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Febrero 2013 PDF Imprimir E-mail
Martes, 05 de Marzo de 2013 00:00

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SELECCIÓN DE REFERENCIAS BIBLIOGRÁFICAS DE LO PUBLICADO EN RELACIÓN CON ATENCIÓN PRIMARIA

Selección realizada por Antonio Manteca González

 

Cook DA, West CP. Perspective: reconsidering the focus on "outcomes research" in medical education: a cautionary note. Acad Med. 2013; 88:162-167 [AO,I]

23269304             R/C

PERSPECTIVA: RECONSIDERAR EL ENFOQUE SOBRE LA "INVESTIGACIÓN SOBRE RESULTADOS" EN LA FORMACIÓN MÉDICA: NOTA CAUTELAR

 

Boudreaux AM, Vetter TR. The creation and impact of a dedicated section on quality and patient safety in a clinical academic department. Acad Med. 2013; 88:173-178 [T,I]

23269289             R/C

CREACIÓN E IMPACTO DE UNA SECCIÓN DEDICADA A LA CALIDAD Y LA SEGURIDAD DEL PACIENTE EN UN DEPARTAMENTO CLÍNICO DOCENTE

 

Topps D, Helmer J, Ellaway R. YouTube as a platform for publishing clinical skills training vVideos. Acad Med. 2013; 88:192-197 [T,I]

23269305             R/C

YOUTUBE COMO PLATAFORMA PARA PUBLICAR VÍDEOS DE FORMACIÓN EN HABILIDADES CLÍNICAS

 

 

Gulati R, Gore JL, Etzioni R. Comparative effectiveness of alternative prostate-specific antigen-based prostate cancer screening strategies: model estimates of potential benefits and harms. Ann Intern Med. 2013; 158:145-153 [T,I]

23381039             R/C

EFECTIVIDAD COMPARADA DE LAS ESTRATEGIAS DE CRIBAJE DE CÁNCER DE PRÓSTATA BASADAS EN EL PSA: MODELO QUE ESTIMA LOS BENEFICIOS Y PERJUICIOS POTENCIALES

 

Defina LF, Willis BL, Radford NB, Gao A, Leonard D, Haskell WL, et alk. The association between midlife cardiorespiratory fitness levels and later-life dementia: a cohort study. Ann Intern Med. 2013; 158:162-168 [S,II]

23381040             R/C

ASOCIACIÓN ENTRE ENTRENAMIENTO CARDIORRESPIRATORIO EN LA EDAD MEDIANA Y DEMENCIA EN LA EDAD AVANZADA: ESTUDIO DE COHORTES

 

Selph SS, Bougatsos C, Blazina I, Nelson HD. Behavioral interventions and counseling to prevent child abuse and neglect: a systematic review to update the u.s. Preventive services task force recommendation. Ann Intern Med. 2013; 158:179-190 [M,II]

23338775             R/C

INTERVENCIONES CONDUCTUALES Y ASESORAMIENTO PARA PREVENIR EL MALTRATO Y EL ABANDONO SOBRE LOS NIÑOS: REVISIÓN SISTEMÁTICA PARA ACTUALIZAR LA RECOMENDACIÓN DEL U.S.PREVENTIVE SERVICES TASK FORCE

 

Advisory Committee on Immunization Practices†. Recommended adult immunization schedule: United States, 2013*. Ann Intern Med. 2013; 158:191-199 [M,II]

23358660

CALENDARIO VACUNAL RECOMENDADO PARA ADULTOS: ESTADOS UNIDOS, 2013

 

Concato J. Probability, uncertainty, and prostate cancer. Ann Intern Med. 2013; 158:211-212 [AO,I]

23381041

PROBABILIDAD, INCERTIDUMBRE Y CÁNCER DE PRÓSTATA

 

Sano M. Never too fit for body and mind. Ann Intern Med. 2013; 158:213-214 [AO,I]

23381042

NUNCA DEMASIADO EN FORMA PARA EL CUERPO Y PARA LA MENTE

 

Workowski K. Chlamydia and gonorrhea. Ann Intern Med. 2013; 158:ITC2-1 [AO,I]

23381058

CLAMIDIA Y GONORREA

 

 

Llor C, Moragas A. Dificultades de selección en los ensayos clínicos en atención primaria. Cuando no se llega al tamaño muestral. Aten Primaria. 2013; 45:71-73 [AO,I]

23142032

DIFICULTADES DE SELECCIÓN EN LOS ENSAYOS CLÍNICOS EN ATENCIÓN PRIMARIA. CUANDO NO SE LLEGA AL TAMAÑO MUESTRAL

 

Orozco D, Basora J, García L, Paz S, Lizan L. El visado de inspección de medicamentos en España: situación actual desde la perspectiva de los profesionales sanitarios a partir de la introducción de su modalidad electrónica. Aten Primaria. 2013; 45:74-81 [T,I]

23149119             R/C

EL VISADO DE INSPECCIÓN DE MEDICAMENTOS EN ESPAÑA: SITUACIÓN ACTUAL DESDE LA PERSPECTIVA DE LOS PROFESIONALES SANITARIOS A PARTIR DE LA INTRODUCCIÓN DE SU MODALIDAD ELECTRÓNICA

 

Hernández MÁ, Orueta R. Visado electrónico: ¿necesidad real o antigüedad informatizada? Aten Primaria. 2013; 45:81-83 [AO,I]

23428051

VISADO ELECTRÓNICO: ¿NECESIDAD REAL O ANTIGÜEDAD INFORMATIZADA?

 

López P, Sanz-Valero J. Presencia y adecuación de los principios activos farmacológicos en la edición española de la Wikipedia. Aten Primaria. 2013; 45:101-106 [T,I]

23159792             R/C

PRESENCIA Y ADECUACIÓN DE LOS PRINCIPIOS ACTIVOS FARMACOLÓGICOS EN LA EDICIÓN ESPAÑOLA DE LA WIKIPEDIA

 

de Granda-Orive JI, Solano-Reina S, Jiménez-Ruiz CA. Intervenciones en tabaquismo en pacientes con enfermedades cardiovasculares. Aten Primaria. 2013; 45:115-120 [R,I]

22409838             R/C

INTERVENCIONES EN TABAQUISMO EN PACIENTES CON ENFERMEDADES CARDIOVASCULARES

 

 

Oram S, Trevillion K, Feder G, Howard LM. Prevalence of experiences of domestic violence among psychiatric patients: systematic review. Br J Psychiatry. 2013; 202:94-99 [T,I]

23377208             R/C

PREVALENCIA DE LA VIOLENCIA DOMÉSTICA ENTRE LOS PACIENTES PSIQUIÁTRICOS: REVISIÓN SISTEMÁTICA

 

Anglin RE, Samaan Z, Walter SD, McDonald SD. Vitamin D deficiency and depression in adults: systematic review and meta-analysis. Br J Psychiatry. 2013; 202:100-107 [M,II]

23377209             R/C

DEFICIENCIA DE VITAMINA D Y DEPRESIÓN EN ADULTOS: REVISIÓN SISTEMÁTICA Y METAANÁLISIS

 

Sellers R, Collishaw S, Rice F, Thapar AK, Potter R, Mars B, et al. Risk of psychopathology in adolescent offspring of mothers with psychopathology and recurrent depression. Br J Psychiatry. 2013; 202:108-114 [S,I]

23060622             R/C

RIESGO DE PSICOPATOLOGÍA EN ADOLESCENTES DESCENDIENTES DE MADRES CON PSICOPATOLOGÍA Y DEPRESIÓN RECURRENTE

 

 

Tong L, Tan J, Thumboo J, Seow G. Dry eye. BMJ. 2012; 345:e7533 [R,I]

23153839

OJO SECO

 

Davis A, Obi B, Ingram M. Investigating urinary tract infections in children. BMJ. 2013; 346:e8654 [R,I]

23364051

INVESTIGAR LAS INFECCIONES DE VÍAS URINARIAS EN LOS NIÑOS

 

