MENSAGEM DOS COORDENADORES Departamento de Aterosclerose da Sociedade Brasileira de Cardiologia (SBC), acompanhando o amplo cenario de publicacoes cientificas sobre o tratamento das dislipidemias e prevencao da aterosclerose, bem como a importância de seu impacto sobre o risco cardiovascular, e reconhecendo a necessidade de atualizacao de sua ultima diretriz, publicada em 2013, em conformidade com as recomendacoes da SBC, reuniu um comite de especialistas, da clinica e do laboratorio clinico, a partir de janeiro de 2016, para a elaboracao deste [...]

Atualização da Diretriz Brasileira de Dislipidemias e Prevenção da Aterosclerose – 2017.

Over the last 30 years, concomitant with successful transnational disease control programs across Latin America, Chagas disease has expanded from a neglected, endemic parasitic infection of the rural poor to an urbanized chronic disease, and now a potentially emergent global health problem. Trypanosoma cruzi infection has a highly variable clinical course, ranging from complete absence of symptoms to severe and often fatal cardiovascular and/or gastrointestinal manifestations. To date, few correlates of clinical disease progression have been identified. Elucidating a putative role for T. cruzi strain diversity in Chagas disease pathogenesis is complicated by the scarcity of parasites in clinical specimens and the limitations of our contemporary genotyping techniques. This article systematically reviews the historical literature, given our current understanding of parasite genetic diversity, to evaluate the evidence for any association between T. cruzi genotype and chronic clinical outcome, risk of congenital transmission or reactivation and orally transmitted outbreaks.

/pdf/between-a-bug-and-a-hard-place-trypanosoma-cruzi-genetic-3g17g3ur1w.pdf

Between a bug and a hard place: Trypanosoma cruzi genetic diversity and the clinical outcomes of Chagas disease

1. Definition of the Problem […] 3rd Guideline for Perioperative Cardiovascular Evaluation of the Brazilian Society of Cardiology

https://abccardiol.org/wp-content/uploads/articles_xml/0066-782X-abc-109-03-s1-0001/0066-782X-abc-109-03-s1-0001.pdf

3rd guideline for perioperative cardiovascular evaluation of the Brazilian Society of Cardiology

Objetivo: conhecer o estado da arte atual a respeito da Sistematizacao da Assistencia de Enfermagem nos cuidados intensivos ao paciente em Pos-operatorio Cardiaco. Metodos: revisao integrativa de dados indexados a partir de 2012 em conformidade com o Protocolo Reporting of Qualitative Research Studies. Resultados: elegiveis 08 artigos de 40 pre-selecionados com adensamento de evidencias capazes de responder ao objetivo de investigacao. Discussao: perceber o paciente cirurgico no escopo de suas necessidades fisicas, emocionais, espirituais e sociais, demanda do Enfermeiro Intensivista constante atualizacao teorica e metodologica para fundamentar uma pratica baseada em Diagnosticos e Prescricoes das Intervencoes de Enfermagem capazes de suprir as demandas do paciente. Conclusao: a estruturacao do cuidado no qual a Sistematizacao da Assistencia de Enfermagem alicerca metodologicamente a aplicacao dos conhecimentos como viabilizadores do Processo de Enfermagem permite a realizacao de um cuidado intensivo diferenciado ao Paciente em Pos-operatorio cardiaco.

/pdf/systematized-intensive-care-for-postoperative-heart-surgery-7j42lskzwp.pdf

Systematized intensive care for postoperative heart surgery patients / Cuidados Intensivos sistematizados ao paciente em pós-operatório cardíaco

Mode of transmission may affect clinical aspects of infection for many diseases that have different potential transmission routes, and this is also the case for Chagas disease, for which oral transmission has particular aspects of interest. In this chapter we not only consider the clinical aspects associated with oral transmission of Trypanosoma cruzi, but also particular aspects associated with diagnosis and treatment. One aspect that is also of importance is that in an outbreak of foodborne Chagas disease, when there is the potential for many hundreds of people developing symptoms almost simultaneously, then different strategies for diagnosis and treatment, and preventing further infections occurring, must be implemented. Identification of asymptomatic cases is also important. This may put particular strains on health personnel and public health officials, who also need to disseminate information to a concerned population. Regardless of transmission route, development and implementation of more appropriate diagnostic tools and more effective treatment options are important goals.

Clinical Aspects in Foodborne Chagas Disease

/pdf/atualizacao-e-enfoque-em-operacoes-vasculares-arteriais-da-1d492196vu.pdf

Atualização e enfoque em operações vasculares arteriais da II Diretriz de Avaliação Perioperatória da Sociedade Brasileira de Cardiologia

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Atualização e enfoque em operações vasculares arteriais da II Diretriz de Avaliação Perioperatória da Sociedade Brasileira de Cardiologia