tag:blogger.com,1999:blog-1862983530598757908Wed, 11 Jan 2012 01:57:26 +0000GastroenterologíaUrologíamedicina preventivaPara pacientesgynecologygravidezenptORLUrgenciasesNeurologíaNefrologíafor patientsFarmacologíaInformation ExchangeContinuidade de CuidadosInfecciosasPublicaciones nacionalesCardiologíainglésginecologíaNeumologíasaúde da mulherGenéticaGeriatríaContinuity of CaretestosteronaPsiquiatríacirugíaOrganización y GestiónRiesgo cardiovascularcolonoscopiaTroca de Informação ClínicaPediatríasociosanitarioEndocrinologíawomen's healthOncologíaTraumatologíaPublicaciones internacionalesendocrinologyDermatologíapregnancydiabetesUn blog para comentar los artículos publicados en nuestras revistas médicas favoritas. Realizada por residentes de medicina de familia para otros residentes de familia y para pacientes.http://journalclubfamilia.blogspot.com/noreply@blogger.com (Dr. Bonis)Blogger84125tag:blogger.com,1999:blog-1862983530598757908.post-4422182888467448514Thu, 26 Feb 2009 01:10:00 +00002009-02-26T02:11:29.004+01:00endiabetesAn interesting meta-analysis published by the CMAJ of February helps us to understand the role of insulin analogues on the management of diabetes mellitus.What was known about the issue?The novel insulin analogues (lispro, aspart, glardine) obtained by genetic engineering have been proposed as advanced substitution of classical insulin (NPH, regular).There are some clinical trials that show some http://feedproxy.google.com/~r/JournalClubFamilia/~3/4reFV0mPPSM/analogues-of-insulin-versus-human.htmlnoreply@blogger.com (Dr. Bonis)0<img src="http://feeds.feedburner.com/~r/JournalClubFamilia/~4/4reFV0mPPSM" height="1" width="1"/>http://journalclubfamilia.blogspot.com/2009/02/analogues-of-insulin-versus-human.htmltag:blogger.com,1999:blog-1862983530598757908.post-8149995268118196125Thu, 26 Feb 2009 00:38:00 +00002009-02-26T01:58:33.915+01:00esdiabetesUn interesante meta-análisis publicado en el CMAJ de febrero nos ayuda a comprender el papel de los análogos de insulina en el tratamiento de la diabetes mellitus.¿Qué se conocía sobre el tema?Los novedosos análogos de la insulina (lispro, aspart, glardine) obtenidos por ingeniería genética han sido propuestos como sustitutos avanzados de las insulinas clásicas (NPH, regular). Existen diversos http://feedproxy.google.com/~r/JournalClubFamilia/~3/hBv5NTrbRVs/analogos-de-insulina-frente-insulina.htmlnoreply@blogger.com (Dr. Bonis)0<img src="http://feeds.feedburner.com/~r/JournalClubFamilia/~4/hBv5NTrbRVs" height="1" width="1"/>http://journalclubfamilia.blogspot.com/2009/02/analogos-de-insulina-frente-insulina.htmltag:blogger.com,1999:blog-1862983530598757908.post-1569518693233619316Sat, 14 Feb 2009 02:52:00 +00002009-02-14T03:55:25.198+01:00gravidezsaúde da mulherptINFORMAÇÃO PARA O DOENTEO título do artigo a que se refere esta revisão chama-se Exposição materna a antagonistas do ácido fólico, e respectivas consequências a nível da placenta.- A ingestão de certos fármacos, conhecidos como antagonistas do ácido fólico, durante a gravidez, pode prejudicar o desenvolvimento do feto, a nível do sistema nervoso, sistema cardiovascular aparelho urinário, bem comohttp://feedproxy.google.com/~r/JournalClubFamilia/~3/d6R6LQ5398s/exposicao-materna-antagonistas-do-acido_14.htmlnoreply@blogger.com (Tiago Villanueva)0<img src="http://feeds.feedburner.com/~r/JournalClubFamilia/~4/d6R6LQ5398s" height="1" width="1"/>http://journalclubfamilia.blogspot.com/2009/02/exposicao-materna-antagonistas-do-acido_14.htmltag:blogger.com,1999:blog-1862983530598757908.post-7078125425883307015Sat, 14 Feb 2009 02:49:00 +00002009-02-14T03:51:56.526+01:00enpregnancywomen's healthPATIENT INFORMATIONThe article is called "Maternal exposure to folic acid antagonists and placenta-mediated adverse pregnancy outcomes", and was published in CMAJ in the 2 December issue.