Volume 17, Number 3, July/September 2019

Resolubility of eye care in a secondary care center: a quantitative approach

Inês Paula Regina Mainini Oliveira ORCID logo , Silmara Meneguin ORCID logo

DOI: 10.31744/einstein_journal/2019GS4385

ABSTRACT Objective To evaluate the resolubility of ophthalmologic care in an integrated health center. Methods This was a cross-sectional study including 816 patients who were attended from November 2013 to November of 2015. Data were collected from a medical consultation database and patients’ medical records. Results The majority of participants were women, non-diabetic, and had high school education. The main cause of referral for ophthalmologic evaluation was the consultation with a specialist, the waiting time for consultation was shorter for […]

Multiple laryngeal neuromas: rare benign tumor

Altair da Silva Costa Jr. ORCID logo , Iunis Suzuki ORCID logo , Addy Lidvina Mejia Palomino ORCID logo , Marcelo Gervilla Gregorio ORCID logo , Paulo Rogerio Scordamaglio ORCID logo , Marcia Jacomelli ORCID logo

DOI: 10.31744/einstein_journal/2019AI4465

A 66-year old female patient complained of sensation of a foreign body in her pharynx and of dry cough for the past 6 months. She denied dysphonia, dysphagia or dyspnea. Endoscopy was performed for suspected gastroesophageal reflux, and it showed several roundish, yellowish and well-limited lesions, in the posterior region of the larynx, adjacent to the arytenoid cartilages ( and ). A biopsy of the lesions was performed ( ), and the pathological examination revealed neoplasm with clear limits, composed […]

Pneumopericardium: a rare case of cardiorespiratory arrest

Cristian Tedesco Tonial ORCID logo , Pedro Celiny Ramos Garcia ORCID logo , Julia Victora ORCID logo , Caroline Abud Drumond Costa ORCID logo , Joanne Sausen Velasques ORCID logo , Marcio Abelha Martins ORCID logo

DOI: 10.31744/einstein_journal/2019AI4516

A 37-days-old baby boy, previously healthy and without intercurrences during perinatal period, who was admitted in pediatric intensive care unit with acute ventilator insufficiency because of viral bronchiolitis due to respiratory syncytial virus. The patient underwent a tracheal intubation by clinical deterioration, a rapid sequence intubation using fentanyl, ketamine and succinylcholine. During the procedure, he had cough, chest rigidity, reduction of respiratory sounds and poor tissue perfusion. His clinical picture worsened and resulted in cardiorespiratory arrest in asystole that was […]

Introduction of complementary foods in infants

Lilian Cordeiro de Queirós Moreira ORCID logo , Elizabeth Brauninger e Oliveira ORCID logo , Lucia Hitomi Kamata Lopes ORCID logo , Mariana Ercole Bauleo ORCID logo , Flavio Sarno ORCID logo

DOI: 10.31744/einstein_journal/2019AO4412

ABSTRACT Objective: To analyze frequency, age and time trend of complementary feeding introduction in infants. Methods: Retrospective study of infants’ data evaluated at nutrition sector of Programa de Atenção aos Bebês of Programa Einstein na Comunidade de Paraisópolis from 2012 to 2015. Survival analyzes were performed, and the outcome considered was the time until the introduction of each specific food. Results: Participants were 700 infants, with 5.5 months of median age. Water was the most consumed supplement (80.0%), followed by […]

Lipid profile and statin use in critical care setting: implications for kidney outcome

Isabelle Malbouisson ORCID logo , Beata Marie Quinto ORCID logo , Marcelino de Souza Durão Junior ORCID logo , Júlio Cesar Martins Monte ORCID logo , Oscar Fernando Pavão dos Santos ORCID logo , Roberto Camargo Narciso ORCID logo , [...]

DOI: 10.31744/einstein_journal/2019AO4399

ABSTRACT Objective: To determine whether pre-hospital statin use is associated with lower renal replacement therapy requirement and/or death during intensive care unit stay. Methods: Prospective cohort analysis. We analyzed 670 patients consecutively admitted to the intensive care unit of an academic tertiary-care hospital. Patients with ages ranging from 18 to 80 years admitted to the intensive care unit within the last 48 hours were included in the study. Results: Mean age was 66±16.1 years old, mean body mass index 26.6±4/9kg/m2 […]

Body composition, strength static and isokinetic, and bone health: comparative study between active adults and amateur soccer players

Óscar M. Tavares ORCID logo , João P. Duarte ORCID logo , André O. Werneck ORCID logo , Daniela C. Costa ORCID logo , Paulo Sousa-e-Silva ORCID logo , Diogo Martinho ORCID logo , [...]

