São Paulo medical journal = Revista paulista de medicina
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Comparative Study Observational Study
Occult hepatitis B virus infection in patients with chronic liver disease of different etiology in a Brazilian referral center: comparison of two different hepatitis B virus deoxyribonucleic acid amplification protocols: a cross-sectional study.
Occult hepatitis B virus infection (OBI) is defined as the presence of hepatitis B virus (HBV) deoxyribonucleic acid (DNA) in the liver of individuals with undetectable hepatitis B virus surface antigen (HBsAg) in the serum. The actual prevalence of OBI and its clinical relevance are not yet fully understood. ⋯ In addition to the differences in the prevalence of HBV infection in different regions, variations in the polymerase chain reaction technique used for HBV DNA amplification may be responsible for the large variations in the prevalence of OBI identified in different studies. There is a need for better standardization of the diagnostic methods used to diagnose this entity.
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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.
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Meta Analysis
Quality analysis of prior systematic reviews of carpal tunnel syndrome: an overview of the literature.
Carpal tunnel syndrome (CTS) is a common condition greatly affects patients' quality of life and ability to work. Systematic reviews provide useful information for treatment and health decisions. ⋯ CRD42020172328 (https://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42020172328).
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Attention deficit hyperactivity disorder (ADHD) has a prevalence of 5.3% among children and adolescents. It is characterized by attention deficit, hyperactivity, and impulsivity. ⋯ The participants complied with clinical guidelines, emphasizing the relevance of diagnostic manuals and treatment guidelines for an eminently clinical situation and enabling uniformity in quality treatment.
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The 2019 coronavirus pandemic (COVID-19) has revealed precarious public health conditions worldwide, where serious failures have occurred, similar to the distribution of personal protective equipment (PPE) to physicians in the government of Brazil. ⋯ There was indeed a failure in the context of health service administration, which compromised the second level of the Maslow Scale, safety needs, and exposed these professionals to a greater risk than necessary, compromised the quality of work life, and directly compromised the doctor-patient relationship. The condition of the physicians cannot be forgotten during the COVID-19 pandemic.