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 ■ 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 […]

Highlights ■ Descriptive analysis of 2,387 patients treated at private and public hospitals. ■ Public patients had a 2.5 fold higher risk of metastasis  at diagnosis when compared to private service patients, and longer hospital stays. ■ Regarding race, Black and mixed-race patients had a higher risk of metastasis at diagnosis than whites and a  lower chance of undergoing advanced surgery techniques such as robotic surgery. ■ Patients aged more than 75 years have statistically worse  overall survival. ABSTRACT Objective: […]

Highlights ■ A total of 32.23% of patients with aneurysms had abdominal or hiatal hernias. ■ Hiatal hernia was the most frequent associated finding. ■ Highest frequencies occurred in hepatic and celiac aneurysms. ■ Findings support future prospective studies. ABSTRACT Objective: This study aimed to assess the prevalence of abdominal and hiatal hernias in patients with aortic, visceral, and renal aneurysms in a quaternary hospital. Methods: Computed tomography angiography reports from 2,597 patients with intra-abdominal aneurysms, collected between January 2005 […]

Highlights ■ A relationship exists between the use of AngioJet and the development of acute kidney injury. ■ Independent factors associated with the development of acute kidney injury include hemoglobin level <10mg/dL in the immediate postoperative period, a 2-point decrease in hemoglobin immediately after surgery, history of previous major surgery, and glomerular filtration rate <60mL/min/ 1.73m² in the first postoperative day. ABSTRACT Objective: To identify the relationship between acute kidney injury (AKI) and the treatment of iliofemoral deep vein thrombosis […]

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 ■ Remote training significantly improved teachers’ knowledge of pediatric eye diseases. ■ Educators were successfully trained to perform visual  screening using the LEA Symbols chart. ■ Distance education increased teachers’ confidence in identifying visual disorders. ■ Remote training may facilitate the early detection of amblyopia in preschool settings. ABSTRACT Objective: We aimed to assess the effectiveness of a remote training program designed to improve the ability of education professionals to conduct visual screening in children aged 2-5 years. Methods: […]