{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T01:18:34Z","timestamp":1765243114440,"version":"3.46.0"},"reference-count":45,"publisher":"Georg Thieme Verlag KG","issue":"12","license":[{"start":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T00:00:00Z","timestamp":1765152000000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq Neuropsiquiatr"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Secondary headaches arise from underlying medical conditions and are associated with significant morbidity and mortality. Their diagnosis relies primarily on a comprehensive clinical history and a thorough physical examination, both aimed at identifying key warning signs. The SNNOOP10 mnemonic is a widely-recognized tool used to screen for potential secondary causes of headache. It consists of a structured checklist of 15 red flags, with validated sensitivity, specificity, and predictive values. However, the original English version may present challenges for healthcare providers who are non-native English speakers.<\/jats:p>\n                  <jats:p>To introduce a culturally-adapted version of the SNNOOP10 mnemonic in Portuguese: \u201cN\u00c3O \u00c9 PRIM\u00c1RIA\u201d (\u201cIT IS NOT PRIMARY\u201d).<\/jats:p>\n                  <jats:p>The authors reorganized the SNNOOP10 red flags into \u201cN\u00c3O \u00c9 PRIM\u00c1RIA\u201d by semantically grouping related items, assigning each letter to a corresponding clinical element and matching the original red flags into each letter of the new acronym. A comparative table and image were developed to ensure clarity.<\/jats:p>\n                  <jats:p>The new mnemonic covers all reorganized items of the SNNOOP10 adapted for Portuguese speakers.<\/jats:p>\n                  <jats:p>\u201cN\u00c3O \u00c9 PRIM\u00c1RIA\u201d is a practical mnemonic that adapts THE SNNOOP10 for Portuguese-speaking settings, based on clinical experience. It requires formal validation, and future studies should assess its diagnostic accuracy and applicability.<\/jats:p>","DOI":"10.1055\/s-0045-1813240","type":"journal-article","created":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T01:05:54Z","timestamp":1765242354000},"page":"001-007","source":"Crossref","is-referenced-by-count":0,"title":["\u201cN\u00c3O \u00c9 PRIM\u00c1RIA\u201d: a Portuguese version of the SNNOOP10 mnemonic"],"prefix":"10.1055","volume":"83","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3441-559X","authenticated-orcid":false,"given":"Davi Coutinho Marcelino Guerra","family":"Leone","sequence":"additional","affiliation":[{"name":"Universidade Federal da Para\u00edba, Centro de Ci\u00eancias M\u00e9dicas, Departamento de Medicina Interna, Servic\u0327o de Neurologia, Jo\u00e3o Pessoa PB, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7714-1868","authenticated-orcid":false,"given":"Antonio Fernando Soares Menezes","family":"Segundo","sequence":"additional","affiliation":[{"name":"Afya Faculdade de Ci\u00eancias M\u00e9dicas da Para\u00edba, Jo\u00e3o Pessoa PB, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6685-7491","authenticated-orcid":false,"given":"Alex T.","family":"Meira","sequence":"additional","affiliation":[{"name":"Universidade Federal da Para\u00edba, Centro de Ci\u00eancias M\u00e9dicas, Departamento de Medicina Interna, Servic\u0327o de Neurologia, Jo\u00e3o Pessoa PB, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,12,8]]},"reference":[{"issue":"182","key":"ref1","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1111\/ijcp.12650","article-title":"The burden of headache: global and regional prevalence of headache and its impact","author":"A Dowson","year":"2015","journal-title":"Int J Clin Pract 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