Acesso livre
Acesso livre

Arquivos do dia: Março 23, 2022

Novas diretrizes da OMS sobre o tratamento da tuberculose em crianças e adolescentes.

23 Mar, 2022 | 12:10h

WHO consolidated guidelines on tuberculosis Module 5: Management of tuberculosis in children and adolescents – World Health Organization

Comentário: New Children’s TB Guidelines a ‘Game-Changer’ With Non-Invasive Tests, Shortened Treatments – Health Policy Watch

Conteúdo relacionado: RCT: In children with nonsevere, drug-susceptible tuberculosis, treatment for 4 months is noninferior to treatment for 6 months.

Diretriz ANN | Aconselhamento prático para a prevenção de AVC na aterosclerose intracraniana arterial sintomática.

23 Mar, 2022 | 12:08h

Stroke Prevention in Symptomatic Large Artery Intracranial Atherosclerosis Practice Advisory: Report of the AAN Guideline Subcommittee – Neurology

Comunicado de imprensa: AAN issues guidance on preventing second stroke in those with plaque in brain arteries – American Academy of Neurology

Diretriz científica AHA | Compreensão sobre a importância da experiência dos voluntários na parada cardíaca fora do hospital.

23 Mar, 2022 | 12:06h

Understanding the Importance of the Lay Responder Experience in Out-of-Hospital Cardiac Arrest: A Scientific Statement From the American Heart Association – Circulation

Comunicado de imprensa: Lay rescuers who do CPR are heroes and survivors, new statement addresses their perspective – American Heart Association

Comentário: AHA News: CPR ‘Heroes’ Need More Support, Report Says – HealthDay

Estudo relacionado: Pre-post study: The introduction of a text-message alert system to alert volunteers close to a cardiac arrest patient at home was associated with increased survival to hospital discharge.

Estudo randomizado | Efeito de um programa de atividade física sobre o declínio da mobilidade funcional em idosos.

23 Mar, 2022 | 12:05h

Effect of a physical activity and behaviour maintenance programme on functional mobility decline in older adults: the REACT (Retirement in Action) randomised controlled trial – The Lancet Public Health

Ver também: Cost-effectiveness of a physical activity and behaviour maintenance programme on functional mobility decline in older adults: an economic evaluation of the REACT (Retirement in Action) trial – The Lancet Public Health

Comunicado de imprensa: Landmark study demonstrates long-term positive impacts and cost effectiveness of tailored group exercise for over-65s with mobility limitations

Comentário convidado: Considerations for maintaining functional mobility in older populations – The Lancet Public Health

Revisão | Quando operar após infecção por SARS-CoV-2?

23 Mar, 2022 | 12:02h

When to operate after SARS-CoV-2 infection? A review on the recent consensus recommendation of the DGC/BDC and the DGAI/BDA – Langenbeck’s Archives of Surgery

Conteúdos relacionados:

Guideline Update: Timing of elective surgery and risk assessment after SARS-CoV-2 infection – “The guidance remains that patients should avoid elective surgery within 7 weeks of infection, unless the benefits of doing so exceed the risk of waiting”.

Perioperative cardiovascular considerations prior to elective noncardiac surgery in patients with a history of Covid-19.

Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery

Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk

BJS commission on surgery and perioperative care post-COVID-19.

The risk of postoperative complications following major elective surgery in active or resolved COVID-19 in the United States – Major, elective surgery 0–4 weeks after Covid-19 is associated with greatly increased risk of postoperative complications; surgery performed 4–8 weeks after infection is still associated with an increased risk of pneumonia.

ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.

Position statement: Perioperative management of post-COVID-19 surgical patients.

Cohort study: Postoperative in-hospital mortality of patients with COVID-19 infection was more than double that in patients without COVID-19

Estudo mostra que é factível predizer o risco de doenças comuns via genoma completo na pré-implantação do embrião humano, o que leva a preocupações éticas.

23 Mar, 2022 | 12:00h

Whole-genome risk prediction of common diseases in human preimplantation embryos – Nature Medicine

Comentários convidados:

Polygenic embryo testing: understated ethics, unclear utility – Nature Medicine

The uncertain science of preimplantation and prenatal genetic testing – Nature Medicine

Comentário: As genetic testing of human embryos expand, researchers call for frank assessment of profound ethical implications – The Hastings Center

Conteúdo relacionado: Opinion | “The use of polygenic risk scores in pre-implantation genetic testing: an unproven, unethical practice”.

 

Comentário no Twitter (fio – clique para saber mais)

 

Prevenção e tratamento do resfriado comum: quais são as evidências?

23 Mar, 2022 | 11:58h

Preventing and treating the common cold: what’s the evidence? – Evidently Cochrane

 

Comentário no Twitter

 

Perspectiva | Ensinar mais sobre menos: preparando os médicos para a prática.

23 Mar, 2022 | 11:55h

Teaching More About Less: Preparing Clinicians for Practice – The American Journal of Medicine (gratuito por tempo limitado)

Ponto de vista | Preparando os médicos para um mundo clínico influenciado pela inteligência artificial.

23 Mar, 2022 | 11:54h

Preparing Clinicians for a Clinical World Influenced by Artificial Intelligence – JAMA (gratuito por tempo limitado)

Estudo mostra baixo risco de infarto agudo do miocárdio após procedimentos oftalmológicos, confirmando o conhecimento prévio de que a avaliação pré-operatória pode ser desnecessária para a maioria dos pacientes.

23 Mar, 2022 | 11:52h

Risk for Acute Myocardial Infarction After Ophthalmologic Procedures – Annals of Internal Medicine (link para o resumo – $ para o texto completo)

Resumo para pacientes: Summary for Patients: Risk for Heart Attack After Eye Procedures

Editorial: Preoperative Evaluation Can Delay Ophthalmologic Surgery Without Improving Outcomes ($)

Comentário: Ophthalmologic Procedures Not Tied to Increased AMI Risk – HealthDay

Conteúdos relacionados:

Position Statement: Preoperative Care for Cataract Surgery – “In spite of evidence debunking the utility of testing before cataract surgery, studies suggest that medical testing and the use of medical consultations before cataract surgery continue to increase”.

Study: Prevalence and Cost of Care Cascades After Low-Value Preoperative Electrocardiogram for Cataract Surgery

Evaluation of an Intervention to Reduce Low-Value Preoperative Care for Patients Undergoing Cataract Surgery

Systematic Review: Routine Preoperative Medical Testing for Cataract Surgery

Preoperative Medical Testing in Medicare Patients Undergoing Cataract Surgery – New England Journal of Medicine

 

Comentário no Twitter

 

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