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Inicio Clinics
ISSN: 1807-5932
e-ISSN: 1980-5322

Clinics is a gold open access electronic international journal that publishes peer-reviewed research in continuous flow of interest to clinicians and researchers in medical and biomedical sciences based on its originality, importance, conclusions and interest to readers. CLINICS also publishes Comments and Editorials. The journal is committed to the principles of ethics, respect for the individual, humanization, honesty, pioneering spirit and excellence.Clinics is the Official Scientific journal of Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP).

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Clarivate/ISI: Web of Sciences, SCOPUS, PubMed Central (PMC), SciELO Brasil, SciELO Public Health, Redalyc, EMBASE, Nutrition Abstracts & Reviews, POPLINE, Tropical Diseases Bulletin, LILACS

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Impact factor

The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two preceding years.

© Clarivate Analytics, Journal Citation Reports 2022

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Impact factor 2023
2.2
Citescore

CiteScore measures average citations received per document published.

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Citescore 2023
4.1
SJR

SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact.

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SJR 2023
0.535
SNIP

SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.

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SNIP 2023
0.668
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Issue
Vol. 79.
(January - December 2024)
Editorials
It is time to change the definition: Endometriosis is no longer a pelvic disease
Maria Carolina Machado da Silva, Luiz Philipe de Souza Ferreira, Amanda Della Giustina
Clinics. 2024;79C:100326
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Could immunotherapy be a hope for addiction treatment?
Maria Carolina Machado da Silva, Luiz Philipe de Souza Ferreira, Amanda Della Giustina
Clinics. 2024;79C:100347
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It is time to spread the message of high-quality layperson cardiopulmonary resuscitation all over the world
Naomi Kondo Nakagawa, Andrew Lockey, Maria José Carvalho Carmona, Amber Hoover, Prama Nanda, Bernd Walter Böttiger
Clinics. 2024;79C:100355
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Water pollution and the brain
Fulvio A. Scorza, Feres Chaddad-Neto, Larissa Beltramim, Josef Finsterer, Tomás de la Rosa
Clinics. 2024;79C:100424
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Contextualizing stigma in Parkinson's disease research
Tomás de la Rosa, Fúlvio Alexandre Scorza
Clinics. 2024;79C:100425
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Physician leadership in private acquisitions: Styles for all situations
Max S. Mano, Fadil Çitaku
Clinics. 2024;79C:100443
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Homeopathy is not placebo effect: proof of the scientific evidence for homeopathy in open access trilingual e-book
Marcus Zulian Teixeira
Clinics. 2024;79C:100456
Highlights

  • Homeopathy is based on four heterodox and complementary scientific assumptions.

  • Pseudoskeptics deny these assumptions and any scientific evidence that proves them.

  • The e-book proves the scientific evidence for homeopathy.

  • The e-book describes hundreds of experimental and clinical studies in homeopathy.

  • The e-book demystifies the fallacy that “homeopathy is placebo effect”.

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Resource management strategies for prioritizing non-scheduled surgical procedures in a tertiary public hospital
Marcelo Cristiano Rocha, Rafaela Alkmin da Costa, Edivaldo Massazo Utiyama
Clinics. 2024;79C:100482
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Recommendations for physician appointments of LGBTQIA+ adolescents with chronic conditions
Pedro Henrique P. Sampaio, Darusa C. Souza, Pedro Henrique M. Mendes, Ligia B. Queiroz, Benito Lourenço, Marcia T. Couto, Clovis A. Silva
Clinics. 2024;79C:100507
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The current state of cannabinoids in orofacial pain
Eduardo Grossmann, Sigmar de Mello Rode, Claudia Herrera Tambeli, João Paulo Colesanti Tanganeli, Denise Sabbagh Haddad
Clinics. 2024;79C:100528
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Pelvic congestion syndrome as a differential diagnosis of chronic pelvic pain in women
Marcos de Lorenzo Messina, Pedro Puech-Leão, Ricardo dos Santos Simões, Maria Cândida Pinheiro Baracat, José Maria Soares, Edmund Chada Baracat
Clinics. 2024;79C:100514
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Benefits of hypertonic saline for cardiothoracic organ transplantation with brain death donors
Cristiano de Jesus Correia, Ana Cristina Breithaupt-Faloppa, Luiz Felipe Pinho Moreira
Clinics. 2024;79C:100530
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What is pesticide-induced epilepsy?
Fulvio A. Scorza, Raphael Wuo-Silva, Rozana M. Ciconelli, Josef Finsterer, Feres Chaddad-Neto
Clinics. 2024;79C:100515
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Original articles
The intra- and inter-rater reproducibility of bone level measurements at strategic mini-implants using dental panoramic radiography
Martin Strauch, Ahmad Al Jaghsi, Christian Schwahn, Torsten Mundt
Clinics. 2024;79C:100316
Highlights

  • Panoramic radiography is suitable for determining vertical bone loss around mini-implants.

  • Questionable implant sites are to be evaluated in cooperation with one other expert.

  • Unquantifiable implant sites are to be excluded regarding therapy decisions.

  • Mutual calibration sessions for bone level measurements are highly recommended.

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Development and internal validation of a clinical prediction model for spontaneous abortion risk in early pregnancy
Junqing Li, Jimei Yang, Min Lv, Xiang Wang, Zhijing Chen, Na Zhou, Xuetao Hou, Zhen Song
Clinics. 2024;79C:100318
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circCPA4 induces malignant behaviors of prostate cancer via miR-491-5p/SHOC2 feedback loop
Wenqing Xu, Zhihong Zhong, Long Gu, Yiming Xiao, BinShen Chen, Weilie Hu
Clinics. 2024;79C:100314
Highlights

  • circCPA4 deficiency inhibits PC3 cell metastasis.

  • circCPA4 interacts with miR-491-5p in affecting the biological behavior of PC3 cells.

  • circCPA4 mediates and affects the biological behavior of PC3.

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Advanced glycation end products consumption and the decline of functional capacity in patients with Parkinson's disease: Cross-sectional study
Jenifer Kristina Alves de Almeida, Guilherme Carlos Brech, Natália Mariana Silva Luna, Rodrigo Tallada Iborra, Jose Maria Soares-Junior, Edmund Chada Baracat, Júlia Maria D'Andrea Greve, Angélica Castilho Alonso, Adriana Machado-Lima
Clinics. 2024;79C:100320
Highlights

  • Effects of AGEs in Parkinson's disease patients.

  • Recommendation healthy diet with a low AGE consumption.

  • Parkinson's disease patients’ lower strength and worsened functional capacity.

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Xuebijing improves inflammation and pyroptosis of acute lung injury by up-regulating miR-181d-5p-mediated SPP1 inactivation
XiaoYong Wu, RuoMei Xin, YanZhong Zhang, ChengRui Yang, FangYuan Sun, YanLiang Wang, FengXian Zheng
Clinics. 2024;79C:100336
Highlights

  • XBJ improves LPS-induced lung cell inflammation and pyroptosis.

  • miR-181d-5p inhibits LPS-induced inflammatory response and pyroptosis of lung epithelial cells.

  • XBJ elevates miR-181d-5p and improves LPS-induced pyroptosis of lung epithelial cells.

  • XBJ upregulates miR-181d-5p and inhibits SPP1 to protect lung epithelial cells from LPS-induced injuries.

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Health-Related quality of life by 31-item Cervantes scale in breast cancer survivors undergoing adjuvant endocrine therapy
Isis Danyelle Dias Custódio, Fernanda Silva Mazzutti Nunes, Mariana Tavares Miranda Lima, Kamila Pires de Carvalho, Andressa Miranda Machado, Paula Philbert Lajolo, Carlos Eduardo Paiva, Yara Cristina de Paiva Maia
Clinics. 2024;79C:100324
HIGHLIGHTS

  • CS-31 seems to be appropriate for use in oncology and may help to monitoring adverse effects and HRQL.

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Larotrectinib versus infigratinib for adult patients with both glioma and tyrosine kinase alterations after failure of initial therapies: Efficacy and safety analysis
Yufang Chen, Jian Ma, Qianqian Gao, Yu Gai, Yichi Sun, Meihua Wang
Clinics. 2024;79C:100329
Highlights

  • Tyrosine kinase domains with genomic alterations have oncogenic potential.

  • Higher efficacy for infigratinib than larotrectinib.

  • Infigratinib has a higher overall survival than larotrectinib.

  • Infigratinib has higher adverse effects than larotrectinib.

  • Bevacizumab initial therapy has a higher overall survival.

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Expression and clinical significance of miR-141-5p as a biomarker in the serum of patients with early spontaneous abortion
XiaoQun Che, Xiao Wang, LiLian Wang, LiHua Xu, Lin Zou, TianZhong Ma, Bi Chen
Clinics. 2024;79C:100327
Highlights

  • Correlation analysis of miR-141-5p and serum β-HCG, P4 and E2 levels in patients with ESA.

  • miR-141-5p as a diagnostic biomarker for ESA.

  • β-HCG, P4 and E2 levels.

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Low back pain, pelvic pain, and associated factors in type 1 diabetic pregnant women
Patricia Andrade Batista, Cláudia de Oliveira, Rafaela Alkmin da Costa, Rossana Pulcineli Vieira Francisco, Fabio Roberto Cabar
Clinics. 2024;79C:100325
Highlights

  • DM1 is associated with changes in skeletal muscle functionality.

  • During pregnancy, the incidence of low back pain and pelvic pain is moderate and the presence of DM1 may be associated with the early appearance of this symptom.

  • The study demonstrated that pregnant women with DM1 complain of pain with a moderate incidence in the second trimester of pregnancy.

  • Factors such as length of illness are related to the higher frequency of pain in pregnant women with DM1.

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Relationship between semen parameters, serum InhB, and INSL-3 levels, and the degree of varicocele
Lei Liu, WenJie Huang, KeBing Luo, YiZhou Zeng, YunHao Shao, ZongMin Long
Clinics. 2024;79C:100339
Highlights

  • Serum INSL-3 in patients with varicocele decreases with the severity of the disease.

  • Serum INSL-3 is positively correlated with total sperm count.

  • Serum InhB is associated with semen volume, concentration, and total sperm.

  • Serum InhB and INSL-3 levels could distinguish the degree of varicocele.

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National survey regarding obstetricians’ perspective of obstetric emergencies in Brazil
Vitória Espindola Leite Borges, Francisco Barbosa Jr, Fábio Fernandes Neves, Maria Rita de Souza Mesquita, Elaine Christine Dantas Moisés
Clinics. 2024;79C:100333
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Prolonged survival after thoracic metastasectomy in patients with nonseminomatous testicular cancer
Jaqueline Schaparini Fonini, Pedro Henrique Xavier Nabuco de Araujo, Paula Duarte D'Ambrosio, Juliana Vieira de Oliveira Salerno, Pedro Prosperi Desenzi Ciaralo, Ricardo Mingarini Terra, Paulo Manuel Pêgo-Fernandes
Clinics. 2024;79C:100338
Highlights

  • Few studies have examined outcomes after intrathoracic metastasectomy for nonseminomatous testicular germ cell tumors.

  • Integration of local and systemic therapies yields favorable outcomes with low morbidity and mortality.

  • Surgical management should be considered after chemotherapy, as histology prediction for metastatic lesions remains challenging.

  • This study highlights the importance of aggressive surgical approaches in improving long-term survival in young patients with testicular NSGCT.

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Effect of 3D laparoscopy versus traditional laparotomy on serum tumor markers and coagulation function in patients with early-stage endometrial cancer
Hailong Chen, Dechang Xu, Ying Yu, Jing Huang, Qian Zhou, Qi Wang
Clinics. 2024;79C:100337
Highlights

  • 3D laparoscopic surgery for early-stage EC seems to be more effective than traditional laparotomy.

  • 3D laparoscopic surgery for early EC can attenuate the inflammatory response and damage to immune function, foster urinary function recovery, and enhance the quality of life.

  • 3D laparoscopic surgery for early EC impacts the patient's coagulation function, necessitating vigilant prevention and management of thrombotic events in clinical settings.

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Cross-cultural adaptation of the Scale of Perception of Respect for and Maintenance of the Dignity of the Inpatient (CuPDPH) to Brazilian Portuguese and its psychometric properties—A multicenter cross-sectional study
Pablo Eduardo Pereira Dutra, Laiana Azevedo Quagliato, Filipe Terra Curupaná, Letícia Zangirolami Peres, Victoria Luiza Pacini, Claudia Regina Menezes da Silva, Juliana Seixas Garcia, Beatriz Campillo Zaragoza, Antonio Egidio Nardi
Clinics. 2024;79C:100328
Highlights

  • Despite their importance, dignity and respect are woefully undefined, and often cast aside, which is reflected by the scarcity of in-depth studies.

  • Brazilian patients feel respected, but when it comes to consideration and integrity, it is nothing short of heartbreaking.

  • Brazilian health professionals do not ask their patients whom they would like to share information with. And this demands our utmost attention.

  • A sting of disrespect and affronts to our dignity seldom escape our notice.

  • The Scale of Perception of Respect for and Maintenance of the Dignity of the Inpatient sheds light on this aspect of human interaction.

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Delayed diagnosis and increased mortality risk: Assessing the effects of the COVID-19 pandemic on breast cancer recurrence
Lindson Mühlmann, Franklin Fernandes Pimentel, Daniel Guimarães Tiezzi, Hélio Humberto Angotti Carrara, Jurandyr Moreira de Andrade, Francisco José Candido dos Reis
Clinics. 2024;79C:100340
Highlights

  • COVID-19 profoundly affected global healthcare including breast cancer management.

  • The pandemic delayed recurrence diagnosis and increased post-recurrence mortality.

  • Strategies for cancer patients' follow-up during health crises need improvements.

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Evaluation of HLA-DQ2 and HLA-DQ8 haplotypes in patients with endometriosis, A case-control study
Marina P. Andres, Alessandra Peloggia, Henrique M. Abrao, Thais F. Magalhaes, João Siufi Neto, Mauricio Simões Abrão
Clinics. 2024;79C:100317
Highlights

  • Celiac disease and endometriosis share inflammatory markers and pathophysiology.

  • HLA-DQ2 and/or HLA-DQ8 were similar between the control and endometriosis groups.

  • Anti- transglutaminase igA was similar between the control and endometriosis groups.

  • HLA-DQ2 and DQ8 had no difference in age, symptoms, endometriosis stage or location.

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Infants with neonatal Chronic Lung Disease are associated with delayed auditory conduction in the rostral brainstem after term
Ze Dong Jiang, Cui Wang, James K. Jiang, Jin Wang
Clinics. 2024;79C:100341
Highlights

  • CLD infants had delayed auditory conduction at more central brainstem regions.

  • Postnatal central auditory function is adversely affected by neonatal CLD.

  • Monitoring post-term auditory change is warranted for managing CLD infants after term.

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Prognostic value of perioperative high sensitivity troponin in patients undergoing hip and knee arthroplasty
Fábio de Souza, Kelly Biancardini Gomes Barbato, Viviani Barreira Marangoni Ferreira, Danielle Menosi Gualandro, Bruno Caramelli
Clinics. 2024;79C:100342
Highlights

  • To determine the prognostic value of perioperative hs-TnI in addition to traditional cardiac risk tools in patients undergoing elective major orthopedic surgery.

  • To evaluate the incidence of perioperative myocardial injury through systematic hs-TnI monitoring in a tertiary orthopedic center in Brazil.

  • Assessing mortality and cardiovascular complications in the short- and long-term periods after elective major orthopedic surgery.

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A randomized clinical trial comparing internal and external pessaries in the treatment of pelvic organ prolapse in postmenopausal women: A pilot study
Renato Sugahara Hosoume, Thais Villela Peterson, José Maria Soares Júnior, Edmund Chada Baracat, Jorge Milhem Haddad
Clinics. 2024;79C:100335
Highlights

  • Internal and external pessaries improved the quality of life of women with pelvic organ prolapse.

  • The use of an internal pessary changed the POP-Q stage related to prolapse of the anterior and apical vaginal compartments in women with pelvic organ prolapse.

