■ Mental Health: physician suicide
J Albuquerque and S Tulk
CMAJ 2019, vol 2019 191 (18) E505
1 – Suicide is na occupational hazard for physicians
2 – Firearms, poisonings and blunt force trauma are the most common means of suicide among physicians
3 – Increased suicidal ideation begins in medical school
4 – Regulatory complaints are associated with increased rates of suicidal ideation
5 – Suicidal physicians face unique barriers to care
https://www.cmaj.ca/content/191/18/E505
■ Loneliness in older adults
N M Stall, R D Savage, P A Rochon
CMAJ 2019, vol 191 (17): E476
– Loneliness is na emotional state of perceived social isolation
2 – Loneliness is common among older adults and linked to declines in health
3 – Loneliness is as harmful as other well-established risk factors for mortality
4 – Loneliness is na importante contributor to use of health care
5 – Social prescribing is an emerging intervention for lonelines
https://www.cmaj.ca/content/191/17/E476
■ Marijuana and fertility
S Ilnistsky, S Van Uum
CMAJ 2019, vol 191 (23): E638
1 – Tetrahydrocannabinol acts on the endocannabinoid system, wihich is ubiquitous in reproductive tissues
2 – Marijuana use can decrease serm count
3 – Marijuana use may delay or inhibit ovulation
4 – For most couples, smoking marijuana does not affect their ability to conceive, but for couples with subfertiligy or infertility, it could be a contributing fator
5 – More and better-quality research on the fertiligy implications of recreational marijuana use is needed
https://www.cmaj.ca/content/191/23/E638
■ Transgender-inclusive care
J S H Lam and A Abramovich
CMAJ 2019, vol 191 (18) E505
1 – Population studies estimate that 0,5% of adults (about 25 million people worldwide) identify as transgender
2 – Medical guidelines on providing care for transgender individuals have been published
3 – Trangender men with a cérvix are less likely than cisgender women to have up-to-date Papanicolau screening
4 – Fertility preservation should be discussed with transgender individuals before starting therapy
5 – Transgender individuals should be asked about suicidality and their mental health
https://www.cmaj.ca/content/191/3/E79
■ Gabapentin misuse
R Lennox and D Mangin
CMAJ 2019, vol 191 (2): E47
1 – Gabapentin is widely prescribed
2 – Gabapentin is na emerging drug of misuse
3 – Misuse of gabapentin produces effects similar to those of opioids and benzodiazepines
4 – The risk of gabapentin misuse is higher in those with concurrent opioid use
5 – Clinicians should be aware of potential misuse
https://www.cmaj.ca/content/191/2/E47
■ Dr Paulo Fernando Leite
Cardiologia/Prevenção Cardiovascular
Estratificação de Risco Cardiovascular
Consultório: Rua Padre Rolim 815/sala 601
Tel: 33245518
CRMMG: 7026
Email: pfleite1873@gmail.com
Data: Fev 2020