18 de abr. de 2010

RACE II

Mais um artigo sobre manejo do paciente com FA crônica. Dessa vez o RACE-II quis testar a não-inferioridade da abordagem menos agressiva da FC no paciente com FA. Ao contrário do AFFIRM, que comparou controle da FC (mais estrito) X Ritmo, o RACE-II abre uma perspectiva menos intensiva no manejo da FC nesses pacientes.

http://www.4shared.com/document/_FAWKi5e/RII-warez.html

Fluid balance and acute kidney injury


 Excelente revisão publicada em fevereiro na Nature, sobre manejo de fluídos no paciente crítico. Conceitos fisiopatológicos bem fundamentados e que vão de encontro com vários paradigmas das práticas atuais de reposição hídrica. Cada vez mais a máxima, "Mais, nem sempre é melhor" se aplica aos cuidados do paciente crítico. Observem os próximos artigos.
Vale a pena conferir.
Grande abraço!


http://www.4shared.com/document/wglAL6ML/Fluid_balance_and_acute_kidney.html

16 de mar. de 2010

CD : The Physiological Origins of Heart Sounds and Murmurs: The Unique Interactive Guide to Cardiac Diagnosis



Cardiac auscultation is one of the most difficult clinical skills to acquire and competence in this area is extremely variable. This short and accessible interactive CD of heart sounds recorded from actual patients using the latest digital audio technology. It allows the user to listen to a recording and either eliminate or enhance the different components until they are confident that they have correctly identified the sounds in all phases of the cardiac cycle

http://www.megaupload.com/?d=ELIELQXG

Guidelines the Diagnosis and Management of Patients With Thoracic Aortic Disease


7 de mar. de 2010

Management of Varices and Variceal Hemorrhage in Cirrhosis

                  
                                             Review Article


Management of Varices and Variceal Hemorrhage in Cirrhosis
N Engl J Med 2010;362:823-32.


http://www.4shared.com/file/236511184/c2b410f/Management_of_Varices_and_Vari.html

Comparison of Dopamine and Norepinephrine in the Treatment of Shock

Comparison of Dopamine and Norepinephrine in the Treatment of Shock
N Engl J Med 2010;362:779-89.

 
Both dopamine and norepinephrine are recommended as first-line vasopressor agent
in the treatment of shock. There is a continuing controversy about whether one agent
is superior to the other.In this multicenter, randomized trial, we assigned patients with shock to receive either dopamine or norepinephrine as first-line vasopressor therapy to restore and maintain blood pressure.
 
http://www.4shared.com/file/236508423/2e0398f7/Comparison_of_Dopamine_and_Nor.html

5 de mar. de 2010

NICE-SUGAR


        Intensive versus Conventional Glucose Control in Critically Ill Patients :
         The NICE-SUGAR Study Investigators


http://www.4shared.com/file/235126679/80432d1a/Intensive_versus_Conventional_.html

Is This Patient Hypovolemic?




JAMA - The Rational Clinical Examination

Objective : To review, systematically, the physical diagnosis of hypovolemia in adults.


http://www.4shared.com/file/235047250/30001e80/281_-_02_-_Is_this_patient_hyp.html

Acute kidney injury in the intensive care unit


Acute kidney injury in the intensive care unit: An update and primer for the intensivist
          Concise Definitive Review - Crit Care Med 2010; 38:261–275

Objective: Acute kidney injury is common in critically ill patients and is associated with significant morbidity and mortality. Patients across the spectrum of critical illness have acute kidney injury. This requires clinicians from across disciplines to be familiar with recent advances in definitions,diagnosis, prevention, and management of acute kidney injury in the intensive care unit. The purpose of this concise review, therefore, is to address, for the non-nephrologist, clinically relevant topical questions regarding acute kidney injury in the intensive care unit.

http://www.4shared.com/file/235045160/b3623b91/Acute_kidney_injury_in_the_int.html

Management of acute intracranial and intraventricular hemorrhage


Concise Definitive Review - Crit Care Med 2010; 38:946 –953

Objective: Acute intracranial hemorrhage and intraventricular hemorrhage are devastating disorders. The goal of this review is to familiarize clinicians with recent information pertaining to the acute care of intracranial hemorrhage and intraventricular hemorrhage .

http://www.4shared.com/get/235029629/6e0b1aac/Management_of_acute_intracrani.html

UTD


Caros amigos,
Após este período longe das postagens, tentarei retornar aos poucos. O tempo ainda é curto, mas a necessidade em socializar o conhecimento é grande. Solicitações de livros e links off através do e-mail. Nesta nova fase do warez, postarei mais arquivos relacionados a EBM e Critical Care. Para começar bem, segue a última versão do Up*To*Date. Qualquer dúvida entrem em contato!

