São Paulo medical journal = Revista paulista de medicina
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Contamination of the breathing circuit and medication preparation surface of an anesthesia machine can increase the risk of cross-infection. ⋯ The study findings underscore the inadequate disinfection of the inspiratory and expiratory branches, highlighting the importance of stringent cleaning and disinfection of high-touch surfaces.
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Meta Analysis
Emicizumab prophylaxis in people with hemophilia A and inhibitors: a systematic review and meta-analysis.
Until recently, the treatment of people with hemophilia A and inhibitors (PwHAi) was based on the use of bypassing agents (BPA). However, the advent of emicizumab as prophylaxis has demonstrated promising results. ⋯ CRD42021278726, https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=278726.
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Meta Analysis
Suicide ideation and psychotropic recreational drug use by adolescents: a systematic review and meta-analysis.
Adolescence is characterized by complex and dynamic changes, often involving experimentation, including the use of psychotropic substances. Although it is well-established that recreational psychotropic drugs are associated with suicide ideation in adults, evidence of this association in adolescents remains limited. ⋯ Registered in the PROSPERO database under the identification number CRD42021232360. https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021232360.
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Randomized Controlled Trial Comparative Study
Comparison between use of a pleural drainage system with flutter valve and a conventional water-seal drainage system after lung resection: a randomized prospective study.
There is still a debate regarding the most appropriate pleural collector model to ensure a short hospital stay and minimum complications. ⋯ RBR-85qq6jc (https://ensaiosclinicos.gov.br/rg/RBR-85qq6jc).
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Multicenter Study
Maternal and perinatal outcomes of minimally invasive fetal surgeries: experience from two reference centers in Rio de Janeiro, Brazil.
Concerns regarding high open surgery-related maternal morbidity have led to improvements in minimally invasive fetal surgeries. ⋯ Despite the small sample size, we demonstrated that minimally invasive fetal surgeries are safe for pregnant women. Perinatal mortality and prematurity rates in this study were comparable to those previously. Prematurity remains the most significant problem associated with fetal surgery.