122 results
02/Aug/2022
DOI: 10.31744/einstein_journal/2022RW6045
ABSTRACT The objective of this study was to answer several questions related to the assessment and treatment of fever, as well as other controversies that exist during its management in pediatric patients. First, an advisory board with medical experts was conducted to discuss the clinical journey of these patients, considering the main challenges and possible solutions. After this discussion, a non-systematic literature review was performed, between November 2019 and January 2020, to collect the most relevant evidence available in the […]
Keywords: Ambulatory care; Child; Fever; Health Knowledge, Attitudes, Practice
02/Aug/2022
DOI: 10.31744/einstein_journal/2022RW6642
ABSTRACT Objective To evaluate the safety and efficacy of mechanical thrombectomy associated with standard medical treatment compared with standard medical treatment only to treat patients with acute ischemic stroke. Methods This was a systematic review and metaanalysis of randomized controlled trials. An electronic search was performed in the following databases: MEDLINE ® /PubMed ® , Cochrane Library (Trials), LILACS/IBECS (via Biblioteca Virtual em Saúde (BVS)) and Embase. Complementary searches were also conducted. The selection of studies and data collection were […]
Keywords: Ischemic stroke; Mechanical thrombolysis; Systematic review; Thrombectomy; Thrombolytic therapy
21/Jul/2022
DOI: 10.31744/einstein_journal/2022RW6632
ABSTRACT Objective To analyze current scientific knowledge about communication of bad news by nurses. Methods This is an integrative literature review carried out by searching articles published in national and international journals indexed at SciELO, MEDLINE® (PubMed®), Scopus, Bireme and CINAHL, from 2010 to 2020, by crossing the controlled descriptors “communication”, “revelation of the truth”, and “nursing”, and the uncontrolled descriptor “bad news”. Results Ten articles with qualitative and cross-sectional design, as well as case reports were included. The analysis […]
Keywords: Attitude of health personnel; Education, nursing; Family; Health communication; Nurses; Truth disclosure
05/Jul/2022
DOI: 10.31744/einstein_journal/2022RW6609
ABSTRACT Objective This study aimed to conduct a literature review on safety in breastfeeding in mothers with COVID-19. An integrative review of national and international literature was carried out. Methods The search took place in the SciELO, LILACS and MEDLINE® databases. Results A total of 25 scientific articles that specifically addressed the theme of breastfeeding and its risk and protective factors for infection by SARS-CoV-2 were selected. According to the studies analyzed, although the presence of viral RNA had already […]
Keywords: Betacoronavirus; Breast feeding; Child health; Coronavirus infections; COVID-19; Infant, Newborn; Lactation; Milk, human; Protective factors; SARS-CoV-2
22/Mar/2022
22/Mar/2022
DOI: 10.31744/einstein_journal/2022RW6339
ABSTRACT Objective To evaluate whether the addition of statins to the new antiandrogens (enzalutamide or abiraterone) affects overall survival in patients with metastatic castration-resistant prostate cancer. Methods We searched studies in English language including the keywords statins, overall survival, and metastatic castration-resistant prostate cancer, at PubMed® (MEDLINE®), Embase and Cochrane databases. Results A total of 195 articles were initially identified, but only four met the inclusion criteria and were selected for the meta-analysis. A total of 955 patients, 632 on […]
Keywords: Androgen antagonists; Hydroxymethylglutaryl-CoA reductase inhibitors; Prostatic neoplasms, castration-resistant; Survival rate
22/Mar/2022
DOI: 10.31744/einstein_journal/2022RW5686
ABSTRACT Objective To develop a scientific consensus on nutrition in cystic fibrosis. Methods Sixteen coordinators elaborated relevant questions on nutritional therapy in cystic fibrosis, which were divided into six sections: nutritional assessment, nutritional recommendations, nutritional intervention, dietary counseling, special situations and enzyme replacement, and gastrointestinal manifestations. Two to three specialists in the field were responsible for each section and obtaining answers formulated based on standardized bibliographic searches. The available literature was searched in the PubMed®/MEDLINE database, after training and standardization […]
Keywords: Cystic fibrosis; Nutrition therapy; Nutritional assessment; Recommended dietary allowances
03/Feb/2022
DOI: 10.31744/einstein_journal/2022RW6667
ABSTRACT This review aimed to investigate whether SARS-CoV-2 is capable of infecting the gland and causing acute pancreatitis, and the peculiarities in the management of these cases. The research was conducted through PubMed® database, and 62 articles were systematically selected for analysis. Differences were found in the literature; however, there are important warnings, such as the presence of hyperlipasemia, clinical and imaging findings suggestive of acute pancreatitis in the presence and even in the absence of respiratory symptoms. Attention should […]
Keywords: Betacoronavirus; Coronavirus infections; COVID-19; Pancreatitis; SARS-CoV-2
02/Feb/2022
DOI: 10.31744/einstein_journal/2022RW6155
ABSTRACT Objective To compare the major outcomes of use of metformin and glyburide in treatment of gestational diabetes mellitus. Methods Studies published in English, in the last 10 years, in the databases MEDLINE®, SciELO, LILACS and Cochrane Library were analyzed, and randomized controlled trials were selected. Health Sciences Descriptors were used to compose the search phrase, and the keywords “Gestational diabetes”, “Glyburide”, “Metformin” and their variations were searched in the Medical Subject Headings. PRISMA systematization was used to prepare this […]
Keywords: Diabetes, gestational; Glyburide/therapeutic use; Metformin/therapeutic use
17/Jun/2021
DOI: 10.31744/einstein_journal/2021RW5630
ABSTRACT Objective To learn about the scientific production on strategies adopted for hemodynamic maintenance of brain-dead patients. Methods Integrative review with articles published between 2007 and 2019, in Scientific Electronic Library Online (SciELO), Latin American and Caribbean Health Sciences Literature (LILACS), PubMed® and ScienceDirect. The descriptors “ Hemodinâmica AND Morte Encefálica ” and “Hemodynamics AND Brain Death” were used. Exclusion criteria were non-human research and gray literature. Results A total of 21 articles were listed. As strategies, the use of […]
Keywords: Brain death; Hemodynamics; Nursing care; Organ transplantation
15/Apr/2021
DOI: 10.31744/einstein_journal/2021RW5704
ABSTRACT Objective The aim of the study was to assess the evidence on miRNAs as biomarkers for the diagnosis of endometriosis, as well as to provide insights into the challenges and strategies associated with the use of these molecules as accessible tools in clinical practice. Methods Systematic review conducted on PubMed®, Latin American and Caribbean Health Sciences Literature (LILACS), MEDLINE® and Web of Science databases using the search terms endometriosis (all fields) AND miRNA (all fields), evaluating all publication up […]
Keywords: Biomarkers; Body fluids banks; Endometriosis/diagnosis; MicroRNAs; Saliva; Serum; Vaginal fluid