  • Studies investigating alternative treatments for Pelvic organ prolapse, such as the use of an external pessary, are extremely important.

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The association of visceral pleural invasion with skip N2 metastasis on clinical stage IA NSCLC
Fabio Minamoto, Pedro Araújo, Paula D'Ambrosio, Alberto Dela Vega, Leticia Lauricella, Paulo Pêgo-Fernandes, Ricardo Terra
Clinics. 2024;79C:100334
Highlights

  • Visceral Pleural Invasion (VPI) in lung cancer is associated with skip N2 metastasis.

  • Nodal upstaging is linked to lymph-vascular invasion.

  • VPI impacts disease-free and overall survival rates.

  • Consideration of VPI in treatment decisions is crucial for improved patient outcomes.

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Reduced HDL-cholesterol in long COVID-19: A key metabolic risk factor tied to disease severity
Jamila Al-Zadjali, Amal Al-Lawati, Nafila Al Riyami, Koukab Al Farsi, Najwa Al Jarradi, Ammar Boudaka, Ali Al Barhoumi, Mohsen Al Lawati, ... Jumana Saleh
Clinics. 2024;79C:100344
Highlights

  • Low HDL-C and high ferritin are linked to increased Long-COVID-19 severity.

  • Changes in HDL-C levels, significantly impact Long-COVID-19 progression.

  • Ferritin may exacerbate disease progression by increasing oxidative stress.

  • HDL-C and ferritin levels may serve as markers and therapeutic targets for Long-COVID-19.

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Olanzapine as a prophylactic antiemetic for preventing postoperative nausea and vomiting after general anesthesia: A systematic review and meta-analysis
Thiago Ramos Grigio, Hans Timmerman, Angela Maria Sousa, André Paul Wolff
Clinics. 2024;79C:100345
Highlights

  • Olanzapine is identified as a potentially effective prophylactic antiemetic.

  • Olanzapine reduces the incidence of postoperative nausea and vomiting.

  • Olanzapine has few side effects.

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A meta-analysis on the efficacy of endoscopic ultrasonography for treatment of pancreatic cancer
Min Xuan, Na Li, Chunyan Wu
Clinics. 2024;79C:100348
Highlights

  • EUS-guided treatment for pancreatic cancer had fewer adverse reactions and a higher success rate.

  • The direct injection of absolute ethanol into the abdominal ganglion exerted the best pain relief effects.

  • US-guided Celiac Plexus Neurolysis (EUS-CPN) relieved and eliminated pain significantly.

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Circ-ABCA1 promotes oxidized low-density lipoprotein-induced inflammation and phenotypic switch in vascular smooth muscle cells
Fang Yu, JiWei Liu, Xiao Wei
Clinics. 2024;79C:100343
Highlights

  • Si-circABCA1 inhibits VMSC malignant proliferation, inflammation, and phenotypic switch.

  • miR-885–5p blocks the promoting effects of circABCA1 on VMSCs.

  • CircABCA1 regulates the miR-885–5p/ROCK2 axis in VMSCs.

  • Knockdown of circABCA1 reduces arterial plaque size and improves inflammation in AS mice.

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Polidocanol-foam treatment of varicose veins: Quality-of-life impact compared to conventional surgery
Lissa Severo Sakugawa, Felipe Soares Oliveira Portela, Andressa Cristina Sposato Louzada, Maria Fernanda Cassino Portugal, Marcelo Passos Teivelis, Cynthia de Almeida Mendes, Lucas Lembrança Pinheiro, Marcelo Fiorelli Alexandrino da Silva, ... Nelson Wolosker
Clinics. 2024;79C:100346
Highlights

  • Both polidocanol foam sclerotherapy and conventional surgery had positive impacts on patient quality of life.

  • Conventional surgery promotes greater improvement in patient quality-of-life than sclerotherapy.

  • Post-procedure pain and aesthetic concerns about the legs worsen the efficacy of sclerotherapy.

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Surgical complications in the first and second semesters of the general surgery medical residence. A study of 14063 cases
Bruno Henrique Alvarenga, Izabel Cristina Rios, Francisco de Salles Collet e Silva, Edivaldo Massazo Utiyama
Clinics. 2024;79C:100351
Highlights

  • Surgical complications increase after the entry of new resident doctors.

  • Second-year resident doctors need more training time.

  • The increase in surgical complications is associated with the entry of new resident doctors, but also with the progression from the first to the second year of the course.

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Patients who received sleeve gastrectomy have lower plasma osteopontin levels than those who did not
Doğan Öztürk, Arzu Or Koca, Müge Keskin, Bülent Öztürk, Esra Fırat Oğuz, Turan Turhan, Hakan Buluş
Clinics. 2024;79C:100352
Highlights

  • Obesity causes higher plasma OPN levels and higher expression of OPN in adipose tissue.

  • OPN and HGF are promising biomarkers that can be used to detect problems related to obesity.

  • Patients in the early post-SG period had lower plasma OPN and similar plasma HGF compared to nonsurgical patients.

  • After bariatric surgery, despite down-regulation of local OPN expression in adipose tissue, a significant increase in circulating OPN concentrations occurs

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Comparative analysis of primary health care attributes between children under and over 3 years of age using the primary care assessment tool
Luciana Harumi Miranda Omori, Deoclecio Avigo, Itamar de Souza Santos, Gustavo Diniz Ferreira Gusso, Maria Teresa Bechere Fernandes
Clinics. 2024;79C:100353
Highlights

  • Government programs primarily focus on early childhood.

  • Primary Care services tend to be better for children under three years old.

  • New programs are needed to provide follow-up care for children beyond early childhood.

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Prognostic model on pregnancy outcomes for women with recurrent spontaneous abortions treated with cyclosporin A: A single-institution experience
Ze-Ming Zhang, Na Zhang, Xiao-Fei Wang
Clinics. 2024;79C:100349
Highlights

  • The prognostic model for pregnancy outcomes was constructed.

  • The prognostic factors included age, ANA, and anti-β2 glycoprotein I antibody levels.

  • The prognostic models showed higher value for predicting pregnancy success.

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Toll-like receptor signaling pathway involved in pathogenesis of thromboangiitis obliterans through activating of NF-κB
Facai Guo, Yan Bi, Jiangyan Yin, Yi Guo
Clinics. 2024;79C:100357
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FOXO3a deregulation in uterine smooth muscle tumors
Thais Gomes de Almeida, Anamaria Ritti Ricci, Laura Gonzalez dos Anjos, Jose Maria Soares Junior, Gustavo Arantes Rosa Maciel, Edmund Chada Baracat, Katia Candido Carvalho
Clinics. 2024;79C:100350
Highlights

  • Higher FOXO3a levels suggest a link to malignancy in Uterine Smooth Muscle Tumors.

  • Elevated expression of FOXO3a is connected to LMS prognosis, indicating it is a survival marker.

  • MiRNA activity contributes to the imbalance of FOXO3a in Uterine Smooth Muscle Tumors.

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Evaluation of the RAPID score as a predictor of postoperative morbidity and mortality in patients undergoing pulmonary decortication for stage III pleural empyema
Danilo Caribé Carneiro, Paula Duarte D'Ambrosio, Alessandro Wasum Mariani, Jaqueline Schaparini Fonini, Gabriela Ketherine Zurita Aguirre, João Pedro Carneiro Leão, Aurelino Fernandes Schmidt Júnior, Eihab O. Bedawi, ... Paulo Manuel Pêgo-Fernandes
Clinics. 2024;79C:100356
Highlights

  • This study establishes a strong correlation between the RAPID score and 3-month mortality in patients undergoing lung decortication for pleural empyema.

  • Patients were stratified into low, medium, and high-risk groups based on the RAPID score, demonstrating that this approach can be valuable in identifying patients with a higher likelihood of complications. This can inform treatment planning and post-operative monitoring.

  • While the results suggest a strong correlation, prospective studies are needed to fully validate the use of the RAPID score in this population. This underscores the importance of future clinical research to enhance the selection of the initial treatment for patients with pleural empyema.

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MicroRNA-1258 suppresses oxidative stress and inflammation in septic acute lung injury through the Pknox1-regulated TGF-β1/SMAD3 cascade
XiaoMeng Xu, XiaoHong Xu, JinLiang Cao, LuoYang Ruan
Clinics. 2024;79C:100354
Highlights

  • MiR-1258 is downregulated in septic ALI.

  • MiR-1258 inhibits inflammation and oxidative stress via Pknox1 in ALI.

  • MiR-1258 targets Pknox1 to control TGF-β1/SMAD3 cascade.

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Diagnostic values of soluble triggering receptor expressed on myeloid cells (sTREM-1) and interferon-inducible protein-10 (IP-10) for severe mycoplasma pneumoniae pneumonia in children
Chang Xu, Li-Yan Luo, Bi-Chen Wu, Niu Ding, Shi-Jie Jin, Jian-Bao Huang, Yan-Ping Chen
Clinics. 2024;79C:100361
Highlights

  • The serum levels of sTREM-1 and IP-10 were increased in children with mycoplasma.

  • Serum levels of sTREM-1 and IP-10 were positively correlated with the severity of the disease.

  • sTREM-1 combined with IP-10 has an important value in the diagnosis of children with MPP.

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Glutathione effect on functional and histological recovery after spinal cord injury in rats
Fernando Flores de Araujo, Raphael Martus Marcon, Alexandre Fogaça Cristante, Tarcísio Eloy Pessoa Barros Filho
Clinics. 2024;79C:100359
Highlights

  • Glutathione is important in protecting secondary spinal cord injury from oxidative stress.

  • As the secondary injury progresses, depletion in its reduced form occurs.

  • Using glutathione in traumatic spinal cord injury could help control the neurological injury.

  • In an experimental setting, the use of glutathione provided better functional scores after traumatic spinal cord injury.

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Tanshinone IIA alleviates IL-1β-induced chondrocyte apoptosis and inflammation by regulating FBXO11 expression
Jin Xu, XiaoCheng Zhi, YunHui Zhang, Ren Ding
Clinics. 2024;79C:100365
Highlights

  • TAN IIA inhibits IL-1β from inducing apoptosis and inflammation in CHON-001 cells.

  • FBXO11 overexpression inhibits the protective effect of TAN IIA on apoptosis and inflammation of CHON-001 cells.

  • Suppressing PI3K/AKT and NF-κB pathways protects against apoptosis and inflammation of CHON-001 cells.

  • TAN IIA treatment improves apoptosis and inflammation of chondrocytes in OA rats.

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Predictive value of glycoprotein DKK3 for early neurological deterioration after ischemic stroke
DongLiang Zhou, HongWei Qin, Lei Miao, Ying Xu, Lan Yu, JianMin Wang
Clinics. 2024;79C:100360
Highlights

  • Analysis of clinical characteristics of subjects.

  • DKK3 levels are associated with END in patients with AIS.

  • DKK3 levels are associated with in-hospital death in patients with AIS.

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Esketamine alleviates hypoxia/reoxygenation injury of cardiomyocytes by regulating TRPV1 expression and inhibiting intracellular Ca2+ concentration
Ying Zhang, QuanMei Lu, HanChun Hu, ChunChen Yang, QiHong Zhao
Clinics. 2024;79C:100363
Highlights

  • ESK treatment can increase H9c2 cell viability and reduce apoptosis and intracellular Ca2+ concentration.

  • CAP treatment decreases H9c2 cell viability and increases apoptosis and intracellular Ca2+ concentration.

  • TRPV1 upregulation decreases H9c2 cell viability and increases cell apoptosis and intracellular Ca2+ concentration.

  • After overexpressing TRPV1, the protective effect of ESK on H/R injury of H9c2 cells is weakened.

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PDZK1 is correlated with DCE-MRI perfusion parameters in high-grade glioma
Yi Zhang, Feng Wang, YongLi Huang
Clinics. 2024;79C:100367
Highlights

  • PDZK1 is up-regulated in cancer tissues of HGG patients.

  • PDZK1 expression was significantly positively correlated with ktrans90, ve_90.

  • PDZK1 expression was negatively correlated with kep_max, kep_90.

  • Patients with high PDZK1 expression had poor OS and PFS.

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The mechanism of mitochondrial metabolic gene PMAIP1 involved in Alzheimer's disease process based on bioinformatics analysis and experimental validation
Yingchun Ling, Lingmin Hu, Jie Chen, Mingyong Zhao, Xinyang Dai
Clinics. 2024;79C:100373
Highlights

  • PMAIP1 may be a potential biomarker for Alzheimer's Disease.

  • PMAIP1 has a certain pro-apoptotic effect.

  • PMAIP1 is participate in hippocampal neuron damage by regulating mitochondrial function.

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TRPC5 channel participates in myocardial injury in chronic intermittent hypoxia
Mengmeng Wang, Wen Wen, Yulan Chen, Sharezati Yishajiang, Yu Li, Zhiqiang Li, Xiangyang Zhang
Clinics. 2024;79C:100368
Highlights

  • The study developed an animal model of chronic intermittent hypoxia (CIH).

  • CIH activated oxidative stress (OS) inhearts, increased ROS, and up-regulated TRPC5.

  • TRPC5 is related to OS, the imbalance of Ca2+ homeostasis, and myocardial injury.

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Association of log odds of positive lymph nodes with survival in patients with small cell lung cancer: Results from the SEER database
Ting Gao, Yingxuan Chang, Hongmei Yue
Clinics. 2024;79C:100369
Highlights

  • The prognosis of patients with SCLC can be predicted by their LN status.

  • The authors aimed to assess the correlations between SCLC survival and LNR, pLNs, LODDS.

  • LODDS may be better than other LN assessment tools at predicting survival in SCLC.

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Physicians’ attention to patients’ communication cues can improve patient satisfaction with care and perception of physicians’ empathy
Carlos Frederico Confort Campos, Clarice Rosa Olivo, Milton de Arruda Martins, Patricia Zen Tempski
Clinics. 2024;79C:100377
Highlights

  • • Patient-doctor communication relates to patient satisfaction and perceived empathy.

  • • Patients asking questions was linked to poor satisfaction and empathy perceptions.

  • • Doctor's use of negative communication skills related to worse rapport with patients.

  • • Satisfaction and empathy are positively linked to patient affective expression.

  • • Doctors providing advice/suggestions positively correlated to patient satisfaction.

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Blood transfusion is correlated with elevated adult all-cause mortality and cardiovascular mortality in the United States: NHANES 1999 to 2018 population-based matched propensity score study
Jie Shi, Min Meng, Rina Sa, Lijun Yu, Yali Lu, Bei Gao
Clinics. 2024;79C:100379
Highlights

  • Blood transfusion significantly impacts long-term all-cause and cardiovascular mortality in the US population.

  • After propensity score-matching, the risk of all-cause mortality increased by 78 % with blood transfusion, and the risk of cardiovascular mortality increased by 102 %.

  • The effective management of blood transfusion in the general population may be beneficial.

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Development and validation of prognostic nomograms for adult with papillary renal cell carcinoma: A retrospective study
Qingxiang Guo, Sai Li, Jiawei Zhu, Zewei Wang, Zhen Li, Junqi Wang, Rumin Wen, Hailong Li
Clinics. 2024;79C:100374
Highlights

  • Radiotherapy benefits prognosis in papillary renal cell carcinoma.

  • A precise nomogram predicts survival in pRCC patients.

  • External validation confirms the nomogram's applicability to Chinese pRCC.

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Noninvasive assessment of liver fibrosis can predict clinical outcomes at late follow-up after a sustained virological response in HCV patients?
Taisa Grotta Ragazzo, Patricia Momoyo Yoshimura Zitelli, Daniel F. Mazo, Claudia P. Oliveira, Flait José Carrilho, Mário Guimarães Pessoa
Clinics. 2024;79C:100381
Highlights

  • Transient elastography is the best accepted noninvasive technique for evaluating fibrosis in patients with HCV.

  • The variation in the LSM measurement can demonstrate the risk of liver-related events.

  • The presence of LSM ≥19 kPa 6 months after treatment increases the risk of liver-related events.

