Introduction: The new corona virus (2019-nCoV OR HCOV-19 or CoV2), has emerged in China as the main cause of viral pneumonia (COVID-19, Coronavirus Disease-19). Objective: To provide evidence-based Physiotherapy and functionality in patients with adult and pediatric COVID-19. Methods: This is an integrative literature review using the MedLine / PubMed databases, library of Latin American and Caribbean Literature in Health Sciences (LILACS) and Physiotherapy Evidence Database (PEDRo). Results: Part of the patients with covid 19 show signs of respiratory deficiency with hypoxemia, with low severity in children. Impaired functionality is also expected. Conclusion: COVID-19 causes low pulmonary compliance and important changes in lung function with hypoxemia and cardiovascular repercussions. These changes lead to the need for Physiotherapy and the management of oxygen therapy and ventilatory support (invasive and non-invasive) for these patients.
ABSTRACT Purpose: to describe the profile of specialization courses in the field of Orofacial Motricity in Brazil. Methods: an exploratory descriptive study conducted between 2024 and 2025. Data were collected from the e-MEC Platform, filtering for "active" courses in the field of Orofacial Motricity. The analyzed variables included institution type (private or public), teaching modality (distance or in-person), course nomenclature, total, theoretical, and practical workload (for in-person courses), course duration, and geographic distribution. Descriptive analysis was performed using Jamovi software (version 2.3.28). Results: a total of 46 courses was identified, of which 14 (30.43%) were active and offered by institutions. Most courses were provided by private institutions (n=13; 92.86%) and through distance learning (n=8; 57.14%). In-person courses were mainly concentrated in the Northeast region (n=3; 50%). "Orofacial Motricity" was the most commonly used course title (n=6; 42.9%). The average total workload was 544 hours, higher for distance-learning courses (μ: 579 hours) than in-person courses (μ: 497 hours). Course duration ranged from 4 to 25 months (μ: 13.7 months). Conclusion: the study highlighted variations in course availability, modality, workload, and inconsistencies in course nomenclature, emphasizing the need for standardization and transparency.
BACKGROUND:Cutaneous squamous cell carcinoma exhibits a significant disease burden due to local relapses and metastasis. Despite advances in prognosis, little evidence exists on prognostic factors of early and late relapse, which could provide more personalized management and follow-up schedules. METHODS:We conducted a multicenter retrospective cohort study including 23,166 cases of cutaneous squamous cell carcinoma. Patients were categorized into those with early recurrence (≤4 months), late recurrence (>24 months), and no recurrence. Risk factors and tumor characteristics were analyzed to identify patterns associated with early and late relapses. RESULTS:Some risk factors show a different impact depending on the type of recurrence and its timing. Lymphovascular invasion (subdistribution hazard ratios [SHR] = 3.01) and large caliber and deep perineural invasion (SHR = 2.55) show a statistically significant association with early locorregional metastasis, losing impact with time. Poor differentiation shows impact early (SHR = 3.26) and late (SHR = 4.63), with less relevance from 4 to 24 months (SHR = 1.68). Other features keep a similar impact along the whole period. LIMITATIONS:Retrospective cohort study. CONCLUSIONS:Lymphovascular invasion and large caliber and deep perineural invasion are risk factors associated with early locorregional metastasis and should encourage nodal staging at diagnosis. Poor differentiation keeps importance beyond 24 months, and longer follow-up might be recommended in patients with this feature.
OBJECTIVE:To characterize the histopathological subtypes of basal cell carcinoma (BCC) in the lip region, emphasizing common and rare morphological features and determining the proportion of high-risk tumors at this site. STUDY DESIGN:This study analyzed histopathological records of BCCs located in the lip and labial commissure regions in 3 Brazilian dental institutions. Demographic and clinical data were collected. Histopathological evaluation was independently performed by 3 oral pathologists and 1 dermatopathologist, with consensus reached when necessary. Tumors were classified according to contemporary histopathological criteria and stratified by risk based on World Health Organization guidelines. RESULTS:Among 68 lip BCCs, the upper lip was the most frequently affected site (52.9%). The nodular subtype was the most prevalent (52.9%) and predominantly classified as low risk. However, 45.6% of tumors were considered high risk, mainly due to aggressive variants, including micronodular and sclerodermiform patterns, and mixed histological subtypes. Ulcerated lesions tended to be high risk (68.4%; P = .07). Depth of invasion (mean 1.27 mm) showed a tendency toward greater infiltration in high-risk tumors (P = .05). CONCLUSION:Lip BCCs exhibit marked histopathological heterogeneity. Although low-risk nodular tumors predominate, a substantial proportion present high-risk features, reinforcing the importance of detailed histopathological assessment.
Diet quality is an important component of care for patients on peritoneal dialysis (PD), who are at risk of nutritional disturbances. Thus, we aimed to evaluate the intake of food groups among patients on PD from different regions, to compare their intake with that of the general population, and to assess factors independently associated with the consumption of these selected foods. Cross-sectional study including prevalent patients on PD from four of the five Brazilian geographic regions (QUALI-DIET-PD). Participants completed a food frequency questionnaire to assess the intake of four food groups (beans, raw vegetables, cooked vegetables, and fruits), and the prevalence of consumption ≥ 5 times per week were compared between patients across participating centers and with the general population according to the Brazilian national epidemiological surveillance system (VIGITEL). A composite Healthy Foods Score based on the frequency of consumption of four selected plant-based food groups was calculated, with higher scores indicating greater consumption of selected healthy food groups. We included 360 patients (52
