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)
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)
11/May/2020
Flávio Carneiro Hojaij , Lucas Albuquerque Chinelatto , Gustavo Henrique Pereira Boog , Júlia Adriana Kasmirski , João Vitor Ziroldo Lopes , Fernando Mauad Sacramento
DOI: 10.6061/clinics/2020/e1923
The coronavirus disease (COVID-19) outbreak started in Wuhan, China, in December 2019, and evolved into a global problem in a short period. The pandemic has led to many social and health-care challenges. In this context, surgery is an area that is facing the need for many adaptations. In this systematic literature review, we analyzed different perspectives concerning this situation, aiming to provide recommendations that could guide surgeons and entities toward screening, elective and emergency surgeries, decision making, and operating room […]
Keywords: Coronavirus; COVID-19; Operation; Recommendations; SARS-CoV-2; Surgery
30/Apr/2020
DOI: 10.6061/clinics/2020/e1921
The current COVID-19 pandemic poses several public health challenges. The demands placed on health services are huge, as is the need to take population protection measures. The impacts are immediately reflected on health teams. They experience increased demands and risks, such as exposure to severe acute respiratory syndrome coronavirus 2, and a compromise of their mental health. Companies are also strongly impacted by the current situation. Some experience increased demands for their products and services, whereas others are affected by […]
Keywords: Coronavirus; COVID-19; SARS-CoV-2
30/Apr/2020
Vitória Andrade Palmeira, Larissa Braga Costa, Lucas Giandoni Perez, Victor Teatini Ribeiro, Katharina Lanza, Ana Cristina Simões e Silva
DOI: 10.6061/clinics/2020/e1928
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a novel virus, was emerged in Wuhan, China, in December 2019. On March 11th, the World Health Organization (WHO) declared the outbreak of coronavirus disease 2019, and termed “COVID-19,” a pandemic. At that point, there were 118,000 confirmed cases and 4,291 victims worldwide (). Since then, researchers around the world have been analyzing the genetic structure, multiplication patterns and the cellular mechanisms of SARS-CoV-2 in vitro and in vivo to identify possible […]
Keywords: Coronavirus; COVID-19; SARS-CoV-2
30/Apr/2020
Clovis Artur Silva , Lígia Bruni Queiroz, Claudia de Brito Fonseca, Luís Eduardo Vargas da Silva, Benito Lourenço, Heloisa Helena Sousa Marques
DOI: 10.6061/clinics/2020/e1931
Recently, coronavirus disease (COVID-19) was declared a pandemic by the World Health Organization (WHO). The virus that causes the emerging infectious disease was designated by the International Committee on Taxonomy of Viruses as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (,). COVID-19 has been reported predominantly in adult patients. The clinical, laboratorial, and radiographic abnormalities for adults with COVID-19 include fever, dry cough, myalgia, fatigue, chest discomfort, respiratory frequency >30/min, blood oxygen saturation <93%, leukopenia, lymphopenia, and chest radiographic or […]
Keywords: Coronavirus; COVID-19; SARS-CoV-2
30/Apr/2020
Renato Assis Machado , Paulo Rogério Ferreti Bonan, Danyel Elias da Cruz Perez, Daniella Reis Barbosa Martelli, Hercílio Martelli-Júnior
DOI: 10.6061/clinics/2020/e1945
To the Editor, In this period of the COVID-19 pandemic, thousands of health schools have bolted into action to maintain theoretical learning activities. With the help of information technology and pedagogical sectors, online manuals and guides are being created so that professors and students have access to them in real-time. The field of medicine has not been any different. Electronic platforms, video conferencing rooms, and social media are being used for daily teaching purposes. Electronic educational platforms are the official […]
Keywords: Coronavirus; COVID-19; SARS-CoV-2
30/Apr/2020
Ricardo Teixeira e Silva , Alexandre Fogaça Cristante , Raphael Martus Marcon , Tarcísio Eloy Pessoa de Barros-Filho
DOI: 10.6061/clinics/2020/e1954
General considerations for surgical assistance during the COVID-19 pandemic It is essential that professionals who provide medical assistance during the pandemic receive adequate training to avoid the infection of patients, companions, and the medical team itself. Strategies for reducing the length of hospital stays and limiting the number of visitors should be encouraged, as well as the isolation of patients with COVID-19 in inpatient units and in operating rooms (ORs) (). Handwashing and hand hygiene with alcohol-based solutions should be […]
Keywords: Coronavirus; COVID-19; SARS-CoV-2
13/Apr/2020
Ana Paula de Carvalho Panzeri Carlotti , Werther Brunow de Carvalho , Cíntia Johnston , Isadora Souza Rodriguez, Artur Figueiredo Delgado
DOI: 10.6061/clinics/2020/e1894
This review aims to verify the main epidemiologic, clinical, laboratory-related, and therapeutic aspects of coronavirus disease 2019 (COVID-19) in critically ill pediatric patients. 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 to standardize the care of critically ill children and […]
Keywords: Coronavirus; COVID-19; Diagnostic Criteria; Infection; Pediatric Critical Care Medicine; SARS-CoV-2; Ventilatory Support
13/Apr/2020
Natália Sousa Freitas Queiroz , Luísa Leite Barros , Matheus Freitas Cardoso de Azevedo , Jane Oba , Carlos Walter Sobrado , Alexandre de Sousa Carlos , [...]
DOI: 10.6061/clinics/2020/e1909
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.
Keywords: Coronavirus; COVID-19; Inflammatory bowel disease; Pandemic; SARS-CoV-2
Andre Tsin Chih Chen , Camila Motta Venchiarutti Moniz , Ulysses Ribeiro-Júnior , Maria Del Pilar Estevez Diz , João Victor Salvajoli , Karina Gondim Moutinho Da Conceição Vasconcelos , [...]
06/Apr/2020
Andre Tsin Chih Chen , Camila Motta Venchiarutti Moniz , Ulysses Ribeiro-Júnior , Maria Del Pilar Estevez Diz , João Victor Salvajoli , Karina Gondim Moutinho Da Conceição Vasconcelos , [...]
DOI: 10.6061/clinics/2020/e1864
In early December 2019, a pneumonia of unknown origin was first diagnosed in Wuhan, China (). The pathogen was identified as a novel coronavirus and was subsequently named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (). On January 30th, 2020, The World Health Organization (WHO) declared coronavirus disease 2019 (COVID-19) a public health emergency of international concern (). As of March 18th, 2020, there were 212,616 laboratory-confirmed cases worldwide (). Governments have responded in various ways to this evolving public […]
Keywords: Coronavirus; COVID-19; SARS-CoV-2
06/Apr/2020
DOI: 10.6061/clinics/2020/e1895
Undoubtedly, we are living in a period of great challenge for the field of medical science. The COVID-19 epidemic is an emerging and rapidly evolving situation that has brought up scientific concepts that were no longer relevant. For a long period of time, we did not experience situations that had such a high mortality rate affecting entire populations, or diseases that followed their natural courses with little prospect of treatment or reversal of their clinical presentation. Though we are accustomed […]
Keywords: Coronavirus; COVID-19; SARS-CoV-2