Malungo


http://rapidshare.com/files/332029118/upd173.part01.rar

http://rapidshare.com/files/332029442/upd173.part02.rar

http://rapidshare.com/files/332036063/upd173.part03.rar

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http://rapidshare.com/files/332042543/upd173.part05.rar

http://rapidshare.com/files/332045440/upd173.part06.rar

http://rapidshare.com/files/332048468/upd173.part07.rar

http://rapidshare.com/files/332051685/upd173.part08.rar

http://rapidshare.com/files/332055046/upd173.part09.rar

http://rapidshare.com/files/332058646/upd173.part10.rar

http://rapidshare.com/files/332058729/upd173.part11.rar

http://rapidshare.com/files/333934764/crack.rar



Steps to install on desktop:

1)run the setup.exe file and choose to install on the desktop

2)enter your name and this product ID: KB72715

3)After finishing installation, close the program and put the dec.dll file (present in the last link also) in C/program files/uptodate/app.

10 de mar. de 2009

Diagnosis of Bone and Joint Disorders (CD-ROM) - Donald Resnick

Now available on CD-ROM, the "Diagnosis of Bone and Joint Disorders, 3rd Edition", correlates state-of-the-art images with the anatomy, pathology, and pathophysiology of soft tissue disease processes to make identifying bone and joint problems easier. It enables the user to instantly locate any word, figure, illustration, legend, or reference from the text using a simple search command. http://ifile.it/jylwvk/radiologic_diagnosis_of_bone___joint__d._resnick__3rd_ed__1996_.part1.rar http://ifile.it/4s7yw6/radiologic_diagnosis_of_bone___joint__d._resnick__3rd_ed__1996_.part2.rar http://ifile.it/jkulov/radiologic_diagnosis_of_bone___joint__d._resnick__3rd_ed__1996_.part3.rar http://ifile.it/pag3cl/radiologic_diagnosis_of_bone___joint__d._resnick__3rd_ed__1996_.part4.rar

Diagnostic Imaging Orthopaedics - Stoller

Authored by one of the acknowledged leaders and preeminent teachers in musculoskeletal radiology, this innovative text is certain to become the new standard among orthopaedic diagnostic imaging references. The first volume in the new Diagnostic Imaging Series from Amirsys and Saunders, it features a templated, full-color format that makes finding information much easier. Each chapter presents all of the information readers need to pinpoint a diagnosis. Coverage of each entity addresses Clinical Presentation, Pathologic Features, Imaging Findings for the appropriate modalities, and Differential Diagnosis lists. In addition, each chapter has detailed anatomic drawings in full color, an extensive image case gallery, and a visual "thumbnail" differential diagnosis. Numerous surgical, gross and histologic pathology photographs are included. No other musculoskeletal imaging text is as comprehensive and user-friendly. http://rs478.rapidshare.com/files/177569865/Diagnostic_Imaging_-_Orthopaedics.rar

8 de mar. de 2009

Zollinger's Atlas of Surgical Operations, 8th Edition

Defines the core of major general surgical procedures using well-established, safe techniques. Puts hands-on guidelines at your fingertips featuring detailed illustrations depicting every important action a surgeon must consider while performing operations. Provides easy-to-follow, step-by-step detail for all gastrointestinal, vascular and gynecologic procedures -- in addition to all other procedures commonly performed by the general surgeon or surgical resident – in text and in hundreds of superb line drawings. Includes logorithmic treatment and diagnostic options. Covers preoperative preparation and postoperative care, anesthesia, and ambulatory (or outpatient) surgery commonly performed for the repair of inguinal, femoral, and small umbilical hernias, breast biopsies and many other gynecologic procedures, excision of skin tumors, some cosmetic procedures as well as certain orthopedic and otolaryngologic procedures. Fully updated, this Eighth Edition: * Features 16 completely new plates and over 60 updated ones * Illustrates the newest techniques using laparoscopy * Provides completely new material on the open hernia procedure and the central node biopsy procedure * Describes methodologies for the latest stapling instruments * Details the use of the new biomaterials and radionuclide localization This "gold standard" reference continues its 50-year tradition of excellence as the ultimate teaching atlas of surgery. http://www.4shared.com/file/55759588/23069325/Zollingers_Atlas_of_Surgical_Operations_-_8th_Edition.html?dirPwdVerified=e524c66d

Sabiston Textbook of Surgery, 18th ed.

