17/mar/2022
Epidemiological characteristics and adherence of a cohort of elderly people with HIV/AIDS in the Public Health System
DOI: 10.31744/einstein_journal/2022AO6474
ABSTRACT Objective To characterize the epidemiological profile of patients aged 50 years or older diagnosed as HIV/AIDS, in a Specialized Service of the Public Health System. Methods A retrospective cohort study using secondary data from medical records in the period 2014 to 2018. Sociodemographic and clinical characteristics, and features related to treatment adherence were organized in a database. Quantitative variables were expressed as mean (or median) ± standard deviation (or interquartile range), and categorical variables expressed as number and percentage […]
Palavras-chave: Síndrome de imunodeficiência adquirida; Idoso; AIDS; Antiretroviral therapy, highly active; HIV; Immunity, cellular; Treatment adherence and compliance
17/mar/2022
Association between beta-2 adrenergic receptor variants and clinical outcomes in children and adolescents with acute asthma
DOI: 10.31744/einstein_journal/2022AO6412
ABSTRACT Objective To investigate whether different genotypes of p.Arg16Gly, p.Gln27Glu, p.Arg19Cys and p.Thr164Ile variants interfere in response to treatment in children and adolescents with moderate to severe acute asthma. Methods This sample comprised patients aged 2 to 17 years with a history of at least two wheezing episodes and current moderate to severe asthma exacerbation. All patients received multiple doses of albuterol and ipratropium bromide delivered via pressurized metered-dose inhaler with holding chamber and systemic corticosteroids. Hospital admission was defined […]
Palavras-chave: Asma; Bronchodilator agents; Hospitalização; Inaladores dosimetrados; Nebulizers and vaporizers; Polimorfismo genético; Receptors, adrenergic, beta-2
17/mar/2022
Epidemiological analysis of 556 procedures of open thoracoabdominal aortic aneurysm repair in the Public Health System in the largest Brazilian city
einstein (São Paulo). 17/mar/2022;20:eAO6724.
Ver Artigo17/mar/2022
Epidemiological analysis of 556 procedures of open thoracoabdominal aortic aneurysm repair in the Public Health System in the largest Brazilian city
DOI: 10.31744/einstein_journal/2022AO6724
ABSTRACT Objective Despite the development of endovascular procedures, open repair remains the gold standard for the treatment of aortic thoracoabdominal aneurysms and some type B dissections, with well-established good outcomes and long-term durability at high-volume centers. The present study described and analyzed public data from patients treated in the public system in a 12-year interval, in a city where more than 5 million inhabitants depend on the Public Health System. Methods Public data from procedures performed between 2008 and 2019 […]
Palavras-chave: Aneurysm, dissecting; Aorta, abdominal; Aorta, thoracic; Procedimentos endovasculares/métodos
07/mar/2022
Residue localization and risk for aspiration in partial laryngectomy: the relevance of assertive therapeutic strategies and resources
einstein (São Paulo). 07/mar/2022;20:eAO6262.
Ver Artigo07/mar/2022
Residue localization and risk for aspiration in partial laryngectomy: the relevance of assertive therapeutic strategies and resources
DOI: 10.31744/einstein_journal/2022AO6262
ABSTRACT Objective: To describe the correlation between the residues, their anatomical location and the presence of laryngotracheal penetration and aspiration in patients after supracricoid laryngectomy undergoing cricohyoidoepiglotopexy reconstruction. Methods: This study included 70 patients treated by supracricoid laryngectomy with cricohyoidoepiglotopexy reconstruction in a referral national cancer hospital. The patients were submitted to swallowing videofluoroscopy, and the findings were classified by the penetration and aspiration scale. The images were described observing the presence or absence of residues and their anatomical location. […]
Palavras-chave: Transtornos de deglutição; Esophageal sphincter, upper; Garbage; Laringectomia; Reabilitação; Videofluoroscopy
07/mar/2022
Valuing tonsillitis manifestations in schoolchildren in Rio de Janeiro
DOI: 10.31744/einstein_journal/2022AO6342
ABSTRACT Objective: To evaluate the importance attributed to tonsillitis by guardians and their level of knowledge about the disease, correlating their management with their schooling and socioeconomic profiles. Methods: A quantitative, descriptive and observational cross-sectional study involving students aged 5 to 17 years from state-owned and private schools. A questionnaire was applied on management of tonsillitis and knowledge about rheumatic fever, addressing demographic and socioeconomic data. Results: A total of 323 students were included, predominantly females (61.3%), from state-owned schools […]
