12758
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
12758
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.
9779
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
9779
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.
9714
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
9714
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.
9636
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
9636
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.
8006
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
8006
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).
7372
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
7372
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.
6299
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
6299
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.
5854
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
5854
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.
5496
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
5496
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.
5289
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
5289
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.
4830
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
4830
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.
4357
Polidocanol-foam treatment of varicose veins: Quality-of-life impact compared to conventional surgeryLissa 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
4357
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.
3962
Computed tomography attenuation in differential diagnosis of transudative and exudative pleural effusionsAziz Gümüş, Neslihan Özçelik, Bilge Yılmaz Kara, Nur Hürsoy, Neşe Merve Güner Zırıh, Songül Özyurt, Ünal Şahin
Clinics. 2024;79C:100463
3962
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.
3861
Clinical research of fibroscan ‒ TE-CAP at noninvasive diagnosis of hepatic steatosis in childrenShuangzhen Jia, Jianli Zhou, Qiao Zhang, Shaoming Zhou, Zhaoxia Wang, Xiaolin Ye, Jie Wu
Clinics. 2024;79C:100387
3861
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 %.