The 18th edition of the Sabiston Textbook of Surgery reflects these exciting changes and new knowledge. We have incorporated 3 new chapters and more than 50 new authors to ensure that the most current information is presented. The goal of this new edition is to remain the most thorough, useful, readable, and understandable textbook presenting the principles and techniques of surgery. It is designed to be equally useful to students, trainees, and experts in the field. We are committed to maintaining this tradition of excellence begun in 1936. Surgery, after all, remains a discipline in which the knowledge and skill of a surgeon combine for the welfare of our patients.

http://rapidshare.com/files/198209732/sts18.part1.rar

http://rapidshare.com/files/198207640/sts18.part2.rar

7 de mar. de 2009

Atlas of Dermatology CD-ROM for PC

This atlas contains more than 3.000 colour pictures relating to over 500 dermatologic diseases. Search possibilities via names of diseases or via differential diagnoses are provided for and corresponding symptoms are mentioned. This is the only dermatologic atlas which offers such a wide range of pictures and thus makes it an ideal reference tool for every dermatologist and medical practitioner dealing with the diseases of the skin. http://ifile.it/sith5e/atlas_of_dermatology_isbn_3540146695.part1.rar.html http://ifile.it/uhd107/atlas_of_dermatology_isbn_3540146695.part2.rar.html

Clinical Dermatology: A Color Guide to Diagnosis and Therapy

Completely revised and updated, the 4th Edition of this popular reference presents a wealth of new features to enable readers to identify, treat, and manage skin diseases more easily than ever. Atlas-like guidance, complemented with detailed, diagnostic text, combine to offer readers a user-friendly resource they'll consult again and again. Also available as a separate website and e-dition package, this book is widely recognized as the world's leading dermatologic manual. http://ifile.it/l56yc1/clinical.dermatology.egymedicine.part1.rar http://ifile.it/u0n3dq/clinical.dermatology.egymedicine.part2.rar

Fitzpatrick's Dermatology in General Medicine

In no other source but Fitzpatrick's can you find the most comprehensive, current, and authoritative coverage of the entire spectrum of dermatologic science, diagnosis, treatment, and management. Now in a more accessible format, with everything you need to know about skin, skin symptoms, and skin diseases right at your fingertips-from the basic science of the skin as an immunoprotective organ -- to the day-to-day clinical issues of managing skin diseases like psoriasis, acne, and skin cancer.

Encyclopedic in scope, yet skillfully edited so it's easy to read and use every day, this unsurpassed resource delivers a timely look at dermatologic therapeutics as well as dermatologic surgery and cosmetic dermatology. In addition, 3,000 eye-catching full-color photographs and hundreds of time-saving tables encapsulate core concepts, while scores of references facilitate further research.

http://rapidshare.com/files/204289137/FDIGM.rar

Dermatology: An Illustrated Colour Text

The information is presented in a highly accessible format, using double page spreads for each topic. Extensive use of colour for both clinical photographs and graphics makes for a superb appearance. For review for examination preparation, key point boxes are provided. In this third edition, extensive revision has been made to reflect changes in the understanding of dermatological conditions at a molecular level and the changes in clinical practice. In addition, the use of the internet for dermatological information by both doctors and patients is reviewed. http://rapidshare.com/files/71650090/Dermatology.rar

27 de fev. de 2009

Retorno !!!

Salve, salve pessoal !! É com grande prazer que retomamos as atividades. Agradeço os e-mails pedindo o retorno do Blog . Realmente ano de residência fica difícil atualizá-lo semanalmente como antes, mas tentarei responder todas solicitações . Favor re-enviar por e-mail os pedidos de livros, para que possamos nos certificar que não conseguiram de outra fonte. Artigos só serão enviados mediante descrição completa ( título, autor, ano de publicação, etc.) . Lembro mais uma vez que NÃO adianta enviar e-mail solicitando livros NACIONAIS, que não envio livros por e-mail. Não temos NENHUM interesse comercial com o blog, não VENDEMOS nenhum e-book ou APLICATIVO. Para começar bem , excelentes vídeos de exame físico da Universidade de Chicago . Boa sorte e muito conhecimento em 2009 !! Grande abraço Malungo