- Taking certain drugs, known as folic acid antagonists, during pregnancy, may hamper the development of the fetus, its nervous system, cardiovascular system, urinary system, as well as cause a number of other http://feedproxy.google.com/~r/JournalClubFamilia/~3/LRpMCxsjf4M/maternal-exposure-to-folic-acid_14.htmlnoreply@blogger.com (Tiago Villanueva)0<img src="http://feeds.feedburner.com/~r/JournalClubFamilia/~4/LRpMCxsjf4M" height="1" width="1"/>http://journalclubfamilia.blogspot.com/2009/02/maternal-exposure-to-folic-acid_14.htmltag:blogger.com,1999:blog-1862983530598757908.post-895730730105788639Sat, 14 Feb 2009 02:46:00 +00002009-02-14T03:56:20.303+01:00gravidezsaúde da mulherptINFORMAÇÃO PARA O PROFISSIONAL DE SAÚDE - O artigo aqui discutido tem o título "Maternal exposure to folic acid antagonists and placenta-mediated adverse pregnancy outcomes", e foi publicado no CMAJ no número de 2 de Dezembro de 2008.O que é que já se sabe acerca deste assunto?Os fármacos conhecidos como antagonistas do ácido fólico (alguns dos quais muito utilizados com o http://feedproxy.google.com/~r/JournalClubFamilia/~3/69hCLlEr2qY/exposicao-materna-antagonistas-do-acido.htmlnoreply@blogger.com (Tiago Villanueva)0<img src="http://feeds.feedburner.com/~r/JournalClubFamilia/~4/69hCLlEr2qY" height="1" width="1"/>http://journalclubfamilia.blogspot.com/2009/02/exposicao-materna-antagonistas-do-acido.htmltag:blogger.com,1999:blog-1862983530598757908.post-2532908030887061624Sat, 14 Feb 2009 02:40:00 +00002009-02-14T03:46:07.515+01:00enpregnancywomen's healthINFORMATION FOR HEALTHCARE PROFESSIONALSThe article is "Maternal exposure to folic acid antagonists and placenta-mediated adverse pregnancy outcomes", and was published in CMAJ on the 2 December issueWhat is already known about this topic?Drugs known as folic acid antagonists (some of which are prescribed very often, such as trimethoprim-sulfamethoxazole and some anti-convulsivant drugs) are http://feedproxy.google.com/~r/JournalClubFamilia/~3/iba3RGwj8uk/maternal-exposure-to-folic-acid.htmlnoreply@blogger.com (Tiago Villanueva)0<img src="http://feeds.feedburner.com/~r/JournalClubFamilia/~4/iba3RGwj8uk" height="1" width="1"/>http://journalclubfamilia.blogspot.com/2009/02/maternal-exposure-to-folic-acid.htmltag:blogger.com,1999:blog-1862983530598757908.post-5494606930842394424Sun, 18 Jan 2009 13:36:00 +00002009-01-18T14:39:41.879+01:00engynecologyfor patientsendocrinologyComment about the NEJM paper: Testosterone for low libido in postmenopausal women not taking estrogen.Some important facts about the issue:- Sexual desire is related with testosterone levels in men and women.- Ovary, in menopausal women, produces less estrogens and androgens.- In menopausal women dicrease in sexual desire is usual, entity that someone has named: "Hypoactive Sexual Desire Disorderhttp://feedproxy.google.com/~r/JournalClubFamilia/~3/CFrjxX5h2wE/testosterone-replacement-in_18.htmlnoreply@blogger.com (Dr. Bonis)0<img src="http://feeds.feedburner.com/~r/JournalClubFamilia/~4/CFrjxX5h2wE" height="1" width="1"/>http://journalclubfamilia.blogspot.com/2009/01/testosterone-replacement-in_18.htmltag:blogger.com,1999:blog-1862983530598757908.post-4333109081655586615Sun, 18 Jan 2009 13:28:00 +00002009-01-18T14:36:03.821+01:00testosteronaginecologíaEndocrinologíaPara pacientesesArticulo de información para pacientes en relación con el estudio científico: Testosterone for low libido in postmenopausal women not taking estrogen.Datos importantes sobre el uso de testosterona en mujeres:- La líbido está relacionada con los niveles de testosterona tanto en hombres como en mujeres.