Ramsden CE, Zamora D, Leelarthaepin B, Majchrzak-Hong SF, Faurot KR, Suchindran CM, et al. Use of dietary linoleic acid for secondary prevention of coronary heart disease and death: evaluation of recovered data from the Sydney Diet Heart Study and updated meta-analysis. BMJ. 2013; 346:e8707 [M,II]

23386268             R/C

USO DE ÁCIDO LINOLEICO DIETÉTICO EN LA PREVENCIÓN DE ENFERMEDAD CARDIACA CORONARIA Y MUERTE: EVALUACIÓN DE DATOS RECUPERADOS DEL ESTUDIO SIDNEY DIET HEART Y METAANÁLISIS ACTUALIZADO

 

Myung SK, Ju W, Cho B, Oh SW, Park SM, Koo BK, et al; for the Korean Meta-Analysis (KORMA) Study Group. Efficacy of vitamin and antioxidant supplements in prevention of cardiovascular disease: systematic review and meta-analysis of randomised controlled trials. BMJ. 2013; 346:f10 [M,II]

23335472             R/C

EFICACIA DE LOS SUPLEMENTOS DE VITAMINAS Y ANTIOXIDANTES EN LA PREVENCIÓN DE LA ENFERMEDAD CARDIOVASCULAR: REVISIÓN SISTEMÁTICA Y METAANÁLISIS DE ENSAYOS CONTROLADOS ALEATORIZADOS

 

Cowley NJ, Owen A, Bion JF. Interpreting arterial blood gas results. BMJ. 2013; 346:f16 [R,I]

23325867

INTERPRETAR LOS RESULTADOS DE LA GASOMETRÍA ARTERIAL

 

Chatterjee S, Biondi-Zoccai G, Abbate A, D'Ascenzo F, Castagno D, Van Tassell B, et al. Benefits of ß blockers in patients with heart failure and reduced ejection fraction: network meta-analysis. BMJ. 2013; 346:f55 [M,II]

23325883             R/C

BENEFICIOS DE LOS BETA-BLOQUEANTES EN PACIENTES CON INSUFICIENCIA CARDIACA Y FRACCIÓN DE EYECCIÓN REDUCIDA: METAANÁLISIS EN RED

 

Heikkilä K, Nyberg ST, Theorell T, Fransson EI, Alfredsson L, Bjorner JB, et al; IPD-Work Consortium. Work stress and risk of cancer: meta-analysis of 5700 incident cancer events in 116 000 European men and women. BMJ. 2013; 346:f165 [M,II]

23393080             R/C

ESTRÉS LABORAL Y RIESGO DE CÁNCER: METAANÁLISIS DE 5.700 ACONTECIMIENTOS DE CÁNCER INCIDENTE EN 116.000 HOMBRES Y MUJERES EUROPEOS

 

Michaëlsson K, Melhus H, Warensjö Lemming E, Wolk A, Byberg L.  Long term calcium intake and rates of all cause and cardiovascular mortality: community based prospective longitudinal cohort study. BMJ. 2013; 346:f228 [S,II]

23403980             R/C

TOMA DE CALCIO A LARGO PLAZO Y MORTALIDAD CARDIOVASCULAR Y POR CUALQUIER CAUSA: ESTUDIO DE COHORTES LONGITUDINAL PROSPECTIVO COMUNITARIO

 

Castro VM, Clements CC, Murphy SN, Gainer VS, Fava M, Weilburg JB, et al. QT interval and antidepressant use: a cross sectional study of electronic health records. BMJ. 2013; 346:f288 [T,I]

23360890             R/C

INTERVALO QT Y USO DE ANTIDEPRESIVOS: ESTUDIO TRANSVERSAL DE HISTORIAS CLÍNICAS ELECTRÓNICAS

 

Nitsch D, Grams M, Sang Y, Black C, Cirillo M, Djurdjev O, et al; Chronic Kidney Disease Prognosis Consortium. Associations of estimated glomerular filtration rate and albuminuria with mortality and renal failure by sex: a meta-analysis. BMJ. 2013; 346:f324 [M,II]

23360717             R/C

ASOCIACIONES DE LA TASA DE FILTRACIÓN GLOMERULAR ESTIMADA Y LA ALBUMINURIA CON LA MORTALIDAD E INSUFICIENCIA RENAL POR SEXOS: METAANÁLISIS

 

Bateson D, McNamee K, Briggs P. Newer non-oral hormonal contraception. BMJ. 2013; 346:f341 [R,I]

23412438

NUEVA ANTICONCEPCIÓN HORMONAL NO ORAL

 

Makani H, Bangalore S, Desouza KA, Shah A, Messerli FH. Efficacy and safety of dual blockade of the renin-angiotensin system: meta-analysis of randomised trials. BMJ. 2013; 346:f360 [M,II]

23358488             R/C

EFICACIA Y SEGURIDAD DEL BLOQUEO DOBLE DEL SISTEMA RENINA-ANGIOTENSINA: METAANÁLISIS DE ENSAYOS ALEATORIZADOS

 

Ford AC, Moayyedi P, Hanauer SB. Ulcerative colitis. BMJ. 2013; 346:f432 [R,I]

23386404

COLITIS ULCEROSA

 

Mentz RJ. ß blockers for heart failure: which works best? BMJ. 2013; 346:f480 [AO,I]

23349410

BETA-BLOQUEANTES EN LA INSUFICIENCIA CARDIACA: ¿CUÁL FUNCIONA MEJOR?

 

Simons FE, Sheikh A. Anaphylaxis: the acute episode and beyond. BMJ. 2013; 346:f602 [R,I]

23403828

ANAFILAXIA: EL EPISODIO AGUDO Y MÁS ALLÁ

 

Fields E, Chard J, James D, Treasure T; Guideline Development Group. Fertility (update): summary of NICE guidance. BMJ. 2013; 346:f650 [M,II]

23427132

FERTILIDAD (ACTUALIZACIÓN): RESUMEN DE LA GUÍA NICE

 

Lapner ST, Kearon C. Diagnosis and management of pulmonary embolism. BMJ. 2013; 346:f757 [R,I]

23427133

DIAGNÓSTICO Y MANEJO DEL EMBOLISMO PULMONAR

 

Treasure T, Utley M. Surgical removal of asymptomatic pulmonary metastases: time for better evidence. BMJ. 2013; 346:f824 [R,I]

23430330

EXTIRPACIÓN QUIRÚRGICA DE LAS METÁSTASIS PULMONARES ASINTOMÁTICAS: HORA DE UNA MEJOR EVIDENCIA

 

Wilcox M. Assuring the quality of diagnostic tests. BMJ. 2013; 346:f836 [AO,I]

23403981

ASEGURAR LA CALIDAD DE LAS PRUEBAS DIAGNÓSTICAS

 

Manjunath A, Skinner R, Probert J. Assessment and management of renal colic. BMJ. 2013; 346:f985 [R,I]

23430331

VALORACIÓN Y MANEJO DEL CÓLICO RENAL

 

Sedgwick P. Sample size: how many participants are needed in a trial? BMJ. 2013; 346:f1041 [AO,II]

23418280

TAMAÑO MUESTRAL: ¿CUÁNTOS PARTICIPANTES SE NECESITAN EN UN ENSAYO?

