26/nov/2024
Frailty over the rainbow: a cross-sectional study of LGBT+ adults aged over 50 years
DOI: 10.31744/einstein_journal/2024AO0937
Highlights The FRAIL scale is a validated instrument for the diagnosis of frailty syndrome. LGBT+ people are subject to different stressors throughout their lives, which can affect their health. Being an LGBT+ man aged ≥60 and an LGBT woman aged ≥50 was independently associated with frailty. ABSTRACT Objective: To investigate differences in the prevalence of frailty between LGBT+ and non- LGBT+ older adults. Methods: A cross-sectional study involving Brazilians aged 50 and over was performed. The participants were invited to […]
Palavras-chave: Idoso; Frailty; Middle aged; Minority health; Sexual and gender minorities; Survey and questionnaire
26/nov/2024
Risk factors for healthcare-associated infections and their relationship with waves of the COVID-19 pandemic in an intensive care unit: a nested case-control study
einstein (São Paulo). 26/nov/2024;22:eAO0939.
Ver Artigo26/nov/2024
Risk factors for healthcare-associated infections and their relationship with waves of the COVID-19 pandemic in an intensive care unit: a nested case-control study
DOI: 10.31744/einstein_journal/2024AO0939
Highlights Healthcare-associated infections are responsible for higher morbidity and mortality rates. The COVID-19 pandemic brought a scenario of enormous demand for healthcare. Knowledge of risk factors is important for preventive measures. COVID-19 and the length of hospital stay were the most important risk factors for healthcare-associated infections. ABSTRACT Objective: To evaluate the risk factors for healthcare-related infections during the COVID-19 pandemic in intensive care units, to investigate the impact of COVID-19 on Central Line- Associated Bloodstream Infection, Catheter-Associated Urinary Tract […]
Palavras-chave: Infecções relacionadas a cateter; Infecções por coronavírus; COVID-19; Intensive care unit; Pandemics; Pneumonia associada à ventilação mecânica; Risk factor
26/nov/2024
APENDIC-RADS: an ultrasound reporting system for the diagnosis of acute appendicitis
DOI: 10.31744/einstein_journal/2024AO1164
Highlights ■ Imaging plays a fundamental role in the diagnosis of acute appendicitis. ■ The study highlights ultrasound’s effectiveness in diagnosing appendicitis. ■ APPENDIC-RADS efficiently standardizes the ultrasound evaluation of appendicitis. ■ Using APPENDIC-RADS may enhance communication and optimize medical practices. ABSTRACT Objective: Abdominal ultrasonography is widely used to evaluate suspected cases of appendicitis. Objective descriptions of the direct and indirect signs of appendicitis result in varied assessments of its likelihood. This study introduces the Appendix Imaging Reporting and Data […]
Palavras-chave: Apendicite; Medicina de emergência; Comunicação interdisciplinar; Ultrassonografia
26/nov/2024
Association between physical activity levels and lower urinary tract symptoms: a cohort study in 20,732 Brazilian men
DOI: 10.31744/einstein_journal/2024AO1204
Highlights ■ Any physical activity level decreased the odds of lower urinary tract symptoms. ■ Aging and the occurrence of depression, erectile dysfunction, and higher total prostate-specific antigens were associated with higher odds of lower urinary tract symptoms. ABSTRACT Objective: This study aimed to evaluate the association between physical activity levels and lower urinary tract symptoms in 20,732 Brazilian men. Methods: This cohort study included20,732 men of ≥40 years of age, who participated in health screening between January 2008 and […]
Palavras-chave: Disfunção erétil; Exercício; Lifestyle; Sintomas do trato urinário inferior
25/nov/2024
The association between erectile dysfunction and depression: a cross-sectional study of 21,139 Brazilian men
DOI: 10.31744/einstein_journal/2024AO1063
Highlights Levels of lower urinary tract symptoms increased the risk of depression. Erectile dysfunction, alcohol consumption, and body mass index were associated with an increased likelihood of depression. ABSTRACT Objective: This study aimed to investigate the relationship between depression and erectile dysfunction while controlling for sociodemographic, physical health, psychological, and lifestyle factors. Additionally, it aimed to compare erectile dysfunction with other clinical, laboratory, and behavioral variables among individuals with depression in the same population. Methods: We included 21,139 men (≥40 […]
Palavras-chave: Depressão; Disfunção erétil; Exercício; Estilo de vida; Obesidade
21/nov/2024
Correlation between increased flushing intervals and malfunction and infectious complications in fully implantable catheters during the COVID-19 pandemic
einstein (São Paulo). 21/nov/2024;22:eAO0736.