- El ovario, tras la menopausia disminuye su producción de estrógenos y también de andrógenos.- http://feedproxy.google.com/~r/JournalClubFamilia/~3/9VOdmh9nk7k/parches-de-testosterona-en-mujeres_18.htmlnoreply@blogger.com (Dr. Bonis)0<img src="http://feeds.feedburner.com/~r/JournalClubFamilia/~4/9VOdmh9nk7k" height="1" width="1"/>http://journalclubfamilia.blogspot.com/2009/01/parches-de-testosterona-en-mujeres_18.htmltag:blogger.com,1999:blog-1862983530598757908.post-1983616725182203475Sun, 18 Jan 2009 13:09:00 +00002009-01-18T14:27:11.470+01:00engynecologyendocrinologyComment about the NEJM paper: Testosterone for low libido in postmenopausal women not taking estrogen.What do we know about the issue?- Sexual desire is related with testosterone levels in men and women.- Ovary, in menopausal women, produces less estrogens and androgens. - In menopausal women dicrease in sexual desire is usual, entity that someone has named: "Hypoactive Sexual Desire Disorder".- http://feedproxy.google.com/~r/JournalClubFamilia/~3/jHPxhO6UkZQ/testosterone-replacement-in.htmlnoreply@blogger.com (Dr. Bonis)0<img src="http://feeds.feedburner.com/~r/JournalClubFamilia/~4/jHPxhO6UkZQ" height="1" width="1"/>http://journalclubfamilia.blogspot.com/2009/01/testosterone-replacement-in.htmltag:blogger.com,1999:blog-1862983530598757908.post-5400354377661804046Sun, 18 Jan 2009 12:45:00 +00002009-01-18T14:09:22.015+01:00ginecologíaEndocrinologíaesComentario sobre el artículo publicado en NEJM: Testosterone for low libido in postmenopausal women not taking estrogen.¿Qué sabemos sobre el tema?- La líbido está relacionada con los niveles de testosterona tanto en hombres como en mujeres.- El ovario, tras la menopausia disminuye su producción de estrógenos y también de andrógenos.- Tras la menopausia es frecuente la disminución de la líbido y http://feedproxy.google.com/~r/JournalClubFamilia/~3/Z7Gtzo4gNPw/parches-de-testosterona-en-mujeres.htmlnoreply@blogger.com (Dr. Bonis)1<img src="http://feeds.feedburner.com/~r/JournalClubFamilia/~4/Z7Gtzo4gNPw" height="1" width="1"/>http://journalclubfamilia.blogspot.com/2009/01/parches-de-testosterona-en-mujeres.htmltag:blogger.com,1999:blog-1862983530598757908.post-1664661426206066373Sat, 17 Jan 2009 21:11:00 +00002009-01-17T22:31:46.195+01:00Publicaciones nacionalesGastroenterologíaesSEMERGEN nos habla en las Recomendaciones de buena práctica clínica de su número de Noviembre de la Gastropatía por antiinflamatorios no esteroideos (AINES). A continuación se exponen las ideas fundamentales.Factores de riesgo:. edad >65años. más de un AINE simultáneamente (incluído AAS dosis bajas). No todos tienen igual riesgo, como se puede ver en esta tabla.. anticoagulantes, corticoides, http://feedproxy.google.com/~r/JournalClubFamilia/~3/pnuWDgACuRE/gastropata-por-antiinflamatorios-no.htmlnoreply@blogger.com (Clara)2<img src="http://feeds.feedburner.com/~r/JournalClubFamilia/~4/pnuWDgACuRE" height="1" width="1"/>http://journalclubfamilia.blogspot.com/2009/01/gastropata-por-antiinflamatorios-no.htmltag:blogger.com,1999:blog-1862983530598757908.post-3025455396383628852Sun, 11 Jan 2009 15:57:00 +00002009-01-11T17:01:08.174+01:00Information ExchangeenContinuity of Carehttp://www.cmaj.ca/cgi/content/full/179/10/1013Key points:- During his/her lifetime, a person needs to see several different physicians. Ideally, it should be the person's family physician to coordinate all the health care needs of a patient, but in reality, and for several reasons, that's what ends up not happening. However, the