Sur le Web, ces 30 derniers jours

jeudi 22 août 2019

mercredi 21 août 2019

  • Les interventions sur des cas éthiques peuvent-elles améliorer les soins de santé?
    L'objectif de cette revue était de déterminer si les interventions sur des cas éthiques pouvaient améliorer les soins aux patients. Les interventions sur des cas éthiques (p. ex. comité d'éthique, délibération sur des cas morales) identifient et analysent les conflits éthiques qui surviennent dans le (...)

  • Lymphomes anaplasiques à grandes cellules associés à un implant mammaire (LAGC-AIM)
    Qu’est-ce que le LAGC-AIM ? Quel est son risque de survenue ? Quels signes fonctionnels ou physiques doivent faire évoquer ce diagnostic ? Quelle conduite à tenir en cas de suspicion puis de diagnostic de LAGC-AIM ? Quel suivi pour les femmes porteuses d’implants mammaires vis-à-vis de ce risque ? (...)

  • Les perturbateurs endocriniens
    POINTS CLÉS - Des molécules soupçonnées d’avoir un potentiel effet de perturbateur endocrinien sont présentes dans notre environnement quotidien. - Les niveaux de preuve de leur impact sur la santé sont aujourd’hui variables selon les molécules avec pour certaines d’entre elles, un faisceau de (...)

  • ACCOLADE IRM SR
    Service attendu Suffisant en raison de : - l’intérêt thérapeutique du stimulateur ACCOLADE IRM SR - l’intérêt de santé publique en l’absence d’alternative disponible et compte tenu de la gravité de la pathologie Amélioration du service attendu V (absence) par rapport aux autres stimulateurs cardiaques (...)

  • ACCOLADE IRM DR EL
    Service attendu Suffisant en raison de : - l’intérêt thérapeutique du stimulateur ACCOLADE IRM DR EL - l’intérêt de santé publique en l’absence d’alternative disponible et compte tenu de la gravité de la pathologie Amélioration du service attendu V (absence) par rapport aux autres stimulateurs cardiaques (...)

  • ACCOLADE IRM DR
    Service attendu Suffisant en raison de : - l’intérêt thérapeutique du stimulateur ACCOLADE IRM DR - l’intérêt de santé publique en l’absence d’alternative disponible et compte tenu de la gravité de la pathologie Amélioration du service attendu V (absence) par rapport aux autres stimulateurs cardiaques (...)

  • VISIONIST (modèle U225) associé au système de télésurveillance LATITUDE NXT
    Service attendu Suffisant en raison de : - l’intérêt thérapeutique du stimulateur VISIONIST, - l’intérêt de santé publique en l’absence d’alternative disponible et compte tenu de la gravité de la pathologie. Amélioration du service attendu V (absence) par rapport aux autres stimulateurs cardiaques (...)

  • VISIONIST (modèle U226) associé au système de télésurveillance LATITUDE NXT
    Service attendu Suffisant en raison de : - l’intérêt thérapeutique du stimulateur VISIONIST, - l’intérêt de santé publique en l’absence d’alternative disponible et compte tenu de la gravité de la pathologie. Amélioration du service attendu V (absence) par rapport aux autres stimulateurs cardiaques (...)

  • VISIONIST (modèle U228) associé au système de télésurveillance LATITUDE NXT
    Service attendu Suffisant en raison de : - l’intérêt thérapeutique du stimulateur VISIONIST, - l’intérêt de santé publique en l’absence d’alternative disponible et compte tenu de la gravité de la pathologie. Amélioration du service attendu V (absence) par rapport aux autres stimulateurs cardiaques (...)

  • PEEK
    Service attendu Suffisant en raison de : - l’intérêt thérapeutique du substitut osseux sur mesure PEEK; - l’intérêt de santé publique, compte tenu des conséquences neurologiques et du retentissement psychologique et social de l’altération de la voûte crânienne. Amélioration du service attendu V (absence) (...)

  • LP ESP (version II)
    Service attendu Suffisant en raison de l’intérêt thérapeutique de la prothèse discale lombaire LP ESP (version II) démontré à moyen terme (5 ans). Amélioration du service attendu V (absence) par rapport aux autres prothèses discales lombaires inscrites sur la (...)

  • PONTO 4
    Service attendu Suffisant en raison de : - son intérêt pour la compensation de certaines surdités de transmission ou les surdités mixtes et pour la restauration de la binauralité dans les surdités neurosensorielles au moins sévères ; - l’intérêt de santé publique compte tenu du retentissement des surdités (...)

  • I-neb AAD
    Service attendu Insuffisant Les données disponibles ne permettent pas d’établir l’intérêt de I-NEB AAD.

  • PIED RUSH ROVER PROTEOR
    Service attendu Suffisant en raison de : - L’intérêt des pieds à restitution d’énergie en matière de capacités locomotrices. - L’intérêt de santé publique compte tenu du retentissement sur l’activité, la participation et la qualité de vie de la personne amputée du membre inférieur. Amélioration du service (...)

