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Clinics Most often read
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Most often read

23210
Pharmacological treatment of antidepressant-induced sexual dysfunction in women: A systematic review and meta-analysis of randomized clinical trials
Antonio 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
Clinics. 2025;80C:100602
23210
Highlights

  • Sexual dysfunction is a common side effect of antidepressants, especially in women.

  • 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.

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15026
Phyllodes tumors of the breast: A comprehensive review of diagnosis, treatment, and follow-up
Aline Rocha Donato, Rodrigo Goncalves, Jonathan Yugo Maesaka, Fernando Nalesso Aguiar, José Maria Soares, Carlos Alberto Ruiz, José Roberto Filassi, Edmund Chada Baracat
Clinics. 2025;80C:100617
15026
Highlights

  • Molecular and IHC markers aid in objective classification and outcome prediction of PT.

  • Surgery is the gold standard for PT, but margin extent lacks consensus.

  • Local recurrence is key in PT prognosis, with margin status as the main risk factor.

  • Adjuvant radiotherapy lowers recurrence in borderline/malignant PTs with close margins.

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11540
Analysis of the relationship between antidepressants and seizures based on the food and drug administration's adverse event reporting system database
Dan Zou, Qiaozhi Hu, Lei Yu, Bin Wu
Clinics. 2025;80C:100727
11540
Highlights

  • 14 antidepressants show a significant seizure risk association in the FAERS analysis.

  • Bupropion shows the strongest seizure signal with the highest reporting odds ratio.

  • TCAs/tetracyclics elevate seizure risk, particularly clomipramine and maprotiline.

  • SSRIs/SNRIs require safety reconsideration as seizure risk persists.

  • Mirtazapine is linked to seizure risk despite low initial reports.

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11125
Effect of omega-3 polyunsaturated fatty acid on endometriosis
Erniao Liu, Qianting Wang, Yaoxian Bai, Xi Zhang, Jingfang Wang
Clinics. 2025;80C:100654
11125
Highlights

  • ω−3 PUFAs had no significant effect on endometriosis symptoms, such as pain, etc.

  • ω−3 PUFAs could reduce the inflammatory response in patients with endometriosis.

  • The local environment of implants exhibits pre-inflammatory tissue characteristics.

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10150
Diagnosis and management of acute abnormal uterine bleeding during menacme
Gabriela Pravatta-Rezende, Cristina Laguna Benetti-Pinto, Daniela Angerame Yela Gomes, Ana Carolina Japur de Sá Rosa e Silva, José Maria Soares
Clinics. 2025;80C:100608
10150
Highlights

  • Abnormal Uterine Bleeding (AUB) is the leading cause of seeking gynecological care, with data showing that 3 in 10 Brazilian women have this condition, with intermenstrual bleeding standing out.

  • According to the International Federation of Gynecology and Obstetrics (FIGO), cycles lasting less than 24 days or more than 38 days, with menstrual flow lasting eight days or more and blood loss reported by the woman as intense, are considered abnormal.

  • The main causes of AUB are summarized in the mnemonic PALM-COEIN, dividing them into structural and non-structural causes.

  • Diagnosing the etiology of AUB is essential to establish specific treatments, directed at the cause, which can be clinical or surgical, aiming not only to control the amount of blood loss, but also to improve the quality of life of women with AUB.

  • In general, the first line of treatment for AUB is medication, with surgical treatment being intended for failure or contraindication to clinical treatment or in cases of significant hemodynamic instability.

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7475
The effect of the art therapy interventions to alleviate depression symptoms among children and adolescents: a systematic review and meta-analysis
Bo Zhang, Lifang Yang, Wen Sun, Peng Xu, Hui Ma, Azizah binti Abdullah
Clinics. 2025;80C:100683
7475
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7202
Behavioral therapies for the treatment of autism spectrum disorder: A systematic review
Clara 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
Clinics. 2025;80C:100566
7202
Highlights

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

  • With correct screening and diagnosis, treatment must be offered to improve prognosis.

