02/Jul/2024
Overview of global healthcare policies for patients with chronic kidney disease: an integrative literature review
DOI: 10.31744/einstein_journal/2024RW0519
ABSTRACT Introduction Chronic kidney disease is a progressive and irreversible loss of kidney function and considerably affects the lives of patients and their families. Its high incidence necessitates efficient public policies for prevention and treatment. However, policies for chronic kidney disease education and awareness are scarce. Objective To evaluate global public policies for the prevention and treatment of chronic kidney disease adopted in various regions, aiming to comprehend the differences between various models. Methods This integrative review followed PRISMA recommendations […]
Keywords: Health Services Accessibility; Kidney failure, chronic; Public health; Public Policy; Renal insufficiency, chronic; Universal health care
17/Apr/2024
Robotic and Plastic Surgery: actuality and prospects for the near future, a scoping review
DOI: 10.31744/einstein_journal/2024RW0710
ABSTRACT Objective This work aims to review the existing use of robotics in plastic surgery. Methods A meticulous selection process identified 22 articles relevant to this scoping review. Results The literature on the use of robotics in plastic surgery is sparse. Nonetheless, this review highlights emerging benefits in microsurgery, breast reconstruction, and transoral surgery. Conclusion This scoping review identifies critical articles reporting the emerging use of robotics in plastic surgery. While the scientific medical community has yet to extensively document […]
Keywords: Microsurgery; Minimally invasive surgical procedures; Robotic surgical procedures; Surgery, plastic
11/Apr/2024
Implications of clinical simulation in motivation for learning: scoping review
DOI: 10.31744/einstein_journal/2024RW0792
ABSTRACT Objective: To identify, synthesize, and analyze the scientific knowledge produced regarding the implications of using clinical simulation for undergraduate nursing or medical students’ motivation for learning. Methods: The search for articles was conducted between July 28 and August 3, 2022, on the PubMed/MEDLINE, Scopus, Web of Science, and SciELO databases. The following was used for the search: P – undergraduate students attending Nursing or Medicine courses; C – motivation for learning, and C – skills and clinical simulation laboratory. […]
Keywords: Education, medical; Education, nursing; Learning; Learning health system; Motivation; Simulation training
01/Mar/2024
Long-term outcomes for epidemic viral pneumonia survivors after discharge from the intensive care unit: a systematic review
einstein (São Paulo). 01/Mar/2024;22(spe1):eRW0352.
View Article01/Mar/2024
Long-term outcomes for epidemic viral pneumonia survivors after discharge from the intensive care unit: a systematic review
DOI: 10.31744/einstein_journal/2024RW0352
ABSTRACT Objective To review the long-term outcomes (functional status and psychological sequelae) of survivors of critical illnesses due to epidemic viral pneumonia before the COVID-19 pandemic and to establish a benchmark for comparison of the COVID-19 long-term outcomes. Methods This systematic review of clinical studies reported the long-term outcomes in adults admitted to intensive care units who were diagnosed with viral epidemic pneumonia. An electronic search was performed using databases: MEDLINE®, Web of Science™, LILACS/IBECS, and EMBASE. Additionally, complementary searches […]
Keywords: Coronavirus infections; Epidemics; Influenza A virus, H1N1 subtype; Intensive care units; Middle east respiratory syndrome coronavirus; Mortality; Pneumonia, viral; Quality of life; Respiratory distress syndrome; Return to work; Treatment outcomes
22/Feb/2024
Telemedicine and patients with heart failure: evidence and unresolved issues
DOI: 10.31744/einstein_journal/2024RW0393
ABSTRACT Heart failure is the leading cause of cardiac-related hospitalizations. Limited access to reevaluations and outpatient appointments restricts the application of modern therapies. Telemedicine has become an essential resource in the healthcare system because of its countless benefits, such as higher and more frequent appointments and faster titration of medications. This narrative review aimed to demonstrate the evidence and unresolved issues related to the use of telemedicine in patients with heart failure. No studies have examined heart failure prevention; however, […]
Keywords: Heart failure; Morbidity; Mortality; Telecare; Telemedicine