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Effects of Apatinib combined with Temozolomide on levels of sPD-1 and sPD-L1 in patients with drug-resistant recurrent glioblastoma
Ren Zhao Kuang, Jun Wang, Yuan Chuan Wang, Xiao Ping Tang
Clinics. 2024;79C:100376
Highlights

  • Apatinib combined with TMZ is effective for recurrent GB.

  • Apatinib combined with TMZ can reduce the levels of sPD-1 and sPD-L1.

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Keap1/Nrf2 signaling pathway participating in the progression of epilepsy via regulation of oxidative stress and ferroptosis in neurons
Dandan Wang, Yunmei Cui, Fan Gao, Weiwei Zheng, Jinzi Li, Zhemin Xian
Clinics. 2024;79C:100372
Highlights

  • Role of the Keap1/Nrf2 pathway in epilepsy.

  • Effects of the Keap1/Nrf2 pathway on ferroptosis and oxidative stress in neuronal cells.

  • Effect of Keap1/Nrf2 pathway on neuronal cell activity in epileptic rats.

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Prognostic nomogram based on pre-treatment HALP score for patients with advanced non-small cell lung cancer
Shan Gao, Qin Huang, Suosu Wei, Yanru Lv, Yanyan Xie, Yanrong Hao
Clinics. 2024;79C:100371
Highlights

  • The authors created a new predictive model based on HALP scores in progressive NSCLC.

  • HALP score may be an accurate prognostic factor for PFS and OS in advanced NSCLC.

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The decline in postural balance has a negative impact on the performance of functional tasks in individuals with Parkinson's Disease
Natália Mariana Silva Luna, Tatiana Godoy Bobbio, Myriam de Graaf, Júlia Maria D'Andrea Greve, Rita de Cássia Ernandes, Aluane Silva Dias, Matheus Henrique dos Santos Lino, Jose Maria Soares-Junior, ... Angelica Castilho Alonso
Clinics. 2024;79C:100382
Highlights

  • Balance impacts functional tasks in Parkinson's disease patients.

  • Specific treatment for balance deficits in Parkinson's disease patients.

  • BESTest × force platforms.

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Correlation analysis between serum total IgE and FeNO and idiosyncratic reaction in bronchiolitis
XiaoYing Xu, WeiNing Han, WeiPing Han
Clinics. 2024;79C:100384
Highlights

  • FeNO in bronchiolitis children was lower than that in healthy children.

  • Serum total IgE increased while FeNO decreased with the aggravation of bronchiolitis in bronchiolitis children.

  • Serum total IgE was higher in children with idiosyncratic bronchiolitis, but serum total IgEand FeNO were not the risk factors for idiosyncratic bronchiolitis.

  • Area Under the Curve (AUC) of serum total IgE and FeNO for the diagnosis of idiosyncratic bronchiolitis was less than 0.7.

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Association between hepatic steatosis and fibrosis and arthritis among US adults: A population-based study
Zhiming Lu, Shaojie Wu, Eryou Feng, Xiaoli Chen, Jinhua Chen, Feitai Lin
Clinics. 2024;79C:100378
Highlights

  • Positive correlation between arthritis and hepatic steatosis, particularly in women.

  • No significant relationship between arthritis and the risk of liver fibrosis.

  • First study to examine the association between arthritis and both liver steatosis and fibrosis.

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Changes of GH-IGFs and its relationship with growth retardation in children with bronchial asthma
Li Li, Lihua Qiu, Junchao Xia, Yichun Xiao, Li Zhao, Haiyan Wang
Clinics. 2024;79C:100385
Highlights

  • GH-IGFs-related parameters.

  • GH-IGFs-related parameters in patients with different severity of bronchial asthma.

  • Correlation analysis of GH-IGFs-related parameters and severity of bronchial asthma.

  • GH-IGFs-related parameters in patients with or without growth retardation.

  • Diagnostic value of GH-IGFs-related indicators in growth retardation.

  • Logistic regression analysis of GH-IGFs-related indicators and growth retardation.

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Impact of the COVID-19 pandemic on cataract surgeries in Brazil: A retrospective study
Silvana Rossi, Rafael Scherer, Priscilla Jorge, Newton Kara-Junior
Clinics. 2024;79C:100380
Highlights

  • When regional data were analyzed, it became clear that the worsening of blindness due to cataracts as a result of the pandemic was not avoided in the midwest region.

  • The assessment took place during a critical period of the COVID-19 pandemic; thus, the present study contributes to these findings and suggests that new epidemiological studies be carried out to monitor this worsening.

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Benefits of using a support bra in women undergoing coronary artery bypass graft surgery: A randomized trial
Thais Rodrigues de Almeida Silva, Julia Nishida Ono, Fabiana Cristina Bazana Remedio Miname, Luís Henrique Wolff Gowdak, Bruno Maher Mioto, Renan Barbosa dos Santos, Luiz Roberto Palma Dallan, Luiz Antonio Machado Cesar
Clinics. 2024;79C:100370
Highlights

  • The larger the breast size, the longer the hospital stay and the higher the probability of infection.

  • Patients with a history of stroke had a higher incidence of infection.

  • The use of surgical support can improve quality of life.

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Effects of aerobic exercise on myocardial injury, NF-B expression, glucolipid metabolism and inflammatory factors in rats with coronary heart disease
Shaowu Zhang, Guohui Yu, Maohua Ping, Qing Du, Xia Guo
Clinics. 2024;79C:100386
Highlights

  • Aerobic exercise strongly improved cardiac function and glucolipid metabolism in CHD.

  • Aerobic exercise enhanced IL-10 content, Bcl-2/Bax level as well as IB- expression in CHD.

  • Aerobic exercise reduced myocardial injury and cardiomyocyte apoptosis in CHD.

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Clinical research of fibroscan ‒ TE-CAP at noninvasive diagnosis of hepatic steatosis in children
Shuangzhen Jia, Jianli Zhou, Qiao Zhang, Shaoming Zhou, Zhaoxia Wang, Xiaolin Ye, Jie Wu
Clinics. 2024;79C:100387
Highlights

  • TE-CAP can predict steatosis with high accuracy.

  • For detecting ≥ S1 steatosis, TE-CAP has a sensitivity of 96 % and a specificity of 97 %.

  • For detecting ≥ S2 steatosis, TE-CAP has a sensitivity of 97 % and a specificity of 93 %.

  • For detecting ≥ S3 steatosis, TE-CAP has a sensitivity of 1 and a specificity of 94 %.

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Serum procalcitonin as a marker of neonatal intrahepatic cholestasis caused by citrin deficiency (NICCD)
Tao Jiang, Wen-Xian Ouyang, Yan-Fang Tan, Ying Yu, Xiao-Mei Qin, Hai-Yan Luo, Lian Tang, Hui Zhang, Shuang-Jie Li
Clinics. 2024;79C:100383
Highlights

  • PCT was a highly sensitive marker to differentiate NICCD from cholestatic hepatitis patients.

  • PCT was reduced when NICCD was treated.

  • PCT is a much more effective marker to differentiate NICCD than the inflammatory markers.

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Foxp3+CD39+CD73+ regulatory T-cells are decreased in the peripheral blood of women with deep infiltrating endometriosis
Luiza Gama Coelho Riccio, Marina Paula Andres, Isabella Zurita Dehó, Giovanna Ometto Fontanari, Maurício Simões Abrão
Clinics. 2024;79C:100390
Highlights

  • • Tregs maintain self-tolerance and may allow the survival of ectopic endometrium.

  • • CD3+CD4+CD25High cells were similar between endometriosis and controls.

  • • CD3+CD4+CD25HighCD39+Foxp3+ cells were similar between endometriosis and controls.

  • • Foxp3+CD39+CD73+ Tregs are decreased in the blood of women with endometriosis.

  • • There is a decrease in systemic immune tolerance in patients with endometriosis.

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Down-regulation of long noncoding RNA HOXA11-AS nullifies the impact of microRNA-506–3p on chondrocytes proliferation and apoptosis in osteoarthritis
Ziyang Zhang, Renhao Guo, Chengfa Cai, Pengcheng Guo
Clinics. 2024;79C:100393
Highlights

  • HOXA11-AS silencing restrained HCOA cell proliferation and accelerated their apoptosis.

  • HOXA11-AS overexpression increased PIK3CA expression through binding to miR-506–3p.

  • HOXA11-AS overexpression represses PI3K/AKT/mTOR pathway through miR-506–3p down-regulation.

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CircUBE2D2 regulates HMGB1 through miR-885-5p to promote ovarian cancer malignancy
RuiXue Yan, SaiTian Zeng, FangYuan Gao, LingLing Li, XiYun Xiao
Clinics. 2024;79C:100391
Highlights

  • CircUBE2D2 subcellular localization and RNAse R resistance analysis.

  • Expression patterns of circUBE2D2 and miR-885-5p.

  • CircUBE2D2 silencing inhibits SKOV-3 cell malignant phenotypes.

  • CircUBE2D2 serves as the ceRNA of miR-885-5p.

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Resident physician training in bedside pleural procedures: A one-year experience at a teaching hospital
Diego Arley Gomes da Silva, Paula Duarte D'Ambrosio, Fabio Eiti Nishibe Minamoto, Bernardo Mulinari de Lacerda Pessoa, Eserval Rocha Junior, Leticia Leone Lauricella, Ricardo Mingarini Terra, Paulo Manuel Pêgo-Fernandes, Alessandro Wasum Mariani
Clinics. 2024;79C:100399
Highlights

  • Thoracentesis and chest tube insertions are frequent procedures in the medical routine.

  • Resident physician training includes practice in pleural procedures.

  • Point-of-care ultrasound is indicated when performing these procedures.

  • Using small-bore pigtail pleural catheters is safe and increasingly common.

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Postural balance and functional mobility in relation to BMI and body composition among female students at a College of Applied Medical Sciences: A cross-sectional study
Muneera Mohammed Almurdi
Clinics. 2024;79C:100401
Highlights

  • Postural balance was reduced in higher BMI students.

  • BMI was correlated with postural balance but not functional mobility.

  • Body composition was correlated with postural balance but not functional mobility.

  • Exploring the factors that contribute to the disturbance of postural balance and functional mobility is recommended.

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Acute viral bronchiolitis phenotype in response to glucocorticoid and bronchodilator treatment
Andressa Roberta Paschoarelli Chacorowski, Vanessa de Oliveira Lima, Eniuce Menezes, Jorge Juarez Vieira Teixeira, Dennis Armando Bertolini
Clinics. 2024;79C:100396
Highlights

  • The frequency of prescription of medications not recommended for bronchiolitis is high.

  • Atopic phenotype did not interfere with the response to bronchodilators and glucocorticoids.

  • The lower the respiratory rate, the shorter the oxygen therapy duration for bronchiolitis.

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Analysis of PD-1/PD-L1 variations in lung cancer and association with immunotherapeutic efficacy and prognosis: A nonrandomized controlled trial
Jun Ma, JianRui Song, LiNa Han, Wen Zhou, LiFeng Meng, JianHui Li, XiaoMing Bai
Clinics. 2024;79C:100395
Highlights

  • PD-1/PDL-1′s comparison in cancer tissues and PPB of the remission with the non-remission.

  • Analysis of PD-1/PDL-1′s predictive value in cancer tissue and PPB on immunotherapy's efficacy.

  • Comparison of patients’ 3-year survival rate with PD-1/PDL-1 in diverse cancer tissues.

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Effects of different early cardiac rehabilitation exercise treatments on the prognosis of acute myocardial infarction patients receiving percutaneous coronary intervention
Huiying Liang, Xinhua Hu, Hongying Liao
Clinics. 2024;79C:100408
Highlights

  • Exercise-based CR improved cardio-pulmonary function of patients receiving PCI.

  • Exercise-based CR improved hemodynamics parameters of patients receiving PCI.

  • IVR exercise showed much better effects than other strategies.

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Melittin inactivates YAP/HIF-1α pathway via up-regulation of LATS2 to inhibit hypoxia-induced proliferation, glycolysis and angiogenesis in NSCLC
Hao Li
Clinics. 2024;79C:100407
Highlights

  • Melittin inhibits hypoxia-induced proliferation, glycolysis and angiogenesis in non-small cell lung cancer.

  • The activation of YAP/HIF-1α pathway promotes non-small cell lung cancer.

  • Melittin inactivates the YAP/HIF-1α pathway by up-regulating LATS2 expression.

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Validation of the questionnaire of olfactory disorders (QOD) for the Brazilian population
Amanda Beatriz Costa da Silva Bernardino, Márcio Andrade Barreto-Filho, Amanda Savieto Pompeu, Jaqueline dos Santos Andrade, Amanda Canário Andrade Azevedo, Michelle Queiroz Aguiar Brasil, Mariana Cedro, Cintia Araújo, ... Marco Aurélio Fornazieri
Clinics. 2024;79C:100414
Highlights

  • Olfactory loss correlates with lower quality of life.

  • QOD is a reliable tool for olfactory assessment in Brazil.

  • QOD validation fills a crucial gap in Brazilian olfactory research.

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Circ-USP9X accelerates deep vein thrombosis after fracture by acting as a miR-148b-3p sponge and upregulates SRC kinase signaling inhibitor 1
YongChao Wang, Qin Su, HaiRong Tang, Xin Lin, YanHua Yi, Qiang Tian, ZhangFeng Luo, MeiChun Fu, ... KeYun Zhang
Clinics. 2024;79C:100403
Highlights

  • circUSP9X reduction increases cell viability and decreases apoptosis and inflammation in HUVECs

  • SRCIN1: A Downstream Target of miR-148b-3p in DVT Pathogenesis.

  • SRC Kinase Signaling Inhibitor 1 (SRCIN1) is controlled by miR-148b-3p.

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Multifactorial assessment of braking time predictors in a driving simulator among older adults according to gender
Maria Eugenia Mayr De Biase, Angelica Castilho Alonso, Reinaldo Nonato da Silva, Sara Moutinho Soares, Alexandra Carolina Canonica, Alessandra Pricila dos Reis Belini, Jose Maria Soares-Junior, Edmund Chada Baracat, ... Júlia Maria D'Andrea Greve
Clinics. 2024;79C:100405
Highlights

  • Sociodemographic, motor, visual and cognitive variables can predict the braking time.

  • In women muscle strength for predict the braking time.

  • In men cognitive conditions predict the braking time.

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Identification of potential crucial cuproptosis-related genes in myocardial ischemia-reperfusion injury through the bioinformatic analysis
Rong Huang, Rongfeng Xu, Rui Zhang, Wenjie Zuo, Zhenjun Ji, Zaixiao Tao, Yongjun Li, Genshan Ma
Clinics. 2024;79C:100410
Highlights

  • Cuproptosis-related genes are involved in acute myocardial infarction progression.

  • Dlat, Pdhb, and Pdhα1 levels were downregulated in acute myocardial infarction.

  • Dlat, Pdhb, and Pdhα1 may be diagnostic markers in acute myocardial infarction.

  • Pdhb showed the best diagnostic value for acute myocardial infarction.

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Effects of physical training on the metabolic profile of rats exposed to chronic restraint stress
Carlos H.O. Reis, Sabriny G. Manzolli, Leonardo dos Santos, Ariana A. Silva, Ana Paula Lima-Leopoldo, André S. Leopoldo, Danilo S. Bocalini
Clinics. 2024;79C:100411
Highlights

  • Swimming training significantly prevented stress-induced corticosterone increase in rats.

  • Serum glucose, cholesterol and triglyceride were unchanged by chronic stress or exercise.

  • Chronic stress protocol induced glucose intolerance in the rats.

  • The training preserved the normal glycemic response after glucose loading in stressed rats.

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P53 and pRB induction improves response to radiation therapy in HPV-positive laryngeal squamous cell carcinoma
Weiquan Ding, Weiwei Cai, Haili Wang
Clinics. 2024;79C:100415
Highlights

  • Apoptosis is required for radiation sensitivity in HPV+ LSCC cells.

  • P53 and pRB are required for radiation sensitivity of HPV+ LSCC cells.

  • P53 and pRB are required for radiation sensitivity of HPV+ LSCC tumors in vivo.