 

Njor SH, Olsen AH, Blichert-Toft M, Schwartz W, Vejborg I, Lynge E. Overdiagnosis in screening mammography in Denmark: population based cohort study. BMJ. 2013; 346:f1064 [S,II]

23444414             R/C

DIAGNÓSTICO EXCESIVO EN EL CRIBAJE MAMOGRÁFICO EN DINAMARCA: ESTUDIO DE COHORTES POBLACIONAL

 

Kesselheim AS. Drug company gifts to medical students: the hidden curriculum. BMJ. 2013; 346:f1113 [AO,I]

23427129

REGALOS DE LAS COMPAÑÍAS FARMACÉUTICAS A LOS ESTUDIANTES DE MEDICINA: EL CURRÍCULO OCULTO

 

Spence D. The cause of clinical variance. BMJ. 2013; 346:f1122 [AO,I]

23422901

LA CAUSA DE LA VARIABILIDAD CLÍNICA

 

 

Fletcher J, Tsuyuki R. Don't tamper with oxycodone. CMAJ. 2013; 185:107 [AO,I]

23296585

NO MANIPULE LA OXICODONA

 

Prina AM, Huisman M, Yeap BB, Hankey GJ, Flicker L, Brayne C, et al. Association between depression and hospital outcomes among older men. CMAJ. 2013; 185:117-123 [S,I]

23228999             R/C

ASOCIACIÓN ENTRE DEPRESIÓN Y RESULTADOS HOSPITALARIOS ENTRE PERSONAS MAYORES

 

Jacoby DL, Depasquale EC, McKenna WJ. Hypertrophic cardiomyopathy: diagnosis, risk stratification and treatment. CMAJ. 2013; 185:127-134 [R,I]

23109605

CARDIOMIOPATÍA HIPERTRÓFICA: DIAGNÓSTICO, ESTRATIFICACIÓN DEL RIESGO Y TRATAMIENTO

 

Li YK, White CP. Carpometacarpal osteoarthritis of the thumb. CMAJ. 2013; 185:149 [AO,I]

23008487

ARTROSIS CARPOMETACARPIANA DEL PULGAR

 

Bird ST, Hartzema AG, Brophy JM, Etminan M, Delaney JA. Risk of venous thromboembolism in women with polycystic ovary syndrome: a population-based matched cohort analysis. CMAJ. 2013; 185:E115-E120 [S,I]

23209115             R/C

RIESGO DE TROMBOEMBOLISMO VENOSO EN MUJERES CON SÍNDROME DE OVARIO POLIQUÍSTICO: ANÁLISIS DE COHORTE EMPAREJADA POBLACIONAL

 

Gomes T, Mamdani MM, Holbrook AM, Paterson JM, Hellings C, Juurlink DN. Rates of hemorrhage during warfarin therapy for atrial fibrillation. CMAJ. 2013; 185:E121-E127 [S,I]

23184840             R/C

TASAS DE HEMORRAGIA DURANTE LA TERAPIA CON WARFARINA EN LA FIBRILACIÓN AURICULAR

 

Kiran T, Kopp A, Moineddin R, Victor JC, Campbell RJ, Shah BR, et al. Unintended consequences of delisting routine eye exams on retinopathy screening for people with diabetes in Ontario, Canada. CMAJ. 2013; 185:E167-E173 [S,I]

23296581             R/C

CONSECUENCIAS INVOLUNTARIAS DE QUITAR LOS EXÁMENES OCULARES COMO RUTINA EN EL CRIBAJE DE LA RETINOPATÍA EN PERSONAS CON DIABETES EN ONTARIO, CANADÁ

 

Freiman A, Barankin B. Psoriasis. CMAJ. 2013; 185:E174 [AO,I]

22949562

PSORIASIS

 

 

Dumas F, Rea TD, Fahrenbruch C, Rosenqvist M, Faxén J, Svensson L, et al. Chest compression alone cardiopulmonary resuscitation is associated with better long-term survival compared with standard cardiopulmonary resuscitation. Circulation. 2013; 127:435-441 [EC,II]

23230313             R/C

LA REANIMACIÓN CARDIOPULMONAR MEDIANTE COMPRESIÓN TORÁCICA SOLAMENTE SE ASOCIA CON MEJOR SUPERVIVENCIA A LARGO PLAZO COMPARADA CON LA REANIMACIÓN CARDIOPULMONAR ESTÁNDAR

 

Januzzi JL, Troughton R. Are serial BNP measurements useful in heart failure management?: serial natriuretic peptide measurements are useful in heart failure management. Circulation. 2013; 127:500-508 [R,I]

23357662

¿SON ÚTILES LAS MEDICIONES SERIADAS DE PÉPTIDO NATRIURÉTICO EN EL MANEJO DE LA INSUFICIENCIA CARDIACA?  LAS MEDICIONES SERIADAS DE PÉPTIDO NATRIURÉTICO EN EL MANEJO DE LA INSUFICIENCIA CARDIACA SON ÚTILES

 

Desai AS. Are serial BNP measurements useful in heart failure management?: serial natriuretic peptide measurements are not useful in heart failure management: the art of medicine remains long. Circulation. 2013; 127:509-516 [R,I]

23357663

¿SON ÚTILES LAS MEDICIONES SERIADAS DE PÉPTIDO NATRIURÉTICO EN EL MANEJO DE LA INSUFICIENCIA CARDIACA?  LAS MEDICIONES SERIADAS DE PÉPTIDO NATRIURÉTICO EN EL MANEJO DE LA INSUFICIENCIA CARDIACA NO SON ÚTILES

 

O'Gara PT, Kushner FG, Ascheim DD, Casey DE Jr, Chung MK, de Lemos JA, et al; WRITING COMMITTEE MEMBERS. 2013 ACCF/AHA Guideline for the management of ST-elevation myocardial infarction: executive summary: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2013; 127:529-555 [M,III]

23247303

GUÍA 2013 DE LA ACCF/AHA PARA EL MANEJO DEL INFARTO DE MIOCARDIO CON ELEVACIÓN DE ST: RESUMEN EJECUTIVO: INFORME DE LA  AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION/AMERICAN HEART ASSOCIATION TASK FORCE SOBRE GUÍAS DE PRÁCTICA CLÍNICA

 

Intapad S, Alexander BT. Future cardiovascular risk: interpreting the importance of increased blood pressure during pregnancy. Circulation. 2013; 127:668-669 [AO,I]

23401111

RIESGO CARDIOVASCULAR FUTURO: INTERPRETAR LA IMPORTANCIA DEL AUMENTO DE PRESIÓN ARTERIAL DURANTE EL EMBARAZO

 

Männistö T, Mendola P, Vääräsmäki M, Järvelin MR, Hartikainen AL, Pouta A, et al. Elevated blood pressure in pregnancy and subsequent chronic disease risk. Circulation. 2013; 127:681-690 [S,I]

23401113             R/C

PRESIÓN ARTERIAL EN EL EMBARAZO Y RIESGO POSTERIOR DE ENFERMEDAD CRÓNICA

 

O'Gara PT, Kushner FG, Ascheim DD, Casey DE Jr, Chung MK, de Lemos JA, et al; WRITING COMMITTEE MEMBERS. 2013 ACCF/AHA Guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2013; 127:e362-e425 [M,III]

23247304

GUÍA 2013 DE LA ACCF/AHA PARA EL MANEJO DEL INFARTO DE MIOCARDIO CON ELEVACIÓN DE ST: INFORME DE LA AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION/AMERICAN HEART ASSOCIATION TASK FORCE SOBRE GUÍAS DE PRÁCTICA CLÍNICA

 

 

Piatt GA, Seidel MC, Powell RO, Zgibor JC. Comparative effectiveness of lifestyle intervention efforts in the community: results of the Rethinking Eating and ACTivity (REACT) study. Diabetes Care. 2013; 36:202-209 [EC,II]

22966092             R/C

EFECTIVIDAD COMPARADA DE LOS ESFUERZOS DE INTERVENCIÓN SOBRE LOS HÁBITOS DE VIDA EN LA COMUNIDAD: RESULTADOS DEL ESTUDIO REACT

 

Davidson MB, Duran P, Lee ML, Friedman TC. High-dose vitamin D supplementation in people with prediabetes and hypovitaminosis D. Diabetes Care. 2013; 36:260-266 [EC,I]

23033239             R/C

SUPLEMENTACIÓN CON DOSIS GRANDES DE VITAMINA D EN PERSONAS CON PREDIABETES E HIPOVITAMINOSIS D

 

