Novedades Bibliográficas

Development and validation of outcome prediction models for aneurysmal subarachnoid haemorrhage: the SAHIT multinational cohort study

British Medical Journal - Jue, 18/01/2018 - 17:21
AbstractObjectiveTo develop and validate a set of practical prediction tools that reliably estimate the outcome of subarachnoid haemorrhage from ruptured intracranial aneurysms (SAH).DesignCohort...

Concerns about composite reference standards in diagnostic research

British Medical Journal - Jue, 18/01/2018 - 17:10
Summary pointsComposite reference standards define a fixed, transparent rule to classify subjects into disease positive and disease negative groups based on existing imperfect testsThey are widely...

Hyperpigmentation in the skin folds

British Medical Journal - Jue, 18/01/2018 - 11:40
A 62 year old man presented with a one year history of asymptomatic hyperpigmentation of the flexural and intertriginous areas, especially in the groin (fig 1). He had thickened skin on his palms,...

Doctors do not feel protected when things go wrong

British Medical Journal - Mié, 17/01/2018 - 17:25
The appeal being brought by the General Medical Council to erase Hadiza Bawa-Garba from the register is inhumane, disproportionate, and will not protect the public against further incidents.1 It is...

Geoffrey Vivian Feldman

British Medical Journal - Mié, 17/01/2018 - 17:21
bmj;360/jan17_9/k228/FAF1faGeoffrey Vivian Feldman was house physician at Manchester Royal Infirmary and then served in the Royal Army Medical Corps. He was subsequently appointed supernumerary...

What would a “no deal” Brexit mean—and what does it tell us about those who want it?

British Medical Journal - Mié, 17/01/2018 - 17:16
bmj;360/jan17_8/k189/FAF1faThere can be no doubt that prime minister Theresa May’s recent cabinet reshuffle did not turn out as planned. The subsequent discussion, however, about who was in or out,...

Under pressure: meeting demand safely means knowing when to shout for help

British Medical Journal - Mar, 16/01/2018 - 17:11
At Milton Keynes University Hospital conditions are “slightly” improved after a Christmas surge. “We had a very challenging time between Christmas and New Year, historically a quiet time, with...

Smartphone GP consultation app cost CCG {pound}150 000 in first two months

British Medical Journal - Mar, 16/01/2018 - 16:51
High demand for a new service that allows patients to access GP consultations 24 hours a day on their smartphones is leading to increased hospital activity, NHS bosses have reported.The GP at Hand...

EMA calls for hydroxyethyl starch solutions to be taken off market

British Medical Journal - Mar, 16/01/2018 - 16:01
Hydroxyethyl starch (HES) solutions for infusion should be removed from the market across Europe because they carry “serious risks,” the European Medicines Agency (EMA) has said.Hydroxyethyl starch...

Jeremy Hunt’s new department: maȷor overhaul or window dressing?

British Medical Journal - Mar, 16/01/2018 - 15:11
When Jeremy Hunt emerged from Number 10 Downing Street on 8 January with not just his job intact but an expanded brief,1 many observers were surprised. With the NHS in the grip of a winter crisis, it...

GMC’s push for erasure of paediatrician is questionable

British Medical Journal - Mar, 16/01/2018 - 11:01
The General Medical Council’s High Court appeal for the erasure of Hadiza Bawa-Garba,1 is not aimed at improving patient care if it discourages duty of candour. It may also deter trainees from...

Highlights for January 16, 2018

JAMA - Mar, 16/01/2018 - 01:00

What Is the Appropriate Response to Evolving Norms of Obesity?

JAMA - Mar, 16/01/2018 - 01:00
This Viewpoint discusses shifts in social norms toward acceptance of obesity as normal and proposes harnessing the same peer effects that have destigmatized obesity to promote and spread healthy behaviors.

Toward Precision Approaches for the Prevention and Treatment of Obesity

JAMA - Mar, 16/01/2018 - 01:00
This Viewpoint discusses the prospects for treatment of obesity through identification of genetic, metabolic, behavioral, and environmental risk factors and an understanding of factors that account for variability in the success of treatment.

Counting Calories as an Approach to Achieve Weight Control

JAMA - Mar, 16/01/2018 - 01:00
This Viewpoint discusses approaches that clinicians can take when advising overweight or obese patients to achieve weight control via calorie reduction.

Can the Government Require Health Warnings on Sugar-Sweetened Beverage Ads?

JAMA - Mar, 16/01/2018 - 01:00
This Viewpoint uses the 2017 Ninth Circuit ruling enjoining San Francisco from requiring a health warning statement on sugar-sweetened beverages to discuss modifications that would make the warnings legally justifiable.

Taxes and Sugar-Sweetened Beverages

JAMA - Mar, 16/01/2018 - 01:00
This Viewpoint discusses the merits and challenges to implementing taxes on sugar-sweetened beverages aimed at reducing their consumption in an effort to curb US obesity rates.

Which Is More Important for Health: Fitness or Fatness?

JAMA - Mar, 16/01/2018 - 01:00
This Viewpoint reviews evidence comparing the relative importance of cardiorespiratory fitness and obesity with all-cause and cardiovascular disease–related mortality, and calls for accurate measures of physical activity and fitness in future studies investigating associations between obesity and mortality.

Starting Discussions With Patients About Health Policy Changes That Will Affect Their Care

JAMA - Mar, 16/01/2018 - 01:00
In this essay, Jerry Avorn considers physicians’ social responsibility to initiate discussions with their patients about changes in health policy proposed by politicians that will affect patients' quality and continuity of care.

Comparing the Outcomes of Sleeve Gastrectomy and Roux-en-Y Gastric Bypass for Severe Obesity

JAMA - Mar, 16/01/2018 - 01:00
Over the past decade there has been a rapid shift in bariatric procedure use worldwide, with the sleeve gastrectomy replacing the Roux-en-Y gastric bypass as the procedure of choice in most patients with severe obesity. The sleeve gastrectomy is less technically complex than the bypass procedure, and involves a 70% vertical gastric resection with no intestinal bypass. The use of the sleeve gastrectomy was spurred by short-term evidence suggesting that weight loss was nearly equivalent to bypass, while conferring a lower risk of perioperative complications. However, the popularity of sleeve gastrectomy has outpaced data from rigorous comparative effectiveness research studies, and the durability and long-term safety of sleeve gastrectomy vs bypass remain topics of debate.
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