Palavras-chave: Pharyngitis; Rheumatic fever; Rheumatic heart disease; Infecções estreptocócicas; Tonsillitis
07/mar/2022
COVID-19 containment management strategies in a nursing home
DOI: 10.31744/einstein_journal/2022AO6175
ABSTRACT Objective: To describe the first COVID-19 pandemic at Casa Ondina Lobo, a philanthropic nursing home in São Paulo city, and the containment measures against the pandemic that proved to be effective. Methods: Several preventive measures were taken before and during the pandemic, with emphasis on universal testing by reverse transcription polymerase chain reaction for COVID-19. All residents and employees were tested twice in a D9 period. Results: Among the 62 residents and 55 employees, in both testing, eight residents […]
Palavras-chave: Portador sadio; Communicable disease control; Infecções por coronavírus; COVID-19; Instituição de longa permanência para idosos; Controle de infecções; Nursing homes; Reação em cadeia da polimerase; SARS-CoV-2
07/mar/2022
Needs of family members of patients in a coronary care unit
DOI: 10.31744/einstein_journal/2022AO6258
ABSTRACT Objective: To identify the need of family members of patients hospitalized in a coronary intensive care unit and their degree of satisfaction with the care provided. Methods: An observational and cross-sectional study including family members of patients hospitalized in the coronary intensive care unit for acute coronary syndrome in Killip I or II. After the second visit of the same family member to the patient in the unit, a 43-item inventory of needs and stressors of family members was […]
Palavras-chave: Síndrome coronariana aguda; Cuidados críticos; Família; Humanização da assistência; Pacientes internados; Unidades de terapia intensiva; Nursing; Assistência centrada no paciente
04/mar/2022
Hyoid displacement patterns in healthy swallowing
DOI: 10.31744/einstein_journal/2022AO6268
ABSTRACT Objective To describe the patterns of displacement of the hyoid bone in healthy individuals, considering their displacements during swallowing of different consistencies. Methods Two hundred one swallowing videofluoroscopy exams of 67 adult and elderly individuals without swallowing disorders were analyzed. Descriptive analysis was performed to identify and describe the patterns of displacement of the hyoid bone. Results Seven types of displacement of the hyoid bone were found: H1 (horizontal), H2 (short vertical and long horizontal), H3 (vertical and diagonal […]
Palavras-chave: Idoso; Deglutition/physiology; Hyoid bone/anatomy & histology; Hyoid bone/physiology; Videofluoroscopy
04/mar/2022
COVID-19 among workers assisting homeless and socially vulnerable people
DOI: 10.31744/einstein_journal/2022AO6237
ABSTRACT Objective To describe the profile of professionals assisting homeless and socially vulnerable populations tested for COVID-19, and to determine potential associations with exposure at the workplace, on the way to work, or at home, among infected professionals. To describe disease symptoms and progression and to investigate potential associations with age, sex and exposure at the workplace, on the way to work, or at home. Methods A retrospective analysis of data of 173 workers employed by Serviço Franciscano de Solidariedade […]
Palavras-chave: Doenças transmissíveis; Infecções por coronavírus; COVID-19; Health care (Public health; Homeless persons; Infectious disease transmission, patient-to-professional; Saúde do Trabalhador; Riscos Ocupacionais; SARS-CoV-2; Vulnerable populations
04/mar/2022
COVID-19 in healthcare workers in the state of Espírito Santo, Brazil: clinical and sociodemographic characteristics associated with death and hospitalization
DOI: 10.31744/einstein_journal/2022AO6241
ABSTRACT Objective To analyze clinical and sociodemographic characteristics associated with death and hospitalization of healthcare workers due to COVID-19, in addition to calculating the incidence rates per profession. Methods A cross-sectional observational study using secondary open data from the State Health Department of Espírito Santo (ES), Brazil. The cases of COVID-19 in healthcare workers were recorded between February 27 and August 17, 2020, in Espírito Santo, excluding cases with missing information. Results Of the confirmed cases, 75.6% (n=9,191) were female. […]
Palavras-chave: Brasil; Infecções por coronavírus; COVID-19; Epidemiologia; Health personnel; Saúde do Trabalhador; SARS-CoV-2
