CLINICS is an electronic journal that publishes peer-reviewed articles in continuous flow, of interest to clinicians and researchers in medical and biomedical sciences.
Edited by: Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP)
Journal Information

Section Index

Low-level red-light therapy for myopia control in children: A systematic review and meta-analysis
Dillan Cunha Amaral, Sávio Batista, Edson dos Santos-Neto, José Eduardo Ferreira Manso, Márcio Penha Morterá Rodrigues, Mário Luiz Ribeiro Monteiro, Milton Ruiz Alves, Ricardo Noguera Louzada
Highlights

  • There is a global increase in childhood myopia and current treatments are limited.

  • LLRL non-invasive therapy shows promise in myopia control.

  • LLRL is promising and requires further studies for standardization and safety.

Full text access
Available online 1 January 2024
Screening and diagnostic tools for autism spectrum disorder: Systematic review and meta-analysis
Clara Lucato dos Santos, Indyanara Inacio Barreto, Idevaldo Floriano, Luca Schiliró Tristão, Antonio Silvinato, Wanderley Marques Bernardo
Highlights

  • Autism Spectrum Disorder (ASD) is a heterogeneous neurodevelopmental disorder.

  • Autism spectrum disorder has a significant impact on the patient and their family.

  • To provide adequate advice is to carry out screening and diagnosis correctly and accurately.

  • Screening test must be applied, M-CHAT-R/F is recommended.

  • For diagnosis CARS and ADOS are the most recommended tools.

Full text access
Available online 1 January 2024
Impulse oscillometry in patients with pulmonary arterial hypertension: an exploratory study
Helena Jannuzzi Villas Bôas, Ilma Aparecida Paschoal, Mônica Corso Pereira
Highlights

  • Impulse Oscillometry (IOS) can be used to analyze lung resistance and reactance in patients with PAH.

  • Patients with PAH show increased resistance and pulmonary reactance compared to healthy individuals.

  • The IOS findings showed a good correlation with the spirometric variables.

Full text access
Available online 1 January 2024
Effect of photobiomodulation therapy on pain perception during anesthetic puncture of dental local anesthesia: A systematic review
Caio Melo Mesquita, Millena Barroso Oliveira, Marcelo Dias Moreira de Assis Costa, Walbert Andrade Vieira, Rafael Rodrigues Lima, Sigmar de Mello Rode, Luiz Renato Paranhos
Highlights

  • Photobiomodulation therapy seems to have little or no effect on pain perception during the anesthetic puncture in patients undergoing dental local anesthesia.

  • Clinical trials found in the literature used different study samples, pain assessment tools, and photobiomodulation therapy protocols.

  • Further randomized studies should be performed with a standardized methodology to strengthen the current evidence.

Full text access
Available online 1 January 2024
Multidisciplinary team for patients with neurocutaneous syndromes: The little discussed importance of dentistry
Marcos Roberto Tovani-Palone, Filippo Bistagnino, Pritik A. Shah
Highlights

  • The inclusion of dentists in multidisciplinary teams for patients with neurocutaneous syndromes is essential, both on an outpatient and hospital basis.

  • Interestingly, dentistry can play a relevant role in the early diagnosis and differential diagnosis of patients with neurocutaneous syndromes.

  • More research in this area is needed.

Full text access
Available online 1 January 2024
Pharmacological treatment for obstructive sleep apnea: A systematic review and meta-analysis
Maria Luísa Nobre, Ayane Cristine Alves Sarmento, Priscila Farias de Oliveira, Felipe Ferreira Wanderley, José Diniz Júnior, Ana Katherine Gonçalves
Highlights

  • Obstructive sleep apnea affects one billion people worldwide and is associated with cardiometabolic risk and cognitive impairment.

  • Drug therapy for the management of sleep apnea has been investigated, but no robust evidence that supports its benefits has been found to date.

  • The combination of noradrenergic and antimuscarinic drugs shows promising results.

Full text access
Available online 1 January 2024
Gastric adenocarcinoma and periodontal disease: A systematic review and meta-analysis
Francisco José Nunes Aguiar, Fabrício dos Santos Menezes, Marcela de Araújo Fagundes, Gisele Aparecida Fernandes, Fabio de Abreu Alves, João Goncalves Filho, Maria Paula Curado
Highlights

  • Patients presenting periodontal disease increased the risk of developing gastric adenocarcinoma by 17 %.

  • The association remained regardless of the diagnostic method for periodontal disease, i.e., clinical examination and self-report.

  • Moreover, Asian patients with periodontal disease had a higher risk of having gastric adenocarcinoma than American and European patients.

Full text access
Available online 1 January 2024
Does bisphenol A (BPA) participates in the pathogenesis of Polycystic Ovary Syndrome (PCOS)?
Lorena Ana Mercedes Lara Urbanetz, José Maria Soares Junior, Gustavo Arantes Rosa Maciel, Ricardo dos Santos Simões, Maria Cândida Pinheiro Baracat, Edmund Chada Baracat
Clinics. 2023;78C:100310
Highlights

  • Bisphenola A (BPA) is an endocrine disruptor widely investigated as a possible environmental contributor to the pathogenesis of Polycystic Ovary Syndrome (PCOS).

  • Due to its structural similarity with the Estrogen molecule (E2), it acts as a xenoestrogen, binding to genomic and non-genomic estrogen receptors, causing metabolic and hormonal changes that lead to PCOS (hyperandrogenism, insulin resistance, hyperinsulinemia, obesity, atherogenic dyslipidemia, anovulation, and ovarian cysts).

  • The aim and of this review were to present the mechanisms of bisphenol A participation in the pathogenesis of Polycystic Ovary Syndrome.

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Epigenetics, hypersensibility and asthma: what do we know so far?
Douglas da Silva Lima, Rahuany Velleda de Morais, Ciliana Rechenmacher, Mariana Bohns Michalowski, Marcelo Zubaran Goldani
Clinics. 2023;78C:100296
Highlights

  • Epigenetics, hypersensibility and asthma: what do we know so far?

  • Asthma can be triggered from epigenetic changes.

  • Early life exposures can contribute to the development and exacerbation of asthma.

  • DNA methylation profile of certain genes is related to asthma and allergy.

  • Nasal epithelium samples have shown promise as a tissue for studying DNA methylation changes related to asthma.

  • To find biomarkers and standardized assays to advance the field of epigenetics in respiratory disorders are still a challenge.

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Diagnostic performance of microRNA-29a in active pulmonary tuberculosis: a systematic review and meta-analysis
Xiaoying Li, Yuehong Xu, Pu Liao
Clinics. 2023;78C:100290
Highlights

  • A meta-analysis was applied to analyze the performance of miRNA-29a in diagnosing active pulmonary tuberculosis.

  • miRNA-29a can be used as a biomarker for the diagnosis of active tuberculosis.

  • Tuberculosis burden and sample type of miRNA-29a may influence its diagnostic performance.

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Clinics

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