Highlights ■ This single-center study evaluated the frequency and factors associated with invasive ventilation in infants with acute viral bronchiolitis on a pediatric ward. ■ The study revealed an invasive ventilation rate of 6%, associated with age, presence of atelectasis, and Wood-Downes-Ferres score at admission. ■ Many interventions with poor scientific evidence were used. ■ This study highlights the need to implement clinical protocols for the management of acute viral bronchiolitis, including all levels of care, as these infants are […]

ABSTRACT Snakebites from the genus Bothrops account for up to 90% of venomous snakebites in Brazil. Among these species, Bothrops taeniatus is considered rare in Brazil, with only one reported case in the literature. Its venom has a strong hemorrhagic effect but lacks procoagulant activity, which can lead to significant variations in the neutralizing efficacy of anti-Bothrops serum. We describe the first case of severe envenomation by B. taeniatus with rapid recovery following the administration of anti-Bothrops serum in Brazil, […]

Highlights ■ Brazil had a higher upper limb vascular trauma incidence than the US, remaining stable over the years. ■ The region with the highest proportion of cases was the North, followed by the Southeast. ■ The most affected population was young men, with a lethality of 2.37%, comparable to that globally. ■ Most patients did not require intensive care (92.8%), and the average hospital stay was 4.39 days. ABSTRACT Objective: To evaluate the epidemiology of upper limb vascular trauma […]

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 […]