  • Adequate treatment in a healthcare setting must be known.

  • The Early Start Denver Model (ESDM) showed improvements in the cognitive, verbal, and social aspects.

  • Time occasionally can improve some scores independently of the group.

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6509
Premature ovarian insufficiency: Updated concepts in diagnosis and hormonal treatment strategies
Gabriela Pravatta-Rezende, Cristina Laguna Benetti-Pinto, Daniela Angerame Yela, Ana Carolina Japur de Sá Rosa e Silva, Andrea Prestes Nácul, Fernando Marcos dos Reis, Edmund Chada Baracat, José Maria Soares Junior
Clinics. 2025;80C:100745
6509
Highlights

  • Diagnosis and etiology of POI.

  • Hormone therapy as an essential treatment.

  • Fertility preservation strategies.

  • Long-term monitoring and multidisciplinary care.

  • Androgen therapy for sexual dysfunction.

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6180
Normal ranges of the fetal weight determined by ultrasound in the population of the Hospital das Clínicas of the Faculdade de Medicina da Universidade de São Paulo
Eliane Azeka Hase, Amanda Amaral, Stela Verzinhasse Peres, Rossana Pulcineli Vieira Francisco
Clinics. 2025;80C:100616
6180
Highlights

  • Normal ranges of fetal weight as a function of gestational age was created.

  • New parameter, days before birth, was incorporated for normal ranges of fetal weight.

  • Parameter days before birth is useful for estimating fetal weight at scheduled birth.

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4739
Benefits of melatonin on mortality in severe-to-critical COVID-19 patients: A systematic review and meta-analysis of randomized controlled trials
Jinlv Qin, Guizuo Wang, Dong Han
Clinics. 2025;80C:100638
4739
Highlights

  • This study was designed to assess melatonin in severe-to-critical COVID-19.

  • Melatonin significantly reduced in-hospital mortality.

  • Melatonin should be considered for severe-to-critical COVID-19 patients.

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4660
Safety of human serum albumin infusion in heart failure patients with hypoproteinemia: a propensity score-matched analysis
Tongqing Yao, Yinhua Xi, Fei Chen, Hao Lin, Jun Qian, Xuebo Liu
Clinics. 2025;80C:100659
4660
Highlights

  • Heart failure cohort analysis using the MIMIC-III database of 6094 patients.

  • Impact of clinical factors on heart failure prognosis and patient outcomes.

  • Exploring biomarkers associated with heart failure progression and mortality.

  • Data-driven insights into heart failure management from ICU patient data.

  • Predictive modeling of heart failure outcomes based on the MIMIC-III dataset.

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4207
Clinical study of the effect of mometasone furoate nasal spray treatment on hearing and in secretory otitis media in children
Xiaoyan Yu, Lang Xu, Youqi Xie, Mengjie Huang
Clinics. 2025;80C:100551
4207
Highlights

  • The total effective rate of treatment in the observation group was higher than that in the control group.

  • 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.

  • 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 %).

  • The T-ETDQ score of the observation group was lower than that of the control group after treatment.

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4126
Mitochondrial DNA alterations in precision oncology: Emerging roles in diagnostics and therapeutics
Alexis Germán Murillo Carrasco, Roger Chammas, Tatiane Katsue Furuya
Clinics. 2025;80C:100570
4126
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.

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4125
Recognition of medical error: It is not too late for an open disclosure – a narrative review
Ivan Dieb Miziara, Carmen Silvia Molleis Galego Miziara
Clinics. 2025;80C:100622
4125
Highlights

  • Errors during patient care are a huge source of ethical, financial, and even mental problems affecting patients, physicians, and healthcare organizations.

  • Open disclosure is a process for ensuring that open, honest, empathic and timely discussions occur between patients and/or their support person(s) and healthcare staff following a patient safety incident.

  • Physicians may avoid or hide errors or blame other health professionals.

