Both classic and nonclassic symptoms of transient ischemic attack confer similar 90-day stroke risk.
The short-term risk for stroke after transient ischemic attack (TIA) is high, and urgent evaluation and treatment can reduce this risk. However, since TIA can present with a broad range of neurologic symptoms, when symptoms could be consistent with but are not classic for TIA,

PP-CNS-GLB-1810

La información contenida en esta sección se suministra exclusivamente al cuerpo médico con la intención de brindar información pertinente y actualizada sobre temas científicos de interés.

An ADCRP score may be useful in identifying those with mild cognitive impairment who have underlying Alzheimer disease.
To create a biological definition of Alzheimer disease (AD), the amyloid-tau-neurodegeneration (ATN) classification scheme has been developed. Researchers in this study assessed the validity of an AD conversion related pattern (ADCRP) score as a biomarker for ATN in 269 participants with mild cog-nitive impairment (MCI).
 

PP-CNS-GLB-1779

La información contenida en esta sección se suministra exclusivamente al cuerpo médico con la intención de brindar información

Dietary vitamin C deficiency was identified in 10 patients previously suspected to have juvenile idiopathic arthritis, vasculitis, or chronic nonbacterial osteomyelitis.
Scurvy is seldom suspected in children presenting with arthritis or extremity problems. A case series describes 10 children in Seattle (ages 3–20 years, 9 males) over 4 years who were found to have scurvy after referral to a rheumatology service for evaluation of lower extremity pain, limp, 

PP-CVP-GLB-0455

La información contenida en esta sección se suministra exclusivamente al cuerpo médico con la intención de

Major advances in the care of cardiac arrest patients have been reported in the literature over the past decade, including better data on pharmacologic and airway management during the intra-cardiac arrest period and after return of spontaneous circulation. The collection of articles presented here highlights some of those advances.

PP-IMU-GLB-0115

La información contenida en esta sección se suministra exclusivamente al cuerpo médico con la intención de brindar información pertinente y actualizada sobre temas científicos de interés.

Treatment resulted in more motor improvement than sham procedures but caused an unexpected number of adverse effects.
Focused ultrasound, an imaging-guided technique that can be used to create brain lesions, is FDA ap-proved for use in thalamotomy to treat Parkinsonian tremors. To test the technique in subthalamotomy, investigators randomized 40 patients (mean age, 58) with markedly asymmetric Parkinson disease (PD) 2:1 to focused ultrasound subthalamotomy (on the contralateral side to their main motor signs) or to a sham procedure.

PP-CNS-GLB-1779

La información contenida en esta

Short-term psychodynamic psychotherapy focusing on awareness and processing of emotionally laden material can be helpful for somatization.
Is psychodynamic psychotherapy still relevant? Researchers addressed this question in a meta-analysis of 17 randomized, controlled trials involving 2004 patients (mean age, 43) with disorders characterized by functional somatic complaints such as irritable bowel syndrome, fibromyalgia, and chronic pain disorders.

PP-CNS-GLB-1778

La información contenida en esta sección se suministra exclusivamente al cuerpo médico con la intención de brindar

Carbohydrate-containing foods and beverages have variable effects on health. So-called “poor- carbohydrate foods” have low amounts of fiber, more refined grains than whole grains, and a high glycemic index (a measure of how much 50 gm of carbohydrate raises the blood glucose level). 

PP-MHP-GLB-0201

La información contenida en esta sección se suministra exclusivamente al cuerpo médico con la intención de brindar información pertinente y actualizada sobre temas científicos de interés.

CBT was inferior to pharmacological treatment in a randomized trial.
For patients with knee osteoarthritis (OA), nonsteroidal anti-inflammatory drugs (NSAIDs) are better than acetaminophen or placebo for achieving pain relief and improvement of function, so despite their known long-term risks, NSAIDs are the most-prescribed medicines for such patients.

PP-PPF-GLB-0380

La información contenida en esta sección se suministra exclusivamente al cuerpo médico con la intención de brindar información pertinente y actualizada sobre temas científicos de interés.

This scientific statement provides a comprehensive review of the data linking the menopause transition to cardiovascular risk. 
Sponsoring Organization: American Heart Association Background and Objective The menopause transition (MT) occurs when menstrual cycles become variable or other menopauserelated symptoms begin and is separated into seven stages with varying duration, hormone levels, and symptoms. This statement highlights the adverse cardiometabolic changes in women during the MT and suggests possible interventions.

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del 29 de abril al 13 de mayo

Lo invitamos a revisar lo que dicen los expertos.

The first consensus recommendations on the topic aim to address variation in diagnosis at the international, national, and local levels.

Sponsoring Organization: World Brain Death Project, assisted by international professional societies including the World Federation of Intensive and Critical Care, World Federation of Pediatric Intensive and Critical Care Societies, World Federation of Neurology, World Federation of Neurosurgery, and the World Federation of Critical Care Nurses.

PP-CNS-GLB-1691

In a small study, two measures of retinal thickness showed greater thinning rates and correlations with cognitive decline in patients with PD than in controls.
Increasing interest has focused on the development of biomarkers capable of tracking Parkinson disease (PD) progression over time.

PP-UOP-GLB-0099

A new guideline recommends ultrasound instead of computed tomography for some patients with this finding.
How should we evaluate asymptomatic microscopic hematuria? A 2012 guideline from the American Urological Association (AUA) recommended that all patients older than 35 with microscopic hema-turia — defined by the AUA as ≥ 3 red cells per high-power field — should undergo both computed  tomography urography (CTU) and cystoscopy. 

PP-MHP-GLB-0171

Safety and Efficacy of Extreme Blood Pressure Lowering  in Intracerebral Hemorrhage
Higher rates of neurologic deterioration and adverse events were associated with intensive treatment in patients with excessively high initial systolic blood pressure. Many patients with intracerebral hemorrhage (ICH) present with elevated systolic blood pressure (SBP). At times, SBP can be markedly elevated (>220 mm Hg). 

PP-CNS-GLB-1605

Letter from the Editor
About one in four older Americans fall each year, resulting in about 30,000 deaths and 800,000 hospitalizations annually.

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