Author: Clinics

Medical care for spinal diseases during the COVID-19 pandemic [Originally published in Clinics, vol. 75]

To guide specialists involved in the treatment of spinal disorders, this editorial summarizes the recommendations of the North American Spine Society, the American College of Surgeons, and the document signed by the Brazilian Spine Society, the Brazilian Society of Neurosurgery, and the Brazilian Society of Orthopedics and Traumatology. Available in English. Image:
Meta Zahren
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I am having trouble keeping up with virtual teaching activities: Reflections in the COVID-19 era [Originally published in Clinics, vol. 75]

In theory, we have been able to adapt these practices for teaching medicine. However, the title of this text (“I am having trouble keeping up with virtual teaching activities”) stems from a recurring complaint, and it elicits a deep reflection on whether we, professors and students, are capable of assimilating extensive knowledge in a short period while remodeling the entire education system. Available in English. Image: Allie. Read More →

Do we have enough evidence to use chloroquine/hydroxychloroquine as a public health panacea for COVID-19? [Originally published in Clinics, vol. 75]

Although chloroquine/hydroxychloroquine might yield promising results, they should not be announced as a cure by politicians and the mass media, as they have never been tested as treatments for Coronaviridae viruses. Clinical trials are ongoing during the course of this pandemic, yet no scientific evidence has been found to support the widespread use of these medications. Available in English. Image: analuisa gamboa. Read More →

A company doctor’s role during the COVID-19 pandemic [Originally published in Clinics, vol. 75]

Doctors working in companies must use their technical knowledge to ensure the best actions to protect the health of the workers. Concurrently, they must be aware of the work environment and the production process to suggest the best adaptations. In the current pandemic situation, the role of a doctor in a company has been strategic in ensuring the best health conditions at the workplace. Available in English. Image: Marcelo Leal. Read More →

Spotlight for healthy adolescents and adolescents with preexisting chronic diseases during the COVID-19 pandemic [Originally published in Clinics, vol. 75]

In conclusion, spotlight and recommendations for healthy adolescents and adolescents with preexisting chronic diseases during the COVID-19 pandemic should be reinforced for all subjects, particularly for those under quarantine/lockdown. Further studies will be necessary to clarify and to assess specific adolescent populations during this emerging infectious disease pandemic. Available in English. Image: Kate Trifo. Read More →

COVID-19 Diagnostic and Management Protocol for Pediatric Patients [Originally published in Clinics, vol.75]

An extensive review of the medical literature on COVID-19 was performed, mainly focusing on the critical care of pediatric patients, considering expert opinions and recent reports related to this new disease. Experts from a large Brazilian public university analyzed all recently published material to produce a report aiming tostandardize the care of critically ill children and adolescents. Available in English. Read More →

Management of inflammatory bowel disease patients in the COVID-19 pandemic era: a Brazilian tertiary referral center guidance [Originally published in Clinics, vol.75]

The world is fighting the COVID-19 outbreak and health workers, including inflammatory bowel diseases specialists, have been challenged to address the specific clinical issues of their patients. We hereby summarize the current literature in the management of inflammatory bowel disease (IBD) patients during the COVID-19 pandemic era that support the rearrangement of our IBD unit and the clinical advice provided to our patients. Available in English. Read More →

La importancia de las publicaciones científicas en tiempos de crisis pandémica [Originalmente publicado en Clinics, vol.75]

Aunque estamos acostumbrados al concepto de evidencia científica que se basa preferiblemente en grandes ensayos clínicos que demoran años en completarse, ahora debemos confiar en estudios de casos, estudios de cohortes individuales e incluso las opiniones de expertos. Sin embargo, sabemos que no podemos perder de vista los criterios para la medicina basada en evidencia, y debemos recordar evaluar todos los posibles sesgos existentes en este tipo de información científica sin limitar su difusión. Disponible solo en inglés. Read More →

¿Cómo deben prepararse los sistemas de salud para la evolución de la pandemia de COVID-19? Reflexiones desde la perspectiva de un Centro de Cáncer Terciario [Originalmente publicado en Clinics, vol.75]

A la luz de los datos emergentes, discutimos temas a considerar mientras los sistemas de salud sistematizan sus respuestas. No estamos tratando de predecir el futuro, sino de presentar escenarios potenciales. Aquí, ofrecemos la perspectiva de ICESP, un centro de referencia de cáncer terciario financiado con fondos públicos en Brasil. El editorial actual no representa posiciones institucionales o gubernamentales. Las políticas formales tardan en recibir la aprobación oficial. Disponible solo en inglés. Read More →