Pajunen P, Rissanen H, Laaksonen MA, Heliövaara M, Reunanen A, Knekt P. Sagittal abdominal diameter as a new predictor for incident diabetes. Diabetes Care. 2013; 36:283-288 [S,II]

22961578             R/C

DIÁMETRO ABDOMINAL SAGITAL COMO NUEVO PREDICTOR DE INCIDENCIA DE DIABETES

 

Wander PL, Boyko EJ, Leonetti DL, McNeely MJ, Kahn SE, Fujimoto WY. Change in visceral adiposity independently predicts a greater risk of developing type 2 diabetes over 10 years in Japanese americans. Diabetes Care. 2013; 36:289-293 [S,I]

22966093             R/C

EL CAMBIO EN LA ADIPOSIDAD VISCERAL PREDICE DE FORMA INDEPENDIENTE UN MAYOR RIESGO DE DESARROLLAR DIABETES TIPO 2 EN EL PLAZO DE 10 AÑOS EN AMERICANOS JAPONESES

 

O'Connor PJ, Vazquez-Benitez G, Schmittdiel JA, Parker ED, Trower NK, Desai JR, et al. Benefits of early hypertension control on cardiovascular outcomes in patients with diabetes. Diabetes Care. 2013; 36:322-327 [S,I]

22966094             R/C

BENEFICIOS DEL CONTROL PRECOZ DE LA HIPERTENSIÓN SOBRE LOS RESULTADOS CARDIOVASCULARES EN PACIENTES CON DIABETES

 

Buse JB, Kaufman FR, Linder B, Hirst K, El Ghormli L, Willi S; HEALTHY Study Group. Diabetes screening with hemoglobin A1C versus fasting plasma glucose in a multiethnic middle-school cohort. Diabetes Care. 2013; 36:429-435 [EC,II]

23193207             R/C

CRIBAJE DE DIABETES CON HBA1C FRENTE A LA GLUCOSA PLASMÁTICA EN AYUNAS EN UNA COHORTE ESCOLAR MULTIÉTNICA

 

Kodama S, Tanaka S, Heianza Y, Fujihara K, Horikawa C, Shimano H, et al. Association between physical activity and risk of all-cause mortality and cardiovascular disease in patients with diabetes: a meta-analysis. Diabetes Care. 2013; 36:471-479 [M,II]

23349151             R/C

ASOCIACIÓN ENTRE ACTIVIDAD FÍSICA Y RIESGO DE MORTALIDAD POR CUALQUIER CAUSA Y DE ENFERMEDAD CARDIOVASCULAR EN PACIENTES CON DIABETES: METAANÁLISIS

 

 

Doehner W, Schenkel J, Anker SD, Springer J, Audebert HJ. Overweight and obesity are associated with improved survival, functional outcome, and stroke recurrence after acute stroke or transient ischaemic attack: observations from the TEMPiS trial. Eur Heart J. 2013; 34:268-277 [EC,I]

23076781             R/C

EL SOBREPESO Y LA OBESIDAD SE ASOCIAN CON MEJORÍA DE LA SUPERVIVENCIA, RESULTADO FUNCIONAL Y RECURRENCIA DEL ICTUS TRAS ICTUS AGUDO O AIT: OBSERVACIONES DEL ENSAYO TEMPIS

 

Ortega FB, Lee DC, Katzmarzyk PT, Ruiz JR, Sui X, Church TS, et al. The intriguing metabolically healthy but obese phenotype: cardiovascular prognosis and role of fitness. Eur Heart J. 2013; 34:389-397 [T,I]

22947612             R/C

EL INTRIGANTE FENOTIPO OBESO PERO METABÓLICAMENTE SANO: PRONÓSTICO CARDIOVASCULAR Y PAPEL DE LA PUESTA EN FORMA FÍSICA

 

Ukena C, Böhm M. Management of heart failure: are specialists really needed? Eur Heart J. 2013; 34:416-418 [AO,I]

22952139

MANEJO DE LA INSUFICIENCIA CARDIACA: ¿SE NECESITAN LOS ESPECIALISTAS REALMENTE?

 

Fard A, Maisel A. Natriuretic peptides, novel biomarkers, and the prediction of future events. Eur Heart J. 2013; 34:419-421 [AO,I]

23197567

PÉPTIDOS NATRIURÉTICOS, NUEVOS BIOMARCADORES Y PREDICCIÓN DE ACONTECIMIENTOS FUTUROS

 

Welsh P, Doolin O, Willeit P, Packard C, Macfarlane P, Cobbe S, et al. N-terminal pro-B-type natriuretic peptide and the prediction of primary cardiovascular events: results from 15-year follow-up of WOSCOPS. Eur Heart J. 2013; 34:443-450 [S,II]

22942340             R/C

PÉPTIDO NATRIURÉTICO N-TERMINAL PRO-TIPO B Y PREDICCIÓN DE ACONTECIMIENTOS CARDIOVASCULARES PRIMARIOS: RESULTADOS DE 15 AÑOS DE SEGUIMIENTO DEL WOSCOPS

 

 

Saultz J. Informed consent? Fam Med. 2013; 45:81-82 [AO,I]

23378073

¿CONSENTIMIENTO INFORMADO?

 

Schwartz PH, Edenberg E, Barrett PR, Perkins SM, Meslin EM, Imperiale TF. Patient understanding of benefits, risks, and alternatives to screening colonoscopy. Fam Med. 2013; 45:83-89 [T,I]

23378074             R/C

COMPRENSIÓN POR PARTE DEL PACIENTE DE LOS BENEFICIOS, RIESGOS Y ALTERNATIVAS DEL CRIBAJE COLONOSCÓPICO

 

Goetz K, Musselmann B, Szecsenyi J, Joos S. The influence of workload and health behavior on job satisfaction of general practitioners. Fam Med. 2013; 45:95-101 [T,I]

23378076             R/C

INFLUENCIA DE LA CARGA DE TRABAJO Y LA CONDUCTA SALUDABLE SOBRE LA SATISFACCIÓN LABORAL DE LOS MÉDICOS GENERALES

 

Ray MK, Beach MC, Nicolaidis C, Choi D, Saha S, Korthuis PT. Patient and provider comfort discussing substance use. Fam Med. 2013; 45:109-117 [T,I]

23378078             R/C

COMODIDAD DEL PACIENTE Y EL PROFESIONAL AL HABLAR SOBRE EL USO DE SUSTANCIAS TÓXICAS

 

 

Burton C, Campbell P, Jordan K, Strauss V, Mallen C. The association of anxiety and depression with future dementia diagnosis: a case-control study in primary care. Fam Pract. 2013; 30:25-30 [CC,I]

22915794             R/C

ASOCIACIÓN DE ANSIEDAD Y DEPRESIÓN CON DIAGNÓSTICO FUTURO DE DEMENCIA: ESTUDIO DE CASO-CONTROL EN ATENCIÓN PRIMARIA

 

Mira JJ, Orozco-Beltrán D, Pérez-Jover V, Martínez-Jimeno L, Gil-Guillén VF, Carratala-Munuera C, et al. Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple comorbidities. Fam Pract. 2013; 30:56-63 [T,II]

22904014             R/C

LOS FALLOS DE COMUNICACIÓN ENTRE PACIENTE Y MÉDICO FACILITAN LOS ERRORES DE MEDICACIÓN EN PACIENTES MAYORES POLIMEDICADOS CON COMORBILIDADES MÚLTIPLES

 

Clerkin P, Buckley BS, Murphy AW, Macfarlane AE. Patients' views about the use of their personal information from general practice medical records in health research: a qualitative study in Ireland. Fam Pract. 2013; 30:105-112 [C,I]

22850249             R/C

PUNTOS DE VISTA DE LOS PACIENTES SOBRE EL USO DE SU INFORMACIÓN PERSONAL PROVENIENTE DE LOS REGISTROS MÉDICOS DE MEDICINA GENERAL EN LA INVESTIGACIÓN SANITARIA: ESTUDIO CUALITATIVO EN IRLANDA

