Jan, 2023 | 12:08h

Simple Aspiration Versus Drainage for Complete Pneumothorax: A Randomized Non-Inferiority Trial – Am J Respir Crit Care Med (link para o resumo – $ para o texto completo)

 

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Avaliação de medicações sistêmicas associadas com catarata tratada cirurgicamente entre adultos nos EUA

31 Jan, 2023 | 12:07h

Evaluation of Systemic Medications Associated with Surgically Treated Cataract among US Adults – American Journal of Ophthalmology

Comentário: Some systemic medications may be associated with increased cataract risk – 2 Minute Medicine

 

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