São Paulo medical journal = Revista paulista de medicina
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Meta Analysis
Can p63 serve as a biomarker for diagnosing giant cell tumor of bone? A systematic review and meta-analysis.
Tumor protein p63 (p63) has been reported to be highly expressed in giant cell tumor of bone (GCTB). Whether p63 can be treated as a diagnostic marker for GCTB remains unclear. ⋯ 164115 (PROSPERO registration number).
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Randomized Controlled Trial
The effect of prophylactic rewarming on postoperative nausea and vomiting among patients undergoing laparoscopic hysterectomy: a prospective randomized clinical study.
Postoperative nausea and vomiting (PONV) is a common complication from general anesthesia that impacts on postoperative recovery. ⋯ ChiCTR-IOR-17012901.
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During a surgical procedure, patients are often subjected to fasting for times that are more prolonged than the ideal, which may lead to complications. ⋯ Prolonged perioperative fasting, especially in the postoperative period, was observed in a sample of patients with gastric and colorectal cancer, and this was an independent predictor of LOS.
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Older adults frequently experience nonspecific clinical features. However, there is limited evidence on how often admission diagnoses for hospitalized older patients are incorrect, potentially leading to treatment delays. ⋯ One out of eight older adults hospitalized from EDs was discharged with a principal diagnosis differing considerably from the admission diagnosis. Given that missed or delayed diagnoses are a critical safety problem, clinicians should be vigilant and frequently cogitate alternative diagnostic possibilities.
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The original structure of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) has been contested in several languages. ⋯ The Brazilian version of WOMAC with two domains, i.e. "pain" (four items) and "physical function" (eight items), presents the best structure.