09/Mar/2021
Sinus computed tomography findings in patients with COVID-19
DOI: 10.31744/einstein_journal/2021AO6255
ABSTRACT Objective: To analyze computed tomography scans of paranasal sinuses of a series of patients with coronavirus disease 2019, and correlate the findings with the disease. Methods: Computed tomography scans of 95 adult patients who underwent a polymerase chain reaction test for severe acute respiratory syndrome coronavirus 2 were analyzed. Clinical data were obtained from patients’ records and telephone calls. Paranasal sinus opacification was graded and compared according to severe acute respiratory syndrome coronavirus 2 positivity. Results: Of the patients […]
Keywords: Coronavirus infections; Paranasal sinuses; Rhinitis; Tomography, x-ray computed
05/Mar/2021
Differential diagnoses of acute ground-glass opacity in chest computed tomography: pictorial essay
DOI: 10.31744/einstein_journal/2021RW5772
ABSTRACT Ground-glass opacity is a very frequent and unspecified finding in chest computed tomography. Therefore, it admits a wide range of differential diagnoses in the acute context, from viral pneumonias such as influenza virus, coronavirus disease 2019 and cytomegalovirus and even non-infectious lesions, such as vaping, pulmonary infarction, alveolar hemorrhage and pulmonary edema. For this diagnostic differentiation, ground glass must be correlated with other findings in imaging tests, with laboratory tests and with the patients’ clinical condition. In the context […]
Keywords: Coronavirus infections; COVID-19; Diagnosis, differential; Pandemics; SARS-CoV-2; Thorax/diagnostic imaging; Tomography, x-ray computed
26/Feb/2021
Impact of the COVID-19 pandemic stay at home order and social isolation on physical activity levels and sedentary behavior in Brazilian adults
einstein (São Paulo). 26/Feb/2021;19:eAE6156.
View Article26/Feb/2021
Impact of the COVID-19 pandemic stay at home order and social isolation on physical activity levels and sedentary behavior in Brazilian adults
DOI: 10.31744/einstein_journal/2021AE6156
ABSTRACT Objective To investigate the impact of the coronavirus 2019 pandemic on physical activity levels and sedentary behavior among Brazilians residents aged ≥18 years. Methods An online survey was distributed through a social media platform between May 5 and 17, 2020. Participants completed a structured questionnaire in Google Forms, which assessed the physical activity level and sedentary behavior of adults in Brazil during the pandemic. Results Age (OR: 0.98; 95%CI: 0.97-0.99), chronic disease (OR: 1.29; 95%CI: 1.03-1.63), physical inactivity before […]
Keywords: Coronavirus; Coronavirus infections; COVID-19; Physical inactivity; Quarantine; Sedentary behavior; Sedentary lifestyle
17/Dec/2020
Impact of COVID-19 pandemic on care of oncological patients: experience of a cancer center in a Latin American pandemic epicenter
einstein (São Paulo). 17/Dec/2020;19:eAO6282.
View Article17/Dec/2020
Impact of COVID-19 pandemic on care of oncological patients: experience of a cancer center in a Latin American pandemic epicenter
DOI: 10.31744/einstein_journal/2021AO6282
ABSTRACT Objective Since the rising of coronavirus disease 2019 (COVID-19) pandemic, there is uncertainty regarding the impact of transmission to cancer patients. Evidence on increased severity for patients undergoing antineoplastic treatment is posed against deferring oncologic treatment. We aimed to evaluate the impact of COVID-19 pandemic on patient volumes in a cancer center in an epicenter of the pandemic. Methods Outpatient and inpatient volumes were extracted from electronic health record database. Two intervals were compared: pre-COVID-19 (March to May 2019) […]
Keywords: Coronavirus infections; Latin America; Neoplasms; Oncological, care
26/Nov/2020
COVID-19 and coinfection with Clostridioides ( Clostridium ) difficile in an infant with gastrointestinal manifestation
DOI: 10.31744/einstein_journal/2020RC6048
ABSTRACT We report the clinical case of an infant with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection with gastrointestinal signs and symptoms, predominantly vomiting. The patient also had colic, poor feeding, mild diarrhea and mild rhinorrhea without fever. The child had evidence of altered coagulation, increased interleukin 10, moderate dehydration and she was admitted to the pediatric intensive care unit. Simultaneously, the patient was diagnosed as Clostridioides difficile infection, which possibly may have facilitated the persistence of SARS-CoV-2 in […]
Keywords: Coinfection; Coronavirus infections; Gastrointestinal tract; Infant
26/Nov/2020
Assessment of patients with acute respiratory symptoms during the COVID-19 pandemic by Telemedicine: clinical features and impact on referral
einstein (São Paulo). 26/Nov/2020;18:eAO6106.
