Skip directly to content

Noticias

Blood Transfusion Strategy in Patients with Acute Myocardial Infarction

Martes, Junio 22, 2021

A randomized trial showed that a more-restrictive strategy was noninferior.
In previous large randomized trials, restrictive transfusion strategies benefited patients with anemia, but those trials excluded patients with acute myocardial infarction (MI). 

 

 

PP-CVP-GLB-0470

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.

Nonclassic TIA Symptoms and Stroke Risk

Martes, Junio 22, 2021

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.

Can Antioxidants Affect Risk for Parkinson Disease?

Martes, Junio 22, 2021

Vitamins E and C may be associated with risk, but the evidence remains limited.
To determine whether risk for future Parkinson disease (PD) diagnosis was reduced with increased  dietary antioxidant intake and total nonenzymatic antioxidant capacity (NEAC), researchers examined data from 43,865 men and women (aged 18–94 at baseline) in the Swedish National March Cohort linked to the National Health Registries.

 

 

PP-CNS-GLB-1808

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

The Alzheimer Disease Conversion-Related Pattern Score as Neurodegeneration Biomarker

Miércoles, Junio 16, 2021

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

Life expetancy after bariatric surgery

Martes, Junio 8, 2021

Obesity is associated with increases in life-threatening diseases and premature mortality. Bariatric surgery leads to durable weight loss and reduces the risk for cardiovascular disease, type 2 diabetes, cancer, and all-cause death. The effect of bariatric surgery on life expectancy, however, has not been well defined.

 

 

PPP-IMU-GLB-0112

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.

Scurvy Can Be Mistaken for Rheumatologic Disorders

Lunes, Mayo 31, 2021

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

Endovascular thrombectomy in stroke

Lunes, Mayo 31, 2021

Endovascular thrombectomy (EVT) has become an important treatment for patients with acute ischemic stroke who can be treated within 6 hours of stroke onset, and was one focus of a recent guideline update from the American Heart Association/American Stroke Association.

 

 

 

PP-CNS-GLB-1777

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.

Prevention of Early Ventilator-Associated Pneumonia after Cardiac Arrest

Lunes, Mayo 31, 2021

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.

Peripheral Nerve Stimulation for Tourette Syndrome

Domingo, Mayo 30, 2021

In the laboratory, median nerve stimulation reduced tic frequency and intensity and premonitory sensorimotor urges to tic.
Tourette syndrome (TS) is a neuropsychiatric disorder marked by involuntary tics, often associated with premonitory urges. Current treatments, including medications and psychological interventions, are often inadequate.

A Randomized Trial of Focused-Ultrasound Subthalamotomy for Parkinson Disease

Domingo, Mayo 30, 2021

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

Lung Cancer Screening

Domingo, Mayo 30, 2021

The Holy Grail in oncology is prevention against cancer ever occurring or detection early enough that curative treatment can be implemented. Lung cancer is the leading cause of cancer-related death, and with close to 1 billion active smokers worldwide, screening for lung cancers generates high interest and hope of early detection. Several prior large-scale studies of chest radiography for lung cancer screening failed to demonstrate improvements in mortality,

 

 

 

PP-IMU-GLB-0116

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

Psychodynamic Psychotherapy for Functional Somatic Complaints

Domingo, Mayo 30, 2021

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

Post-stroke therapy and prevention

Domingo, Mayo 30, 2021

Despite the fact that stroke is a leading cause of disability among adults, there has been a shortage of high-quality studies to address such important issues as management of stroke  risk factors. Well-documented risk factors include hypertension, diabetes mellitus, and hyperlipidemia. 

 

 

 

PP-CVP-GLB-0454

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.

Association Between Diet Quality, Cardiovascular Risk and Mortality Worldwide

Domingo, Mayo 30, 2021

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.

Renal Ultrasound for Evaluating Asymptomatic Microscopic Hematuria

Domingo, Mayo 30, 2021

Ultrasound had very high sensitivity for identifying upper-tract cancer in this retrospective study.
U.S. urology guidelines recommend computed tomographic (CT) urography to evaluate the upper urinary tract in patients with asymptomatic microscopic hematuria (J Urol 2012; 188:6 Suppl:2473).

 

 

 

PP-MHP-GLB-0200

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.

Is Cognitive-Behavioral Therapy an Option for Managing Knee Osteoarthritis?

Domingo, Mayo 30, 2021

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.

Hip Fracture Care: A Step in the Right Direction

Domingo, Mayo 30, 2021

A quality-improvement intervention was associated with outcome successes.
Fragility hip fractures, often caused by a fall from standing height, portend substantial morbidity and mortality. Yale researchers implemented a multidisciplinary, multicomponent intervention designed to improve hip-fracture outcomes. 

 

 

PP-PPF-GLB-0379

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.