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Aquatic therapy in congenital malformation during the use of external fixator for bone lengthening: It is possible?
Caio Roberto Aparecido de Paschoal Castro, Alessandra Mitie Kakihata, Carla Borges Fleuri de Barros, Monica Gonçalves, Beatriz Carvalho de Souza, Larissa Soares da Silva, Douglas Martins Braga
Clinics. 2024;79C:100416
Highlights

  • Description of the rehabilitation of individuals with congenital malformations, with external fixator in aquatic therapy.

  • There is no association between diagnosis, type, and location of the external fixator, with the outcomes evaluated.

  • Aquatic therapy is a safe treatment option for the population studied.

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Language impairments in Alzheimer´s disease: What changes can be found between mild and moderate stages of the disease?
Karin Zazo Ortiz, Juliana Onofre De Lira, Thais Soares Ciariancullo Minett, Paulo Henrique Ferreira Bertolucci
Clinics. 2024;79C:100412
Highlights

  • There were linguistic tasks more preserved than others during the AD's progression.

  • Language is more globally affected in patients with less than 17 points on the MMSE.

  • The language profile can guide strategies to maintain communication.

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Correlation between islet α cell function and peripheral neuropathy in patients with type 2 diabetes mellitus
Yurou Cao, Xueqin Wang
Clinics. 2024;79C:100392
Highlights

  • The correlation between pancreatic islet α cell function and diabetic peripheral neuropathy

  • Gluca30min may be a potentially valuable independent predictor for the occurrence of DPN

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Association between inflammatory bowel disease and the risk of parenteral malignancies: A two-sample Mendelian randomization study
Peizhu Su, Yilin Wang, Huiwen Huang, Qinghua Lu, Qinyan Wu, Zhaotao Li
Clinics. 2024;79C:100421
Highlights

  • To provide some reference for parenteral malignancy prevention in patients with IBD.

  • IBD was potentially associated with diffuse large B-cell lymphoma and skin cancers.

  • Some information on preventing parenteral malignancies in IBD was provided.

  • Further studies are needed to explore mechanisms of the effect of IBD on skin cancers.

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Transcriptomics analysis identified ezrin as a potential druggable target in cervical and gastric cancer cells
Maria Fernanda Lopes Carvalho, Carolina Santana Calicchio, Bruna Oliveira de Almeida, Livia Bassani Lins de Miranda, Jean Carlos Lipreri da Silva, Keli Lima, João Agostinho Machado-Neto
Clinics. 2024;79C:100422
HIGHLIGHTS

  • Ezrin (EZR) is involved in oncogenesis and disease progression.

  • EZR is highly expressed in cervical squamous cell carcinoma and stomach adenocarcinoma.

  • NSC305787, an EZR inhibitor, reduces cell viability and clonal growth in cervical and gastric cancer cells.

  • EZR may be a molecular target in the treatment of cervical and gastric carcinoma.

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Comparison of plasma clearance of [51Cr]CrEDTA based on three, two and single samples to measure the glomerular filtration rate in patients with solid tumors: a prospective cross-sectional analysis
Anne C. Gomes, George B. Coura Filho, Luiz A. Gil Junior, Renato A. Caires, Emmanuel A. Burdmann, Carlos A. Buchpiguel, Veronica T. Costa e Silva, Marcelo T. Sapienza
Clinics. 2024;79C:100427
Highlights

  • EDTA clearance can be used to measure GFR in patients with solid tumors.

  • Precise GFR assessment is crucial to optimize therapy and minimize side effects.

  • There is a high agreement between two (46GFR) and three-time samples (246GFR).

  • Single-sample tests may be adopted for non-obese patients with expected normal GFR.

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CircRNA amyloid precursor protein by competitive adsorption of microRNA-6838-5p mediates CDV3 expression to enhance malignant behavior and Warburg effect in Gastrointestinal Stromal Tumor
Zhaorigetu  , ChunJuan Wang, XianJing Zeng, JinHua Yuan
Clinics. 2024;79C:100423
Highlights

  • Knockdown of circAPP inhibits GIST proliferation and the Warburg effect.

  • miR-6838-5p induces GIST proliferation and the Warburg effect.

  • CircAPP activates GIST proliferation and the Warburg effect by regulating the miR-6838-5p/CDV3 axis.

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Impact of pre-treatment extracellular volume fraction measured by computed tomography on response of primary lesion to preoperative chemotherapy in abdominal neuroblastoma
Haoru Wang, Xin Chen, Mingye Xie, Jinjie Qin, Ting Li, Ling He
Clinics. 2024;79C:100434
Highlights

  • ECV correlates with the response of the primary lesion to preoperative chemotherapy in abdominal neuroblastoma.

  • Lower ECV in neuroblastoma is associated with a greater reduction in primary lesion volume after chemotherapy.

  • ECV may serve as a new imaging biomarker for predicting chemotherapy efficacy in neuroblastoma.

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Impact of HIV pre-exposure prophylaxis (PREP) on health-related quality of life (QOL) of patients followed up at a reference center in São Paulo, Brazil
Michelle Kaoru Takada-de-Souza, Camila de Melo Picone, Vivian Iida Avelino-Silva, Angela Carvalho Freitas, Aluisio Cotrim Segurado
Clinics. 2024;79C:100419
Highlights

  • PrEP has benefits beyond HIV prevention.

  • PrEP improves users’ quality of life.

  • PrEP improves self- satisfaction with sex life.

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Characterization of the MicroRNA profile in rheumatoid arthritis plasma exosomes and their roles in B-cell responses
Jian Lu, Jing Wu, Xiao Zhang, Rui Zhong, BingYing Wang, Huan Yang, Ping Feng
Clinics. 2024;79C:100441
Highlights

  • The levels of plasma exosomal miR-144-3p and miR-30b-5p are significantly decreased in RA patients, which are negatively correlated with RA disease activity.

  • Plasma exosomes from RA patients are pathogenic and may be involved in disease progression by enhancing B-cell differentiation and antibody production.

  • Plasma exosomal miR-144-3p and miR-30b-5p are potential serologic markers for RA.

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Association of serum 25-hydroxyvitamin D with cardiovascular and all-cause mortality in patients with chronic kidney disease: NHANES 2007‒2018 results
Luohua Li, Jinhan Zhao
Clinics. 2024;79C:100437
Highlights

  • The NHANES data was utilized in this study for conducting a comprehensive long-term follow-up analysis.

  • Deficiency of 25(OH)D was associated with an increased risk of all-cause mortality among patients with CKD.

  • Deficiency of 25(OH)D is associated with an increased risk of cardiovascular mortality in patients with CKD.

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microRNA-181a-5p promotes fibroblast differentiation of mesenchymal stem cells in rats with pelvic floor dysfunction
YongHong Zhang, HaiYang Yu, JianChao Li
Clinics. 2024;79C:100428
Highlights

  • miR-181a-5p promotes fibroblast differentiation of BMSCs.

  • miR-181a-5p promotes fibroblast differentiation of BMSCs by targeting MFN1.

  • BMSCs containing miR-181a-5p improve PFD in SD rats by targeting MFN1 expression, thereby accelerating the fibroblast differentiation of BMSCs.

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Identification of differentially expressed genes, pathways, and immune infiltration in diabetes
Ying Liang, ShuXiang Wei, Xing Peng, QiLing Feng, LingLing Li, DieFei Liang, HongShi Wu, XiaoYun Zhang, ... YongQing Lin
Clinics. 2024;79C:100436
Highlights

  • GO enrichment analysis include CC, BP and MF in diabetes.

  • Most significantly enriched pathways include thermogenesis, oxidative phosphorylation, and chemical carcinogenesis-reactive oxygen species.

  • The proportion of macrophages M2, CDB T-cells, monocytes, and resting mast cells (M2, T-cells CDB, Monocytes, Mast Cells resting) in samples from T2DM patients is higher and more abundant in diabetes.

  • The content of T-cells, testing NK cells, naive B-cells, and naive CD4 T-cells is relatively low in diabetes.

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Food consumption, physical activity and aerobic capacity in systemic lupus erythematosus patients with high cardiovascular risk
Fabiana Infante Smaira, Bruna Caruso Mazzolani, Sofia Mendes Sieczkowska, Marina Romero, Thainá Toledo Ribeiro, Milla Cordeiro Amarante, Sandra Pasoto, Ana Lúcia de Sá Pinto, ... Bruno Gualano
Clinics. 2024;79C:100418
Highlights

  • Patients with systemic lupus erythematosus have decreased functional and aerobic capacity and increased prevalence of cardiovascular diseases.

  • An unhealthy diet, characterized by a high consumption of ultraprocessed foods, as well as physical inactivity increase the cardiovascular risk factor.

  • 58.6% of the patients exhibited high sedentary behavior (above 8h/day) and none of them meet with minimum physical activity recommendation.

  • Our sample reported a slightly higher consumption of ultraprocessed foods than that of the general population (20.0% vs. 18.4% of total energy value).

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Ectopic fat in muscle and poor glycemic control are negatively associated with trabecular bone score in type 2 diabetes
Iana Mizumukai de Araújo, Carlos Ernesto Garrido Salmon, Francisco José Albuquerque de Paula
Clinics. 2024;79C:100430
Highlights

  • Relationship between bone mineral density and trabecular bone score.

  • Body fat percentage has negative relation with trabecular bone score.

  • Reallocation of lipids within muscle has a negative relationship with trabecular bone score.

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Study on the antidepressant activity of (2R,6R; 2S,6S)-Hydroxynorketamine (HNK) and its derivatives
Dongdong Zang, Xuemei Yang, Hao Wang, Zhenxing Li, Yanjun Ma, Jianxi Liu, Xi Mei, Shupeng Li, ... Zhen Tan
Clinics. 2024;79C:100435
Highlights

  • In the case of 10 mg HNK treatment, compared with saline, the immobile time of compound C and D groups in the glass cylinder area was significantly different.

  • In the locomotor sensitization test, the movement distance of compound C and D groups on day 15 and day 7 mice increased significantly compared with the first day.

  • In the conditioned place preference experiment, compound C and compound D induced conditioned place preference in mice compared with the Veh group.

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Effects of different anesthesia methods on labor process and postpartum serum estrogen and progesterone levels in primiparas with painless labor
JunYan Liu, ChongLai Shi, Dan Wang, XiaoDong Cui, LiLi Geng, JingJing Cui, DongMei Sun, Zhuo Yin
Clinics. 2024;79C:100442
Highlights

  • Spinal anesthesia combined with continuous epidural anesthesia has a better anesthesia effect in the painless labor of primiparas.

  • Spinal anesthesia combined with continuous epidural anesthesia can effectually ameliorate the labor process.

  • Spinal anesthesia combined with continuous epidural anesthesia attenuates the expression of serum estrogen and progesterone.

  • Spinal anesthesia combined with continuous epidural anesthesia can be widely employed in clinical practice.

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Ergonomics appraisals in operating rooms
Jaime Solleiro Rodríguez, Juan Antonio Juanes Méndez, Fernando Blaya Haro
Clinics. 2024;79C:100439
Highlights

  • 100 % of the surgeons surveyed consider that improvements must be made in their work environment.

  • Direct appraisals from surgeons about the main components in an operating room can be a valuable source of information for future developments in the field.

  • Raise visibility in ergonomics, which may improve surgical conditions.

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Translation to Portuguese and cross-cultural adaptation of the epilepsy transition readiness checklist for use in Brazil
Daniela Fontes Bezerra, Rudá Alessi, Danielle Molinari Andrade, Rubens Wajnsztejn, Marco Akerman
Clinics. 2024;79C:100432
Highlights

  • An inefficient transition process for children and adolescents with epilepsy may compromise adherence to consultations, and treatment and increase the hospitalization rate.

  • The “Readiness Checklists” were translated into Portuguese and applied to a group of patients and their respective caregivers in the transition process.

  • The lists can be very useful tools to assess and plan the follow-up of the population of patients with epilepsy in the process of transition.

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The value of immature granulocyte percentage united with D-Dimer in the evaluation of severe pancreatitis and its prognosis
Tian-Tian Xu, Si-Bing Chen
Clinics. 2024;79C:100446
Highlights

  • The serum levels of IG % and D-D in the study and control group.

  • The serum levels of IG % and D-D in the survival group and death group.

  • Diagnostic value of IG % and D-D in severe pancreatitis.

  • Assessment value of IG % and D-D in prognosis of severe pancreatitis patients.

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LncRNA HCG18 affects aortic dissection through the miR-103a-3p/HMGA2 axis by modulating proliferation and apoptosis of vascular smoothing muscle cells
ZhiHong Yang, YuanSheng Cui, ShuGuo Xu, LongBiao Li
Clinics. 2024;79C:100400
Highlights

  • Downregulating HCG18 enhances VSMC proliferation and reduces apoptosis.

  • HCG18/miR-103a-3p/HMGA2 axis affects VSMC proliferation and apoptosis.

  • Downregulating HCG18 improves the pathological injury of the aorta in AD rats.

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Prognostic value of angiographic microvascular resistance in patients with ST-segment elevation myocardial infarction
Gangzhen Qian, Haoran Qin, Dan Deng, Yue Feng, Chao Zhang, Xiaolong Qu, Zhihui Zhang
Clinics. 2024;79C:100429
Highlights

  • AMR measured after PCI can predict the risk of MACEs in patients with STEMI.

  • AMR-involved nomogram improved predictive performance over variables alone.

  • AAMR-involved nomogram-derived high-risk population showed a worse prognosis at 3 years.

  • AMR has the potential to be a feasible alternative for IMR.

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Puerarin inhibits HDAC1-induced oxidative stress disorder by activating JNK pathway and alleviates acrolein-induced atherosclerosis
YeTing Li, XiaoNing Li, Man Zheng, FanLi Bu, ChunYan Xiang, FengLei Zhang
Clinics. 2024;79C:100413
Highlights

  • Pue inhibits weight gain in atherosclerotic mice.

  • Pue inhibits serum lipid levels in atherosclerotic mice.

  • Pue inhibits inflammation in atherosclerotic mice.

  • Pue inhibits the formation of AS lesions.

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Effect of Specific mode electroacupuncture stimulation combined with NGF during the ischaemic stroke: Study protocol for a randomized controlled trial
Mengyuan Dai, Yibin Zhao, Zhaoxing Jia, Shiting Xu, Nuo Xu, Xuewen Wu, Jianxun Liu, Lixiu Wu, ... Xianming Lin
Clinics. 2024;79C:100451
Highlights

  • This protocol describes a multicentre, randomized, placebo-controlled trial that aims to assess the efficacy and safety of specific stimulation mode SMES combined with NGF in reducing the recovery period of ischaemic stroke and provide evidence-based medical data.

  • This research will help provide the latest and high-quality evidence for clinicians and policymakers seeking innovative and effective ways to treat patients with ischaemic stroke.

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Effectiveness of the Cunningham technique for shoulder dislocation reduction and its role in providing analgesia and muscle relaxation as an adjunctive method
Fatih Ugur, Mehmet Albayrak
Clinics. 2024;79C:100447
Highlights

  • Cunningham technique; sedation-free effective reduction.

  • Shorter hospital stays compared to those requiring procedural sedation for patients.

  • Can be applied outdoors, reducing delays in treatment and improving outcomes.

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Associations of oxidative stress markers with the prevalence of sarcopenia in the United States general population
Tingting Sang, Feng Gao, Xiao Lu, Ying Yang, Lingling Liu, Gang Zhang, Guosong Han
Clinics. 2024;79C:100450
Highlights

  • A nonlinear association between markers of oxidative stress and sarcopenia.

  • Alb was negatively correlated with the prevalence of sarcopenia.

  • The roughly L-curve association of total bilirubin and serum iron with sarcopenia.

  • Maintaining levels of oxidative stress markers is critical to preventing sarcopenia.

