28/Apr/2025
Quality assessment of clinical practice in neuro-oncology
DOI: 10.31744/einstein_journal/2025AO1343
Highlights ■ The molecular test according to the WHO classification of CNS tumors (gliomas) was performed in 100% (172) of patients. ■ Education on chemotherapy and informed consent for patients with brain tumors was carried out for 100% (130) of the patients who had an indication for chemotherapy treatment. ■ Approximately 87% of the patients with gliomas underwent postoperative cranial MRI. ■ A multidisciplinary approach, including molecular testing, was used for 35% of patients with glioma. ■ Thromboembolic events after […]
Keywords: Brain neoplasms; Central nervous system neoplasms; Glioma; Length of stay; Magnetic resonance imaging; Meningioma; Patient outcome assessment; Postoperative complications; Quality improvement; Quality Indicators, Health Care
25/Apr/2025
Impact of extubation failure on the duration of mechanical ventilation in the pediatric population
DOI: 10.31744/einstein_journal/2025AO0705
Highlights ■ In patients who experienced extubation failure, the total ventilation time was twice as long as that of patients with successful extubation. ■ The incidence of extubation failure was 5.2%, which is relatively low compared to other studies. ■ The study revealed no significant association between the presence of pre-existing illnesses and extubation outcomes. ■ Results indicated that the primary cause of extubation failure was upper airway obstruction, accounting for 67% of cases requiring reintubation. ABSTRACT Objective: To compare […]
Keywords: Airway extubation; Child; Intensive care units; Pediatric; Respiration artificial; Ventilator weaning
22/Apr/2025
Socioeconomic inequities in prostate cancer care: private versus public treatment settings pose a significant impact on overall survival
einstein (São Paulo). 22/Apr/2025;23:eAO0851.
View Article22/Apr/2025
Socioeconomic inequities in prostate cancer care: private versus public treatment settings pose a significant impact on overall survival
DOI: 10.31744/einstein_journal/2025AO0851
Highlights ■ Men with metastatic prostate cancer in the public system have access to fewer treatment lines. ■ Survival in the public system was 3 years shorter than that in the private setting (78 versus 115 months). ABSTRACT Objective: To evaluate the impact of assistance from public and private health systems on the overall survival of patients with metastatic prostate cancer. Methods: A total of 213 patients with metastatic prostate cancer treated at the A.C. Camargo Cancer Center, either in […]
Keywords: Brazil; Health Services; Health systems; Neoplasm metastasis; Private sector; Prostatic neoplasms; Public sector; Race factors; Social determinants of health; Survival analysis
22/Apr/2025
Psychological impact of gestational trophoblastic disease: a cross-sectional study
einstein (São Paulo). 22/Apr/2025;23:eAO1014.
View Article22/Apr/2025
Psychological impact of gestational trophoblastic disease: a cross-sectional study
DOI: 10.31744/einstein_journal/2025AO1014
Highlights ■ Gestational trophoblastic disease should be followed up at a referral center. ■ Adequate follow-up improves quality of life for affected women. ■ Multidisciplinary monitoring reduces anxiety and depression in women. ABSTRACT Objective: To evaluate the psychological repercussions of gestational trophoblastic disease. Methods: A cross-sectional study including 100 women (50 with gestational trophoblastic disease and 50 without) was conducted between September 2020 and October 2021. Socio-demographic characteristics, quality of life, depression, and anxiety were evaluated and follow-up was performed […]
Keywords: Anxiety; Depression; Gestational trophoblastic disease; Mental Health; Quality of life; Surveys and questionnaires
22/Apr/2025
Modified palatal flap via soft palate for skull base reconstruction
DOI: 10.31744/einstein_journal/2025AO1247
Highlights ■ The use of a pedicled palatal flap via the soft palate offers the advantage of low harvesting complexity. ■ The flap demonstrates highly positive metric data supporting its technical feasibility for reconstructing the skull base and adjacent regions. ■ Drilling is not necessary to enlarge the greater palatine foramen in this technique, which reduces the chances of injury to the vascular pedicle and surgical time. ABSTRACT Objective: Given the importance of vascularized flaps, this study presents a new […]
Keywords: Cranial fossa; Flap; Nasal surgical procedure; Palate; Paranasal sinuses; Posterior; Skull base; Soft; Tomography, x-ray computed
22/Apr/2025
Dose-response relationships in Y90 resin microsphere radioembolization for patients with hepatocellular carcinoma: insights from a Brazilian cohort
einstein (São Paulo). 22/Apr/2025;23:eAO1287.