30/Jan/2024
A molecular approach to triple-negative breast cancer: targeting the Notch signaling pathway
DOI: 10.31744/einstein_journal/2024RW0552
ABSTRACT Introduction Triple-negative breast cancer is an aggressive subtype of breast cancer characterized by the absence of estrogen receptor, progesterone receptor, and human epidermal growth factor receptor 2 expression. This phenotype renders triple-negative breast cancer cells refractory to conventional therapies, resulting in poor clinical outcomes and an urgent need for novel therapeutic approaches. Recent studies have implicated dysregulation of the Notch receptor signaling pathway in the development and progression of triple-negative breast cancer. Objective This study aimed to conduct a […]
Keywords: Cell proliferation; MicroRNAs; Molecular targeted therapy; Notch1; Receptors; Signal transduction; Triple-negative breast neoplasms
10/Nov/2023
Efficacy and safety of medical cannabinoids in children with cerebral palsy: a systematic review
DOI: 10.31744/einstein_journal/2023RW0387
ABSTRACT Introduction The increasing popularity of cannabinoids for treating numerous neurological disorders has been reported in various countries. Although it reduces tetrahydrocannabinol psychoactivity, it helps patients tolerate higher doses and complements the anti-spasmodic effects of tetrahydrocannabinol. One of the most important potential of cannabinoids are related to its potential to help children with cerebral palsy, a contributor of lifelong disability. Therefore, this systematic review aimed to assess the efficacy and safety of medical cannabinoids in children with cerebral palsy. Methods […]
Keywords: Cannabinoids; Cerebral palsy; Child; Efficacy; Patient safety; Safety
31/Jul/2023
The effects of gratitude interventions: a systematic review and meta-analysis
DOI: 10.31744/einstein_journal/2023RW0371
ABSTRACT Introduction Gratitude has several implications. Over time, a logical relationship has been established between gratitude and well-being. In addition, researchers aimed to establish associations between gratitude and other factors of positive feelings using scientific methods. We conducted a systematic review and meta-analysis of interventions to develop gratitude and its benefits to human beings. Objective This study aimed to evaluate and quantify the available scientific evidence on interventions to acquire knowledge on gratitude as a quantifiable causal factor of benefit […]
Keywords: Anxiety; Delivery of health care; Depression; Emotions; Gratitude; Health facilities; Mental Health; Narration; Personnel satisfaction
05/Jul/2023
Effects of neurofeedback on major depressive disorder: a systematic review
DOI: 10.31744/einstein_journal/2023RW0253
ABSTRACT Background Major depressive disorder is a difficult-to-treat psychological disorder. Approximately 30% of patients with major depressive disorder do not respond to conventional therapies; thus, the efficacy of alternative therapies for treating major depressive disorder, such as neurofeedback, a non-invasive neuromodulation method used in the treatment of psychiatric diseases, must be investigated. Objective We aimed to evaluate the efficacy of neurofeedback in minimizing and treating major depressive disorder and its application as a substitute to or an adjuvant with conventional […]
Keywords: Brain waves; Depressive disorder, major; Neurofeedback
06/Jun/2023
Effects of statin therapy in hospitalized adult COVID-19 patients: a systematic review and meta-analysis of randomized controlled trials
einstein (São Paulo). 06/Jun/2023;21:eRW0351.
View Article06/Jun/2023
Effects of statin therapy in hospitalized adult COVID-19 patients: a systematic review and meta-analysis of randomized controlled trials
DOI: 10.31744/einstein_journal/2023RW0351
ABSTRACT Introduction COVID-19 is associated with endothelial activation and systemic inflammation; consequently, statins can be used in its treatment as they have anti-inflammatory, antithrombotic, and profibrinolytic properties and may interfere with COVID-19 viral entry into cells through disruption of cell membrane lipid rafts. Objective We performed a meta-analysis of randomized clinical trials that compared statin therapy to placebo or to standard care in adult patients hospitalized for COVID-19. Methods We searched the MEDLINE, EMBASE, and Cochrane Library databases for all-cause […]
Keywords: Atorvastatin; Coronavirus infections; COVID-19; Hydroxymethylglutaryl-CoA reductase inhibitors; SARS-CoV-2