  • Invacare G-trac
    Service attendu Insuffisant En l’absence de données cliniques spécifiques, l’intérêt du module INVACARE G-TRAC n’est pas établi.

  • TROBICINE
  • Sécurité du lieu et conditions de succès de l'accouchement vaginal après une césarienne
    L’accouchement vaginal après césarienne (AVAC) est une pratique reconnue comme étant sécuritaire et recommandée dans la majorité des lignes directrices en vigueur pour les femmes qui répondent aux critères d’admissibilités. Les femmes qui tentent un AVAC peuvent décider de le faire à l’hôpital, en maison (...)

mardi 20 août 2019

  • Fighting Epilepsy Stigma
    Greater efforts are needed worldwide to combat stigma and discrimination against patients with epilepsy, according to a World Health Organization report.

  • Viruses Drive Children’s Pneumonia
    Respiratory syncytial virus and other viruses have replaced bacteria as the leading cause of severe childhood pneumonia in low- and middle-income countries, according to a study in The Lancet that examined childhood pneumonia in 7 Asian and African (...)

  • Gag Rule May Increase Abortions
    Abortion rates in some sub-Saharan African countries increased by 40% when a US policy that pulled federal funding from overseas organizations that performed or discussed abortion was in effect, according to a study in The Lancet Global (...)

  • USPSTF Recommendation: Assessment, Counseling, and Testing for BRCA -Related Cancer
    This 2019 Recommendation Statement from the US Preventive Services Task Force recommends that women with a family or personal history associated with increased risk for harmful mutations in the BRCA1/2 genes and with a positive result on a brief familial risk assessment tool should receive (...)

  • USPSTF Report: Risk Assessment, Genetic Counseling, and Testing for BRCA- Related Cancer
    This systematic review to support the 2019 US Preventive Services Task Force Recommendation Statement on risk assessment, genetic counseling, and genetic testing for BRCA-related cancer summarizes published evidence on the benefits and harms of assessment, counseling, and testing in women (...)

  • JAMA
  • A Tale of Two Lungs: Helping Patients Make Decisions
    In this narrative medicine essay, a critical care physician works through lessons he learned from his experience with a man with end-stage lung disease going into terminal respiratory failure who consented to intubation only if he had a chance for a lung transplant and considers how to balance (...)

  • Playing Word Games
    I sprinkle hints, seeds in the withering garden of your brain, hope words will sprout, blossom on your lips. But deep in the gray matter, atrophy spreads like a biblical pestilence. In that un-Eden, hummingbirds dart, like crazed syllables, scatter alphabets like fallen petals amid stems of (...)

  • Testing for BRCA Mutations
    This JAMA Patient Page describes the US Preventive Services Task Force’s recently published recommendations on risk assessment and genetic counseling and testing for BRCA mutations and BRCA-related cancers.

  • Association of Thyroid Function Test Abnormalities and Thyroid Autoimmunity With Preterm Birth
    This individual participant data meta-analysis pooled data from 19 cohort studies to assess whether maternal thyroid function test abnormalities and thyroid autoimmunity are risk factors for preterm birth among pregnant women without overt thyroid (...)

  • Effect of Continuing Olanzapine vs Placebo on Relapse Among Patients With Psychotic Depression in Remission
    This randomized clinical trial compares the effect on relapse of continuing olanzapine vs placebo among patients with psychotic depression who achieved remission of psychosis and depressive symptoms while taking olanzapine and (...)

  • Association of Smoking Cessation With Subsequent Risk of Cardiovascular Disease
    This cohort study uses Framingham Heart Study data to assess the association between years since smoking cessation and incident cardiovascular disease (CVD), compared with current and never smoking, among participants without baseline CVD over a median follow-up of 26 (...)

  • Treating Hypercholesterolemia in Older Adults—Reply
    In Reply Dr Forman and colleagues, in a response to my Viewpoint, provide clarification regarding the IIb grade of the recommendation for management of hypercholesterolemia in older adults. A IIb recommendation indicates that a recommendation is based on weak evidence that the benefit is (...)

  • Resuming Anticoagulation After Cerebral Intraparenchymal Hemorrhage—Reply
    In Reply We agree with Ms Leasure and Dr Sheth that there is no firm evidence to support timing of restarting anticoagulation therapy following IPH, particularly for new-generation anticoagulants. We stated in our review that restarting anticoagulation therapy should be delayed by 1 to 2 months (...)

  • Monitoring Adherence to Inhaled Medications—Reply
    In Reply While we agree with the important points that Dr Bryant and colleagues have made about the role of multidisciplinary teams in improving adherence, we believe they may have misinterpreted our main thesis by inadvertently conflating adherence monitoring with adherence management. We have (...)

