Highlights ■ Most acute flood-related presentations were managed on site. ■ Wound care predominated among post-flood procedures. ■ Point-of-care testing prioritized dengue and influenza. ■ Psychological support was integrated into frontline disaster care. ABSTRACT Objective: Floods are the most common natural disasters worldwide, and their health impacts are exacerbated by climate change and population vulnerability. Humanitarian missions are essential for providing rapid and sustained medical care in disaster settings. However, evidence regarding the clinical and procedural aspects of multidisciplinary care […]

Highlights ■ 30-day unplanned readmission rate was 21.13% across the cohort. ■ Random Forest and LightGBM showed the best-balanced model performance. ■ Prior Emergency Department visits, labs, and vital signs were key readmission predictors. ■ Both models achieved median AUC 0.70 with consistent performance. ABSTRACT Objective: This study aims to develop Machine Learning models to predict 30-day unplanned readmissions in cancer patients treated at a private hospital in Brazil. Methods: This retrospective cohort study included admission records of hospitalizations lasting […]

Highlights ■ Dental service production declined sharply during the COVID-19 pandemic. ■ Recovery remained incomplete across all dental service indicators during 2022–2025. ■ Oral health promotion and prevention activities showed the largest reductions. ■ Recovery patterns varied markedly across Brazilian Federative Units. ABSTRACT Objective: To analyze changes in dental service production in Brazilian Primary Health Care from 2015 to 2025 and characterize pandemic-associated disruption and post-pandemic recovery by procedure type and Federative Unit. Methods: This ecological interrupted time-series study used […]

Highlights ■ Oral and tracheal pathogens persisted throughout mechanical ventilation. ■ S. aureus showed consistent oral-tracheal correlations at both time points. ■ Tracheal K. pneumoniae load increased after 48 hours and  exceeded oral load. ■ The oral microbiota may contribute to lower respiratory tract colonization and systemic infection. ABSTRACT Objective: To investigate the prevalence, co-occurrence, and temporal dynamics of Staphylococcus aureus, Klebsiella pneumoniae, Streptococcus pneumoniae, and Pseudomonas aeruginosa in oral and tracheal samples from critically ill patients receiving mechanical ventilation. […]

Highlights ■ Most referral letters lacked essential clinical information. ■ Lesion size and limits were rarely documented in referrals. ■ High-risk oral lesions often had incomplete documentation. ■ Standardized templates may improve early oral cancer detection. ABSTRACT Objective: In the Brazilian public health system, referral letters, issued by general dentists and physicians who perform initial clinical assessments, is the main source of information in arriving at a final diagnosis. However, the consistency and completeness of the referral letters remain poorly […]

Highlights ■ Caregivers of children with autism spectrum disorder reported higher caregiver burden. ■ Children with autismo spectrum disorder showed greater dependence in activities of daily living. ■ Overall quality of life was similar between groups, but specific items differed. ABSTRACT Objectives: This study aimed to compare quality of life and caregiver burden between caregivers and guardians of children with autism spectrum disorder and those of neurotypical children. Methods: A total of 124 caregivers participated and were assigned to two […]

Highlights ■ Oral swabs were collected at birth and analyzed by nested polymerase chain reaction for T. pallidum DNA. ■ A high prevalence of enamel hypoplasia, Hutchinson-like incisors, and molar defects was observed at 6-10 years of age. ■ Molecular detection in oral samples suggests possible persistence of treponemal DNA or residual genetic material. ■ Integrating oral examinations into postnatal care programs may support long-term monitoring of children exposed to maternal syphilis. ABSTRACT Objective: To investigate oral manifestations and the […]

Highlights ■ Utilization scores were higher than accessibility scores in both family health teams and oral health teams. ■ The performance of accessibility was predominantly low in both service modalities. ■ Among oral health teams users, few differences were observed across participant characteristics. ■ Utilization was higher among older, vulnerable, and chronically ill family health teams users. ABSTRACT Objective: In this study, we aimed to evaluate the primary health care attribute of first-contact access from the perspective of users of […]

Highlights ■ The 1- and 5-year survival rates in extended criteria donor  group were 89.5% and 82.5%, respectively. ■ Eurotransplant extended criteria donor status alone was not correlated with inferior survival outcomes. ■ The BAR score was the only model associated with mortality and graft loss. ■ Each one-point BAR increased mortality by 7.3% and graft loss by 17.4. ABSTRACT Objective: This study aimed to evaluate the association between the use of extended criteria donors and post-transplant outcomes in a […]

Highlights ■ Cow’s milk oral immunotherapy maintained desensitization over five years. ■ Anaphylactic reactions were more frequent during the first maintenance year. ■ The risk of eosinophilic esophagitis persisted throughout follow-up. ■ Continuous monitoring for allergic reactions and esophagitis symptoms is required. ABSTRACT Objective: To describe the long-term outcomes of patients undergoing oral immunotherapy for cow’s milk allergy in a pediatric allergy clinic, focusing on treatment efficacy and adverse reactions over 5 years of follow-up. Methods: This retrospective cohort study […]