View Article26/Nov/2020
Assessment of patients with acute respiratory symptoms during the COVID-19 pandemic by Telemedicine: clinical features and impact on referral
DOI: 10.31744/einstein_journal/2020AO6106
ABSTRACT Objective: To characterize variables associated with referral to the emergency department following Telemedicine consultation during the COVID-19 pandemic. Methods: Cross-sectional retrospective study conducted between March and May 2020, with a sample of 500 adult patients. The inclusion criterion was the manifestation of respiratory symptoms, regardless of type. Results: The mean age of patients was 34.7±10.5 years, and 59% were women. Most patients (62.6%) perceived their own health status as malaise and some (41.4%) self-diagnosed COVID-19. Cough (74.4%), rhinorrhea (65.6%), […]
Keywords: Coronavirus infections; Pandemics; Referral and consultation; Respiratory tract infections; Telemedicine
26/Nov/2020
COVID-19 information exposure in digital media and implications for employees in the health care sector: findings from an online survey
einstein (São Paulo). 26/Nov/2020;18:eAO6127.
View Article26/Nov/2020
COVID-19 information exposure in digital media and implications for employees in the health care sector: findings from an online survey
DOI: 10.31744/einstein_journal/2020AO6127
ABSTRACT Objective: To estimate coronavirus disease 2019-related information consumption and related implications for health care professionals (medical and nonmedical personnel) during the pandemic. Methods: A cross-sectional on-line survey was distributed to employees of a major health care institution located in São Paulo, Brazil between April 3 and April 10, 2020. Data were analyzed using descriptive statistics. Results: The sample comprised 2,646 respondents. Most participants (44.4%) reported excessive or almost excessive access to information about the novel coronavirus and 67.6% reported […]
Keywords: Coronavirus infections; Cross-Sectional Studies; Information seeking behavior; Psychological distress; Social media; Survey and questionnaires
06/Nov/2020
COVID-19 and the gastrointestinal tract: what do we already know?
DOI: 10.31744/einstein_journal/2020RW5909
ABSTRACT The new coronavirus disease pandemic is defining 2020, with almost 17.5 million infected individuals and 700 thousand deaths up to beginning of August. It is caused by SARS-CoV-2 and the transmission is through the respiratory tract. Those infected may be asymptomatic, present typical symptoms (fever, dry cough and dyspnea), gastrointestinal symptoms (diarrhea, nausea, vomiting and abdominal pain) and viral RNA in stools. The objective of this work was to review the literature related to the prevalence of gastrointestinal symptoms, […]
Keywords: Coronavirus infections; Gastrointestinal diseases/etiology; Gastrointestinal tract
20/Oct/2020
COVID-19 myocarditis: a case report
DOI: 10.31744/einstein_journal/2020RC5876
ABSTRACT A male patient with flu-like symptoms and tomography and laboratory diagnosis of severe acute respiratory syndrome. He developed acute cardiac dysfunction during admission and was submitted to a cardiac magnetic resonance imaging examination, which confirmed acute myocarditis, indicating cardiac involvement by coronavirus disease 2019. A review and discussion about coronavirus disease 2019-related cardiac manifestations are reported, focusing on the imaging findings to make diagnosis.
Keywords: Cardiomyopathies; Communicable diseases; Coronavirus; Coronavirus infections; COVID-19; Echocardiography; Myocarditis; Pneumonia; Severe acute respiratory syndrome; Tomography, x-ray computed
09/Oct/2020
Quality and safety innovations in the Radiology Department during the COVID-19 pandemic: a Latin American experience
einstein (São Paulo). 09/Oct/2020;18:eGS5832.
View Article09/Oct/2020
Quality and safety innovations in the Radiology Department during the COVID-19 pandemic: a Latin American experience
DOI: 10.31744/einstein_journal/2020GS5832
ABSTRACT Radiology departments were forced to make significant changes in their routine during the coronavirus disease 2019 pandemic, to prevent further transmission of the coronavirus and optimize medical care as well. In this article, we describe our Radiology Department’s policies in a private hospital for coronavirus disease 2019 preparedness focusing on quality and safety for the patient submitted to imaging tests, the healthcare team involved in the exams, the requesting physician, and for other patients and hospital environment.
Keywords: Coronavirus; Coronavirus infections; COVID-19; Quality and safety; Tomography, x-ray computed