family physician responsibilities of coordination and management http://feedproxy.google.com/~r/JournalClubFamilia/~3/kLT6QOB5IiU/information-exchange-among-physicians_11.htmlnoreply@blogger.com (Tiago Villanueva)0<img src="http://feeds.feedburner.com/~r/JournalClubFamilia/~4/kLT6QOB5IiU" height="1" width="1"/>http://journalclubfamilia.blogspot.com/2009/01/information-exchange-among-physicians_11.htmltag:blogger.com,1999:blog-1862983530598757908.post-876514774395776310Sun, 11 Jan 2009 14:40:00 +00002009-01-11T16:55:43.682+01:00ptTroca de Informação ClínicaContinuidade de Cuidadoshttp://www.cmaj.ca/cgi/content/full/179/10/1013Ideias a reter:- Qualquer pessoa durante a sua vida tem a necessidade de recorrer a vários médicos. Idealmente, deveria ser o médico de família do doente a coordenar todos os cuidados de saúde de um doente, mas na realidade não é isso que acaba por acontecer, por várias razões. Contudo, a coordenação e gestão dos cuidados de saúde por parte dos http://feedproxy.google.com/~r/JournalClubFamilia/~3/IsU22rx8LYo/troca-de-informao-clnica-entre-os_11.htmlnoreply@blogger.com (Tiago Villanueva)0<img src="http://feeds.feedburner.com/~r/JournalClubFamilia/~4/IsU22rx8LYo" height="1" width="1"/>http://journalclubfamilia.blogspot.com/2009/01/troca-de-informao-clnica-entre-os_11.htmltag:blogger.com,1999:blog-1862983530598757908.post-842249410996084769Sat, 10 Jan 2009 16:26:00 +00002009-01-10T18:41:22.618+01:00ptTroca de Informação ClínicaContinuidade de Cuidadoshttp://www.cmaj.ca/cgi/content/full/179/10/1013O que é que já se sabe sobre este assunto?A troca/intercâmbio de informação clínica entre médicos acerca de um determinado doente encontra-se num nível muito abaixo do desejável, mesmo em países com sistemas de saúde altamente desenvolvidos com o Canadá. Esta deficitária troca de informação clínica entre médicos afecta a continuidade de cuidados noshttp://feedproxy.google.com/~r/JournalClubFamilia/~3/xRh_fjvszzI/troca-de-informao-clnica-entre-os.htmlnoreply@blogger.com (Tiago Villanueva)0<img src="http://feeds.feedburner.com/~r/JournalClubFamilia/~4/xRh_fjvszzI" height="1" width="1"/>http://journalclubfamilia.blogspot.com/2009/01/troca-de-informao-clnica-entre-os.htmltag:blogger.com,1999:blog-1862983530598757908.post-1592609345350558681Sat, 10 Jan 2009 16:23:00 +00002009-01-10T18:42:54.752+01:00Information ExchangeenContinuity of Carehttp://www.cmaj.ca/cgi/content/full/179/10/1013What do we already know about this issue?The level of exchange of clinical information among physicians is currently poor, even in countries with highly developed health systems, such as Canada. This deficitary exchange of clinical information among physicians affects the continuity of patient health care, which is assoeciated with better health http://feedproxy.google.com/~r/JournalClubFamilia/~3/Tjx7cBVzkkc/information-exchange-among-physicians.htmlnoreply@blogger.com (Tiago Villanueva)0<img src="http://feeds.feedburner.com/~r/JournalClubFamilia/~4/Tjx7cBVzkkc" height="1" width="1"/>http://journalclubfamilia.blogspot.com/2009/01/information-exchange-among-physicians.htmltag:blogger.com,1999:blog-1862983530598757908.post-6231847508307927366Thu, 08 Jan 2009 12:55:00 +00002009-01-10T18:43:13.335+01:00esRecientemente en la revista SEMERGEN se ha publicado un artículo titulado "Avisos médicos domiciliarios en un centro de salud urbano. Estudio de la demanda y estrategias para su optimización".A través del enlace, si al lector le interesa puede leer el artículo original. Haré referencia a información que se desprende de su lectura para reflexionar sobre del tema de los avisos