Blog

 

■ Bone health after diagnosis of breast cancer

S M Ruzyck, N A Nixon

CMAJ 2019, vol 191 (49): E1452

1 – Treatment of breast cancer may increase fracture risk

2 – Patients with breast cancer should be assessed for fracture risk using a validated tool

3 – Bone is the most common site of metástases for patients with breast cancer

4 – Bisphosphonates can reduce morbidity from boné metástases

5 – Bisphosphonates improve survival and prevent boné metastasis in postmenopausal women with early-stage breast câncer

https://www.cmaj.ca/content/190/49/E1452

 

■ 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

 

■ Opioid use disorder in pregnancy

A Ambasta, M Malebranche

CMAJ 2019, vol 191 (38): E1057

1 – In parallel with the opioid epidemic in the general population, opioid use and associated opioid use disorders in pregnancy are arising

2 – Guidelines support universal screening for drug use, including opioids by prenatal care

3 – Opioid-agonist therapy is the standart of care of opioid use disorders in pregnancy

4 – Neonatal opioid withdrawal syndrome is best managed by keepiing mothers and infants together after delivery

5 – Ongoing support in the postpartum period is essential

https://www.cmaj.ca/content/191/38/E1057

 

■ Gíinecologia & Obstetricia: Five Things to Know About I Online (Gynecology & Obstetrics: Five Things to Know About I)

https://internetmedica.com.br/ginecologia-obstetricia-five-things-to-know-about-online-gynecology-obstetrics-five-things-to-know-about/

 

■  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

■ 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