382
Clinical study of the effect of mometasone furoate nasal spray treatment on hearing and in secretory otitis media in childrenXiaoyan Yu, Lang Xu, Youqi Xie, Mengjie Huang
382
Highlights
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The total effective rate of treatment in the observation group was higher than that in the control group.
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The middle ear resonance frequency of the children in the observation group was higher than that of the control group at weeks 4, 8 and 12 of treatment, and the air-conduction hearing threshold was lower than that of the control group.
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The total effective rate of the observation group after 12 weeks of treatment was 92.11 %, which was significantly higher than that of the control group (73.68 %).
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The T-ETDQ score of the observation group was lower than that of the control group after treatment.
340
Behavioral therapies for the treatment of autism spectrum disorder: A systematic reviewClara Lucato dos Santos, Indyanara Inacio Barreto, Ana Carolina Furian da Silva, Juliana Firmino Batista Soriano, Jeferson de Lima Silva Castro, Luca Schiliró Tristão, Wanderley Marques Bernardo
340
Highlights
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Autism Spectrum Disorder (ASD) is a heterogeneous neurodevelopmental disorder.
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With correct screening and diagnosis, treatment must be offered to improve prognosis.
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Adequate treatment in a healthcare setting must be known.
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The Early Start Denver Model (ESDM) showed improvements in the cognitive, verbal, and social aspects.
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Time occasionally can improve some scores independently of the group.
332
The impact of photodynamic therapy on cellular immune function in patients with cervical HPV infectionYan Ju, Qunyan Zhou
332
Highlights
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Photodynamic Therapy (PDT) significantly increased HPV clearance rates in cervical HPV-infected patients.
- •
PDT treatment augmented CD3+ and CD4+ T-cell levels, with sustained elevation observed up to 6 months post-treatment.
- •
A higher CD4+/CD8+ ratio was noted in the PDT group, indicating an enhanced cellular immune response.
- •
Pro-inflammatory cytokines IL-6, IL-8, and TNF-α levels decreased post-PDT, suggesting reduced inflammation.
321
Role of centchroman in regression of fibroadenoma: A 2-arm randomized control trialPriyanka Rai, Soniya Nityanand, Amarjot Singh, Sunil Kumar Singh, Neha Singh, Arvind Kumar Singh, Dhananjay Singh
321
Highlights
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The findings of the study indicate that Centchroman led to a notable reduction in fibroadenoma size, with a significant proportion of patients experiencing more than 50 % regression in their fibroadenomas.
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Patients experienced significant relief from breast pain (mastalgia), showcasing the efficacy of Centchroman in alleviating associated physical discomfort.
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Centchroman led to a significant improvement in anxiety and depression scores, highlighting its positive impact on the psychological health and overall well-being of patients.
284
Pharmacological treatment of antidepressant-induced sexual dysfunction in women: A systematic review and meta-analysis of randomized clinical trialsAntonio Carlos Queiroz de Aquino, Ayane Cristine Alves Sarmento, Raphaell Lucas de Araújo Teixeira, Tâmilly Nascimento Batista, Cijara Leonice de Freitas, José Manuel Pérez Mármol, Lucia Alves Silva Lara, Ana Katherine Gonçalves
284
Highlights
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Sexual dysfunction is a common side effect of antidepressants, especially in women.
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Identifying effective pharmacological treatments for Antidepressant-Induced Sexual Dysfunction (AISD) is crucial for enhancing patient quality of life.
- •
Bupropion at a dose of 150 mg has shown greater effectiveness in treating AISD in women.
- •
The meta-analysis found no direct correlation between improvements in sexual function and reductions in depressive symptoms.
261
Anatomical variations of the marginal mandibular nerveArthur Paredes Gatti, Matheus Trovão Ribeiro, Flávio Hojaij
261
Highlights
- •
Most surgeons underestimate the positional and numerical variations of the Facial Nerve.
- •
About 50% of the Marginal Nerves of the Mandible have more than one subdivision.
- •
Just over half of the branches of the Mandibular Marginal Nerve are found below the lower border of the mandible.
- •
The great anatomical variation of the Mandibular Marginal Nerve is responsible for the majority of postoperative motor sequelae.
238
OSVE or multiple-choice test: Is that a relevant question?Francine Jomara Lopes, Renato Fraga Righetti, Matheus Belloni Torsani, Gustavo Silva Azevedo, Fernando Mauad Sacramento, Iolanda de Fátima Lopes Calvo Tibério
238
Highlights
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OSVE and multiple-choice tests can be used interchangeably in the context of formative assessment.