http://feedproxy.google.com/~r/JournalClubFamilia/~3/vI86hKLtxL0/recientemente-en-la-revista-semergen-se.htmlnoreply@blogger.com (Elena Serrano)0<img src="http://feeds.feedburner.com/~r/JournalClubFamilia/~4/vI86hKLtxL0" height="1" width="1"/>http://journalclubfamilia.blogspot.com/2009/01/recientemente-en-la-revista-semergen-se.htmltag:blogger.com,1999:blog-1862983530598757908.post-7177333134809471650Sun, 21 Dec 2008 23:15:00 +00002009-01-10T18:43:32.307+01:00GeriatríaPublicaciones nacionalesPara pacientesesEn un reciente artículo publicado en la revista de la Sociedad Española de Medicina Rural y Generalista se ha publicado un interesante artículo sobre una técnica bastante ignorada pero utilizada por algunos médicos de familia: el mapa del hogar.Aunque los médicos, en especial los médicos que trabajan en hospitales, suelen ver a los pacientes en un entorno controlado (en una planta de un hospital)http://feedproxy.google.com/~r/JournalClubFamilia/~3/nCBZF2K7FVs/prevenir-caidas-y-fracturas-de-cadera.htmlnoreply@blogger.com (Dr. Bonis)0<img src="http://feeds.feedburner.com/~r/JournalClubFamilia/~4/nCBZF2K7FVs" height="1" width="1"/>http://journalclubfamilia.blogspot.com/2008/12/prevenir-caidas-y-fracturas-de-cadera.htmltag:blogger.com,1999:blog-1862983530598757908.post-8853501045704586999Sun, 21 Dec 2008 22:50:00 +00002009-01-10T18:44:01.948+01:00GeriatríaPublicaciones nacionalesesEn la revista SEMERGEN se ha publicado recientemente uno de los escasos artículos sobre la técnica de mapa del hogar.Esta técnica nos permite analizar de manera sistemática el hogar de nuestros pacientes. Este análisis es especialmente útil en pacientes ancianos o discapacitados que realizan la mayor parte de su vida dentro de los hogares.Es bien conocido que después de la edad, el principal http://feedproxy.google.com/~r/JournalClubFamilia/~3/aZ2zMrWHW3k/la-importancia-del-mapa-del-hogar.htmlnoreply@blogger.com (Dr. Bonis)0<img src="http://feeds.feedburner.com/~r/JournalClubFamilia/~4/aZ2zMrWHW3k" height="1" width="1"/>http://journalclubfamilia.blogspot.com/2008/12/la-importancia-del-mapa-del-hogar.htmltag:blogger.com,1999:blog-1862983530598757908.post-2451955269306330914Mon, 15 Dec 2008 00:05:00 +00002009-01-10T18:44:24.947+01:00Publicaciones internacionalesenPara pacientesGastroesophageal reflux disease (GERD) is a very common health problem, and family doctors have been exposed to a vast array of literature recently on the topic, as well as a massive promotion of anti-reflux drugs by the Pharmaceutical Industry. As such, it is difficult not to be a little bit complacent about the issue when almost everything seems to have already been told about it. This article http://feedproxy.google.com/~r/JournalClubFamilia/~3/uMPYiDLWznA/gastroesophageal-reflux-disease.htmlnoreply@blogger.com (Tiago Villanueva)0<img src="http://feeds.feedburner.com/~r/JournalClubFamilia/~4/uMPYiDLWznA" height="1" width="1"/>http://journalclubfamilia.blogspot.com/2008/12/gastroesophageal-reflux-disease.htmltag:blogger.com,1999:blog-1862983530598757908.post-798175272867284210Mon, 08 Dec 2008 19:35:00 +00002009-01-10T18:44:44.935+01:00enKahrilas, P. Gastroesophageal reflux disease N Engl J Med 2008; 359:1700-7It is estimated that between 14 and 20% of the population of the United States is affected by gastroesophageal reflux disease (GERD).It is important that you become aware of this disease because it is a frequent situation often requiring medication, that your family doctor is perfectly qualified to manage, and it increases http://feedproxy.google.com/~r/JournalClubFamilia/~3/O-kWxJhUTrg/gastroesophageal-reflux-disease-patient.htmlnoreply@blogger.com (Tiago Villanueva)0<img