Volume 16, Number 4, October/December 2018

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 […]

Helium-oxygen mixture: clinical applicability in an intensive care unit

Milena Siciliano Nascimento ORCID logo , Érica Santos ORCID logo , Cristiane do Prado ORCID logo

DOI: 10.31744/einstein_journal/2018AO4199

ABSTRACT Objective To evaluate if distress respiratory decreases after using helium-oxygen mixture in pediatric patients diagnosed with bronchospasm. Methods This is a retrospective, non-randomized study that included patients diagnosed with bronchospasm, who received a helium-oxygen mixture at three time points (30, 60, and 120 minutes) according to the organization protocol singular, and were admitted to the intensive care unit, from January 2012 to December 2013. This protocol includes patients with bronchospasm who sustained a modified Wood score of moderate to […]

Medications used in pediatric cystic fibrosis population

Stella Pegoraro Alves ORCID logo , Márcia de Azevedo Frank ORCID logo , Denise Bueno ORCID logo

DOI: 10.31744/einstein_journal/2018AO4212

ABSTRACT Objective To describe the drug utilization profile used by pediatric cystic fibrosis patients. Methods A transversal study comprising the analysis of records and interviews with caregivers of pediatric patient in a reference center of Southern Brazil. We collected information about patients’ clinical condition, medication used and household therapy. Results Out of 78 patients participating in the study, prevailing characteristics were: female, self-declared white color, mutation F508del and countryside resident. Forty-three patients had health monitoring exclusively in the hospital’s outpatient […]

Low birth weight and its associated factors

Andreia Ielpo Magalhães Moreira ORCID logo , Paulo Roberto Moreira de Sousa ORCID logo , Flavio Sarno ORCID logo

DOI: 10.31744/einstein_journal/2018AO4251

ABSTRACT Objective To calculate the frequency and evaluate the factors associated with low birth weight. Methods A retrospective study, with data from pregnant women who participated in the Programa de Atenção às Gestantes do Programa Einstein na Comunidade de Paraisópolis, between 2011 and 2014, and who returned for the postpartum evaluation of their newborns. Variables related to the pregnant woman, pregnancy, and newborn were evaluated. The outcome variable was low birth weight, defined as

Polyclonal anti T-lymphocyte antibody therapy monitoring in kidney transplant recipients: comparison of CD3+ T cell and total lymphocyte counts

Fabiani Palagi Machado ORCID logo , Alessandra Rosa Vicari ORCID logo , Fábio Spuldaro ORCID logo , João Batista Saldanha de Castro Filho ORCID logo , Roberto Ceratti Manfro ORCID logo

DOI: 10.31744/einstein_journal/2018AO4278

ABSTRACT Objective: To investigate the correlation between total lymphocyte and CD3+ T cell counts in peripheral blood in renal transplant patients treated with anti-thymocyte globulin, and discuss related outcomes. Methods: A single-center, retrospective study involving 226 patients submitted to kidney transplant between 2008 and 2013, and treated with anti-thymocyte globulin for induction or treatment of cellular rejection. Doses were adjusted according to CD3+ T cell or total lymphocyte counts in peripheral blood. Results: A total of 664 paired samples were […]

Percutaneous laser ablation of benign thyroid nodules: a one year follow-up study

Antonio Rahal Junior ORCID logo , Priscila Mina Falsarella ORCID logo , Guilherme Falleiros Mendes ORCID logo , Jairo Tabacow Hidal ORCID logo , Danielle Macellaro Andreoni ORCID logo , José Flávio Ferreira Lúcio ORCID logo , [...]

