Highlights ■ Understanding the composition of urinary calculi is essential for guiding long-term treatment strategies. ■ This is the first study to correlate clinical data with crystallographic analysis of urinary stones. ■ Clinical criteria allow for a high likelihood of accurately identifying stone composition. ■ Clinical findings can serve as valuable tools for guiding treatment decisions. ABSTRACT Objective: This study aimed to evaluate whether clinical, laboratory, and radiological data could effectively identify struvite stones without the need for crystallographic analysis. […]

Highlights The average age was 4.34±2.56 years. Highest prevalence in Brown and White races. Highest prevalence rate was found in the Southeast, followed by the Central-West and South. The majority of analyzed cases progressed to hospitalization. Prevalent respiratory failure, hematemesis, and melena are associated with both. Prevalence of changes in the level of consciousness, which is important at the central nervous system level. ABSTRACT Objective: The prevalent symptoms of severe dengue in pediatric patients are divided into three subgroups: severe […]

Highlights The evaluated method showed moderate reproducibility when compared to the gold standard practice. This new method had a high specificity and a low sensitivity. The observed high range of SpO2 levels between the methods could lead to a wrong patient referral. The use of telemedicine to assess oxygen saturation in patient with dyspnea is a viable resource, although requiring improvement.   ABSTRACT Objective To calculate the positive likelihood ratio to determine whether telemedicine is able to optimize referral to […]

ABSTRACT Objective To determine the proportion of patients with asthma with misperception of poor control of their disease. Methods A cross-sectional study with a convenience sample of patients with asthma and aged ≥18 years. Asthma control was assessed by the Asthma Control Test and the Global Initiative for Asthma questionnaire. The Kappa coefficient was used to analyze the agreement between the results of these tests and the patients’ perception of asthma control, defined by the response to one question of […]

ABSTRACT Objective: To describe the clinical aspects of cases of influenza A(H1N1)pdm09 in Brazil. Methods: A descriptive study of cases reported in Sistema de Informação de Agravos de Notificação (SINAN), 2009-2010. Results: As the final classification, we obtained 53,797 (56.79%) reported cases confirmed as a new influenza virus subtype, and 40,926 (43.21%) cases discarded. Fever was the most common sign, recorded in 99.74% of the confirmed and 98.92% of the discarded cases. Among the confirmed cases, the presence of comorbidities […]

OBJECTIVE: To assess lag time between onset of symptoms and diagnosis of endometriosis in patients followed up at the Outpatients Clinic of Endometriosis and Chronic Pelvic Pain, at the Hospital do Servidor Público Estadual de São Paulo “Francisco Morato de Oliveira”, from January 2003 to November 2009. METHODS: In a retrospective analytical study, a total of 310 women with endometriosis confirmed by surgery and pathological examination were evaluated in the period from January 6, 2003 to November 29, 2009. Data […]