 

JAMA INTERNAL MEDICINE (Antes Archives of Internal Medicine)

 

Redberg RF. Getting to best care at lower cost. JAMA Intern Med. 2013; 173:91-92 [AO,I]

22961503

CONSEGUIR MEJOR ATENCIÓN SANITARIA A MENOR COSTE

 

Spring B, Duncan JM, Janke EA, Kozak AT, McFadden HG, Demott A, et al. Integrating technology into standard weight loss treatment: a randomized controlled trial. JAMA Intern Med. 2013; 173:105-111 [EC,I]

23229890             R/C

INTEGRAR LA TECNOLOGÍA EN EL TRATAMIENTO ESTÁNDAR PARA PERDER PESO: ENSAYO CONTROLADO ALEATORIZADO

 

Ma J, Yank V, Xiao L, Lavori PW, Wilson SR, Rosas LG, et al. Translating the diabetes prevention program lifestyle intervention for weight loss into primary care: a randomized trial. JAMA Intern Med. 2013; 173:113-121 [EC,I]

23229846             R/C

TRADUCIR LA INTERVENCIÓN SOBRE HÁBITOS DE VIDA PARA PERDER PESO EN EL PROGRAMA DE PREVENCIÓN DE DIABETES A LA ATENCIÓN PRIMARIA: ENSAYO ALEATORIZADO

 

JAMA PSYCHIATRY  (Antes Archives of General Psychiatry)

 

Ramanathan S, Balasubramanian N, Krishnadas R. Macroeconomic environment during infancy as a possible risk factor for adolescent behavioral problems. JAMA Psychiatry. 2013; 70:218-225 [T,I]

23277351             R/C

ENTORNO MACROECONÓMICO DURANTE LA INFANCIA COMO POSIBLE FACTOR DE RIESGO DE PROBLEMAS DEL COMPORTAMIENTO EN LA ADOLESCENCIA

 

 

González B, Sosa M. Estimación del riesgo de fractura osteoporótica a los 10 años para la población española. Med Clin (Barc). 2013; 140:104-109 [T,I]

22401729             R/C

ESTIMACIÓN DEL RIESGO DE FRACTURA OSTEOPORÓTICA A LOS 10 AÑOS PARA LA POBLACIÓN ESPAÑOLA

 

Gullón JA, Rodríguez C, García JM, Alvarez F, Villanueva MA, Castaño G. Obesidad y control del asma bronquial: un vínculo consistente. Med Clin (Barc). 2013; 140:110-112  [T,I]

23199829             R/C

OBESIDAD Y CONTROL DEL ASMA BRONQUIAL: UN VÍNCULO CONSISTENTE

 

Camafort-Babkowski M, López-Soto A. Anticoagulación en la fibrilación auricular del paciente pluripatológico, ¿riesgo o beneficio? Med Clin (Barc). 2013; 140:113-114 [AO,I]

23199833

ANTICOAGULACIÓN EN LA FIBRILACIÓN AURICULAR DEL PACIENTE PLURIPATOLÓGICO, ¿RIESGO O BENEFICIO?

 

Labiano-Fontcuberta A, Benito-León J. Temblor esencial: una actualización. Med Clin (Barc). 2013; 140: 128-133  [R,I]

22995841

TEMBLOR ESENCIAL: UNA ACTUALIZACIÓN

 

Gómez Huelgas R, Díez-Espino J, Formiga F, Lafita J, Rodríguez L, González-Sarmiento E, et al; en nombre del Grupo de Trabajo para el Documento de Consenso sobre el tratamiento de la diabetes tipo 2 en el anciano. Tratamiento de la diabetes tipo 2 en el paciente anciano. Med Clin (Barc). 2013; 140:134.e1-e12 [R,II]

23199835

TRATAMIENTO DE LA DIABETES TIPO 2 EN EL PACIENTE ANCIANO

 

Mena G, Llupià A, Sequera VG, Aldea M. Formación sanitaria especializada: preferencias y percepciones de los estudiantes de medicina. Med Clin (Barc). 2013; 140:135-138 [AO,II]

23199832

FORMACIÓN SANITARIA ESPECIALIZADA: PREFERENCIAS Y PERCEPCIONES DE LOS ESTUDIANTES DE MEDICINA

 

Jacob J, Martín-Sanchez FJ, Herrero P, Miró O, Llorens P; en representación de los miembros del grupo ICA-SEMES. Valor pronóstico de la troponina en pacientes con insuficiencia cardiaca aguda atendidos en los Servicios de Urgencias hospitalarios españoles: estudio TROPICA (TROPonina en Insuficiencia Cardiaca Aguda) Med Clin (Barc). 2013; 140:145-151 [S,II]

23122607             R/C

VALOR PRONÓSTICO DE LA TROPONINA EN PACIENTES CON INSUFICIENCIA CARDIACA AGUDA ATENDIDOS EN LOS SERVICIOS DE URGENCIAS HOSPITALARIOS ESPAÑOLES: ESTUDIO TROPICA (TROPONINA EN INSUFICIENCIA CARDIACA AGUDA)

 

Pascual-Figal DA. Troponinas, una señal de SOS en el corazón insuficiente. Med Clin (Barc). 2013; 140:161-163 [AO,I]

23141046

TROPONINAS, UNA SEÑAL DE SOS EN EL CORAZÓN INSUFICIENTE

 

Catalá-López F, Tobías A. Síntesis de la evidencia clínica y metaanálisis en red con comparaciones indirectas. Med Clin (Barc). 2013; 140:182-187 [R,I]

23177302

SÍNTESIS DE LA EVIDENCIA CLÍNICA Y METAANÁLISIS EN RED CON COMPARACIONES INDIRECTAS

 

Díez-Manglano J, Bernabeu-Wittel M, Barón-Franco B, Murcia-Zaragoza J, Fuertes Martín A, Alemán A, et al; en representación de los investigadores del Proyecto PROFUND. Anticoagulación en pacientes pluripatológicos con fibrilación auricular. Med Clin (Barc). 2013; 140:97-103 [S,I]

23199837             R/C

ANTICOAGULACIÓN EN PACIENTES PLURIPATOLÓGICOS CON FIBRILACIÓN AURICULAR

 

Xifró X, Puig T, Boadas-Vaello P. Diagnóstico y tratamiento farmacológico del dolor neuropático del lesionado medular: del laboratorio a la clínica. Med Clin (Barc). 2013; 140:175-181  [R,I]

23177311

DIAGNÓSTICO Y TRATAMIENTO FARMACOLÓGICO DEL DOLOR NEUROPÁTICO DEL LESIONADO MEDULAR: DEL LABORATORIO A LA CLÍNICA

 

 

Marrodán MD, Cabañas MD, Carmenate MM, González-Montero M, López-Ejeda N, Martínez JR, et al. Asociación entre adiposidad corporal y presión arterial entre los 6 y los 16 años. Análisis en una población escolar madrileña. Rev Esp Cardiol. 2013; 66:110-115 [T,I]

23218421             R/C

ASOCIACIÓN ENTRE ADIPOSIDAD CORPORAL Y PRESIÓN ARTERIAL ENTRE LOS 6 Y LOS 16 AÑOS. ANÁLISIS EN UNA POBLACIÓN ESCOLAR MADRILEÑA

 

 

Otto MW, Wisniewski SR. CBT for treatment resistant depression. Lancet. 2013; 381:352-353 [AO,I]

23219571

TERAPIA COGNITIVO-CONDUCTUAL EN EL TRATAMIENTO DE LA DEPRESIÓN RECURRENTE

 

Hallal PC, Lee IM. Prescription of physical activity: an undervalued intervention. Lancet. 2013; 381:356-357 [AO,I]

23199848

PRESCRIPCIÓN DE ACTIVIDAD FÍSICA: UNA INTERVENCIÓN INFRAVALORADA

 

