9306
The profile of adolescents assisted by the emergency department of a Brazilian private tertiary hospitalAlberto 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
9306
Highlights
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Adolescent particularities are not always considered for consultations at the ED.
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Flu-like symptoms were the single main reason for adolescents to search for immediate health care.
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Limb trauma was more common in younger and male teenagers.
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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.
7593
Visceral crisis in metastatic breast cancer: an old concept with new perspectivesMatheus de Oliveira Andrade, Renata Rodrigues da Cunha Colombo Bonadio, Maria Del Pilar Estevez Diz, Laura Testa
Clinics. 2024;79C:100362
7593
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.
2382
The effects of art therapy interventions on anxiety in children and adolescents: A meta-analysisBo Zhang, Jiahua Wang, Azizah binti Abdullah
Clinics. 2024;79C:100404
2382
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.
2367
Pharmacological treatment for obstructive sleep apnea: A systematic review and meta-analysisMaria Luísa Nobre, Ayane Cristine Alves Sarmento, Priscila Farias de Oliveira, Felipe Ferreira Wanderley, José Diniz Júnior, Ana Katherine Gonçalves
Clinics. 2024;79C:100330
2367
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.
2332
Screening and diagnostic tools for autism spectrum disorder: Systematic review and meta-analysisClara Lucato dos Santos, Indyanara Inacio Barreto, Idevaldo Floriano, Luca Schiliró Tristão, Antonio Silvinato, Wanderley Marques Bernardo
Clinics. 2024;79C:100323
2332
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.
2321
Reduced HDL-cholesterol in long COVID-19: A key metabolic risk factor tied to disease severityJamila 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
2321
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.
2005
Water pollution and the brainFulvio A. Scorza, Feres Chaddad-Neto, Larissa Beltramim, Josef Finsterer, Tomás de la Rosa
Clinics. 2024;79C:100424
2005
1974
Low-level red-light therapy for myopia control in children: A systematic review and meta-analysisDillan 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
1974
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.
1920
Physicians’ attention to patients’ communication cues can improve patient satisfaction with care and perception of physicians’ empathyCarlos Frederico Confort Campos, Clarice Rosa Olivo, Milton de Arruda Martins, Patricia Zen Tempski
Clinics. 2024;79C:100377
1920
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.
1869
Characteristics and outcome of influenza-associated encephalopathy/encephalitis among children in ChinaMin Yang, Ling Yi, Fenglin Jia, Xiaobin Zeng, Zhongqiang Liu
Clinics. 2024;79C:100475
1869
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.
1623
Evaluation of the RAPID score as a predictor of postoperative morbidity and mortality in patients undergoing pulmonary decortication for stage III pleural empyemaDanilo 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
1623
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.
1612
Low back pain, pelvic pain, and associated factors in type 1 diabetic pregnant womenPatricia Andrade Batista, Cláudia de Oliveira, Rafaela Alkmin da Costa, Rossana Pulcineli Vieira Francisco, Fabio Roberto Cabar
Clinics. 2024;79C:100325
1612
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.
1525
Melatonin improves fertilization rate in assisted reproduction: Systematic review and meta-analysisEduardo 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
1525
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).
1524
Effect of photobiomodulation therapy on pain perception during anesthetic puncture of dental local anesthesia: A systematic reviewCaio 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
1524
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.