DOI: 10.31744/einstein_journal/2018AO4279

ABSTRACT Objective To evaluate safety and effectiveness of nodule volume reduction and thyroid function after percutaneous laser ablation treatment in patients with benign nonfunctioning thyroid nodules. Methods Prospective single-center study, from January 2011 to October 2012, which evaluated 30 euthyroid and thyroid antibodies negative patients with benign solitary or dominant nodule with indication of treatment due to compressive symptoms and aesthetic disturbances. The clinical and laboratory (thyroid ultrasound, TSH, FT4, TG, TG-Ab, TPO-Ab and TRAb levels) evaluations were performed before […]

Influence of grandmothers on exclusive breastfeeding: cross-sectional study

Thelen Daiana Mendonça Ferreira ORCID logo , Luciana Dantas Piccioni ORCID logo , Patricia Helena Breno Queiroz ORCID logo , Eliete Maria Silva ORCID logo , Ianê Nogueira do Vale ORCID logo

DOI: 10.31744/einstein_journal/2018AO4293

ABSTRACT Objective To evaluate the influence of grandmothers of infants on exclusive breastfeeding, from their perspective. Methods A descriptive cross-sectional study was carried out with 91 women from a hospital in the inland state of São Paulo. By means of a questionnaire, the following data were collected: sociodemographic data of the grandmother, mother and child; duration of exclusive breastfeeding of daughter or daughter-in-law; information on kinship of participant and grandchild; kind of help provided by grandmother; and knowledge about breastfeeding. […]

Comparative study of transepidermal water loss in patients with and without hyperhidrosis by closed-chamber measurer in an air-conditioned environment

Andre Miotto ORCID logo , Pedro Augusto Antunes Honda ORCID logo , Thiago Gangi Bachichi ORCID logo , Caio Santos Holanda ORCID logo , Ernesto Evangelista Neto ORCID logo , João Alessio Juliano Perfeito ORCID logo , [...]

DOI: 10.31744/einstein_journal/2018AO4312

ABSTRACT Objective To evaluate the difference in transepidermal water loss in patients diagnosed with hyperhidrosis and healthy subjects, in an air-conditioned environment. Methods Twenty patients diagnosed with hyperhidrosis and 20 healthy subjects were subjected to quantitative assessment using a closed-chamber device, in six previously established sites. Results The measurements showed different transepidermal water loss values for healthy subjects and patients with hyperhidrosis, especially in the hands and feet. In the Control Group, the median for the hands was 46.4g/m2/hour (p25: […]

Nurse work environment: comparison between private and public hospitals

Bárbara Sharon Maia Pires ORCID logo , Luana Zétula Fernandes de Oliveira ORCID logo , Cibele Leite Siqueira ORCID logo , Liliane Bauer Feldman ORCID logo , Ramon Antônio Oliveira ORCID logo , Renata Cristina Gasparino ORCID logo

DOI: 10.31744/einstein_journal/2018AO4322

ABSTRACT Objective To compare the characteristics of the work environment that enable the professional practice of nurses in private and public organizations. Methods A quantitative, exploratory, cross-section study, carried out in four health organizations – one public and three private, with 188 registered nurses. Participants answered the Brazilian version of the Nursing Work Index − Revised, which aims to evaluate the presence of characteristics that favor the development of nursing activities through 15 items distributed into three subscales: autonomy, control […]

Is quality of life affected by temporomandibular disorders?

Débora de Melo Trize ORCID logo , Marcela Pagani Calabria ORCID logo , Solange de Oliveira Braga Franzolin ORCID logo , Carolina Ortigosa Cunha ORCID logo , Sara Nader Marta ORCID logo

DOI: 10.31744/einstein_journal/2018AO4339

ABSTRACT Objective To determine the impact of temporomandibular disorders in quality of life. Methods A total of 102 volunteer patients (68 female) aged 19 to 86 years, who sought medical care in health clinics of the university and were evaluated in the period from September to December 2013. The subjects were examined according to the Research Diagnostic Criteria for Temporomandibular Disorders, using a mechanical algometer (Palpeter®) with standardized pressure of 0.5 and 1.0kg, and Medical Outcomes Study 36-Item Short Form […]

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