HF Clinical Case - Ms. Anne Mary [English]
74 years old, married, fully autonomous in daily activities. Her complaints are fatigue and dyspnea with medium exertion, that limit her daily activities significantly; She also reports episodes of paroxysmal nocturnal dyspnea, orthopnea, increased waist circumference and bilateral lower limb edema of afternoon predominance.
HF Clinical Case - Mr. Bruno [English]
68 years old male, autonomous in activities of daily living, diagnosed with HFrEF (EF 28% in transthoracic echocardiogram of this hospitalization). Committed to the hospital for decompensated HF in the context of a community-acquired right base pneumonia. Currently with only little congestion; hospital discharge is expected quickly.
Association between palliative care and healthcare outcomes among adults with terminal non-cancer illness: population based matched cohort study
Haverá correlação entre cuidados paliativos e melhor saúde em adultos com doença terminal não oncológica? \n Cuidados paliativos em adultos com doenças terminais não oncológicas (insuf. cardíaca, DPOC, DRC, cirrose, AVC ou fragilidade/demência) associam-se a menos episódios de urgência, menos admissões hospitalares e menos admissões em UCI, maior probabilidade de morte em casa ou casa de repouso em vez de no hospital. É razoável admitir que acesso a cuidados paliativos provoque maior qualidade de vida no final da mesma e as políticas de saúde devem promover maior desenvolvimento desta oferta.
Quinn, Kieran L, Stukel, Therese, Stall, Nathan M, et al.july 2020
Diagnosis and Management of Olfactory Dysfunction in COVID-19
This JAMA Insights Clinical Update discusses the presumed mechanism of COVID-19–related olfactory dysfunction and proposes assessment and management strategies, including olfactory training and adjuvant medication treatments.
Whitcroft K, Hummel T. june 2020
Clinical Genomics in Critically Ill Infants and Children
Increasing evidence indicates that many children who require neonatal or pediatric intensive care have an underlying genetic disease. However, until recently, many of these children did not receive sufficiently comprehensive or rapid genetic testing to be relevant to their acute care. With the increasing availability and affordability of whole exome or genome sequencing technology and the ability to interrogate the genome at scale within a short time frame, a number of rapid diagnostic genomic programs for critically ill infants and children have been developed and implemented, and the concomitant emerging evidence suggests that genomic data are increasingly useful for clinical decision-making in the acute care setting.
Raymond F. june 2020