Wiles N, Thomas L, Abel A, Ridgway N, Turner N, Campbell J, et al. Cognitive behavioural therapy as an adjunct to pharmacotherapy for primary care based patients with treatment resistant depression: results of the CoBalT randomised controlled trial. Lancet. 2013; 381:375-384 [EC,I]

23219570             R/C

TERAPIA COGNITIVO-CONDUCTUAL COMO ADJUNTA A LA FARMACOTERAPIA EN PACIENTES DE ATENCIÓN PRIMARIA CON TRATAMIENTO PARA DEPRESIÓN RECURRENTE: RESULTADOS DEL ENSAYO ALEATORIZADO CONTROLADO COBALT

 

Kulendran M, Leff DR, Kerr K, Tekkis PP, Athanasiou T, Darzi A. Global cancer burden and sustainable health development. Lancet. 2013; 381:427-429 [AO,I]

23388076

CARGA MUNDIAL DE CÁNCER Y DESARROLLO SANITARIO SOSTENIBLE

 

Horton R. Non-communicable diseases: 2015 to 2025. Lancet. 2013; 381:509-510 [AO,I]

23410603

ENFERMEDADES NO TRANSMISIBLES: 2015 A 2025

 

Clark H. NCDs: a challenge to sustainable human development. Lancet. 2013; 381:510-511 [AO,I]

23410604

ENFERMEDADES NO TRANSMISIBLES: RETO PARA UN DESARROLLO HUMANO SOSTENIBLE

 

Weber MA, Jamerson K, Bakris GL, Weir MR, Zappe D, Zhang Y, et al. Effects of body size and hypertension treatments on cardiovascular event rates: subanalysis of the ACCOMPLISH randomised controlled trial. Lancet. 2013; 381:537-545 [EC,I]

23219284             R/C

EFECTOS DEL TAMAÑO CORPORAL Y LOS TRATAMIENTOS PARA LA HIPERTENSIÓN SOBRE LAS TASAS DE ACONTECIMIENTOS CARDIOVASCULARES: SUBANÁLISIS DEL ENSAYO CONTROLADO ALEATORIZADO ACCOMPLISH

 

 

Casazza K, Fontaine KR, Astrup A, Birch LL, Brown AW, Bohan Brown MM, et al. Myths, presumptions, and facts about obesity. N Engl J Med. 2013; 368:446-454 [R,I]

23363498             R/C

MITOS, CONJETURAS Y REALIDADES SOBRE LA OBESIDAD

 

Nabel GJ. Designing tomorrow's vaccines. N Engl J Med. 2013; 368:551-560 [R,I]

23388006

DISEÑAR LAS VACUNAS DEL MAÑANA

 

Dor Y, Glaser B. ß-cell dedifferentiation and type 2 diabetes. N Engl J Med. 2013; 368:572-573 [AO,I]

23388011

DESDIFERENCIACIÓN DE LA CÉLULA BETA Y DIABETES TIPO 2

 

Tanner CM. A second honeymoon for Parkinson's disease? N Engl J Med. 2013; 368:675-676 [AO,I]

23406033

¿SEGUNDA LUNA DE MIEL EN LA ENFERMEDAD DE PARKINSON?

 

Agnelli G, Buller HR, Cohen A, Curto M, Gallus AS, Johnson M, et al; PLIFY-EXT Investigators. Apixaban for extended treatment of venous thromboembolism. N Engl J Med. 2013; 368:699-708 [EC,I]

23216615             R/C

APIXABAN EN EL TRATAMIENTO AMPLIADO DEL TROMBOEMBOLISMO VENOSO

 

Schulman S, Kearon C, Kakkar AK, Schellong S, Eriksson H, Baanstra D, et al; RE-MEDY Trial Investigators; RE-SONATE Trial Investigators. Extended use of dabigatran, warfarin, or placebo in venous thromboembolism. N Engl J Med. 2013; 368:709-718 [EC,I]

23425163             R/C

USO AMPLIADO DE DABIGATRAN, WARFARINA O PLACEBO EN EL TROMBOEMBOLISMO VENOSO

 

Tammemägi MC, Katki HA, Hocking WG, Church TR, Caporaso N, Kvale PA, et al. Selection criteria for lung-cancer screening. N Engl J Med. 2013; 368:728-736 [T,II]

23425165             R/C

CRITERIOS DE SELECCIÓN PARA EL CRIBAJE DEL CÁNCER DE PULMÓN

 

Zumla A, Raviglione M, Hafner R, von Reyn CF. Tuberculosis. N Engl J Med. 2013; 368:745-755 [R,I]

23425167

TUBERCULOSIS

 

Connors JM. Extended treatment of venous thromboembolism. N Engl J Med. 2013; 368:767-769 [AO,I]

23425170

TRATAMIENTO AMPLIADO DEL TROMBOEMBOLISMO VENOSO

 

 

Obiora E, Hubbard R, Sanders RD, Myles PR. The impact of benzodiazepines on occurrence of pneumonia and mortality from pneumonia: a nested case-control and survival analysis in a population-based cohort. Thorax. 2013; 68:163-170 [CC,I]

23220867             R/C

IMPACTO DE LAS BENZODIACEPINAS SOBRE LA INCIDENCIA DE NEUMONÍA Y LA MORTALIDAD POR NEUMONÍA: ANÁLISIS DE CASO-CONTROL ANIDADO Y SUPERVIVENCIA EN UNA COHORTE POBLACIONAL

 

ACADEMIC MEDICINE

 

S23269304

Researchers in medical education have been placing increased emphasis on "outcomes research," or the observable impact of educational interventions on patient care. However, although patient outcomes are obviously important, they should not be the sole focus of attention in medical education research. The purpose of this perspective is both to highlight the limitations of outcomes research in medical education and to offer suggestions to facilitate a proper balance between learner-centered and patient-centered assessments. The authors cite five challenges to research using patient outcomes in medical education, namely (1) dilution (the progressively attenuated impact of education as filtered through other health care providers and systems), (2) inadequate sample size, (3) failure to establish a causal link, (4) potentially biased outcome selection, and (5) teaching to the test. Additionally, nonpatient outcomes continue to hold value, particularly in theory-building research and in the evaluation of program implementation. To educators selecting outcomes and instruments in medical education research, the authors offer suggestions including to clarify the study objective and conceptual framework before selecting outcomes, and to consider the development and use of behavioral and other intermediary outcomes. Deliberately weighing the available options will facilitate informed choices during the design of research that, in turn, informs the art and science of medical education.

S23269289

Optimizing the effectiveness, efficiency, integration, and satisfaction associated with delivered health care is not only highly principled but also good business practice in an extremely competitive environment. Programs that foster quality improvement and patient safety efforts while also promoting a scholarly focus can generate the incentives and organizational recognition needed to make patient safety and quality improvement bona fide components of the academic mission. The authors describe the development, implementation, and results of a dedicated Section on Quality and Patient Safety (SQPS) within an academic anesthesiology department. Spearheaded by a physician champion and vigorously supported by the departmental chair, this SQPS engaged core leaders from the Department of Anesthesiology. This departmental quality and patient safety management team adopted quality improvement and performance improvement techniques that have been successfully used in other industries. The SQPS has gained support through data-driven results and reiterative promotion. Transparency and accountability have also been powerful motivators for achieving clinician buy-in and changing behavior. Since its inception in 2007, the SQPS has initiated or managed through to completion more than 25 quality and performance improvement projects, including an intraoperative corneal injury reduction program, a wrong-sided regional anesthesia procedure, a drug-eluting coronary stent protocol, and a practice-improvement initiative for resident physicians. The SQPS has not only robustly promoted a departmental culture of quality patient care and safety but also set the standard for other departments and stakeholders within the authors' health system.