View Article22/Apr/2025
Dose-response relationships in Y90 resin microsphere radioembolization for patients with hepatocellular carcinoma: insights from a Brazilian cohort
DOI: 10.31744/einstein_journal/2025AO1287
Highlights ■ Higher absorbed doses are associated with positive tumor responses in patients with hepatocellular carcinoma treated with Y-90 radioembolization. ■ Personalized dosimetry may improve treatment outcomes in selected patients. ■ Dosimetric parameters such as D30, D50, and D70 also correlate positively with objective responses, emphasizing the importance of precise dose calculation in treatment planning. ABSTRACT Objective: To evaluate the relationship between the absorbed dose and radiological response in patients with hepatocellular carcinoma undergoing resin microsphere radioembolization to enhance treatment […]
Keywords: Carcinoma, hepatocellular; In vivo dosimetry; Medical oncology; Microspheres; Radiology, Interventional
07/Apr/2025
A cross-sectional study on the expression of fibrinolytic system components and metalloproteinase-9 in women with early-stage and metastases breast cancer in Tucumán, Argentina
einstein (São Paulo). 07/Apr/2025;23:eAO1237.
View Article07/Apr/2025
A cross-sectional study on the expression of fibrinolytic system components and metalloproteinase-9 in women with early-stage and metastases breast cancer in Tucumán, Argentina
DOI: 10.31744/einstein_journal/2025AO1237
Highlights ■ No clinically significant differences were observed in platelet counts or global coagulation test results. ■ t-PA values decreased in patients with metastases. ■ PAI-1, DD, and MMP-9 levels increased in patients with metastases. ■ High levels of PAI-1 and MMP-9 in the early stages could indicate an aggressive course in patients. ABSTRACT Objective: The hemostatic and matrix metalloproteinase (MMP) systems are known to be altered in patients with breast cancer. This cross-sectional study aimed to explore the fibrinolysis […]
Keywords: Breast disease; Breast neoplasms; Fibrinolysis; Matrix metalloproteinase; Metastasis neoplasms; Plasminogen activator inhibitor 1; Standard coagulation tests
07/Apr/2025
Comparative analysis of miRNA-mRNA interaction prediction tools based on experimental head and neck cancer data
DOI: 10.31744/einstein_journal/2025AO1372
Highlights ■ miRWalk had the highest predicted interactions and validated miRNA networks in HNSCC. ■ Around 3.3% of interactions overlapped across tools, emphasizing the need for multitool approaches. ■ Dysregulated genes and miRNAs were tied to cancerdriving PI3K-Akt and Wnt pathways. ■ The validated approach highlights the importance of integrating computational and molecular data. ABSTRACT Objective: Head and neck squamous cell carcinoma (HNSCC) has a poor prognosis largely due to late diagnosis and a lack of reliable biomarkers. MicroRNAs (miRNAs), […]
Keywords: Algorithms; Biomarkers; Computational biology; Gene expression; MicroRNAs; Squamous cell carcinoma of head and neck; Target prediction tool
28/Mar/2025
Impact of liver transplantation on the quality of life of a cohort of high-risk recipients
DOI: 10.31744/einstein_journal/2025AO0565
Highlights ■ Liver transplantation improves health-related quality of life in patients with cirrhosis and high MELD scores. ■ Significant health-related quality of life improvements occur within three months of transplantation. ■ Multidisciplinary care programs enhance post-iver transplantation physical and mental recovery. ■ Sustained health-related quality of life gains highlight the long-term benefits of liver transplantation. ABSTRACT Objective: To assess the effects of liver transplantation on the health-related quality of life of patients with cirrhosis on the waiting list for transplantation. […]
Keywords: Alcoholism; Health status; Liver cirrhosis; Liver transplantation; Morbidity; Quality of life; Surveys and questionnaires; Waiting list
28/Mar/2025
Assessing webcam-based eye-tracking during comic reading in the classroom: a feasibility study
DOI: 10.31744/einstein_journal/2025AO0911
Highlights ■ Webcam-based eye tracking demonstrated feasibility for monitoring reading behavior in classrooms. ■ Webcam-based eye tracking captured fixation times, showing differing reading speeds across comic sections. ■ Webcam-based eye tracking showed accuracy comparable to infrared-based systems, despite lower precision. ■ Limitations resulting in data loss underscore the need for methodological improvements. ABSTRACT Objective: To evaluate the feasibility and accuracy of webcam-based eye tracking for monitoring comic books reading behavior in a real-world classroom setting. Methods: We tested the feasibility […]
Keywords: Comics; Eye-tracking technology; Method comparison; Reading patterns; Usability evaluation