Highlights ■ De-escalation of axillary surgery has become a priority in  breast cancer treatment. ■ Factors associated with the decision to omit sentinel lymph node biopsy were collected via questionnaire. ■ Sentinel lymph node biopsy was omitted more often by  private doctors and those holding a doctoral degree. ■ Continuing medical education initiatives are needed to update other groups. ABSTRACT Objective: Considering the increasing number of new breast cancer cases and the morbidity associated with axillary lymph node dissection in […]

Highlights ■ Instrument developed to assess medical students’ perceptions of OSCEs. ■ Evidence of strong validity and excellent internal consistency. ■ Formative and summative OSCE modalities were also assessed. ■ Tool supports educational assessment and feedback in medical education. ABSTRACT Objective: To develop, validate, and apply an instrument aimed at assessing medical students’ perceptions of the impact of an Objective Structured Clinical Examination (OSCE), both in its peer-based formative and traditional summative modalities, on clinical learning. Methods: This study used […]

Highlights ■ Brazilian Portuguese translation of SOSGOQ 2.0 scale. ■ First semantic clinical validation of Brazilian SOSGOQ 2.0. ■ Cognitive interviews confirmed clarity and cultural appropriateness. ■ 100% completion with no need for clarification. ■ Ready for large-scale psychometric validation. ABSTRACT Objective: To translate, culturally adapt, and semantically validate the Brazilian Portuguese version of the Spine Oncology Study Group Outcomes Questionnaire 2.0 (SOSGOQ 2.0) through cognitive interviews with patients with spinal metastases. Methods: Following the guidelines of Beaton et al., […]

Highlights ■ First Brazilian Portuguese version of the LT-QOL questionnaire. ■ Translation and cross-cultural adaptation followed COSMIN recommendations. ■ Strong internal consistency (Cronbach’s alpha=0.86). ■ Excellent intra-rater reliability (ICC=0.93). ■ High convergent validity with SF-36 and good correlation  with SGRQ. ■ Provides a disease-specific tool for assessing quality of life after lung transplantation in Brazil. ■ Supports future clinical monitoring and research on transplant outcomes. ABSTRACT Objective: To translate, cross-culturally adapt, and validate the Lung Transplant Quality of Life questionnaire […]

Highlights ■ EDAcw objectively quantifies sweating in patients with hyperhidrosis. ■ Sympathectomy significantly reduced EDAcw and  improved the quality of life. ■ The hands showed a 97% reduction in electrodermal activity postoperatively. ■ EDAcw is a reliable non-invasive tool for clinical evaluation and follow-up. ABSTRACT Objective: To analyze continuous exosomatic electrodermal activity (EDA) without external stimuli (EDAcw) in patients with primary hyperhidrosis before and after sympathectomy. Methods: This prospective study included 28 participants, categorized into two groups. The first group […]

Highlights ■ The return to work rate was 53.7%, with slower and lower reintegration among low-income recipients. ■ Individuals with higher socioeconomic status (Classes A and B) were over twice as likely to return to work compared with lower socioeconomic status. ■ Higher stigma scores were significantly associated with reduced quality of life in Functional Capacity, Mental Health, and Social Functioning domains (p<0.001). ■ Older age (≥51 years), racial disparities, and unemployment before transplantation were strong barriers to occupational reintegration. […]

Highlights ■Most students have a positive attitude towards medical artificial intelligence. ■ Artificial intelligence solutions would be frequently adopted if accurate, fast, and user-friendly. ■ Expectations include work facilitation and increased diagnosis and management speed. ■Most fear losing medical skills to artificial intelligence and desire governmental regulations. ABSTRACT Objective: To assess medical students’ attitudes, knowledge, opinions, and expectations regarding medical artificial intelligence solutions, according to their sex and year of study. Methods: This cross-sectional survey was a single-center study conducted […]

 Highlights ■ The average total QAS-Tele score was 4.71±0.54 out of 5. ■ Higher satisfaction was reported by older adults in the younger age range. ■ Higher satisfaction was reported by individuals currently working. ■ Higher satisfaction was reported by individuals with a higher number of comorbidities. ABSTRACT Objective: This retrospective observational study analyzed satisfaction with a telehealth service in older individuals living in a metropolitan city in Brazil. Methods: Sociodemographic, clinical, and telehealth service details (number of clinical appointments […]

Highlights ■ Net Promoter Scores of 85 and 91 among patients and physicians, respectively, over three years. ■ A total of 99.3% of patients were satisfied with the teleconsultation. ■ A total of 98.5% of physicians reported overall satisfaction with the program. ■ Surveys reflect excellence in telemedicine expert consultation. ABSTRACT Objective: Telemedicine via teleconsultations enhances access to specialized care. However, the degree of satisfaction among patients and providers with this method remains unclear. This study assessed patient and on-site […]

Highlights ■ Performance was <70% in 10 of the 33 items. ■ Lowest performance domains were Oncologic Pain and Opioid Side Effects. ■ Residents in clinical specialties outperformed those in surgical or mixed specialties. ■ Residents with ≥3 years of training outperformed those on their first 2 years. ABSTRACT Objective: To translate, cross-culturally adapt, and validate the Palliative Care Knowledge Questionnaire for PEACE (PEACE-Q) in Brazilian Portuguese. Methods: This study followed five steps: translation, back-translation, cultural adaptation, pre-test, and test-retest. […]