  • Treating Hypercholesterolemia in Older Adults
    To the Editor In his Viewpoint, Dr Skolnik discussed the 2018 American College of Cardiology (ACC)/American Heart Association (AHA) guideline on the management of blood cholesterol and its implications for older adults. We would like to highlight relevant features of the guidelines that merit (...)

  • Resuming Anticoagulation After Cerebral Intraparenchymal Hemorrhage
    To the Editor Dr Gross and colleagues reviewed the management options for cerebral intraparenchymal hemorrhage (IPH) to help guide clinical decision-making. The review captured the most up-to-date evidence for clinical management of IPH; however, the authors’ suggestion to resume oral (...)

  • Monitoring Adherence to Inhaled Medications
    To the Editor Drs Hew and Reddel highlighted the importance of adherence to inhaled controller medications in the treatment of chronic respiratory conditions. Some of their claims regarding adherence monitoring systems for inhalers lacked a balanced (...)

  • The Relation of Pathology to Practice
    With the swinging of the pendulum in the science of medicine has come the fashion of neglecting pathology, the pathology of the type called, in the olden days, morbid anatomy. This neglect is shown in many ways: in a diminution in the volume of published work; in the lessened number of (...)

  • Averting Alert Fatigue to Prevent Adverse Drug Reactions
    Although various electronic health records (EHRs) have different features, nearly all seem to have alerts for potential problems with drug prescribing. It’s one thing that many believe that EHRs do very well. However, a recent study warns that when it comes to opioids and benzodiazepines, we (...)

  • Catheter Ablation for Atrial Fibrillation in 2019
    This JAMA Insights Clinical Update reviews management approaches to atrial fibrillation (AF), including assessment of the need for anticoagulation, and controversies over the need for rhythm control and the role of catheter ablation for maintaining sinus rhythm and reducing AF-associated (...)

  • Highlights for August 20, 2019
  • Prevalence and Treatment of Chronic Obstructive Pulmonary Disease (COPD) in the United States
  • First Treatment for Rare Autoimmune Neuromyelitis
    The humanized monocolonal antibody eculizumab has been approved for adults with neuromyelitis optica spectrum disorder (NMOSD), a rare autoimmune inflammatory condition of the central nervous system (CNS). The disorder causes recurrent optic neuritis and myelitis, which may lead to permanent (...)

  • Ventilator Recall
    More than 4000 Hamilton-G5 ventilators have been recalled due to a sporadic error message that can cause it to stop working, the FDA recently announced. The device provides breathing support for adult, pediatric, infant, and neonatal patients in intensive (...)

  • Another Option for Hypoactive Sexual Desire
    The FDA recently approved bremelanotide for acquired generalized hypoactive sexual desire disorder (HSDD) in premenopausal women. It’s the first “as-needed” treatment for HSDD, a common condition characterized by low libido that causes distress or interpersonal difficulty and isn’t attributed to a (...)

  • Smoking Cessation and Reduction of Cardiovascular Disease Risk
    Smoking cessation improves cardiovascular health, but not right away. Studies have come to different conclusions about how long it takes for the excess risk associated with smoking to subside to the level of a never smoker, with estimates varying widely, from 2 to 20 years. The study by Duncan (...)

  • Thyroid Function Test Abnormalities During Pregnancy
    Thyroid hormones affect the growth, metabolism, and function of multiple organs in the body. If adaptive mechanisms were not in place during pregnancy, physiological increases in the quantity of circulating thyroid hormone–binding proteins would result in lower concentrations of unbound (free) (...)

  • Broadening Criteria for BRCA1/2 Evaluation
    Pathogenic variants (ie, mutations) in the breast cancer susceptibility 1 and 2 (BRCA1/2) genes are associated with a high risk of ovarian and female breast cancer as well as, particularly for BRCA2, elevated risks of male breast cancer, aggressive prostate cancer, and pancreatic cancer. The (...)

  • Maintenance Treatment for Psychotic Depressive Disorders
    Psychotic features, such as delusions of guilt or persecution, in major depressive disorder (MDD) attracted little research interest before the observation that patients with psychotic depression responded poorly to tricyclic antidepressants. Subsequent work showed that other depressive (...)

  • Numbers of Patients Transposed in Text
    In the Original Investigation entitled “Effect of Pressure Support vs T-Piece Ventilation Strategies During Spontaneous Breathing Trials on Successful Extubation Among Patients Receiving Mechanical Ventilation: A Randomized Clinical Trial,” published in the June 11, 2019, issue of JAMA, patient (...)

  • ECG Diagnosis of Atrial Arrythmias
    This Clinical Challenge reviews ways to distinguish atrial ectopy, AV block, multifocal atrial tachycardia, and other supraventricular tachycardias from atrial fibrillation in patients with absent P waves, irregularly irregular R-R intervals, and f waves on (...)

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