São Paulo medical journal = Revista paulista de medicina
-
Meta Analysis
Ultrasound techniques for the detection of developmental dysplasia of the hip: a systematic review and meta-analysis.
Developmental dysplasia of the hip (DDH) encompasses a broad spectrum of hip pathologies, including femoral or acetabular dysplasia, hip instability, or both. According to the medical literature, ultrasonography is the most reliable diagnostic method for DDH. Several techniques for the assessment of hips in newborns and infants, using ultrasonography, have been described. ⋯ Identifier: CRD42020189686 at the International Prospective Register of Systematic Reviews (identifier: CRD42020189686).
-
Randomized Controlled Trial
Effectiveness of a SNAPPS in psychiatric residents assessed using objective structured teaching encounters: a case-control study.
Residents play the role of teachers in almost one-quarter of their activities in residency programs. ⋯ This study indicates the efficacy of SNAPPS over traditional case presentation in all three settings as assessed by OSTEs and supports its implementation to improve the teaching of clinical reasoning.
-
Multimorbidity can influence intensive care unit (ICU) admissions and deaths due to coronavirus disease (COVID-19). ⋯ Our results showed an association between multimorbidity, ICU admission, and death in COVID-19 patients in Brazil.
-
The relationship with body image, which is the way the body presents itself to each subject, can be aggravated in children and adolescents diagnosed with an human immunodeficiency virus (HIV) infection, since these patients use antiretroviral therapy and may suffer from the adverse effects of the treatment due to continuous use of medication. ⋯ https://www.crd.york.ac.uk/prospero/ (CRD42021257676).
-
Psoriasis is a systemic, immune-mediated disease characterized by inflammatory manifestations in the skin and joints. Vitamin D deficiency is currently considered a pandemic and is associated with comorbidities including psoriasis and psoriatic arthritis (PsA). ⋯ Hypovitaminosis D (< 30 ng/mL) was highly prevalent in psoriatic patients with and without PsA. Season and skin phototype were associated with 25(OH)D levels. An inverse association between PASI and serum 25(OH)D levels was established.