Novedades Bibliográficas

Opioid epidemic leads to surge in US organ donors, study shows

British Medical Journal - Mié, 18/04/2018 - 18:20
The US epidemic of drug overdose deaths in recent years has corresponded with a dramatic increase in use of donor organs from this group, a study has shown.Outcomes in recipients of such organs are...

High frequency hearing . . . and other stories

British Medical Journal - Mié, 18/04/2018 - 15:31
PresbyacusisHearing, especially of high frequencies, tends to deteriorate with increasing age—but not as much as it did in previous generations. That’s the finding of a comparison of four cohorts of...

Skin reaction in a patient with chronic abdominal pain

British Medical Journal - Mié, 18/04/2018 - 15:20
A 26 year old pregnant woman with chronic abdominal pain of unclear cause was seen at 25 weeks’ gestation with longstanding marked skin discoloration (fig 1) and fragility over her abdomen and...

US gun massacres are preventable

British Medical Journal - Mié, 18/04/2018 - 14:21
I am not quite as despondent as Kamerow about the aftermath of the US school shooting on Valentine’s day,1 but I am angry about what has been allowed to happen.Only a few US households (probably one...

Sixty seconds on . . . free breakfast

British Medical Journal - Mié, 18/04/2018 - 12:50
What’s this about? There’s no such thing as a free lunch, or breakfast for that matterThere is if you’re a junior doctor who has just come off a night shift at Northampton General Hospital. Since...

NHS failed to communicate feeding advice to refugee mother, court rules

British Medical Journal - Mié, 18/04/2018 - 12:40
The NHS will have to pay millions of pounds in compensation after a baby was left severely brain damaged because his mother, a refugee, could not understand English.Barking, Havering and Redbridge...

Medical leaders have their say on NHS’s greatest achievements

British Medical Journal - Mar, 17/04/2018 - 18:41
As the NHS approaches its 70th birthday, The BMJ has invited its readers to say what they think is the NHS’s most important achievement. From medical breakthroughs to the care and reassurance it...

Freed, after 15 years in jail for a stillbirth

British Medical Journal - Mar, 17/04/2018 - 18:35
bmj;361/apr17_16/k1700/FAF1faThe Center for Reproductive Rights in El Salvador/Oscar RiveraA Salvadoran woman who said she had had a stillbirth—but who was in prison for nearly 15 years for murdering...

David Oliver: Falls in older people—can we really make a difference?

British Medical Journal - Mar, 17/04/2018 - 17:46
This month an Observer headline reported a 177% increase in deaths from falls among men over 85 from 2008 to 2016, although the population of over 85s rose only 19%. It linked the story to serious...

Government’s vaginal mesh audit does not go far enough, say campaigners

British Medical Journal - Mar, 17/04/2018 - 17:01
The government’s pelvic mesh audit has been labelled a whitewash by campaigners who claim that it misses crucial data and downplays the risks.In January 2018 the government agreed to carry out a full...

Epidemic of flesh eating tropical ulcers hits Australia

British Medical Journal - Mar, 17/04/2018 - 17:00
Australia is facing a “rapidly worsening epidemic” of flesh eating ulcers, known as Buruli ulcers, which are most commonly seen in tropical regions of West or Central Africa.Around 2000 cases of...

GMC should lose right to appeal fitness to practise decisions, says BMA

British Medical Journal - Mar, 17/04/2018 - 16:36
The BMA has called for the UK General Medical Council to lose its ability to appeal against decisions of the Medical Practitioners Tribunal Service.The recommendation is one of 17 made by the BMA in...

Highlights for April 17, 2018

JAMA - Mar, 17/04/2018 - 02:00

Charter on Physician Well-being

JAMA - Mar, 17/04/2018 - 02:00
This Viewpoint discusses a 2018 Charter on Physician Well-being, a proposal by the Alliance for Internal Medicine’s Collaborative for Healing and Renewal in Medicine (CHARM) to identify guiding principles and key commitments physician groups and others might use as a framework for addressing physician burnout and dissatisfaction.

Physician Well-Being and the Regenerative Power of Caring

JAMA - Mar, 17/04/2018 - 02:00
This Viewpoint explores the root causes of physician dissatisfaction and burnout in contemporary health systems and proposes reforms that could restore physicians’ ability to care for patients in reciprocal relationships to reclaim professional satisfaction.

Overcoming Challenges to US Payment Reform

JAMA - Mar, 17/04/2018 - 02:00
This Viewpoint describes a “place-based” approach to health care organization and how it could improve health care and costs in the United States, using England’s National Health Service sustainability and transformation partnerships as an example.

How to Mentor Millennials

JAMA - Mar, 17/04/2018 - 02:00
In this narrative medical essay, the authors present 3 scenarios exemplifying the collision between mentoring expectations among millennials and older generation faculty and proposes strategies to bridge generational divides and engage the next generation of physicians.

Challenges in Interpreting the Lipid Lowering Trials

JAMA - Mar, 17/04/2018 - 02:00
The past quarter century has witnessed a series of randomized clinical trials that defined contemporary cholesterol treatment algorithms. The first two of these trials, WOSCOPS and 4S, demonstrated the efficacy of statin therapy vs placebo in persons with very elevated low-density lipoprotein cholesterol (LDL-C) levels (???190 mg/dL). Subsequent studies identified the benefits of statin therapy in populations with progressively lower starting LDL-C levels. As equipoise shifted, trial designs changed from placebo-controlled interventions to evaluating more- vs less-intensive lipid-lowering strategies.

Preventing Fractures and Falls

JAMA - Mar, 17/04/2018 - 02:00
Vitamin D and calcium are key nutrients to support bone development in children and young adults and to maintain muscle strength and neuromuscular coordination throughout the life span. Vitamin D deficiency is a well-defined risk factor for falls and hip fractures among older adults. It is unclear if supplementation with these nutrients is effective for the primary prevention of fractures among healthy community-dwelling adults.

Uterosacral Ligament Suspension (ULS) vs Sacrospinous Ligament Fixation (SSLF) for Pelvic Organ Vaginal Prolapse

JAMA - Mar, 17/04/2018 - 02:00
This 2?×?2 factorial randomized clinical trial compares outcomes in women randomized to ULS vs SSLF and perioperative behavioral therapy and pelvic floor muscle training vs usual care for vaginal apical prolapse.
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