Experimental study for evaluation of a low-cost spray cryotherapy system

Altair da Silva Costa Jr ORCID logo , Andre Miotto ORCID logo , Gustavo Andrade de Paulo ORCID logo , Angelo Paulo Ferrari ORCID logo , Luiz Hirotoshi Ota ORCID logo

DOI: 10.31744/einstein_journal/2019AO4533

ABSTRACT Objective To evaluate the feasibility and applicability of a low-cost cryotherapy system. Methods Experimental study with 25kg Landrace pigs submitted to a longitudinal cervico-thoraco-abdominal incision for exposure of the trachea, thorax and abdomen. The tissues were frozen by continuous spray application at different periods of time (5, 10 and 15 seconds). Spray cryotherapy was performed using a fluorinated gas (tetrafluorethane) delivered at – 47°C temperature (DermaFreeze®, Emdutos; ANVISA registration 80409950001; price R$ 394,00). via an adapted, disposable 1.8mm cholangiography […]

Validity and reliability of the Health Literacy Assessment Scale for adherence to drug treatment among diabetics

Maria Clara Lélis Ramos Cardoso ORCID logo , Aline Soares Figueiredo Santos ORCID logo , Adélia Dayane Guimarães Fonseca ORCID logo , Renê Ferreira da Silva Junior ORCID logo , Priscilla Durães de Carvalho ORCID logo , Andrea Maria Eleutério de Barros Lima Martins ORCID logo

DOI: 10.31744/einstein_journal/2019AO4405

ABSTRACT Objective To prepare an instrument to evaluate health literacy with regard to adherence to drug treatment among diabetics, identify the validity of its content, and estimate its reliability. Methods Pilot study, with the following stages of instrument construction: literature review, content validation, reliability estimation (internal consistency/Cronbach’s alpha and reproducibility/Kappa). Results The validity of content was completed and presented alpha=0.77 and Kappa values ranged from 0.31 to 1.00. Conclusion The instrument was approved regarding content validity, presented acceptable internal consistency […]

Electrocardiographic changes in spondyloarthritis and use of anti-TNF-α drugs: a retrospective study with 100 patients

Betânia Longo ORCID logo , Luziel Andrei Kirchner ORCID logo , Juliana Simioni ORCID logo , Ana Paula Beckhauser de Campos ORCID logo , Thelma Larocca Skare ORCID logo

DOI: 10.31744/einstein_journal/2019AO4539

ABSTRACT Objective To investigate the prevalence of electrocardiographic changes in patients with spondyloarthritis and to correlate these changes with use of anti-tumor necrosis factor-alpha (TNF-α) drugs and HLA-B27 positivity. Methods Retrospective study including 100 patients diagnosed with spondyloarthritis according to Assessment of SpondyloArthritis International Society (ASAS) criteria and 50 controls. Epidemiological and clinical features, results of inflammatory activity tests, HLA-B27 positivity, and medication use data were extracted from medical records. Disease activity was assessed using the Bath Ankylosing Spondylitis Disease […]

Development of a Brazilian anticholinergic activity drug scale

Raiany Thaimeny Nery ORCID logo , Adriano Max Moreira Reis ORCID logo

DOI: 10.31744/einstein_journal/2019AO4435

ABSTRACT Objective To develop a scale of anticholinergic activity drugs used in Brazil, to be applied in health care and pharmacoepidemiology research. Methods We performed a literature review on PubMed/MEDLINE® to identify previously published scales of anticholinergic drugs. This scale started with anticholinergic drugs, and those with known anticholinergic activity as per the 4th level, chemical-therapeutic subgroup, of the Anatomical Therapeutic Chemical classification. We also included drugs with high anticholinergic activity, as described in a list of potentially inappropriate medications […]

Training in recovery, perfusion and packaging of organs for transplants: profile of professionals and analysis of post-course learning

Juliana Guareschi dos Santos ORCID logo , Veronica Schonfeld Gomes Silva ORCID logo , Luciana Cintra ORCID logo , Cassiane Dezoti da Fonseca ORCID logo , Luciana Carvalho Moura Tralli ORCID logo

DOI: 10.31744/einstein_journal/2019AO4445

ABSTRACT Objective To understand the profile of professionals working in organ harvesting, and analyze the learning results of those trained before and after the course on recovery, perfusion and packaging of organs for transplants. Methods A retroprospective, quantitative, analytical-descriptive study about the Course on Recovery, Perfusion and Packaging of Liver and Kidney, in the period from 2012 to 2014. Pre- and post-tests, with ten questions were used to assess knowledge about organ harvesting. The association of knowledge with applied content […]

Development and clinical validation of a non-invasive, beat-to-beat blood pressure monitoring device, compared to invasive blood pressure monitoring during coronary angiography

Melania Aparecida Borges ORCID logo , Marcelo Prado ORCID logo , Tales Roberto de Souza Santini ORCID logo , Adriano Henrique Pereira Barbosa ORCID logo , Antonio Carlos Moreira ORCID logo , Eder Issao Ishibe ORCID logo , [...]

DOI: 10.31744/einstein_journal/2019AO4156

ABSTRACT Objective To develop and test a beat-to-beat blood pressure monitoring device during coronary angiography, and compare it with invasive blood pressure monitoring. Methods Twenty-eight patients with an indication for hemodynamic study were selected for this investigation, and kept in supine position. Before starting the coronary angiography, they were instructed about the use of the left radial bracelet for beat-to-beat blood pressure monitoring. Results There was a significant difference between the time required for the catheterization laboratory team to acquire […]

Multiple laryngeal neuromas: rarebenign 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 […]

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 […]

Congenital nasal pyriform aperture stenosis with single central megaincisor

Eduardo Kaiser Ururahy Nunes Fonseca ORCID logo , Rodrigo Watanabe Murakoshi ORCID logo , Rafael Maffei Loureiro ORCID logo , Daniel Vaccaro Sumi ORCID logo , Carolina Ribeiro Soares ORCID logo , Regina Lucia Elia Gomes ORCID logo , [...]

DOI: 10.31744/einstein_journal/2019AI4525

A 15-day-old female newborn presenting nasal obstruction since birth underwent computed tomography of the paranasal sinuses in our department due to clinical suspicion of choanal atresia. The patient presented no other complaints. Computed tomography () allowed the diagnosis of pyriform aperture stenosis, which is a rare cause of nasal obstruction in neonates and was first described in 1989.() Pyriform aperture stenosis becomes particularly significant during the first two months of life when infants are mandatory nose breathers. […]

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