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Recent Articles

Indications, clinical outcomes and complications of 1,949 flexible bronchoscopies

Altair da Silva Costa Jr, Paulo Rogerio Scordamaglio, Iunis Suzuki, Addy Lidvina Mejia Palomino, Marcia Jacomelli

DOI: 10.31744/einstein_journal/2018AO4380

ABSTRACT Objective To describe indications, clinical outcomes and complications of flexible bronchoscopy. Methods A descriptive observational study of bronchoscopies performed at the endoscopy service of Hospital Israelita Albert Einstein . Demographic (age, gender and origin) and medical (indications and results of endoscopy and diagnostic tests, such as biopsy collection, lavage, cytology and culture) data were analyzed. Electronic medical records with incomplete data or reporting interventional procedures were excluded. Results Over a three-year period (2013 to 2016), a total of 1,949 […]

Suitability of new drugs registered in Brazil from 2003 to 2013 for pediatric age groups

Jaqueline Cristina da Silveira Xavier e Castro ORCID logo , Stephanie Ferreira Botelho ORCID logo , Taisa Roberta Lopes Machado ORCID logo , Maria Auxiliadora Parreiras Martins ORCID logo , Liliana Batista Vieira ORCID logo , Adriano Max Moreira Reis ORCID logo

DOI: 10.31744/einstein_journal/2018AO4354

ABSTRACT Objective To analyze suitability of new drugs registered in Brazil from 2003 to 2013 for pediatric age groups. Methods A descriptive study of drugs with pediatric indication included in a retrospective cohort of new drugs registered in Brazil. The evaluation of drug suitability for the pediatric age group was performed using the following criteria: suitability of dosage form and capacity to deliver the recommended dose. The drugs were considered adequate for the pediatric age groups when they met both […]

Nurse work environment: comparison between private and public hospitals

Bárbara Sharon Maia Pires ORCID logo , Luana Zétula Fernandes de Oliveira ORCID logo , Cibele Leite Siqueira ORCID logo , Liliane Bauer Feldman ORCID logo , Ramon Antônio Oliveira ORCID logo , Renata Cristina Gasparino ORCID logo

DOI: 10.31744/einstein_journal/2018AO4322

ABSTRACT Objective To compare the characteristics of the work environment that enable the professional practice of nurses in private and public organizations. Methods A quantitative, exploratory, cross-section study, carried out in four health organizations – one public and three private, with 188 registered nurses. Participants answered the Brazilian version of the Nursing Work Index − Revised, which aims to evaluate the presence of characteristics that favor the development of nursing activities through 15 items distributed into three subscales: autonomy, control […]

Comparative study of transepidermal water loss in patients with and without hyperhidrosis by closed-chamber measurer in an air-conditioned environment

Andre Miotto ORCID logo , Pedro Augusto Antunes Honda ORCID logo , Thiago Gangi Bachichi ORCID logo , Caio Santos Holanda ORCID logo , Ernesto Evangelista Neto ORCID logo , João Alessio Juliano Perfeito ORCID logo , [...]

DOI: 10.31744/einstein_journal/2018AO4312

ABSTRACT Objective To evaluate the difference in transepidermal water loss in patients diagnosed with hyperhidrosis and healthy subjects, in an air-conditioned environment. Methods Twenty patients diagnosed with hyperhidrosis and 20 healthy subjects were subjected to quantitative assessment using a closed-chamber device, in six previously established sites. Results The measurements showed different transepidermal water loss values for healthy subjects and patients with hyperhidrosis, especially in the hands and feet. In the Control Group, the median for the hands was 46.4g/m2/hour (p25: […]

Influence of grandmothers on exclusive breastfeeding: cross-sectional study

Thelen Daiana Mendonça Ferreira ORCID logo , Luciana Dantas Piccioni ORCID logo , Patricia Helena Breno Queiroz ORCID logo , Eliete Maria Silva ORCID logo , Ianê Nogueira do Vale ORCID logo

DOI: 10.31744/einstein_journal/2018AO4293

ABSTRACT Objective To evaluate the influence of grandmothers of infants on exclusive breastfeeding, from their perspective. Methods A descriptive cross-sectional study was carried out with 91 women from a hospital in the inland state of São Paulo. By means of a questionnaire, the following data were collected: sociodemographic data of the grandmother, mother and child; duration of exclusive breastfeeding of daughter or daughter-in-law; information on kinship of participant and grandchild; kind of help provided by grandmother; and knowledge about breastfeeding. […]

Low birth weight and its associated factors

Andreia Ielpo Magalhães Moreira ORCID logo , Paulo Roberto Moreira de Sousa ORCID logo , Flavio Sarno ORCID logo

DOI: 10.31744/einstein_journal/2018AO4251

ABSTRACT Objective To calculate the frequency and evaluate the factors associated with low birth weight. Methods A retrospective study, with data from pregnant women who participated in the Programa de Atenção às Gestantes do Programa Einstein na Comunidade de Paraisópolis, between 2011 and 2014, and who returned for the postpartum evaluation of their newborns. Variables related to the pregnant woman, pregnancy, and newborn were evaluated. The outcome variable was low birth weight, defined as

Medications used in pediatric cystic fibrosis population

Stella Pegoraro Alves ORCID logo , Márcia de Azevedo Frank ORCID logo , Denise Bueno ORCID logo

DOI: 10.31744/einstein_journal/2018AO4212

ABSTRACT Objective To describe the drug utilization profile used by pediatric cystic fibrosis patients. Methods A transversal study comprising the analysis of records and interviews with caregivers of pediatric patient in a reference center of Southern Brazil. We collected information about patients’ clinical condition, medication used and household therapy. Results Out of 78 patients participating in the study, prevailing characteristics were: female, self-declared white color, mutation F508del and countryside resident. Forty-three patients had health monitoring exclusively in the hospital’s outpatient […]

Efficiency in the operational process: reduction of incorrect entries and guarantee of compliance in the rendering of accounts

Daniela Nobrega Pavão ORCID logo , Monique Buttignol ORCID logo , Adriano José Pereira ORCID logo , Renato Tanjoni ORCID logo , Ederson Haroldo Pereira de Almeida ORCID logo , Patricia Leisnock ORCID logo , [...]

DOI: 10.31744/einstein_journal/2018GS4200

ABSTRACT Objective To verify the impact of the Lean Six Sigma methodology in reducing incorrect entries of non-appropriated revenues and expenses. Methods Process for the review and application of the Lean Six Sigma methodology between December 2015 and September 2016, in a high-complexity general hospital in the city of São Paulo (SP). Results A total of 3,756,814 (100%) entries were audited between December 2015 and September 2016. The Sigma level evolved over the course of the process and increased from […]

Helium-oxygen mixture: clinical applicability in an intensive care unit

Milena Siciliano Nascimento ORCID logo , Érica Santos ORCID logo , Cristiane do Prado ORCID logo

DOI: 10.31744/einstein_journal/2018AO4199

ABSTRACT Objective To evaluate if distress respiratory decreases after using helium-oxygen mixture in pediatric patients diagnosed with bronchospasm. Methods This is a retrospective, non-randomized study that included patients diagnosed with bronchospasm, who received a helium-oxygen mixture at three time points (30, 60, and 120 minutes) according to the organization protocol singular, and were admitted to the intensive care unit, from January 2012 to December 2013. This protocol includes patients with bronchospasm who sustained a modified Wood score of moderate to […]