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Performance of triggers in detecting hospitalizations related to drug-induced respiratory disorders in older adults: A pilot cross-sectional study
Geovana Schiavo, Marcela Forgerini, Fabiana Rossi Varallo, Bruna Carolina Corrêa, Maisa Cabete Pereira Salvetti, Patrícia de Carvalho Mastroianni
Clinics. 2024;79C:100449
Highlights

  • A prevalence of 8.3 % of drug-induced respiratory disorders was identified.

  • Triggers detected hospitalizations related to drug-induced respiratory disorders.

  • Four triggers showed good performance for detecting drug-induced respiratory disorder.

  • Two triggers detected therapeutic ineffectiveness related to respiratory symptoms.

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Effectiveness of the antiviral medications azvudine and nirmatrelvir-ritonavir in treating COVID-19 in patients with hematological malignancies
Zheng Zeng, Fangyuan Li, Mingli Zhong, Ling Zhu, Wei Chen, Xiaotao Wang
Clinics. 2024;79C:100406
Highlights

  • In the present study, the authors found a new antiviral drug-azvudinea used in patients with hematological malignancies, is as effective and safe as the well-known nematve-litonavir.

  • There have been few clinical trials using azvudine to date, the present study may serve as a suggestion that the treatment was effective.

  • In the present study the authors found that anti-SARS-CoV-2 vaccines show significantly less robust efficacy in eliciting an immune response in HM patients than observed in the general population, suggesting that vaccination may be of little value in HM patients.

  • In the present study, the authors found a new antiviral drug-azvudinea used in patients with Hematological Malignancies (HM), is as effective and safe as the well-known nematve-litonavir.

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Preoperative evaluation profile of patients undergoing arterial vascular surgery in a tertiary hospital
Arthur Souza Magnani, Leandro Teixeira de Castro, Isabela Cristina Kirnew Abud Manta, Viviane Galli Dib, Luiz Otávio Vittorelli, Felipe Soares Oliveira Portela, Nelson Wolosker, Marcelo Passos Teivelis
Clinics. 2024;79C:100445
Highlights

  • Cardiovascular complications are common in the postoperative period of peripheral arterial vascular surgeries.

  • There is not a unique and standardized way to conduct preoperative evaluations in arterial vascular surgery patients.

  • In the studied hospital, in different time periods, evaluations were performed by either cardiologists or hospitalists.

  • Increased requests for exams had no impact on postoperative mortality or complications in this study.

  • Health managers should ensure appropriate utilization of human and financial resources for comparable outcomes.

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Albumin corrected anion gap for predicting in-hospital death among patients with acute myocardial infarction: A retrospective cohort study
Zhouzhou Lu, Yiren Yao, Yangyang Xu, Xin Zhang, Jing Wang
Clinics. 2024;79C:100455
Highlights

  • To explore the relationship between AG, ACAG and in-hospital mortality of AMI.

  • Developing a prediction model for predicting the mortality in AMI patients.

  • Demonstrating good predicting performance for in-hospital mortality of AMI.

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Effect of music on hemodynamic fluctuations in women during induction of general anesthesia: A prospective randomized controlled multicenter trial
Jie Wang, Linghui Jiang, Wannan Chen, Zhiyao Wang, Changhong Miao, Jing Zhong, Wanxia Xiong
Clinics. 2024;79C:100462
Highlights

  • Preoperative music intervention effectively prevented hemodynamic instability during anesthesia induction in women undergoing elective non-cardiac surgery.

  • The overall preoperative anxiety incidence was 53.7 %, which was associated with a greater incidence of hemodynamic instability.

  • Preoperative music intervention significantly reduced preoperative anxiety.

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Assessment of newborn neuropsychomotor development born with exposure to SARS-CoV-2 in the perinatal period using the Bayley III scale at 6 months of age
Patricia Albertini Orioli, Cintia Johnston, Juliana Zoboli Del Bigio, Vera Lucia Jornada Krebs, Mariana Pissolato, Maria Augusta Bento Cicaroni Gibelli, Orlei Ribeiro De Araujo, Rossana Pulcineli Vieira Francisco, Werther Brunow De Carvalho
Clinics. 2024;79C:100460
Highlights

  • The perinatal repercussions of the SARS-CoV-2 virus have not yet been elucidated.

  • Few reports in the literature indicate damage to the Neuro Psychomotor Development (NPMD) of children born during the COVID-19 pandemic, but its mechanisms are not clearly established.

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Construction of prognostic nomogram based on the SEER database for esophageal cancer patients
Xiying Cao, Bingqun Wu, Shaoming Guo, Weixiang Zhong, Zuxiong Zhang, Hui Li
Clinics. 2024;79C:100433
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The effects of fibroblast growth factor-23 on diagnosis of cerebral infarction and vertebral basilar artery stenosis
Zhuoqun Wei, Changyang Zhong, Chunli Wu, Yuan Liu
Clinics. 2024;79C:100457
Highlights

  • A meta-analysis suggested that the risk for posterior-circulation stroke was roughly as high as the risk for anterior-circulation stroke. At the same time, the authors found that it was difficult to identify VBI upon routine physical examination with modalities such as carotid artery ultrasonography. The aim of this study was to investigate the possibility of FGF23 as a rapid biomarker for risk stratification of patients with acute CI and screen patients at high risk of CI.

  • The study assessed the characteristics of patients with CI and found that the severity of VBI was a significant factor. Furthermore, serum FGF23 levels were significantly higher in patients with CI and significantly associated with NIHSS score on the 7th day after diagnosis. It is suggested that serum FGF23 level at admission may be a predictor of short-term outcomes in patients with CI.

  • In the present study, FGF23 was a potential diagnostic indicator of CI with 79.8 % sensitivity and 80.3 % specificity. The ROC curve results indicated that serum FGF23 levels are a potential diagnostic biomarker for CI.

  • This study provides important insights into the potential clinical utility of FGF23 as a diagnostic biomarker for CI and VBI.

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Ablation of myocardial autonomic ganglion plexus in the treatment of bradyarrhythmia A one-arm interventional study
Mingliang Shao, Chenhuan Yao, Yafan Han, Xianhui Zhou, Yanmei Lu, Ling Zhang, Yaodong Li, Baopeng Tang
Clinics. 2024;79C:100448
Highlights

  • SNRT 1.092s. DC, DR, HR, SDNN, RMSSD value are lower after ablation.

  • AC, SSR, TH value were higher after ablation.

  • No complications occurred after ablation.

  • Left Atrial GP ablation has good long-term clinical results for bradyarrhythmia.

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Impact of Gamma COVID-19 variant on the prognosis of hospitalized pregnant and postpartum women with cardiovascular disease
Carolina Burgarelli Testa, Luciana Graziela de Godoi, Nátaly Adriana Jiménez Monroy, Maria Rita de Figueiredo Lemos Bortolotto, Agatha Sacramento Rodrigues, Rossana Pulcineli Vieira Francisco
Clinics. 2024;79C:100454
Highlights

  • Respiratory symptoms common in the 2021 Gamma outbreak in pregnant women.

  • CVD caused poor outcomes in pregnant/postpartum women with COVID-19.

  • Gamma COVID-19 was most lethal for pregnant/postpartum women with CVD in Brazil.

  • This study underscores the Gamma variant's significant impact on maternal outcomes.

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Oxycodone enhances antitumor effect of paclitaxel on human breast cancer SKBR3 cells in vitro
Fangfang Liu, Hongmei Yuan, Chenyang Xu, Mingjie Mao, Shanwu Feng
Clinics. 2024;79C:100458
Highlights

  • Oxycodone markedly induced the apoptosis of SKBR3 cells.

  • Oxycodone distinguished enhanced antitumor effect of PTX on SKBR3 cells.

  • OXY can enhance antitumor effect of PTX on breast cancer in vitro.

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Correlation of serum Klotho, fetuin-A, and MGP levels with coronary artery calcification in maintenance hemodialysis patients
Dan Wang, XiuLin Chu, JuHua Cao, YunHua Peng
Clinics. 2024;79C:100417
Highlights

  • Serum Klotho, fetuin-A, and MGP were independent risk factors for CAC.

  • Serum Klotho, fetuin-A, and MGP were valuable in the diagnosis of CAC in MHD patients.

  • There is a close relationship between Klotho, fetuin-A, and MGP levels in MHD patients and CAC.

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Firmicutes/Bacteroidetes and Firmicutes/Proteobacteria ratios are associated with worse prognosis in a cohort of Latin American patients with cirrhosis
Augusto Mantovani, Larisse Longo, Rutiane Ullmann Thoen, Pabulo Henrique Rampelotto, Raul Salinas, Gabriel Tayguara Silveira Guerreiro, Mário Reis Álvares-da-Silva
Clinics. 2024;79C:100471
Highlights

  • Gut Microbiota (GM) has an important role in liver diseases progression.

  • Notable differences in GM and diversity exist between healthy individuals and cirrhosis patients.

  • Changes in GM are associated with an increased risk of mortality within 90 days.

  • Firmicutes/Bacteroidetes and Firmicutes/Proteobacteria predict hepatic decompensation and mortality.

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Characteristics and outcome of influenza-associated encephalopathy/encephalitis among children in China
Min Yang, Ling Yi, Fenglin Jia, Xiaobin Zeng, Zhongqiang Liu
Clinics. 2024;79C:100475
Highlights

  • Retrospective review of hospitalized IAE cases in a large tertiary pediatric hospital (National Children's Regional Medical Center in China) which admits over 15000 pediatric patients every year.

  • Lower Glasgow coma score, longer duration of fever, with underlying medical conditions and complications pose a great risk to poor prognosis.

  • Children with IAE have high mortality rate. Influenza vaccination is Recommended to all eligible children.

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Targeted saliva metabolomics in Sjögren's syndrome
Giovanna Piacenza Florezi, Felippe Pereira Barone, Mario Augusto Izidoro, José Maria Soares-Jr, Claudia Malheiros Coutinho-Camillo, Silvia Vanessa Lourenço
Clinics. 2024;79C:100459
Highlights

  • The role of metabolism in Sjögren's Syndrome (SS) is still under discussion.

  • Saliva can reflect the metabolic state of the microenvironments of salivary glands affected by SS.

  • An increase in metabolites associated with oxidative stress can be observed.

  • An increase in metabolites involved in the growth and proliferation of T-cells was also observed.

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Ultrasound evaluation in the postoperative period for surgical treatment of thoracic infectious and inflammatory diseases
Mauro Razuk Filho, Fabio Eiti Nishibe Minamoto, Alessandro Wasum Mariani, Paula Duarte D'Ambrosio, Thiago Potrich Rodrigues, Maria Cristina Chammas, Ricardo Mingarini Terra, Paulo Manuel Pêgo-Fernandes
Clinics. 2024;79C:100452
Highlights

  • TUSG aids post-op care, no radiation.

  • CXR limits: 2D, discomfort, radiation.

  • Study compares TUSG to CXR.

  • TUSG complements CXR, not a replacement.

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The relationship of C-Reactive Protein to Albumin Ratio and interval debulking surgery outcome after neoadjuvant chemotherapy in ovarian cancer patients
Yi Zheng, Shuyu Liu, Mengran Chang, Caizhi Wang, Yu Zhou
Clinics. 2024;79C:100469
Highlights

  • Interval Debulking Surgery (IDS) treats ovarian cancer after neoadjuvant chemotherapy.

  • Relation between changes of C-reactive protein to Albumin Ratio (CAR) and IDS outcome.

  • CAR was an independent prognostic marker of optimal IDS for ovarian cancer patients.

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Peripheral and brainstem auditory evaluation in post-COVID-19 individuals
Lucas Pinto Mielle, Maria Vanderléia Araujo Maximiano, Ivone Ferreira Neves-Lobo, Liliane Aparecida Fagundes Silva, Alessandra C. Goulart, Carla Romagnolli, Gerson Sobrinho Salvador de Oliveira, Alessandra Giannella Samelli, Carla Gentile Matas
Clinics. 2024;79C:100472
Highlights

  • Vestibulocochlear disorders can be caused by COVID-19 infection.

  • Sensorineural hearing loss can be present without clinical symptoms.

  • Electrophysiological tests suggest an abnormal auditory pathway after COVID-19.

  • The use of ototoxic drugs during COVID-19 can worsen hearing.

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Computed tomography attenuation in differential diagnosis of transudative and exudative pleural effusions
Aziz Gümüş, Neslihan Özçelik, Bilge Yılmaz Kara, Nur Hürsoy, Neşe Merve Güner Zırıh, Songül Özyurt, Ünal Şahin
Clinics. 2024;79C:100463
Highlights

  • Pleural effusion is a common medical problem that occurs as a complication of many diseases.

  • The first thing that needs to be done is to decide whether the pleural fluid, obtained by thoracentesis, is a transudate or an exudate.

  • Attenuation measurements via thorax CT can be used to differentiate exudates from transudates.

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Prognostic factors for local recurrence in patients with rectal cancer submitted to neoadjuvant chemoradiotherapy and total mesorectal excision
Caio Sergio Rizkallah Nahas, Sergio Carlos Nahas, Carlos Frederico Sparapan Marques, Ulysses Ribeiro Junior, Leonardo Bustamante-Lopez, Guilherme Cutait Cotti, Antonio Rocco Imperiale, Rodrigo Ambar Pinto, Ivan Cecconello
Clinics. 2024;79C:100464
Highlights

  • Rectal cancer recurrence occurs predominantly in distant organs.

  • Local recurrence of rectal cancer could be predicted on restaging MRI.

  • Rectal cancer recurrence of patients treated with long course chemoradiation and total mesorectal excision is low and is associated with pathologic involvement of the radial surgical margin.

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Screening for dysphagia in older people with dementia: Evidence of validity based on internal structure and reliability of the Caregiver Questionnaire – RaDID-QC
Grazielle Duarte de Oliveira, Laélia Cristina Caseiro Vicente, Aline Mansueto Mourão, Sayuri Hiasmym Guimarães Pereira dos Santos, Uriel Moreira Silva, Amélia Augusta de Lima Friche, Maria Aparecida Camargos Bicalho
Clinics. 2024;79C:100440
Highlights

  • RaDID-QC was developed to screen dysphagia signs and symptoms.

  • RaDID-QC is meant to be applied to caregivers of older people with dementia.

  • RaDID-QC is a simple, concise, easy-to-apply, quick, and reliable questionnaire.

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Development and validation of a liquid chromatography coupled to a diode array detector (LC-DAD) method for measuring mitotane (DDD) in plasma samples
Anna Sylvia Ferrari Marques, Atecla Nunciata Lopes Alves, Berenice Bilharinho Mendonca, Helena Panteliou Lima-Valassi
Clinics. 2024;79C:100470
Highlights

  • A simple and sensitive HPLC-DAD has been developed and validated for mitotone determination in plasma.

  • Plasma concentration of mitotane was assayed in adrenocortical cancer patients.

  • The assay is suitable for the therapeutic drug monitoring of mitotane in clinical settings.

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Risk factors of atrial fibrillation complicated with cognitive impairment and the relationship between cardiac function parameters and the degree of cognitive impairment
FengJiao Liao, ZongYi Hou
Clinics. 2024;79C:100453
Highlights

  • Pathological characteristics of atrial fibrillation with cognitive impairment.

  • Correlation between cardiac function and degree of cognitive impairment.

  • Risk factors for cognitive impairment associated with atrial fibrillation.

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Custom target-sequencing in triple-negative and luminal breast cancer from young Brazilian patients
Pedro Adolpho de Menezes Pacheco Serio, Daniela Marques Saccaro, Ana Carolina Ribeiro Chaves de Gouvêa, Giselly Encinas, Simone Maistro, Gláucia Fernanda de Lima Pereira, Vinícius Marques Rocha, Larissa Dias de Souza, ... Maria Aparecida Azevedo Koike Folgueira
Clinics. 2024;79C:100479
Highlights

  • In breast cancer from young women:

    TP53 was affected in 75 % of TN samples, in concomitance with at least one additional driver gene, mainly NF1, NOTCH1 or PTPN13.

  • In TN tumors carrying a wild type TP53, other drivers were TSG, like ATR and NF1.

  • PIK3CA and GATA3 were the main cancer driver genes in luminal samples, and candidate drivers were GRHL2 and SMURF2.