DOI: 10.31744/einstein_journal/2019AO4419

ABSTRACT Objective: To compare tissue composition, total and regional bone mineral content and bone mineral density, static hand grip and knee joint isokinetic strength between amateur soccer players and Control Group. Methods: Cross-sectional study. Air displacement plethysmography was used to estimate body volume and, in turn, density. Body composition, bone mineral content and bone mineral density were assessed for the whole body and at standardized regions using dual energy X-ray absorptiometry. Static grip strength was assessed with an adjustable dynamometer, […]

Drug interactions in maternal intensive care: prevalence, risk factors, and potential risk medications

Thiago de Lima Pessoa ORCID logo , Washington Sales Clemente Junior ORCID logo , Tatiana Xavier da Costa ORCID logo , Priscilla Karilline do Vale Bezerra ORCID logo , Rand Randall Martins ORCID logo

DOI: 10.31744/einstein_journal/2019AO4521

ABSTRACT Objective: To characterize severe potential drug interactions in maternal intensive care, and to determine their frequency, risk factors and potential risk medications. Methods: An observational and longitudinal study conducted between December 2014 and December 2015 in a maternal intensive care unit. Clinical data were collected and severe potential drug interactions were identified on pregnant inpatients. The drug interactions were classified by type, prevalence and exposure rate. A multivariate logistic regression model was used to identify the severe potential drug […]

Laryngotracheal separation in pediatric patients: 13-year experience in a reference service

Letícia Alves Antunes ORCID logo , Carolina Talini ORCID logo , Bruna Cecília Neves de Carvalho ORCID logo , Jessica Pareja Guerra ORCID logo , Ewerton dos Santos Aristides ORCID logo , Darken Eugênio de Oliveira ORCID logo , [...]

DOI: 10.31744/einstein_journal/2019AO4467

ABSTRACT Objective: To evaluate clinical stability of neurologically impaired children and adolescents with recurrent pneumonia submitted to laryngotracheal separation. Methods: Between October 2002 and June 2015, 92 neurologically impaired children from a reference service, with median age of 68.5 months were submitted to laryngotracheal separation. Data were evaluated and statistical analysis was made by Student’s t test and Pearson’s χ2 test (significance level adopted of 95%). Results: Fifty-three children were male (57.6%). Forty-six children required admission to intensive care, and […]

Ultrasonography and magnetic resonance imaging of elbow ligaments: a comparative study

Aureliano Torquato Brandão ORCID logo , Edson Amaro Junior ORCID logo , Miguel José Francisco Neto ORCID logo , Rubens Mitsuo Tanaka ORCID logo , Durval do Carmo Barros Santos ORCID logo , Frederico Celestino Miranda ORCID logo , [...]

DOI: 10.31744/einstein_journal/2019AO4579

ABSTRACT Objective: To determine the value of ultrasonography in elbow ligament assessment compared to magnetic resonance imaging. Methods: A prospective single-center study involving 30 volunteers with no elbow joint changes. Two experienced ultrasound specialists evaluated both elbows of each volunteer, resulting in 60 evaluations per physician and totaling up 120 evaluations. Magnetic resonance images were obtained using a 3-Tesla machine and evaluated by two experienced radiologists, totaling up 120 exams. Each examiner assigned subjective, zero-to-5 scores to ligaments imaged, where […]

Pharmacological characterization of the calcium influx pathways involved in nitric oxide production by endothelial cells

Janyerson Dannys Pereira da Silva ORCID logo , Gustavo Ballejo ORCID logo

DOI: 10.31744/einstein_journal/2019AO4600

ABSTRACT Objective: To characterize the calcium influx pathways implicated in the sustained elevation of endothelial intracellular calcium concentration, required for the synthesis and release of relaxing factors. Methods: We evaluated the effect of the newly synthesized pyrazole derivatives, described as selective inhibitors for ORAI (BTP2/Pyr2 and Pyr6) and TRPC3 (Pyr3 and Pyr10) channels, upon endothelium- and extracellular calcium-dependent relaxations stimulated by acetylcholine and thapsigargin, in pre-constricted rat thoracic aortic rings. Results: Acetylcholine and thapsigargin responses were completely reverted by Pyr2 […]

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