src="http://feeds.feedburner.com/~r/JournalClubFamilia/~4/O-kWxJhUTrg" height="1" width="1"/>http://journalclubfamilia.blogspot.com/2008/12/gastroesophageal-reflux-disease-patient.htmltag:blogger.com,1999:blog-1862983530598757908.post-543106370585509626Mon, 17 Nov 2008 20:55:00 +00002008-11-29T00:47:15.607+01:00Publicaciones internacionalesmedicina preventivaDos artículos en el Canadian Medical Association Journal (CMAJ) nos hablan en el mes de Septiembre del Número Necesario para Tratar (NNT) y su papel como herramienta para expresar la eficacia de una intervención. "The number needed to treat turns 20" y "Exaggeration of treatment benefits using the 'event-based' number needed to treat". Los estándares para la publicación de estudios http://feedproxy.google.com/~r/JournalClubFamilia/~3/cB90M6biebY/el-nmero-necesario-para-tratar-nuestros.htmlnoreply@blogger.com (Clara)0<img src="http://feeds.feedburner.com/~r/JournalClubFamilia/~4/cB90M6biebY" height="1" width="1"/>http://journalclubfamilia.blogspot.com/2008/11/el-nmero-necesario-para-tratar-nuestros.htmltag:blogger.com,1999:blog-1862983530598757908.post-8295536911906764403Mon, 17 Nov 2008 12:58:00 +00002008-11-17T14:26:51.901+01:00Para pacientesGastroenterologíacolonoscopiaOncologíaLa colonoscopia es un procedimiento invasivo que consiste en la introducción por el ano de un sistema óptico (en general de fibra óptica) que permite visualizar la parte interna del intestino y tomar muestras de tejido (biopsias) en caso necario para estudiar.Se utiliza en el diagnóstico de enfermedades del colon (intestino grueso) incluida una de las más importantes por su gravedad: el cáncer (http://feedproxy.google.com/~r/JournalClubFamilia/~3/5eBgswOnobg/me-he-hecho-una-colonoscopia-y-es.htmlnoreply@blogger.com (Dr. Bonis)0<img src="http://feeds.feedburner.com/~r/JournalClubFamilia/~4/5eBgswOnobg" height="1" width="1"/>http://journalclubfamilia.blogspot.com/2008/11/me-he-hecho-una-colonoscopia-y-es.htmltag:blogger.com,1999:blog-1862983530598757908.post-8074833621808207955Tue, 11 Nov 2008 00:54:00 +00002008-11-11T11:12:01.224+01:00<!--[if !supportEmptyParas]--> <!--[endif]-->This article covers the treatment of skin wounds. These have several causes, and most can be initially handled by the patient him/herself on site, resorting to simples measures, even though medical care may normally be required later on. Many injuries can be appropriately treated by your family doctor, even though he/she may have to send you to a http://feedproxy.google.com/~r/JournalClubFamilia/~3/vcaa3tJgApg/current-management-of-acute-cutaneous_11.htmlnoreply@blogger.com (Tiago Villanueva)1<img src="http://feeds.feedburner.com/~r/JournalClubFamilia/~4/vcaa3tJgApg" height="1" width="1"/>http://journalclubfamilia.blogspot.com/2008/11/current-management-of-acute-cutaneous_11.htmltag:blogger.com,1999:blog-1862983530598757908.post-1403567373060097063Tue, 11 Nov 2008 00:46:00 +00002008-11-18T10:46:30.251+01:00Publicaciones internacionalescirugía I am critically appraising a review article concerning the state of the art of the management of acute cutaneous wounds, published in the New England Journal of Medicine in September 2008: N Engl J Med 2008; 359:1037-46 This includes general principles of care, which applies to all types of wounds, and more tailored care, which depends on the type of wound we’re dealing with. Acute cutaneoushttp://feedproxy.google.com/~r/JournalClubFamilia/~3/CPmTMzzKpZo/current-management-of-acute-cutaneous.htmlnoreply@blogger.com (Tiago Villanueva)0<img src="http://feeds.feedburner.com/~r/JournalClubFamilia/~4/CPmTMzzKpZo" height="1" width="1"/>http://journalclubfamilia.blogspot.com/2008/11/current-management-of-acute-cutaneous.html