Cardiovascular Risks During the Menopause Transition

Viernes, Mayo 21, 2021

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.

 

 

 

 

PP-CVP-GLB-0451

Is Stroke Risk in Patients with Transient Ischemic Attack Decreasing?

Viernes, Mayo 21, 2021

Data from the Framingham Study suggest that modern medical treatment helps.
Transient ischemic attacks (TIAs) are a well-recognized precursor to a potential ischemic stroke.

 

 

 

 

 

PP-CNS-GLB-1768

Prevalence of Pulmonary Embolism in Patients Admitted with COPD Exacerbations

Viernes, Mayo 21, 2021
A standardized screening algorithm detected PE in about 6% of hospitalized patients with chronic obstructive pulmonary disease. 
Incidence of pulmonary embolism (PE) in patients who are hospitalized with acute exacerbations of chronic obstructive pulmonary disease (COPD) reportedly is as high as 16% (NEJM JW Emerg Med Oct 2016 and Chest 2017; 151:544). 
 

 

 

 

 

PP-IMU-GLB-0111

Intensity of Physical Activity and Risk for Death

Miércoles, Mayo 12, 2021

At least 150 minutes of physical activity weekly, with at least 75 minutes of vigorous activity, was best.Among people who engage in the same amount of physical activity weekly, is vigorous physical activity (versus moderate activity) associated with lower risk for death? 

 

 

 

 

PP-IMU-GLB-0098

E-Summit ENTs Talks

Jueves, Abril 22, 2021

Diagnosing And Predicting Development Of Rheumatoid Arthritis

Viernes, Marzo 26, 2021

The treatment of rheumatoid arthritis is fraught with unknowns. It is not always certain how active the patient’s arthritis may be, even while they are engaged in an effective treatment regimen. What factors may predict a flare of the disease and how to confirm that the patient remains in remission are unknown.

 

 

 

 

PP-PPF-GLB-0342

Determination of Brain Death/Death by Neurological Criteria: The World Brain Death Project

Viernes, Marzo 26, 2021

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

Benefits Of Metabolic Surgery

Viernes, Marzo 26, 2021

A plethora of studies comparing the metabolic benefits of bariatric surgery with usual medical management of obese patients has increased the focus on surgical management — either Roux-en-Y gastric bypass or, increasingly often, sleeve gastrectomy. 

 

 

 

 

PP-IMU-GLB-0085

Can Retinal Thickness Predict Cognitive Decline in Parkinson Disease?

Viernes, Marzo 26, 2021

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

Association Between Migraine with Aura and Cryptogenic Ischemic Stroke in the Young

Viernes, Marzo 26, 2021

A strong relationship was seen in both women and men, irrespective of the presence of PFO.
Previous studies have evaluated some of the complex relationships among cryptogenic stroke, migraine, and patent foramen ovale (PFO) and suggested the following: Migraine is associated with ischemic stroke, migraine with aura is associated with the presence of PFO, and the association between mi-graine and cryptogenic ischemic stroke is stronger among patients with PFO than without. 

 

 

 

 

PP-CNS-GLB-1694

Guidance in Evaluation of Microscopic Hematuria

Viernes, Marzo 26, 2021

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

Amyloid Burden: A Reason for Poor Antidepressant Response in Late-Life Depression?

Lunes, Marzo 1, 2021

In cognitively intact individuals with late-life depression, cortical amyloid burden predicted poor antidepressant response. 
Accumulation of cortical amyloid-β (Aβ) has been associated with greater depressive symptoms in cognitively intact older adults. 

 

 

 

 

PP-CNS-GLB-1627

Safety and Efficacy of Extreme Blood Pressure Lowering in Intracerebral Hemorrhage

Lunes, Marzo 1, 2021

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

Psychiatric Disorders Across the Life Span: A Unitary Psychopathology Factor Best Fits the Data

Lunes, Marzo 1, 2021

A 45-year longitudinal study shows that mental illness is astonishingly common and that it’s better to be a “lumper” than a “splitter” when thinking diagnostically.
Cross-sectional epidemiological surveys have documented high rates of lifetime psychiatric disorders (about 40%–50%) and substantial comorbidity,

 

 

 

PP-CNS-GLB-1625

PREVENTING SERIOUS FALL INJURIES

Lunes, Marzo 1, 2021

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

 

 

 

PP-PPF-GLB-0319

POEMS Syndrome: Clinical Features and Outcomes in a U.K. Cohort

Lunes, Marzo 1, 2021

A retrospective analysis of cases shows that smooth meningeal thickening provides an additional diagnostic clue differentiating POEMS syndrome from chronic immune demyelinating polyneuropathy.
POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin lesions) is a rare but treatable paraneoplastic disorder of plasma cells associated with sensorimotor polyneuropathy,

 

 

 

 

PP-CNS-GLB-1624