Success predictive factors of a multimodal treatment consisting of Manual Therapy, Therapeutic Exercises and Pain Education in individuals with Temporomandibular Disorders

开始日期2023-01-01

申办/合作机构

Faculdade De Medicina De Ribeirão Preto

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RBR-5x7z9zf / RecruitingN/AIIT

Effects of acute modafinil administration on learning conditional relationships and emergence of stimulus equivalence in the elderly

开始日期2022-10-15

申办/合作机构

Faculdade De Medicina De Ribeirão Preto

[+1]

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401

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2024-09-01·IJID Regions

Multisystem inflammatory syndrome in children across 16 Latin American countries: A multicenter study from the REKAMLATINA Network

Article

作者: Luciani, Kathia ; Espada, Graciela ; Cantillano, Edwin M ; Chacon-Cruz, Enrique ; Llamas-Guillén, Beatriz A ; Martínez-Ramírez, Rogelio O. ; Yamazaki-Nakashimada, Marco A ; Ulloa-Gutierrez, Rolando ; Duarte-Passos, Saulo ; Criales, Javier ; Velásquez-Méndez, Mónica ; Aguilar, Karla L Borjas ; Yamazaki-Nakashimada, Marco A. ; Silfa, Claribel ; Cantillano, Edwin M. ; García-Silva, Jimena ; Llamas-Guillén, Beatriz A. ; Fernández-Sarmiento, Jaime ; Álvarez-Olmos, Martha I. ; Tremoulet, Adriana H. ; Álvarez-Olmos, Martha I ; Tremoulet, Adriana H ; del Águila, Olguita ; Cervi, Maria C. ; Estripeaut, Dora ; Villarreal-Treviño, Ana V. ; Ivankovich-Escoto, Gabriela ; Saltigeral-Simental, Patricia ; Villarreal-Treviño, Ana V ; Martínez-Ramírez, Rogelio O ; Gutiérrez, Iván F ; Fabi, Mariana ; Camacho-Moreno, German ; Faugier-Fuentes, Enrique ; Del Águila, Olguita ; Gutiérrez, Iván F. ; Castillo-Bustamante, David ; Cervi, Maria C ; Pérez-Camacho, Paola ; García-Domínguez, Miguel ; Aguilar, Karla L. Borjas

ObjectivesOur aim was to describe the epidemiology and outcomes of multisystem inflammatory syndrome in children (MIS-C) in Latin America.MethodsWe conducted an observational, retrospective, and prospective multicenter study that gathered information from 84 participating centers across 16 Latin American countries between August 1, 2020 and June 30, 2022.ResultsOf the 1239 reported children with MIS-C, 84.18% were previously healthy. The most frequent clinical manifestation in our studied population was abdominal pain (N = 804, 64.9%), followed by conjunctival injection (N = 784, 63.3%). The median duration of fever at the time of hospital admission was 5 days and a significant number of subjects required admission to an intensive care unit (N = 589, 47.5%). Most of the subjects (N = 1096, 88.7%) were treated with intravenous immunoglobulin, whereas 76.7% (N = 947) were treated with steroids, of whom 10.6% (N = 100) did not receive intravenous immunoglobulin. The death rate attributed to MIS-C was 4.88%, with a rate of 3.39% for those initially diagnosed with MIS-C and 8.85% for those whose admission diagnosis was not MIS-C (P <0.001, odds ratio 2.76, 95% confidence interval 1.6-4.6).ConclusionsOne of the most significant findings from our study was the death rate, especially in those not initially diagnosed with MIS-C, in whom the rate was higher. This highlights the importance of increasing awareness and making an earlier diagnosis of MIS-C in Latin America.

2024-05-01·Brazilian Journal of Otorhinolaryngology

Position paper of diagnosis and treatment of post-extubation laryngitis in children: a multidisciplinary expert-based opinion

Article

作者: Ricachinevsky, Claudia Pires ; Chone, Carlos Takahiro ; Gavazzoni, Fabiano Bleggi ; Pazinatto, Débora Bressan ; Brandão, Marcelo Barciela ; Avelino, Melissa Ameloti Gomes ; Miura, Carolina Sponchiado ; Andreolio, Cinara ; Peixoto, Fernanda Aparecida de Oliveira ; João, Paulo Ramos David ; Maunsell, Rebecca ; Possas, Silmara Aparecida ; Volpe, Daniele da Silva Jordan ; Silveira, Rita C ; Lubianca Neto, Jose Faibes ; Souza, Paula Pires de ; Ferri, Walusa Assad Gonçalves ; Caldas, Jamil Pedro de Siqueira ; Schweiger, Cláudia

OBJECTIVESTo make recommendations on the diagnosis and treatment of post-extubation laryngitis (PEL) in children with or without other comorbidities.METHODSA three-iterative modified Delphi method was applied. Specialists were recruited representing pediatric otolaryngologists, pediatric and neonatal intensivists. Questions and statements approached topics encompassing definition, diagnosis, endoscopic airway evaluation, risk factors, comorbidities, management, and follow-up. A consensus was defined as a supermajority >70%.RESULTSStridor was considered the most frequent symptom and airway endoscopy was recommended for definitive diagnosis. Gastroesophageal reflux and previous history of intubation were considered risk factors. Specific length of intubation did not achieve a consensus as a risk factor. Systemic corticosteroids should be part of the medical treatment and dexamethasone was the drug of choice. No consensus was achieved regarding dosage of corticosteroids, although endoscopic findings help defining dosage and length of treatment. Non-invasive ventilation, laryngeal rest, and use of comfort sedation scales were recommended. Indications for microlaryngoscopy and bronchoscopy under anesthesia were symptoms progression or failure to improve after the first 72-h of medical treatment post-extubation, after two failed extubations, and/or suspicion of severe lesions on flexible fiberoptic laryngoscopy.CONCLUSIONSManagement of post-extubation laryngitis is challenging and can be facilitated by a multidisciplinary approach. Airway endoscopy is mandatory and impacts decision-making, although there is no consensus regarding dosage and length of treatment.

2023-12-01·American Journal of Gastroenterology

S148 Long-Term Quality-of-Life and Functional Outcomes After Ileal Pouch-Anal Anastomosis for Ulcerative Colitis

作者: Silva, Israel Goncalves ; Ribeiro da Rocha, José Joaquim ; Parra, Rogério Serafim ; Féres, Omar ; Feitosa, Marley Ribeiro ; da Costa Ferreira, Sandro

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