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15
Ischemic stroke in 455 COVID-19 patients
Josef Finsterer, Fulvio Alexandre Scorza, Carla Alessandra Scorza, Ana Claudia Fiorini
Clinics. 2022;77C:100012
15
Highlights

  • Ischemic stroke in COVID-19 is multifactorial but predominantly embolic.

  • Ischemic stroke in COVID-19 predominantly affects males and the anterior circulation.

  • Frequency of ischemic stroke has not increased since the outbreak of the pandemic.

Acceso a texto completo
15
Arterial stiffness and atrial fibrillation: A review
João Gabriel Batista Lage, Alexandre Lemos Bortolotto, Mauricio Ibrahim Scanavacca, Luiz Aparecido Bortolotto, Francisco Carlos da Costa Darrieux
Clinics. 2022;77C:100014
15
Highlights

  • The increase of arterial stiffness at younger ages has been considered a strong predictor of cardiovascular outcomes.

  • Elevated “pulsatile load”, which translates into elevated arterial stiffness, would lead to a cascade of phenomena (left atrium distension, neurohormonal activation and inflammatory response), that in their final common path would lead to the development of atrial fibrillation.

  • A genetic predisposition for a higher arterial stiffness index was unidirectionally associated with an increase in incidence risk and prevalence of atrial fibrillation. These results are consistent with a causality association between arterial stiffness and atrial fibrillation.

  • A knowledge gap to be clarified is whether a reduction in arterial stiffness could lead to a decrease in atrial arrhythmia burden, from frequent atrial ectopic beats to atrial fibrillation. Another knowledge gap is the possible rule of arterial stiffness in the so-called “pre-fibrillatory stage”.

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14
Higher visceral adiposity index is associated with increased likelihood of abdominal aortic calcification
Zheng Qin, Luojia Jiang, Jiantong Sun, Jiwen Geng, Shanshan Chen, Qinbo Yang, Baihai Su, Ruoxi Liao
Clinics. 2022;77C:100114
14
Highlights

  • Higher Adiposity Index (VAI) tertile shows higher rates of Abdominal Aortic Calcification (AAC).

  • Each unit increase in VAI was associated with 4% higher likelihood of severe AAC.

  • Increased visceral adiposity evaluating by VAI associated with a higher AAC score.

  • This positive relationship was more significant in normal weight population.

Acceso a texto completo
14
Medical errors, medical negligence and defensive medicine: A narrative review
Ivan Dieb Miziara, Carmen Silvia Molleis Galego Miziara
Clinics. 2022;77C:100053
14
HIGHLIGHTS

  • This article defines medical errors and medical responsibility from a Brazilian perspective.

  • This article calls attention to the risks of medical liability and the unethical use of defensive medicine.

  • The authors propose some procedures and attitudes to avoid medical errors like the use of technology at the bedside and computer-based protocols.

  • The authors state that a good and ethical medical practice can avoid medical liability.

Acceso a texto completo
13
Efficacy and safety of potassium-competitive acid blockers versus proton pump inhibitors as Helicobacter pylori eradication therapy: a meta-analysis of randomized clinical trials
Mengran Zhang, Mingge Pang, Mei Zhang
Clinics. 2022;77C:100058
13
HIGHLIGHTS

  • The efficacy of P-CAB-based triple therapy is superior to that of PPI-based triple therapy as a first-line approach to H. pylori eradication, particularly in Japanese patients.

  • P-CABs were not superior to PPIs as a salvage triple eradication therapy.

  • The safety and tolerability of P-CAB are comparable to PPI in H. pylori triple eradication therapies.

  • Further large RCTs conducted in multiple regions and countries are necessary.

Acceso a texto completo
10
Cervical cancer screening in low- and middle-income countries: A systematic review of economic evaluation studies
Carmen Phang Romero Casas, Rita de Cássia Ribeiro de Albuquerque, Rafaela Borge Loureiro, Angela Maria Gollner, Marina Gonçalves de Freitas, Graciela Paula do Nascimento Duque, Juliana Yukari Kodaira Viscondi
Clinics. 2022;77C:100080
10
Highlights

  • Screening and early detection programs are a cornerstone of cervical cancer prevention.

  • Human papillomavirus DNA-based testing reduced the incidence of CC below per capita GDP.

  • Cost-effectiveness of HPV testing versus cytology in Low- and Middle-Income Countries.

Acceso a texto completo
10
microRNA-181a-5p impedes the proliferation, migration, and invasion of retinoblastoma cells by targeting the NRAS proto-oncogene
Ming Ouyang, Guiqin Liu, Cheng Xiong, Jing Rao
Clinics. 2022;77C:100026
10
Highlights

  • miR-181a-5p expression was found to be decreased in retinoblastoma tissues and cell lines.

  • miR-181a-5p reduced retinoblastoma cell proliferation, migration, and invasion while enhancing apoptosis.

  • NRAS is a direct target of miR-181a-5p.

Acceso a texto completo
9
Cognitive-behavioral group therapy for women with hypoactive sexual desire: A pilot randomized study
Théo Lerner, Vicente Renato Bagnoli, Elsa Aida Gay de Pereyra, Lucivanda Pontes Fonteles, Isabel Cristina Esposito Sorpreso, José Maria Soares Júnior, Edmund Chada Baracat
Clinics. 2022;77C:100054
9
Highlights

  • Group cognitive-behavioral therapy (CBT) have a positive influence on women's sexuality.

  • Group CBT was shown to be an effective tool for treating Hypoactive Sexual desire disorder in women.

  • Group CBT can be a short-term focal intervention carried out by gynecologists specialized in sexual health.

  • Group CBT can be used in a high-complexity care setting.

Acceso a texto completo
9
Melatonin protects against ovarian damage by inhibiting autophagy in granulosa cells in rats
Yan Liu, Xiaohe Zhu, Chunli Wu, Yan Lang, Wenjie Zhao, Yanmin Li
Clinics. 2022;77C:100119
9
Highlights

  • Melatonin (MT) plays a similar role in ovarian damage as 3-MA does.

  • MT confers protection against ovarian damage in vivo and in vitro.

  • MT exerts its protective effects by inhibiting the PI3K/AKT/mTOR signaling pathway.

Acceso a texto completo
9
Exosomal miR-152-5p and miR-3681-5p function as potential biomarkers for ST-segment elevation myocardial infarction
Xiaozhu Chen, Fengrong Huang, Yunhong Liu, Shujun Liu, Gangwen Tan
Clinics. 2022;77C:100038
9
Highlights

  • RT3D-STE and exosome miRNAs can be used as a hierarchical diagnostic system in AMI.

  • Exosomal miR-152-5p and miR-3681-5p function as potential biomarkers for ST-segment elevation myocardial infarction.

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