  • CACNA1E is a candidate cancer driver in both luminal and TN samples.

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Herpesviruses and human papillomaviruses in saliva and biopsies of patients with orofacial tumors
Paa-Kwesi Blankson, Grace E. Parkins, Harriet Naa Afia Blankson, Abiodun Olubayo Fasola, Prince J. Pappoe-Ashong, Matthew O. Boamah, Richard Harry Asmah
Clinics. 2024;79C:100477
Highlights

  • Herpesviruses and various HPV genotypes are detectable in tumor samples and saliva of patients with orofacial tumors.

  • Prevalent genotypes were EBV (21.3 %), HPV-42 (29 %), HPV-43 (22.7 %), HPV-52 (22.2 %), HPV-39 (18.8 %), and HPV-18 (9.1 %).

  • Herpesvirus and HPV DNA were significantly more in the saliva of patients with orofacial tumors than in the control population.

  • Epstein Barr virus was more likely to be found in malignant tumor samples than benign orofacial tumors.

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Comprehensive exploration of immune checkpoint-related genes in the prognosis and tumor immune microenvironment of pancreatic adenocarcinoma
Xiao Chen, Herui Zhang
Clinics. 2024;79C:100481
Highlights

  • Pancreatic Adenocarcinoma (PAAD) exhibits a universally poor prognosis.

  • Tumor Immune Microenvironment (TIME) affected the development of tumor.

  • Immune Checkpoint-Related Genes (ICRGs) were associated with TIME formation.

  • ICRGs were associated with the prognosis of PAAD.

  • ICRGs may serve as novel clinical biomarkers and therapeutic targets.

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Effects of N-Acetylcysteine combined with Ambroxol Hydrochloride on clinical symptoms, CRP, and PCT in children with pneumonia
AiLi Xue, Hua Zhang, ShanShan Song, Xia Yu
Clinics. 2024;79C:100476
Highlights

  • NAC combined with AH is effective in treating pneumonia.

  • NAC combined with AH alleviates clinical symptoms of pneumonia.

  • NAC combined with AH reduces inflammatory response in pneumonia.

  • NAC combined with AH improves blood gas and immune function in pneumonia.

  • NAC combined with AH improves lung function in pneumonia.

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Clinical application of pulse-gated non-enhanced rapid magnetic resonance imaging in the definitive diagnosis of aortic dissection
QinWen Yan, Gang Hu, Qin Wang, Lei Wu, Jun Zhang, Lan He, CiLai Jiao, Si Ma, MinChao Xiong
Clinics. 2024;79C:100467
Highlights

  • Free breathing pulse gated non-enhanced rapid MR imaging can obtain images with diagnostic value.

  • Multi-plane and multi-angle thin-layer scanning are favorable for the display of the rupture, while some complex tears and bidirectional tears are poorly displayed.

  • Free breathing pulse gated non-enhanced rapid MR imaging technique can be used for the exclusive and definitive diagnosis of aortic dissection.

  • Non-enhancement peripheral pulse-gating rapid magnetic resonance imaging can be used for deterministic diagnosis of aortic dissection.

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Effect of vitamin D3 on antiphospholipid antibodies in hospitalized patients with moderate to severe COVID-19
Lucas P. Sales, Lucas V.B. Souza, Alan L. Fernandes, Igor H. Murai, Mayara D. Santos, Margarete B.G. Vendramini, Ricardo M. Oliveira, Camille P. Figueiredo, ... in memoriam
Clinics. 2024;79C:100474
Highlights

  • The impact of vitamin D3 supplementation on autoimmunity remains a subject of debate.

  • A single dose of 200,000 IU of vitamin D3 was not able to modulate autoantibodies in COVID-19 patients.

  • aPL antibody positivity was not associated with thrombotic events despite vitamin D3 supplementation.

  • aPL antibodies associated with the virus seem to be transient in critical patients.

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COVID-19 and myocardial injury: Targeting elevated biomarkers for potential novel therapies
Pengyang Li, Qun Chen, Ion S. Jovin, Anit Mankad, Jose F. Huizar, John D. Markley, Bradley Bart, Brack Hattler, ... Edward O. McFalls
Clinics. 2024;79C:100473
Highlights

  • During the COVID-19 pandemic, the prevalence of COVID-19 as the primary diagnosis for hospitalized patients with myocardial injury was 10 %.

  • •The mortality at 6 months was more than 40 % and independent predictors of death included age, peak troponin, and peak C-reactive protein levels.

  • Future studies should focus on targeting elevated oxidant stress and inflammatory biomarkers among these patients.

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The unexpected silent manifestation of myocardial infarctions in ischemic heart failure patients: Insights from a case-control study
Gabriel Cordeiro Polo Mendes, Paulo Cury Rezende, Arthur Cicupira Rodrigues de Assis, Vitor Coutinho Andrade, Thiago Luis Scudeler, Marcela Francisca da Silva, Mauricio Rigodanzo Mocha, Whady Hueb, ... Roberto Kalil Filho
Clinics. 2024;79C:100480
Highlights

  • Silent and Clinically Manifested Myocardial infarctions have similar associated factors.

  • Age, sex, hypertension, and diabetes are similarly distributed in both groups.

  • Silent myocardial infarction is associated with peripheral diabetic neuropathy.

  • Silent myocardial infarction is associated with inferior wall topography.

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Analysis of correlation between medial joint line change and lower limb coronal alignment after Oxford unicompartmental knee arthroplasty
Kung-Tseng Hung, Kuo-Yao Hsu, Chieh-Ming Cheng, Yi-Jou Chen, Chih-Hao Chiu, Yi-Shen Chan, Alvin Chao-Yu Chen, Cheng Pang Yang
Clinics. 2024;79C:100478
Highlights

  • Postoperative HKAA in Oxford UKA had no correlation with the medial joint line change, the thickness of tibial resection and tibial implant.

  • Preoperative HKAA had a strong correlation with postoperative HKAA in Oxford UKA.

  • Preoperative smaller LDFA and larger MPTA had a moderate correlation with postoperative HKAA in Oxford UKA.

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Serum progesterone, glycosylated hemoglobin and insulin levels with the risk of premature rupture of membranes in gestational diabetes mellitus
LiRong Zhou, XueSong Xiong, LianHua Chen
Clinics. 2024;79C:100461
Highlights

  • The observation group had higher HbA1c and fasting blood glucose levels. Poor blood glucose control and GWG are risk factors for PROM in GDM patients.

  • PROM increases adverse pregnancy outcomes in GDM.

  • HbA1c, insulin, and HOMA-IR can predict the risk of PROM in GDM.

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Clinical value of artificial intelligence 3D echocardiography in evaluating left atrial volume and pulmonary vein structure in patients with atrial fibrillation
Xiaomin Yang, Shujun He, Yang Pang, Kun Rong
Clinics. 2024;79C:100487
Highlights

  • The ADap, LADml, LADsi, LAVmax, LAVmin, LAVpre, LAPEF, LSPV CSA, LIPV CSA, RSPV CSA, RIPV CSA of AF patients were significantly higher.

  • There was a significant positive correlation between left atrial diameter and pulmonary vein structure.

  • There was a significant positive correlation between left atrial volume and pulmonary vein structure.

  • There was a negative correlation between left atrial active ejection fraction and pulmonary vein structure.

  • LADap, LADml, LADsi, LAVmax, LAVmin, LAVpre, LAPEF, LSPV CSA, LIPV CSA, RSPV CSA, RIPV CSA have diagnostic value for AF patients.

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Analysis of IgE level influencing factors of common allergens for allergic rhinitis in northeastern China
Yanling Chu, Ai-Hui Yan
Clinics. 2024;79C:100495
Highlights

  • The IgE level is lower in female patients with AR compared with male patients.

  • AR patients’ IgE Level is affected by allergic history, home-raised plants, and pets.

  • IgE levels vary with furniture renewal, asthma, and age in allergic rhinitis patients.

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Clinical significance of TLR7/IL-23/IL-17 signaling pathway in patients with acute respiratory distress syndrome
Lihong Chu, Fengqi Liu, Kankai Tang
Clinics. 2024;79C:100358
Highlights

  • TLR7/IL-23/IL-17 pathway activation in ARDS patients implicates immune dysregulation in disease severity.

  • TLR7/IL-23/IL-17 pathway is associated with adverse short-term prognosis in ARDS.

  • SP-D and CC-16 are positively correlated with TLR7/IL-23/IL-17 pathway activation, indicating lung injury involvement in ARDS progression.

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Parathyroidectomy reduces the costs of medication in patients with secondary hyperparathyroidism
Gabriel Mattucci Domingues Pereira, Matheus Liao, Sergio Samir Arap, Felipe Ferraz Magnabosco, Marilia D'Elboux Guimarães Brescia, Rosa Maria Affonso Moyses, Melani Ribeiro Custódio, Vanda Jorgetti, ... Fábio Luiz de Menezes Montenegro
Clinics. 2024;79C:100484
Highlights

  • Subtotal or Total Parathyroidectomy with autograft equally reduces the costs of medication in patients with secondary hyperparathyroidism in the long run.

  • Endocrine surgeons could individualize the operation technique in the treatment of hyperparathyroidism in dialysis patients.

  • The first month after parathyroidectomy shows an increased medication cost compared with the preoperative period in secondary hyperparathyroidism.

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Predictive value of serum HIF-1α/HIF-2α and YKL-40 levels for vascular invasion and prognosis of follicular thyroid cancer
Jiulong Li, Kuai Yu, Dingchuan Chen, Guangcheng Luo, Jiedeng Jia
Clinics. 2024;79C:100486
Highlights

  • Clinicopathologic characteristics of patients.

  • Relationship between the degree of VI and serum HIF-1α, HIF-2α, YKL-40 and off-sTG levels.

  • Correlation analysis of serum HIF-1α, HIF-2α, and sYKL-40 with disease metastasis and recurrence in FTC patients.

  • Predictive assessment of serum HIF-1α, HIF-2α, and YKL-40 levels on the degree of VI and prognosis of FTC patients.

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Resistance and virulence genes characteristic of a South Asia Clade (I) Candida auris strain isolated from blood in Beijing
Jing-Xian Yang, Guan-Nan Ma, Ya-Tong Li, Yu-Peng Shi, Guo-Wei Liang
Clinics. 2024;79C:100497
Highlights

  • Fluconazole-resistant C. auris strain (CA01) identified in Beijing, belonging to South Asia Clade (I).

  • Molecular docking shows A395T mutation alters fluconazole binding in CA01. A395T mutation in ERG11 gene of CA01 linked to significant fluconazole resistance.

  • Identification of core virulence genes, including RBF1, in C. auris strain.

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The profile of adolescents assisted by the emergency department of a Brazilian private tertiary hospital
Alberto Carame Helito, Ricardo Luiz Affonso Fonseca, Ana Helena D'Arcadia de Siqueira, Carol Machado Ferrer, Guilherme Ramos de Faria, Isabella Rocha Morais, Julio Cesar Arnoni Junior, Mateus de Paiva Breziniscki, Christian Valle Morinaga
Clinics. 2024;79C:100502
Highlights

  • Adolescent particularities are not always considered for consultations at the ED.

  • Flu-like symptoms were the single main reason for adolescents to search for immediate health care.

  • Limb trauma was more common in younger and male teenagers.

  • Acute abdominal pain/trauma were the most frequent causes of hospital admissions.

  • There was a strong correlation between age and both admission rate and severity.

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Influence of diagnosis of gestational diabetes mellitus on fear of childbirth
Cibele Santini de Oliveira Imakawa, Silvana Maria Quintana, Geraldo Duarte, Elaine Christine Dantas Moisés
Clinics. 2024;79C:100501
Highlights

  • Fear of childbirth is more prevalent in patients with gestational diabetes mellitus.

  • Fear of Birth Scale score is higher in patients with gestational diabetes mellitus.

  • Reasons related to vaginal birth are more associated with clinically relevant fear.

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Primary signet-ring cell carcinoma of the urinary bladder ‒ A rare bladder tumor
Xin Hong, Tian Wang, Qing Liu, Jianlong Bi, Hui Li
Clinics. 2024;79C:100500
Highlights

  • Primary SRCC of the bladder has no specific clinical manifestations at early stage.

  • GATA3 serves as an independent protective factor for primary bladder SRCC.

  • Radical cystectomy is the treatment of choice for primary bladder SRCC.

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Changes in fluconazole pharmacokinetics can impact on antifungal effectiveness in critically ill burn patients: a Pharmacokinetic-Pharmacodynamic (PK/PD) approach
Victor Kaneko Matsuno, Edvaldo Vieira de Campos, Elson Mendes da Silva Junior, João Manoel da Silva Junior, David de Souza Gomez, Silvia Regina Cavani Jorge Santos
Clinics. 2024;79C:100491
Highlights

  • Fluconazole pharmacokinetics is significantly altered in critically ill burn patients.

  • Half-life and total body clearance were correlated to volume of distribution decrease.

  • High-dose fluconazole may be necessary to guarantee coverage against Candida glabrata.

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Structured respiratory physiotherapy protocol for resolution of atelectasis in pediatric intensive care
Patrícia Aparecida Silva Camassuti, Cíntia Johnston, Werther Brunow de Carvalho, Michele Luglio, Orlei Ribeiro de Araújo, Brenda Morrow
Clinics. 2024;79C:100494
Highlights

    • Children are at higher risk of developing atelectasis.

    • Imaging studies have increased specificity in the diagnosis of atelectasis.

    • The use of an ultrasound score can quantify pulmonary aeration.

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Use of continuous positive airway pressure in drainage of pleural effusion: Educational intervention for evidence-based practice
Elinaldo da Conceição dos Santos, Adilson Mendes, Daniela Gonçalves Ohara, Hiago Vinicius Costa Silva, Jhéssica Crhistina Veiga Nascimento, João Paulo Rodrigues Pacheco, William Poncin, Gregory Reychler, ... Adriana Claudia Lunardi
Clinics. 2024;79C:100499
Highlights

  • Educational interventions to update healthcare professionals on the importance of CPAP.

  • Continuing education needs to be implemented for better patient care.

  • An educational intervention may have some success in educating and updating healthcare professionals on the use of CPAP in patients with chest tubes due to pleural effusion.

  • Physical therapists need to be strongly encouraged to write down the details of the interventions they perform in patients' medical records.

  • New strategies for continuing education of health professionals need to be developed so that the patient receives the best possible care.

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Assessment of body composition by dual-energy X-Ray absorptiometry in renal transplant patients, hemodialysis patients, and a control group of healthy subjects
Martha Jocelyne Piñon-Ruiz, Maria-Raquel Huerta-Franco, Francisco-Miguel Vargas-Luna, Evelia Apolinar-Jimenez, Joel Máximo Soel Encalada
Clinics. 2024;79C:100505
Highlights

  • The body fat of patients with kidney transplants was higher when compared to patients on hemodialysis and the control group.

  • Bone mineral content and bone mineral density were similar in hemodialysis patients and kidney transplant patients.

  • Body composition assessment in patients with chronic kidney disease could be an aid in their clinical control.

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Liver biopsy-proven non-alcoholic fatty liver disease predicts no impact on antiviral response in patients with chronic hepatitis B
Miao-Yang Chen, Shun-Xin Li, Zhi-Xiang Du, Qing-Fang Xiong, Yan-Dan Zhong, Du-Xian Liu, Yong-Feng Yang
Clinics. 2024;79C:100493
Highlights

  • NAFLD is increasingly common in patients with chronic hepatitis B.

  • Neither NAFL nor NASH has an effect on the antiviral efficacy of chronic hepatitis B.

  • Viral load and degree of inflammation and fibrosis influence antiviral response.

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Exploration of the mechanism underlying the therapeutic effect of electroacupuncture at chengshan acupoint on post-hemorrhoidectomy anal pain: Insights from the mAChRs/IP3-Ca2+-CaM signaling pathway
Yang Song, Yang Wang, Ming Li, Yujuan Wang, Tianshu Xu
Clinics. 2024;79C:100485
Highlights

  • Expression of mAChRs was elevated in the rat model of postoperative pain.