Ver Artigo21/nov/2024
Correlation between increased flushing intervals and malfunction and infectious complications in fully implantable catheters during the COVID-19 pandemic
DOI: 10.31744/einstein_journal/2024AO0736
Highlights Long-term catheter flushing for >90 days has preserved function. Ports cleaned after 90 days have the same colonization rate as those flushed early. Long-term catheters may be colonized in asymptomatic patients. The longer port cleaning interval reduces costs. ABSTRACT Objective: To evaluate the incidence of malfunction and colonization rates of fully implantable long-term catheters left unflushed during the COVID-19 pandemic; and to evaluate the average cost of transporting each patient to the hospital for flushing. Methods: During the COVID-19 […]
Palavras-chave: Catheters related infections; Catheters, indwelling; Infecções por coronavírus; COVID-19; Flushing; Long-term care; Pandemics; Saline solution; Dispositivos de acesso vascular
21/nov/2024
Continuous evaluation of exosomatic electrodermal activity in patients with primary palmoplantar hyperhidrosis
einstein (São Paulo). 21/nov/2024;22:eAO1152.
Ver Artigo21/nov/2024
Continuous evaluation of exosomatic electrodermal activity in patients with primary palmoplantar hyperhidrosis
DOI: 10.31744/einstein_journal/2024AO1152
Highlights ■ Continuous exosomatic electrodermal activity was associated with higher skin conductance levels in patients with hyperhidrosis. ■ Palmoplantar sweating was significantly higher in the hyperhidrosis group than in the control group (p<0.01). ■ Electrodermal activity is an effective and simple method for objectively quantifying sweating in patients with hyperhidrosis. ABSTRACT Objective: To objectively evaluate sweat intensity in patients with primary hyperhidrosis by measuring electrodermal activity using a continuous exosomatic technique without external stimuli. Methods: This prospective and transversal study […]
Palavras-chave: Ansiedade; Depressão; Galvanic skin response; Hiperidrose; Palmoplantar sweating; Percepção; Inquéritos e questionários; Sweat
18/nov/2024
Severe murine schistosomiasis results from disrupted CD4+ T-cell modulation by immunodominance of a single egg epitope
einstein (São Paulo). 18/nov/2024;22:eAO0839.
Ver Artigo18/nov/2024
Severe murine schistosomiasis results from disrupted CD4+ T-cell modulation by immunodominance of a single egg epitope
DOI: 10.31744/einstein_journal/2024AO0839
Highlights ■ Restrictive ligand density can be pathological. ■ Restrictive ligand density can be neutralized. ■ Restrictive ligand density neutralization may the used to heal or prevent disease. ABSTRACT Objective: This study examined the correlation between immunodominance of the major egg antigen Sm-p40234-246, a robust Th1/Th17 anti-egg CD4 T-cell response, and severe liver immunopathology in experimental murine schistosomiasis. It serves as a platform to analyze how varying degrees of immunodominance affect CD4+ T cell modulation and disease outcomes. Methods: We […]
Palavras-chave: CD4-Positive T-Lymphocytes; Immunodominance; Imunomodulação; Immunopathology; Complexo principal de histocompatibilidade; Schistosomiasis
18/nov/2024
Adverse events and safety concerns among university students who misused stimulants to increase academic performance
einstein (São Paulo). 18/nov/2024;22:eAO0895.
Ver Artigo18/nov/2024
Adverse events and safety concerns among university students who misused stimulants to increase academic performance
DOI: 10.31744/einstein_journal/2024AO0895
Highlights Psychostimulant use in the studied population revealed the following: ■ Lack of a valid diagnosis, unsupervised use, drug interactions, and adverse effects. ■ Concomitant use of alcohol and drugs and contraindications such as depression/anxiety. ■ Acquisition without prescription and use to improve academic performance. ABSTRACT Objective: To evaluate psychostimulant drug use among academics in the health area of a higher education institution in Minas Gerais, Brazil. Methods: We conducted an online cross-sectional study of 389 university students from various […]
Palavras-chave: Academic performance; Estimulantes do sistema nervoso central; Interações de medicamentos; Health sciences; Illicit drugs; Aprendizagem; Performance-enhancing substances; Prescription drugs; Estudantes de odontologia; Universities
18/nov/2024
Icodextrin versus Glucose 2.5% on markers of hypervolemia and survival of patients undergoing automated peritoneal dialysis with an unplanned start: a randomized controlled trial
einstein (São Paulo). 18/nov/2024;22:eAO0980.
Ver Artigo18/nov/2024
Icodextrin versus Glucose 2.5% on markers of hypervolemia and survival of patients undergoing automated peritoneal dialysis with an unplanned start: a randomized controlled trial
DOI: 10.31744/einstein_journal/2024AO0980
Highlights ■ No baseline differences between the groups icodextrin versus glucose. ■ Icodextrin significantly improved ultrafiltration, extracellular water, and phase angle. ■ Mortality and technique survival did not differ between the groups during follow-up. ABSTRACT Objective: The efficacy of icodextrin versus glucose patients undergoing peritoneal dialysis remains unclear. The study was designed to compare the effects of once-daily long-dwell icodextrin versus glucose on markers of hypervolemia and survival among patients with kidney failure undergoing an unplanned initiation of automated peritoneal […]
Palavras-chave: Glucose; Hypervolemia; Icodextrin; Diálise peritoneal; Insuficiência renal crônica; Survival; Urgent start