S23269305

The means to share educational materials have grown considerably over the years, especially with the multitude of Internet channels available to educators. This article describes an innovative use of YouTube as a publishing platform for clinical educational materials.The authors posted online a series of short videos for teaching clinical procedures anticipating that they would be widely used. The project Web site attracted little traffic, alternatives were considered, and YouTube was selected for exploration as a publication channel. YouTube's analytics tools were used to assess uptake, and viewer comments were reviewed for specific feedback in support of evaluating and improving the materials posted.The uptake was much increased with 1.75 million views logged in the first 33 months. Viewer feedback, although limited, proved useful. In addition to improving uptake, this approach also relinquishes control over how materials are presented and how the analytics are generated. Open and anonymous access also limits relationships with end users.In summary, YouTube was found to provide many advantages over self-publication, particularly in terms of technical simplification, increased audience, discoverability, and analytics. In contrast to the transitory interest seen in most YouTube content, the channel has seen sustained popularity. YouTube's broadcast model diffused aspects of the relationship between educators and their learners, thereby limiting its use for more focused activities, such as continuing medical education.

 

ANNALS OF INBTERNAL MEDICINE

 

S23381040

Higher midlife fitness levels seem to be associated with lower hazards of developing all-cause dementia later in life. The magnitude and direction of the association were similar with or without previous stroke, suggesting that higher fitness levels earlier in life may lower risk for dementia later in life, independent of cerebrovascular disease.

S23338775

Risk assessment and behavioral interventions in pediatric clinics reduced abuse and neglect outcomes for young children. Early childhood home visitation also reduced abuse and neglect, but results were inconsistent. Additional research on interventions to prevent child abuse and neglect is needed.

S23381039

Compared with standard screening, PSA screening strategies that use higher thresholds for biopsy referral for older men and that screen men with low PSA levels less frequently can reduce harms while preserving lives.

 

ATENCION PRIMARIA

 

S23149119

El VIM se percibe como una herramienta para el control del gasto en medicamentos y como una carga administrativa adicional en AP. El ritmo de implementación del VE difiere entre CCAA así como el acceso a la normativa pertinente.

S22409838

El tabaco es el principal factor de riesgo cardiovascular, presentando, además, una relación dosis–respuesta. Se ha comprobado que una política agresiva, no solo contra el consumo, consigue una disminución significativa en la mortalidad cardiovascular. Debemos, por lo tanto, facilitar y realizar acciones dirigidas a impedir o disminuir la incidencia del tabaquismo (prevención primaria), a la detección precoz del fumador y a reducir la prevalencia (prevención secundaria) y, por último, a actuar sobre los efectos del humo del tabaco evitando complicaciones y recaídas (prevención terciaria). Por ello, desde todos los niveles asistenciales de nuestro sistema de salud se debe intervenir para que los fumadores no desarrollen enfermedades, así como para que los pacientes con enfermedades cardiovasculares dejen de fumar, tanto desde la atención primaria como desde la especializada.

S23159792

Las entradas sobre principios activos farmacológicos en la edición española de la Wikipedia son aún escasas y la adecuación de su información sigue siendo inconsistente.

 

BRITISH MEDICAL JOURNAL

 

S23360717

Both sexes face increased risk of all-cause mortality, cardiovascular mortality, and end stage renal disease with lower estimated glomerular filtration rates and higher albuminuria. These findings were robust across a large global consortium.

S23325883

The benefits of ß blockers in patients with heart failure with reduced ejection fraction seem to be mainly due to a class effect, as no statistical evidence from current trials supports the superiority of any single agent over the others.

S23358488

Although dual blockade of the renin-angiotensin system may have seemingly beneficial effects on certain surrogate endpoints, it failed to reduce mortality and was associated with an excessive risk of adverse events such as hyperkalaemia, hypotension, and renal failure compared with monotherapy. The risk to benefit ratio argues against the use of dual therapy.

S23335472

There is no evidence to support the use of vitamin and antioxidant supplements for prevention of cardiovascular diseases.

S23403980

High intakes of calcium in women are associated with higher death rates from all causes and cardiovascular disease but not from stroke.

S23444414

On the basis of combined data from the two screening programmes, this study indicated that overdiagnosis most likely amounted to 2.3% (95% confidence interval -3% to 8%) in targeted women. Among participants, it was most likely 1-5%. At least eight years after the end of screening were needed to compensate for the excess incidence during screening.

S23360890

This study confirmed a modest prolongation of QT interval with citalopram, and identified additional antidepressants with similar observed risk. Pharmacovigilance studies using electronic health record data may be a useful method of identifying potential risk associated with treatments.

S23386268

Advice to substitute polyunsaturated fats for saturated fats is a key component of worldwide dietary guidelines for coronary heart disease risk reduction. However, clinical benefits of the most abundant polyunsaturated fatty acid, omega 6 linoleic acid, have not been established. In this cohort, substituting dietary linoleic acid in place of saturated fats increased the rates of death from all causes, coronary heart disease, and cardiovascular disease. An updated meta-analysis of linoleic acid intervention trials showed no evidence of cardiovascular benefit. These findings could have important implications for worldwide dietary advice to substitute omega 6 linoleic acid, or polyunsaturated fats in general, for saturated fats.

S23393080

These findings suggest that work related stress, measured and defined as job strain, at baseline is unlikely to be an important risk factor for colorectal, lung, breast, or prostate cancers.

 

BRITISH JOURNAL OF PSYCHYIATRY

 

S23377208

Psychiatric patients experience a high prevalence of domestic violence but there is limited information on family (non-partner) domestic violence, the prevalence of emotional abuse and the extent of risk compared with non-psychiatric controls.

S23060622

The burden of co-occurring psychopathology among mothers with recurrent depression indexes increased risk of future onset of psychiatric disorder for offspring. This knowledge can be used in targeting preventive measures in children at high risk of psychiatric disorder.

S23377209

Our analyses are consistent with the hypothesis that low vitamin D concentration is associated with depression, and highlight the need for randomised controlled trials of vitamin D for the prevention and treatment of depression to determine whether this association is causal.

 

CANADIAN MEDICAL ASSOCIATION JOURNAL

 

S23184840

In this large cohort of older patients with atrial fibrillation, we found that rates of hemorrhage are highest within the first 30 days of warfarin therapy. These rates are considerably higher than the rates of 1%-3% reported in randomized controlled trials of warfarin therapy. Our study provides timely estimates of warfarin-related adverse events that may be useful to clinicians, patients and policy-makers as new options for treatment become available.

S23209115

We found a 2-fold increased risk of venous thromboembolism among women with PCOS who were taking combined oral contraceptives and a 1.5-fold increased risk among women with PCOS not taking oral contraceptives. Physicians should consider the increased risk of venous thromboembolism when prescribing contraceptive therapy to women with PCOS.

S23296581

The delisting of routine eye examinations for healthy adults in Ontario had the unintended consequence of reducing publicly funded retinopathy screening for people with diabetes. More research is needed to understand whether patients are being charged for an insured service or to what degree misunderstanding has prevented patients from seeking care.

S23228999

Participants with depressive symptoms were at higher risk of hospital admission for nonpsychiatric conditions and were more likely to have longer hospital stays and worse hospital outcomes, compared with nondepressed participants. These results highlight the potential to target this high-risk group to reduce the burden of health care costs in an aging population.

 

CIRCULATION

 

S23230313

The findings provide strong support for long-term mortality benefit of dispatcher CPR instruction strategy consisting of chest compression alone rather than chest compression plus rescue breathing among adult patients with cardiac arrest requiring dispatcher assistance.

S23401113

Elevated blood pressure during pregnancy, regardless of type and even without known risk factors, signals high risk of later cardiovascular disease, chronic kidney disease, and diabetes mellitus. Clinical monitoring, risk factor evaluation, and early intervention could benefit women with hypertension in pregnancy.

 

DIABETES CARE

 

S22966092

Despite the modality, the GLB intervention was effective at decreasing weight and improving CVD risk factor control. SS and FF participants experienced greater improvements in outcomes compared with other groups, establishing the importance of patient-centered decision making and a support network for successful behavior change.

S23193207

In the HEALTHY study cohort, hrA1C and IFG define different groups of youth with differentially increased diabetes risk markers. IFG is approximately fivefold more common, but hrA1C is more persistent over time. Optimal screening strategies for diabetes in youth remain unresolved.