  • Antagonizing mAChRs reduced pain sensitivity and attenuated the IP3-Ca2+-CaM pathway.

  • Electroacupuncture further mitigated pain by suppressing IP3-Ca2+-CaM signaling.

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Importance of muscle strength to maintain mobility, but not to maintain postural balance in older women: Cross-sectional study
Roberta Alexandra Gonçalves de Toledo Evangelista, Alexandre Lopes Evangelista, Rita de Cássia Ernandes, Guilherme Carlos Brech, Reinaldo Nonato da Silva, Matheus Henrique dos Santos Lino, Danilo Sales Bocalini, Myriam de Graaf, ... Angelica Castilho Alonso
Clinics. 2024;79C:100504
Highlights

  • Motor control actions are required to maintain semi-static balance and mobility.

  • Quadriceps and hamstring muscles are important for mobility.

  • Quadriceps and hamstring muscles are not important for semi-static balance.

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IMP3, CDK4, MDM2 and β-catenin expression in Enchondroma and Central Chondrosarcoma: Diagnostic and prognostic utility
Daniele Moraes Losada, Maurício Etchebehere, Francisco Fontes Cintra, Eliane Maria Ingrid Amstalden
Clinics. 2024;79C:100483
Highlights

  • IMP3, CDK4, MDM2 and β-catenin are expressed in Enchondromas of short bones.

  • These antibodies are useless in distinguishing Enchondroma and Chondrosarcoma G1.

  • Their positivity is proportional to Chondrosarcomas histological grade increase.

  • The positivity of IMP3, CDK4 and MDM2 is associated to metastasis.

  • The expression of MDM2 is associated with a worse prognosis related to death.

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Qiliqiangxin capsule alleviates cardiac hypertrophy and cardiac dysfunction by regulating miR-382-5p/ATF3 axis
Bao Yin, XiaoTong Jiang, XinFeng Chang, ChunHua Song
Clinics. 2024;79C:100496
Highlights

  • QL alleviates cardiomyocyte hypertrophy.

  • Silencing miR-382-5p could further enhance the therapeutic effect of QL.

  • miR-382-5p negatively regulates ATF3 expression.

  • ATF3 upregulation can reduce the hypertrophic effect of upregulation of miR-382-5p in NMVCs.

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Intraoperative changes of surgical approach and a second surgery after percutaneous endoscopic surgery for lumbar spinal stenosis
LianSong Lu, ZhenShan Yuan, HaoJie Li, ShaoHua Sun
Clinics. 2024;79C:100498
Highlights

  • Surgical approach changes due to severe hyperplasia, obscure anatomic structure, etc.

  • A second surgery is due to nerve entrapment, nerve injury, lumbar instability, etc.

  • Appropriate indications and surgical approaches are chosen accordingly.

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Demographic characteristics and clinical-radiological correlation in patients with indications for Total Knee Arthroplasty: A cross-sectional study
Diego Ubrig Munhoz, Andre Giardino Moreira da Silva, Pedro Nogueira Giglio, Camilo Partezani Helito, Riccardo Gomes Gobbi, Luís Eduardo Passarelli Tirico
Clinics. 2024;79C:100503
Highlights

  • Knee osteoarthritis is a common joint disease.

  • Total Knee Arthroplasty (TKA) is the gold standard surgical treatment after failed conservative management.

  • There is a weak correlation between radiographic worsening and functional impairment in patients with knee osteoarthritis and indication for TKA.

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Revision knee arthroplasty using a modular system manufactured in Brazil. Clinical and radiographic results with a mean nine-year follow-up
Francisco Fontes Cintra, Mauricio Etchebehere, Eduardo Rached, Giancarlo Cavenaghi, Paulo Eduardo Dias Rahal, Rodrigo Gonçalves Pagnano
Clinics. 2024;79C:100508
Highlights

  • MBV revision knee modular system (MBVS) could be a solution for complex scenarios.

  • In a mean follow up of 9.1 years, the MBVS showed 93.5 % of overall survivorship.

  • The MBV should not be used in cases with major instability.

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Development of HepatIA: A computed tomography annotation platform and database for artificial intelligence training in hepatocellular carcinoma detection at a Brazilian tertiary teaching hospital
Bruno Aragão Rocha, Lorena Carneiro Ferreira, Luis Gustavo Rocha Vianna, Ana Claudia Martins Ciconelle, João Martins Cortez Filho, Lucas Salume Lima Nogueira, Maurício Ricardo Moreira da Silva Filho, Claudia da Costa Leite, ... Suzane Kioko Ono
Clinics. 2024;79C:100512
Highlights

  • The scarcity of publicly available computed tomography datasets with clinical details and four-phase segmentation masks hinders artificial intelligence research in hepatocellular carcinoma.

  • Developing an annotation platform in a teaching hospital necessitates integrating diverse technological tools and performing complex system integrations.

  • Successfully integrating an annotation platform and database for hepatocellular carcinoma can significantly enhance deep-learning research in this area.

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Serum progesterone measurement on the day of fresh embryo transfer and its correlation with pregnancy success rates: A prospective analysis
Carla Maria Franco Dias, Suelen Maria Parizotto Furlan, Rui Alberto Ferriani, Paula Andrea de Albuquerque Salles Navarro
Clinics. 2024;79C:100511
Highlights

  • Studies are inconclusive about the existence of a serum progesterone concentration correlated with higher clinical pregnancy rates in fresh embryo transfer after controlled ovarian stimulation cycles.

  • In fresh embryo transfer cycles, serum progesterone concentration may merely reflect factors associated with a favorable gestational prognosis rather than being a direct predictor of clinical pregnancy.

  • Caution is warranted when interpreting serum progesterone concentrations in fresh embryo transfer cycles, as there is no established cutoff point to justify additional exogenous progesterone supplementation for endometrial rescue or a freeze-all approach.

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Improvement of motor function in mice after implantation of mononuclear stem cells from human umbilical cord and placenta blood after 3 and 6 weeks of experimental spinal cord injury
Thiego Pedro Freitas Araujo, Alexandre Fogaça Cristante, Raphael Martus Marcon, Gustavo Bispo dos Santos, Maria Helena Alves Nicola, Alex Oliveira de Araujo, Fernando Barbosa Sanchez, Tarcísio Eloy Pessoa de Barros Filho
Clinics. 2024;79C:100509
Highlights

  • The chronic stage of spinal cord injury is the less studied group in animal models.

  • The biggest pool of patients with spinal cord injury are in a chronic stage.

  • Human umbilical cord and placental blood are highly available and can be used allogeneically.

  • Mice showed improved motor function after implantation of stem cells in the chronic stage.

  • Better function was achieved when stem cells were implanted near the subacute phase (3 weeks > 6 weeks).

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Comprehensive diagnosis of advanced-stage breast cancer: exploring detection methods, molecular subtypes, and demographic influences – A cross-sectional study
Fernando Wladimir Silva Rivas, Rodrigo Gonçalves, Bruna Salani Mota, Isabel Cristina Esposito Sorpreso, Tatiana Natasha Toporcov, José Roberto Filassi, Edia di Tullio Lopes, Laura Raíssa Schio, ... José Maria Soares Júnior
Clinics. 2024;79C:100510
Highlights

  • In Brazil, breast cancer leads to 94,728 new cases and 22,189 deaths annually.

  • Early diagnosis and molecular profiles significantly impact breast cancer mortality.

  • Mammographic detection associated with lower prevalence of advanced-stage cancer.

  • Age, marital status, and race/color significantly influenced detection methods.

  • Luminal A tumors had the highest detection rates; triple-negative the lowest.

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Seasonality as a risk factor for deaths in Parkinson's disease
Marcelo C.M. Fonseca, Dayan Sansone, Daniela Farah, Ana Claudia Fiorini, Carla A. Scorza, Fulvio A. Scorza
Clinics. 2024;79C:100506
Highlights

  • Understanding the impact of circadian rhythms on Parkinson's disease pathogenesis and mortality can revolutionize healthcare.

  • The authors investigated whether the deaths of Parkinson's disease patients follow a rhythmic pattern due to variations in the circadian rhythm.

  • During winter was seen more deaths, and fatalities peaked around 9 a.m.

  • Sunlight reduction increases mortality risk in the long term in patients with Parkinson's disease.

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Negative life events and depression by gender in the Brazilian Longitudinal Study of Adult Health (ELSA-Brazil)
Simone V. Silva, Itamar S. Santos, Danielle B. Lima, Alessandra C. Goulart, Ana C. Varella, Paulo A. Lotufo, Andre R. Brunoni, Isabela M. Bensenor
Clinics. 2024;79C:100488
Highlights

  • NLEs were associated with prevalent depression in men and women.

  • NLEs were associated to incident depression in women

  • Only financial hardship was associated to incident depression in men.

  • LIMITATIONS

  • NLEs questionnaire was self-reported with possible memory bias.

  • Depression was defined by validated scale but some misclassification is possible.

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Predictors of postoperative complications after sternectomy on oncologic patients
João Paulo Cassiano de Macedo, Pedro Henrique Xavier Nabuco-de-Araujo, Benoit Jacques Bibas, José Ribas M. de Campos, Paulo M. Pêgo-Fernandes, Ricardo M. Terra
Clinics. 2024;79C:100468
Highlights

  • Chest wall tumors are rare conditions.

  • The literature has poorly documented the Chest wall reconstruction outcomes based on polypropylene mesh.

  • The postoperative evaluation resulted in a few cases of prostheses removal and a low respiration failure rate.

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Changes in PEDF, MMP-2, and TGF-β2 levels in the aqueous humor of cataract patients and their correlation with disease severity
Yong Feng Lin, Jin Xia Xie, Xiao Luan Chen
Clinics. 2024;79C:100402
Highlights

  • PEDF levels were lower and MMP-2 and TGF-β2 levels were higher in cataracts.

  • The combined detection was valuable in evaluating cataract development.

  • MMP-2, TGF-β2, and PEDF were risk factors for cataract development.

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Relationship between psychiatric disorders and loss weight among patients underwent metabolic and bariatric surgery: A reassessment observational study after nine years
Leorides Severo Duarte-Guerra, Julia Faria Villares, Marco Aurélio Santo, Francisco Lotufo-Neto, Yuan-Pang Wang
Clinics. 2024;79C:100517
Highlights

  • Psychiatric disorders can be associated with bariatric surgery, regardless of elapsed time.

  • Depression and anxiety were the most common conditions among operated patients.

  • Lifetime mood disorders, bipolar disorder, and eating disorders increase significantly in post-bariatric surgery.

  • Psychiatric disorders were not associated with recurrent weight gain over time.

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The role of metabolic factors in the association between obesity and cholelithiasis: A two-step, two-sample multivariable mendelian randomization study
Xiangrong Xu, Jiawei Gao, Jun Sun, Ruiwen Liu, Wei Chen
Clinics. 2024;79C:100520
Highlights

  • Genetic analysis shows HDL mediates 7.3 % of BMI's impact on cholelithiasis risk.

  • Triglycerides contribute 3.5 % to BMI's effect on cholelithiasis, according to genetic evidence.

  • Targeting HDL & Triglycerides may reduce cholelithiasis risk in individuals with high BMI.

  • Study reveals novel insights into BMI-associated cholelithiasis mechanisms.

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CEMIP induces TGF-β/Smad signaling to promote keloid development by binding to SPARC
Xinyi Li, Wei Zhang, Xiaojing Li
Clinics. 2024;79C:100523
Highlights

  • CEMIP silencing suppresses the proliferation, migration, invasion and ECM deposition of KF.

  • CEMIP binds to SPARC.

  • SPARC overexpression reversed the effects of CEMIP silencing on KF.

  • The TGF-β/Smad signaling was associated with the regulation of CEMIP SPARC in KF.

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A multicentric observational retrospective study on patients with short bowel syndrome and chronic intestinal failure who underwent intestinal transplantation in Brazil
Yuri Longato Boteon, Mariana Hollanda Martins da Rocha, Luciana Haddad, Rafael Antonio Arruda Pecora, Andre Dong Won Lee, Claudia Yang Santos, Amanda Pinter Carvalheiro da Silva Boteon, Igor Calil, ... Luiz Augusto Carneiro D'Albuquerque
Clinics. 2024;79C:100521
Highlights

  • Substantial average of hospitalizations (4.3 per patient and 0.5 patient/year).

  • The main reasons for intestine transplantation were related to parenteral nutrition.

  • Complications related to parenteral nutrition were the main reason for hospitalization.

  • High burden of hospitalization and complication with a mean length of stay of 50 days.

  • Median time between SBS-IF diagnosis and transplant indication of 16 months.

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Polymorphisms of the SERPINA1 gene are associated with higher mortality in a Brazilian cohort of ANCA-associated vasculitis patients
Henrique Ayres Mayrink Giardini, Valeria de Falco Caparbo, Isac de Castro, Andréia Padilha Toledo, Carmen Silvia Valente Barbas, Samuel Katsuyuki Shinjo, Rosa Maria Rodrigues Pereira
Clinics. 2024;79C:100524
Highlights

  • The SERPINA1 gene encodes Alpha-1-Antitrypsin (A1AT), a protease inhibitor.

  • SERPINA1 gene polymorphisms are associated with ANCA-associated vasculitis.

  • Their presence represents poor prognostic factors in ANCA-associated vasculitis.

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Ventilation with hyperoxia promotes cochlear bleeding in rabbits with congenital diaphragmatic hernia
Eduardo Tanaka Massuda, Solange Natalia Seibert, Ana Maria Bicudo Diniz, Luiza Almeida Lima, Maria Rossato, Vanessa Maciel Bráulio da Fonseca, Marcos de Carvalho Borges, Jason Xia, ... Lourenço Sbragia
Clinics. 2024;79C:100525
Highlights

  • Congenital Diaphragmatic Hernia (CDH) is a congenital defect affecting 1 in every 5000 live births.

  • Sensorineural Hearing Loss (SNHL) is an important prevalent complication in survivors.

  • Mechanical ventilation and many other CDH therapies have been linked to SNHL.

  • Cochlear bleeding may be responsible and explain part of SNHL in CDH ventilated patients.

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Willingness and skills among students from non-health academic fields in providing efficient basic life support
Perola Nakandakari Sugimoto, Gabriela Buno Gouvêa, Igor Caitano Salles, Heráclito Barbosa de Carvalho, Priscila Aikawa, Liana Maria Torres de Araújo Azi, Luiz Fernando Ferraz da Silva, Mariangela Macchione, ... Naomi Kondo Nakagawa
Clinics. 2024;79C:100518
Highlights

  • These findings reveal a stark difference in basic life support competencies between students in health-care related fields and those in non-health fields, emphasizing the need for universal basic life support training.

  • An action for curriculum modification to include basic life support training for all students is timely and practical, given the global burden of heart disease and the proven benefits of early intervention in sudden cardiac arrest cases.

  • This study contributes significantly to the ongoing discussion about health education and the role of non-health professionals in emergency medical response. It may serve as a catalyst for policy changes within educational institutions and among healthcare policymakers, aiming to create a more resilient and responsive community in the face of out-of-hospital medical emergencies.

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A critical evaluation of the status of HPV vaccination in São Paulo State, Brazil
Toni Ricardo Martins, Steven S. Witkin, Andressa da Silva Ferreira, Juliana Yukari K. Viscondi, Maryana Stephany Ferreira Branquinho, Lise Cury, Lucy Santos Vilas Boas, Adhemar Longatto-Filho, Maria Cássia Mendes-Corrêa
Clinics. 2024;79C:100526
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LRP1B associated with immune cell infiltration influenced the efficacy of immunotherapy in colorectal cancer patients
Weiming Weng, Shengquan He, Guoxiong Zhang, Xindong Zhou, Kang Li, Jiajun Lai
Clinics. 2024;79C:100516
Highlights

  • Mutations in the LRP1B gene can affect immune cell infiltration in cancer patients, thereby affecting the effect of clinical immunotherapy.

  • It can provide a reference for the emergence of new therapeutic targets for colorectal cancer in clinical practice.

