All publications of “Jacyr Pasternak”

23 results

Challenge in the diagnosis of pulmonary strongyloidiasis

Andrea dos Santos Pereira ORCID logo , Alexandre Gimenes Marques ORCID logo , André Mario Doi ORCID logo , Marinês Dalla Valle Martino ORCID logo , Paula Célia Mariko Koga ORCID logo , Vivian Renata Chiarato ORCID logo , [...]

DOI: 10.31744/einstein_journal/2019AI4441

A 33-years-old man was admitted to the intensive care unit because of alcoholic cirrhosis, cocaine toxicity, and septic shock to be accurately assessed. Further tests were requested. His X-ray did not show compatible patterns with pulmonary strongyloidiasis, blood culture was positive for enterobacteria that produce Klebsiella pneumoniae carbapenemase (KPC), and discrete eosinophylin hemogram and tracheal secretion culture were observed. […]

What is the future of the Brazilian Public Health System?

Jacyr Pasternak ORCID logo

DOI: 10.31744/einstein_journal/2018ED4811

We are the country with the largest population on the planet that has a comprehensive healthcare service, with no “out-of-pocket” payment by end users.() It was clearly inspired by the British model of the National Health Service. The Brazilian system has some aspects that work very well: our vaccination program is excellent and provides more types of vaccines than richer countries.() Our healthcare system for HIV-infected individuals is outstanding. Nevertheless, the Brazilian Unified Health System (SUS – suffers from a […]

Corruption

Jacyr Pasternak

DOI: 10.1590/S1679-45082017ED4239

We all are amazed by the extent of corruption in our political system. We believe corruption is frequent or even the norm, such as to receive money from private construction companies that build for the government, exchanging favors and money for politicians. As an excuse, some entrepreneurs declared that without these favors they would never get the contracts… The corrupted politicians said that without the money given by these companies, they would be unable to pay for their election campaigns, […]

Performance of the dipstick screening test as a predictor of negative urine culture

Alexandre Gimenes Marques, André Mario Doi, Jacyr Pasternak, Márcio dos Santos Damascena, Carolina Nunes França, Marinês Dalla Valle Martino

DOI: 10.1590/S1679-45082017AO3936

ABSTRACT Objective To investigate whether the urine dipstick screening test can be used to predict urine culture results. Methods A retrospective study conducted between January and December 2014 based on data from 8,587 patients with a medical order for urine dipstick test, urine sediment analysis and urine culture. Sensitivity, specificity, positive and negative predictive values were determined and ROC curve analysis was performed. Results The percentage of positive cultures was 17.5%. Nitrite had 28% sensitivity and 99% specificity, with positive […]

Robot-assisted needle insertion for venous catheterization

Jacyr Pasternak

DOI: 10.1590/S1679-45082015MD3374

Vein access can be challenging for a variety of patients. The development of robots-assisted central or peripheral veins puncture would facilitate life of health professionals and patients. New robots are under development for this purpose and probably they will become available for practical use in the near future. These techniques may decrease significantly the cost of medicine, which currently uses less informatics resources than other industries.

Fecal microbiota transplant by push enteroscopy to treat diarrhea caused by Clostridium difficile

Arnaldo José Ganc, Ricardo Leite Ganc, Sílvia Mansur Reimão, Alberto Frisoli Junior, Jacyr Pasternak

DOI: 10.1590/S1679-45082015MD3106

ABSTRACTClostridium difficile is the major etiological agent of pseudomembranous colitis and is found in up to 20% of adult inpatients. The recommended treatment is antibiotic therapy with metronidazole and/or vancomycin. However, the recurrence rate may reach up to 25% and it increases in each episode. The newest alternative to treat diarrhea due to recurrent Clostridium difficile is fecal microbiota transplantation. The procedure was performed in 12 patients, with a 6-month follow-up on 10 of them. Of the ten cases, bacterial […]

1 2 3