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OSVE and multiple-choice tests as effective tools to enhance intern training and monitoring.
- •
OSVE holds promise as a transformative tool, capable of ensuring the continuity and integrity of clinical skills assessment in medical education.
237
Mitochondrial DNA alterations in precision oncology: Emerging roles in diagnostics and therapeuticsAlexis Germán Murillo Carrasco, Roger Chammas, Tatiane Katsue Furuya
237
Highlights
- •
Mitochondria regulate cellular functions, and mtDNA mutations can affect metabolism.
- •
mtDNA mutations are promising biomarkers for cancer detection and tumor progression.
- •
These mutations might influence therapy response, drug resistance, and patient outcomes.
- •
Tools and models advance precision oncology and mitochondrial-targeted treatments.
229
The economic impact of Long-Acting Contraceptives (LARCs) on public healthAna Claudia Marcelino, Paula da Cunha Pereira, Luis Bahamondes
229
Highlights
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The use of LARCs reduces unplanned pregnancies.
- •
Single-visit placements of LARCs increase access and uptake.
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Train and allowed nurses on the placement of LARCs is important to women access and uptake.
- •
Expand the knowledge of non-contraceptive benefits of LARCs is important among providers and users.
222
Effect of melatonin on postoperative cognitive function in elderly patients submitted to transurethral resection of the prostate under spinal anesthesiaCristiane Tavares, Cláudia Maia Memória, Luiz Guilherme Villares da Costa, Vinícius Caldeira Quintão, Alberto Azoubel Antunes, Deborah Teodoro, Maria José Carvalho Carmona
222
HIGHLIGHTS
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Perioperative Neurocognitive Disorders (PND) can occur in patients submitted to elective surgical procedures under general or regional anesthesia, especially the elderly.
- •
Circadian rhythm disruptions have harmful effects on cognition and may also play a role in the development of PND.
- •
Melatonin 10 mg administered in the perioperative period of TURP surgery for elderly patients hasn't shown any protective effect against postoperative cognitive decline, mainly because the patients have shown a significant improvement in cognitive functions after the surgery.
218
Association between serum C-reactive protein and low muscle mass among US adults: Results from NHANES 1999 to 2006Ruzheng Lin, Ying Chen, Kai Liu
218
Highlights
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NHANES data from 1999 to 2006 show a positive link between serum CRP levels and low muscle mass risk in US adults.
- •
An inverse J-shaped pattern emerges, indicating a non-linear association between CRP levels and low muscle mass risk, with critical points at 0.273 mg/dL for the overall population, 0.172 mg/dL for males, and 0.296 mg/dL for females.
- •
This nationally representative study underscores the crucial role of inflammation in muscle function and advocates for future research and clinical strategies to address inflammation's impact on muscle mass and function.
205
Prevalence of dry eye in Brazil: Home survey reveals differences in urban and rural regionsLeidiane Adriano Pereira, Laura Braga Arantes, Etiene Lorriane de Souza Persona, Denny Marcos Garcia, Isvander Gustavo de Souza Persona, Regina Celia Nucci Pontelli, Eduardo M. Rocha
205
Highlights
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Dry eye is more frequent in the urban than in the rural population.
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Dry eye is associated with dyslipidemia, visual display terminal, and ocular surface problems.
- •
Dry eye is more frequent in women and the associated factors are associated with antiallergics, chronic pelvic pain, and fibromyalgia.
- •
Dry eye in the elderly has distinct clinical associated factors.
202
Metabolomics in juvenile idiopathic arthritis: A distinct profile in patients under methotrexateRenato B. Tomioka, Gabriela R.V. Ferreira, Nadia E. Aikawa, Gustavo A.R. Maciel, José M. Soares Junior, Edmund C. Baracat, Eloisa Bonfá, Ismael Dale Cotrim Guerreiro da Silva, Clovis Almeida da Silva
202
Highlights
- •
We identified a distinctive pattern of serum metabolic signatures in juvenile idiopathic arthritis patients under methotrexate therapy.
- •
Methotrexate use is associated with a more efficient mitochondrial function.
- •
A decreased mitochondrial metabolism was observed in polyarticular and systemic JIA subtypes, with a decrease of several acylcarnitines’ concentrations.