  • Loss of LRP1B leads to changes in immune cell infiltration and can be used as a therapeutic target for colorectal cancer.

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Protocol for the collection, packaging, and transportation of preterm newborn stool samples
Jessica Santos Passos Costa, Heli Vieira Brandão, Mara Viana Cardoso Amaral, Gabriela Cintra dos Santos, Camilla da Cruz Martins, Michelle de Santana Xavier Ramos, Tatiana de Oliveira Vieira, Raquel Guimarães Benevides, Graciete Oliveira Vieira
Clinics. 2024;79C:100531
Highlights

  • The steps prior to the fecal metagenomic analysis of premature infants are detailed.

  • Surgical tissue added to the diaper prevents absorption and preserves the microbead.

  • Hygienize the neonate after collection, pay attention to its comfort and vital signs.

  • The protocol guaranteed the preservation bacterial DNA in 78 % of the samples.

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Expression of NGF, proNGF, p75NTR in lung injury induced by cerebral ischemia-reperfusion in young and elderly rats
Hong Chen, Qiang Du, Jie Chen, Qiang Tian, Lei Xu, Ying Wang, Xiaoyan Gu
Clinics. 2024;79C:100532
Highlights

  • A slightly increased vulnerability to lung injury with age, even without I/R.

  • Assessment illustrates an increase in pathology scores with age and I/R treatment.

  • Elucidates the alternation of NGF, proNGF, and p75NTR expression in lung tissue.

  • These alterations may contribute to the susceptibility to age-related lung injury.

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Association of heart rate variability with cardiorespiratory fitness and muscle strength in patients after hospitalization for COVID-19: An analytical cross-sectional study
Daniele Ferreira Rodrigues, Victor Ribeiro Neves, Ulisses Ramos Montarroyos, Washington José dos Santos, Isabelle Carolline Verissimo de Farias, Dário Celestino Sobral Filho
Clinics. 2024;79C:100534
Highlights

  • Respiratory and peripheral strength measurements are positively correlated with LF and the LF/HF ratio.

  • Respiratory and peripheral strength measurements are negatively correlated with HF after COVID-19.

  • Respiratory and peripheral muscle strength positively correlates with sympathetic nervous system parameters.

  • Respiratory and peripheral muscle strength correlates negatively with parameters related to the parasympathetic nervous system.

  • Cardiorespiratory fitness showed a positive correlation between the distance covered in the 6MWT.

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Review articles
Gastric adenocarcinoma and periodontal disease: A systematic review and meta-analysis
Francisco José Nunes Aguiar, Fabrício dos Santos Menezes, Marcela de Araújo Fagundes, Gisele Aparecida Fernandes, Fabio de Abreu Alves, João Goncalves Filho, Maria Paula Curado
Clinics. 2024;79C:100321
Highlights

  • Patients presenting periodontal disease increased the risk of developing gastric adenocarcinoma by 17 %.

  • The association remained regardless of the diagnostic method for periodontal disease, i.e., clinical examination and self-report.

  • Moreover, Asian patients with periodontal disease had a higher risk of having gastric adenocarcinoma than American and European patients.

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Multidisciplinary team for patients with neurocutaneous syndromes: The little discussed importance of dentistry
Marcos Roberto Tovani-Palone, Filippo Bistagnino, Pritik A. Shah
Clinics. 2024;79C:100332
Highlights

  • The inclusion of dentists in multidisciplinary teams for patients with neurocutaneous syndromes is essential, both on an outpatient and hospital basis.

  • Interestingly, dentistry can play a relevant role in the early diagnosis and differential diagnosis of patients with neurocutaneous syndromes.

  • More research in this area is needed.

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Pharmacological treatment for obstructive sleep apnea: A systematic review and meta-analysis
Maria Luísa Nobre, Ayane Cristine Alves Sarmento, Priscila Farias de Oliveira, Felipe Ferreira Wanderley, José Diniz Júnior, Ana Katherine Gonçalves
Clinics. 2024;79C:100330
Highlights

  • Obstructive sleep apnea affects one billion people worldwide and is associated with cardiometabolic risk and cognitive impairment.

  • Drug therapy for the management of sleep apnea has been investigated, but no robust evidence that supports its benefits has been found to date.

  • The combination of noradrenergic and antimuscarinic drugs shows promising results.

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Impulse oscillometry in patients with pulmonary arterial hypertension: an exploratory study
Helena Jannuzzi Villas Bôas, Ilma Aparecida Paschoal, Mônica Corso Pereira
Clinics. 2024;79C:100313
Highlights

  • Impulse Oscillometry (IOS) can be used to analyze lung resistance and reactance in patients with PAH.

  • Patients with PAH show increased resistance and pulmonary reactance compared to healthy individuals.

  • The IOS findings showed a good correlation with the spirometric variables.

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Screening and diagnostic tools for autism spectrum disorder: Systematic review and meta-analysis
Clara Lucato dos Santos, Indyanara Inacio Barreto, Idevaldo Floriano, Luca Schiliró Tristão, Antonio Silvinato, Wanderley Marques Bernardo
Clinics. 2024;79C:100323
Highlights

  • Autism Spectrum Disorder (ASD) is a heterogeneous neurodevelopmental disorder.

  • Autism spectrum disorder has a significant impact on the patient and their family.

  • To provide adequate advice is to carry out screening and diagnosis correctly and accurately.

  • Screening test must be applied, M-CHAT-R/F is recommended.

  • For diagnosis CARS and ADOS are the most recommended tools.

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Effect of photobiomodulation therapy on pain perception during anesthetic puncture of dental local anesthesia: A systematic review
Caio Melo Mesquita, Millena Barroso Oliveira, Marcelo Dias Moreira de Assis Costa, Walbert Andrade Vieira, Rafael Rodrigues Lima, Sigmar de Mello Rode, Luiz Renato Paranhos
Clinics. 2024;79C:100322
Highlights

  • Photobiomodulation therapy seems to have little or no effect on pain perception during the anesthetic puncture in patients undergoing dental local anesthesia.

  • Clinical trials found in the literature used different study samples, pain assessment tools, and photobiomodulation therapy protocols.

  • Further randomized studies should be performed with a standardized methodology to strengthen the current evidence.

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Low-level red-light therapy for myopia control in children: A systematic review and meta-analysis
Dillan Cunha Amaral, Sávio Batista, Edson dos Santos-Neto, José Eduardo Ferreira Manso, Márcio Penha Morterá Rodrigues, Mário Luiz Ribeiro Monteiro, Milton Ruiz Alves, Ricardo Noguera Louzada
Clinics. 2024;79C:100375
Highlights

  • There is a global increase in childhood myopia and current treatments are limited.

  • LLRL non-invasive therapy shows promise in myopia control.

  • LLRL is promising and requires further studies for standardization and safety.

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Visceral crisis in metastatic breast cancer: an old concept with new perspectives
Matheus de Oliveira Andrade, Renata Rodrigues da Cunha Colombo Bonadio, Maria Del Pilar Estevez Diz, Laura Testa
Clinics. 2024;79C:100362
Highlights

  • Visceral crisis in metastatic breast cancer is associated with a dismal prognosis.

  • There is a lack of objective clinical criteria in the definition of visceral crisis.

  • Visceral crisis management is currently based on limited retrospective evidence and expert opinions.

  • The role of chemotherapy as the treatment of choice for visceral crisis has been recently questioned.

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Is religiosity/spirituality in patients with Crohn's disease important to their quality of life?
José Luiz Amuratti Gonçalves, José Jukemura, Carolina Bortolozzo Graciolli Facanali, Carlos Frederico Sparapan Marques, Rodrigo Ambar Filho, Carlos Walter Sobrado, Sergio Carlos Nahas
Clinics. 2024;79C:100389
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Real-world setting comparison of bridging therapy versus direct mechanical thrombectomy for acute ischemic stroke: A meta-analysis
Bin Qin, Tao Wei, Wen Gao, Hui-xun Qin, Yu-Ming Liang, Cheng Qin, Hong Chen, Ming-Xiu Yang
Clinics. 2024;79C:100394
Highlights

  • Acute ischaemic stroke is becoming a major public health concern.

  • The nationwide or health organization registry databases were included.

  • Bridging therapy remains the standard treatment until more data are available.

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The effects of art therapy interventions on anxiety in children and adolescents: A meta-analysis
Bo Zhang, Jiahua Wang, Azizah binti Abdullah
Clinics. 2024;79C:100404
Highlights

  • This meta-analysis aimed to evaluate the impact of art therapy on reducing anxiety symptoms among children and adolescents. A comprehensive search was conducted across several databases, including PubMed, Web of Science, Embase, PsychINFO, The Cochrane Library, CNKI, and Wan Fang Data, resulting in the inclusion of six studies with a total of 422 participants. The findings demonstrated a significant decrease in anxiety symptoms through art therapy interventions, with a Standardized Mean Difference (SMD) of -1.42, 95% Confidence Interval (-2.33, -0.51), p < 0.002. This indicates that art therapy is an effective method for treating anxiety in this demographic. Moreover, the analysis revealed that art therapy had a more pronounced effect on state anxiety than on trait anxiety, suggesting that art therapy may be particularly beneficial in helping children and adolescents manage anxiety in specific situations. These insights underscore the importance of integrating art therapy into mental health care, especially for managing anxiety among young individuals, and have significant implications for clinical practice and policy making.

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Melatonin improves fertilization rate in assisted reproduction: Systematic review and meta-analysis
Eduardo Carvalho de Arruda Veiga, Marise Samama, Fabio Ikeda, Giovanna Santos Cavalcanti, Amanda Sartor, Suelen Fernanda Parames, Edmund C. Baracat, Joji Ueno, Jose Maria Soares Junior
Clinics. 2024;79C:100397
Highlights

  • Melatonin had beneficial effects on outcomes in assisted reproductive technologies, but it had no influence on pregnancy.

  • Melatonin had beneficial effects such as the improvement in the fertilization rate.

  • Melatonin has a beneficial effect on the formation of mature oocytes (MII).

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Systematic evaluation and meta-analysis of Flunarizine Hydrochloride combined with traditional Chinese medicine decoction in the treatment of migraine headaches
Dan Fan, Wei Leng, Liqin Zhang
Clinics. 2024;79C:100431
Highlights

  • Flunarizine Hydrochloride combined with TCM notably enhances migraine management.

  • Flunarizine Hydrochloride and TCM improve TCM scores, endothelin, NRS and VAS scores.

  • Flunarizine Hydrochloride combined with TCM reduces headache frequency and duration.

  • Standardized protocols are crucial to understand TCM's role in migraine management better.

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Efficacy and safety of left atrial appendage closure procedure in patients with non-valvular atrial fibrillation with contraindication and/or failure for oral anticoagulants: A systematic review and meta-analysis
Ricardo dos Santos Simões, Aline Frossard Ribeiro Bortoluzzi, Janaina Cardoso Nunes Marinho, Julia Simões Corrêa Galendi, Wanderley Marques Bernardo
Clinics. 2024;79C:100465
Highlights

  • Left atrial appendage occlusion is a surgical procedure considered as an alternative for populations with contraindications or failure of anticoagulation.

  • Based on the studies, it was evaluated that, among the consensual metrics (CHADS-VASC and HAS-BLED), the degree of thromboembolic risk and bleeding used was variable, not clarifying the profile of patients who would benefit from the occlusion procedure.

  • Most of the studies evaluated are non-inferior, comparing the occlusion of the atrial appendage of patients on anticoagulation with vitamin K inhibitors, with no contraindication to the use of this group of drugs. There are ongoing studies, with data to be published with the use of new oral anticoagulants (direct inhibitors), to compare the safety of patients undergoing atrial appendage occlusion.

  • There is also a lack of evidence related to the occlusion devices, especially regarding long-term use data, since when positioned, it can cause anatomical and physiological changes. Also, there is more than one model of the device with differences between them, suggesting the need for comparative studies.

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Comments
Parkinson's disease inpatient mortality: Attention to sudden death
Tomás de la Rosa, Fúlvio Alexandre Scorza
Clinics. 2024;79C:100366
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Possible role of artificial intelligence in diagnosis of cases with non-specific signs and symptoms of dengue: A comment
Marcos Roberto Tovani-Palone, Filippo Bistagnino, Jacopo Rosso Antonino, Arunkumar Subramanian
Clinics. 2024;79C:100388
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Bibliographic research with large language model ChatGPT-4: instability, hallucinations and sometimes alerts
Konradin Metze, Rosana Celestina Morandin-Reis, Irene Lorand-Metze, João Batista Florindo
Clinics. 2024;79C:100409
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Mental health and sleep quality issues in adolescents with chronic conditions during and after COVID-19 quarantine
Renan Andrews de Sousa, Levi Medeiros Vieira Paradelas, Livia Lindoso, Reinan Tavares Campos, Rafaela Mendes Battiferro, Beatriz Oliveira Leão Carneiro, Jean Paulo Veronesse de Souza, Marianna Ribeiro de Menezes Freire, ... Clovis Artur Silva
Clinics. 2024;79C:100364
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Assessing the impact of implementing the clinical protocol and therapeutic guidelines in COPD in real-life
Daiana Abreu Lourenço Sales, Priscila Carla Moura Honório, Vanusa Barbosa Pinto, Frederico Leon Arrabal Fernandes, Regina Maria de Carvalho Pinto, Alberto Cukier
Clinics. 2024;79C:100529
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Correspondence
Increased frequency and intensity of complicated migraine sans migraine after third BNT162b2 dose
Larissa M. Bombardi, Antonio-Carlos Guimaraes de Almeida, Josef Finsterer, Fulvio Alexandre Scorza
Clinics. 2024;79C:100315
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The increasing popularity of Peruvian maca (Lepidium meyenii) and its potential impacts on sleep and quality of life
Vinícius Dokkedal-Silva, Priscila Kalil Morelhão, Sergio Tufik, Monica Levy Andersen
Clinics. 2024;79C:100398
Highlights

  • Peruvian maca is a popular supplement consumed to increase energy and sexual health.

  • Studies report it also has anti-sinflammatory and neuroprotective effects.

  • Stimulant properties of this supplement raise questions about its effects on sleep.

  • Investigation of possible reinforcing characteristics is also recommended.

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Renewed call for action: Highlight negative results to improve science
Bo Pei, Huiye Yang, Shixuan Peng
Clinics. 2024;79C:100426
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NXP-2 positive dermatomyositis with marked dysphagia following an insect bite
Larissa M. Bombardi, Carla Alexandra Scorza, Josef Finsterer, Fulvio Alexandre Scorza
Clinics. 2024;79C:100420
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Transient, self-limiting, antibody-negative myositis with venetoclax
Carla A. Scorza, Josef Finsterer, Fulvio A. Scorza
Clinics. 2024;79C:100444
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Daytime bruxism, tardive orofacial dyskinesia, and dysphagia as side effects to duloxetine use over nine years in an octogenarian
Carla A. Scorza, Fulvio A. Scorza, Josef Finsterer
Clinics. 2024;79C:100438
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Takotsubo syndrome is triggered by hypoactive delirium and recognized by increased catecholamine requirement in the ICU
Carla Alexandra Scorza, Josef Finsterer, Fulvio Alexandre Scorza
Clinics. 2024;79C:100466
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Kaposi sarcoma initially manifested itself as blindness
Ana Claudia Fiorini, Fulvio A. Scorza, Josef Finsterer, Carla A. Scorza
Clinics. 2024;79C:100489
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Non-functioning pituitary macroadenoma manifesting as a cervical syndrome
Carla A. Scorza, Ana C. Fiorini, Josef Finsterer, Fulvio A. Scorza
Clinics. 2024;79C:100490
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Patients with rare diseases are responsible for the majority of hospitalizations in a Brazilian tertiary pediatric hospital: Preliminary data
Cristina Grassiotto, Simone Pavani, Nara Vasconcelos Cavalcanti, Angelina Gonçalves, Andreia Watanabe, Vicente Odone-Filho, Ana Cristina Aoun Tannuri, Clovis Artur A. Silva, Magda Carneiro-Sampaio
Clinics. 2024;79C:100535
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