Highlights ■ Posterior cervical spine surgery showed an overall complication rate of 22.3%, mainly surgery-related. ■ Surgical site infection (6.2%) and late reoperation (4.3%) were the most common complications. ■ The average patient age varied by etiology, being the lowest in neoplastic cases (34.4 years) and the highest in degenerative cases (55.7 years). ■ No statistically significant associations were found between complications and patient characteristics, except for a trend toward more complications in urgent surgeries (p=0.085). ■ Mortality was 3.7%, […]

Highlights ■ Most outpatient consultations comprised diagnostic procedures. ■ In the past 12 years, medical care for benign breast diseases has cost >USD 65 million. ■ Women from North and Midwest Brazil had higher diagnosis and treatment displacement rates. ABSTRACT Objective: To quantitatively and geospatially analyze coverage and displacement for the diagnosis and treatment of benign breast diseases in the Brazilian Unified Health System between 2008 and 2019. Methods: Datasets from the Brazilian Ministry of Health were used to survey […]

Highlights Herbal medicinal product use was 3.8%, with high formal prescription; however, it is accompanied by a high risk of interactions and redundancy. Unified Health System pharmacies are not the main source of herbal medicinal products, suggesting low service implementation. Women, people with mental disorders, and allopathy simultaneously users should receive attention. Non-white people are less likely to use herbal medicinal product, suggesting inequalities in accessing these treatments. ABSTRACT Objective: To determine the prevalence and factors associated with herbal medicinal […]

ABSTRACT In Brief Chikungunya fever compromises the functionality and quality of life in the affected individuals, even one year after the acute phase of the disease. Chronically affected people experience direct impairment in performing daily activities, along with a risk of developing other morbidities. Highlights Even after a year, chikungunya fever-affected people experience damage to their physical and mental health. Positive screening for depression risk was 13.5 times more likely in chronically affected. Patients with chronic chikungunya fever had a […]

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 Neck circumference can be used in clinical evaluation for health monitoring. The prevalence of increased neck circumference is high and is associated with relative muscular strength in men and level of moderate and vigorous physical activity and relative muscular strength in women. Neck circumference is an important predictor of low moderate and vigorous physical activity and relative muscular strength in men, and the results are more pronounced in adult and older adult women. We suggest implementing exercise programs to […]

Highlights Seventy-four (33.18%) municipalities in the state of Paraíba registered live births with microcephaly. The highest proportion of cases (23.03%) was concentrated in the capital, João Pessoa. Number of inhabitants, number of cases of Zika virus, water supply, and average household income were associated with a higher proportion of new cases. ABSTRACT Objective To analyze the relationship between microcephaly and social inequality indicators in the state of Paraíba during the biennium January 2015 and December 2016. Methods Ecological study with […]

ABSTRACT Objective Headache and rhinitis are highly prevalent and comorbid. The objective of the present study is to analyze the correlation of headache and rhinitis, in addition to the temporal pattern of these diseases in 17 years, using the Google Trends platform. Methods Google Trends was searched from January 2004 to June 2021, using the entry: [“rinite” (rhinitis) + “dor de cabeça” (headache)” + “Alzheimer” + “enxaqueca” (migraine)]. Migraine, primary headache, and Alzheimer’s, with no clear relation with headache, were […]

ABSTRACT Objective To analyze clinical and sociodemographic characteristics associated with death and hospitalization of healthcare workers due to COVID-19, in addition to calculating the incidence rates per profession. Methods A cross-sectional observational study using secondary open data from the State Health Department of Espírito Santo (ES), Brazil. The cases of COVID-19 in healthcare workers were recorded between February 27 and August 17, 2020, in Espírito Santo, excluding cases with missing information. Results Of the confirmed cases, 75.6% (n=9,191) were female. […]

ABSTRACT Objective To describe the clinical characteristics and treatment of children with sepsis, severe sepsis, and septic shock at a pediatric emergency department of a public hospital. Methods A retrospective, observational study. The medical records of patients included in the hospital Pediatric Sepsis Protocol and patients with discharge ICD-10 A41.9 (sepsis, unspecified), R57 (shock) and A39 (meningococcal meningitis) were evaluated. Results A total of 399 patients were included. The prevalence of sepsis, severe sepsis, and septic shock at the emergency […]