  • Adopting an effective disclosure system, increases the possibility of an agreement between the parties involved, meaning significant savings in financial resources.

  • Patients want some attitudes from their doctors: an explicit statement that an error occurred and an apology.

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4030
Dense breasts and women's health: which screenings are essential?
Bruna Salani Mota, Carlos Shimizu, Yedda N. Reis, Rodrigo Gonçalves, Jose Maria Soares Junior, Edmund Chada Baracat, José Roberto Filassi
Clinics. 2025;80C:100743
4030
Highlights

  • Mammographic density impacts the primary screening process, as dense tissue may mask tumors, resulting in false-negative results.

  • Mammographic density is known to be a risk factor for breast cancer, associated with a 1- to 6-fold increase in the incidence of this disease.

  • In women at average risk, going to annual screening mammography at age 40 has demonstrated a reduction in breast cancer mortality by roughly 20 %.

  • For women at intermediate and high-risk, supplementary modalities such as magnetic resonance imaging, ultrasound, tomosynthesis, and molecular breast imaging may be considered for enhanced screening to increase detection rates.

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3997
Effectiveness of airway clearance techniques versus control in non-hospitalized infants with moderate acute viral bronchiolitis: A randomized controlled clinical trial
Vanesa González-Bellido, Noelia Rama Suárez, Gustavo Adolfo Yánez Yepez, Maria del Carmen Jimeno Esteo, Rubén García Caraballo, Sagrario Mayoralas Alises, Juan Nicolás Cuenca Zaldívar, Márcio Vinícius Fagundes Donadio, ... Samuel Fernández Carnero
Clinics. 2025;80C:100735
3997
Highlights

  • Randomized controlled trial with 4-week follow-up.

  • Supervised ACTs improve short-term outcomes in infants with AVB.

  • ACTs reduce clinical symptoms in viral bronchiolitis.

  • Respiratory rate and retractions improved with physiotherapy.

  • PSE showed greater ABSS and SpO2 improvements vs. AAD and control.

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3658
The association between age at menarche and depression: A systematic review and meta-analysis with meta-regression
Erfan Ghadirzadeh, Mahmood Moosazadeh, Kiarash Shakeriastani, Maryam Zarrinkamar, Mobina Gheibi, Forouzan Elyasi, Mojgan Geran
Clinics. 2025;80C:100695
3658
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3609
Small fiber neuropathy with dysautonomia and positive GPCR and FGFR-3 antibodies after the first BNT162b2 dose
Josef Finsterer, Carla Alexandra Scorza, Fulvio Alexandre Scorza, Ana C. Fiorini
Clinics. 2025;80C:100557
3609
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3532
The effect of the leukoreduction filtration moment on the clinical outcome of transfused patients: A retrospective cohort study
Natasha Dejigov Monteiro da Silva, Lilia de Souza Nogueira, Youko Nukui, Cesar de Almeida-Neto
Clinics. 2025;80C:100633
3532
Highlights

  • Leukoreduction decreases the adverse effects of blood component transfusion.

  • Leukoreduction by pre-storage filtration reduced the length of hospital stay.

  • Leukoreduction by pre-storage filtration reduced hospital deaths.

  • No effect of leukoreduction filtration moment on adverse transfusion reaction.

  • No effect of leukoreduction filtration moment on healthcare-associated infection.

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3205
The impact of using electromyographic biofeedback on pelvic floor rehabilitation in men with post-prostatectomy urinary incontinence: a meta-analysis
Camila Chaves dos Santos Novais, Adélia Regina Oliveira da Rosa Santana, Alisson Rodrigo Moura da Paz, Aline Tenório Lins Carnaúba, Kelly Cristina Lira de Andrade, Pedro de Lemos Menezes
Clinics. 2025;80C:100687
3205
Highlights

  • Urinary incontinence is observed as the main post-prostatectomy complication.

  • Pelvic floor rehabilitation is the first-line treatment for urinary incontinence.

  • Electromyography biofeedback instructs the patient on the correct activation muscle.

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