S23033239

In individuals with prediabetes and hypovitaminosis D, doses of vitamin D supplementation designed to raise serum 25-OHD levels into the upper-normal range for 1 year had no effect on insulin secretion, insulin sensitivity, or the development of diabetes compared with placebo administration.

S22961578

The combination of SAD and BMI measurements yields a new predictor of diabetes incidence.

S23349151

More PA was associated with a larger reduction in future ACM and CVD risk in patients with diabetes. Nevertheless, any amount of habitual PA was better than inactivity.

S22966094

Failure to adequately control BP within 1 year of HT onset significantly increased the likelihood of major cardiovascular events within 3 years. Prompt control of new-onset HT in patients with diabetes may provide important short-term clinical benefits.

S22966093

We conclude that baseline IAF and accumulation of fat in this area over time are independent predictors of the development of type 2 diabetes in Japanese Americans

 

EUROPEAN HEART JOURNAL

 

S22942340

N-terminal pro-B-type natriuretic peptide predicts CVD events in men without clinical evidence of CHD, angina, or history of stroke, and appears related more strongly to the risk for fatal events. N-terminal pro-B-type natriuretic peptide also provides moderate risk discrimination, in excess of that provided by the measurement of C-reactive protein. Clinical trial registration WOSCOPS was carried out and completed prior to the requirement for clinical trial registration.

S23076781

Overweight and obese patients with stroke or TIA have better survival and better combined outcomes of survival and non-fatal functional status than patients with the BMI <25 kg/m(2).

S22947612

(i) Higher fitness should be considered a characteristic of metabolically healthy but obese phenotype. (ii) Once fitness is accounted for, the metabolically healthy but obese phenotype is a benign condition, with a better prognosis for mortality and morbidity than metabolically abnormal obese individuals.

 

FAMILY MEDICINE

 

S23378078

Patients likely to benefit from a discussion of substance use, those with current use, are the least likely to report comfort discussing that use. Interventions that increase patient activation or self-efficacy may also increase their comfort. This research guides future interventions to increase the prevalence of discussions on substance use.

S23378074

Patients scheduled for screening colonoscopy have limited knowledge of its risks and alternatives; subjects with lower education levels and lower income have even less understanding. For patients who do not receive additional information until they have begun the preparation for the test, the quality of informed consent may be low.

S23378076

Our results suggest that job satisfaction depends on different aspects of working conditions and individual characteristics. Therefore, strategies to improve job satisfaction should target improving working conditions and activating physicians' health resources.

 

FAMILY PRACTICE

 

S22915794

Prior diagnosis of anxiety was strongly associated with dementia diagnosis after adjustment for other risk factors. The independent effect of depression was weaker compared to anxiety. Given the higher prevalence of anxiety primary care physicians should consider anxiety as well as depression as premorbid risk factors of dementia to improve early recognition and facilitate greater access to services.

S22904014

Mistakes by polymedicated patients with multiple comorbidities represent a real risk that should be addressed by the professionals. A review should be made of the routine control questions that the physician asks the patient to identify what other drugs the patient may be taking that have been indicated by another physician.

S22850249

Overall male and female patients of different ages are supportive of the use of their general practice records in health research and of general practitioners as data protectors.

 

JAMA

 

S23385271

Among patients with intermittent claudication, 24-week treatment with ramipril resulted in significant increases in pain-free and maximum treadmill walking times compared with placebo. This was associated with a significant increase in the physical functioning component of the SF-36 score.

S23403681

Use of prenatal folic acid supplements around the time of conception was associated with a lower risk of autistic disorder in the MoBa cohort. Although these findings cannot establish causality, they do support prenatal folic acid supplementation.

 

JAMA INTERNAL MEDICINE

 

S23229890

The addition of a personal digital assistant and telephone coaching can enhance short-term weight loss in combination with an existing system of care. Mobile connective technology holds promise as a scalable mechanism for augmenting the effect of physician-directed weight loss treatment

S23229846

Proven effective in a primary care setting, the 2 DPP-based lifestyle interventions are readily scalable and exportable with potential for substantial clinical and public health impact

 

JAMA PSYCHIATRY

 

S23277351

The macroeconomic environment during infancy can have serious long-term effects on substance use and delinquent behavior. These potential long-term effects can play an important role in policy making for adolescent mental health care.

 

MEDICINA CLINICA

 

S23199829

Hemos apreciado una asociación entre obesidad y control del asma, por lo que la reducción ponderal podría tener implicaciones clínicas.

S23122607

El hallazgo de una troponina positiva en Urgencias en pacientes con ICA se asocia de forma independiente a una mayor mortalidad intrahospitalaria y a 30 días, pero no a una mayor reconsulta a Urgencias durante los 30 días siguientes. Dada su disponibilidad en todos los Servicios de Urgencias, se recomienda determinarla en todos los pacientes con ICA en aras a establecer de forma precoz un pronóstico a corto plazo.

S23199837

Los anticoagulantes son infrautilizados en los pacientes pluripatológicos con fibrilación auricular a pesar de asociarse a mayor supervivencia.

S22401729

Disponemos de una primera estimación del número de fracturas osteoporóticas en los próximos 10 años y de su coste. El conocimiento de estos datos podría ser útil a la hora de elaborar los programas de actuación estratégicos sobre osteoporosis.

 

REVISTA ESPAÑOLA DE CARDIOLOGIA

 

S23218421

La incidencia de PA elevada (= p90) en el conjunto de la muestra fue del 3,17% de los niños y el 3,05% de las niñas. Los valores medios de PAS y PAD se incrementan en función del IMC, el %GC y el ICT. El sobrepeso y la obesidad predisponen a la PA elevada, pero el nivel de riesgo depende en particular del exceso de tejido adiposo y su distribución. El %GC y el ICT como indicador de adiposidad abdominal son especialmente sensibles para identificar a los escolares con PA elevada. Se confirma la importancia de la composición corporal como elemento diagnóstico de prevención cardiovascular en niños y niñas de 6 a 16 años.

 

THE LANCET

 

S23219570

Before this study, no evidence from large-scale randomised controlled trials was available for the effectiveness of augmentation of antidepressant medication with CBT as a next-step for patients whose depression has not responded to pharmacotherapy. Our study has provided robust evidence that CBT as an adjunct to usual care that includes antidepressants is an effective treatment, reducing depressive symptoms in this population.

S23219284

Hypertension in normal weight and obese patients might be mediated by different mechanisms. Thiazide-based treatment gives less cardiovascular protection in normal weight than obese patients, but amlodipine-based therapy is equally effective across BMI subgroups and thus offers superior cardiovascular protection in non-obese hypertension.

 

THE NEW ENGLAND JOURNAL OF MEDICINE

 

S23425163

Dabigatran was effective in the extended treatment of venous thromboembolism and carried a lower risk of major or clinically relevant bleeding than warfarin but a higher risk than placebo.

S23363498

False and scientifically unsupported beliefs about obesity are pervasive in both scientific literature and the popular press. (Funded by the National Institutes of Health).

S23425165

The use of the PLCO (M2012) model was more sensitive than the NLST criteria for lung-cancer detection.

S23216615

Extended anticoagulation with apixaban at either a treatment dose (5 mg) or a thromboprophylactic dose (2.5 mg) reduced the risk of recurrent venous thromboembolism without increasing the rate of major bleeding. (Funded by Bristol-Myers Squibb and Pfizer; AMPLIFY-EXT ClinicalTrials.gov number, NCT00633893.).

 

THORAX

 

S23220867

Benzodiazepines were associated with an increased risk of, and mortality from, CAP. These hypothesis generating data suggest further research is required into the immune safety profile of benzodiazepines.

 

                      

XXVIII Congreso de Comunicación y Salud

 

 

semFYC - JRT 2017

 

Cáceres, 10 y 11 de Noviembre 2017


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