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https://www.readbyqxmd.com/read/30427488/late-secondary-urological-reconstruction-of-separated-ischiopagus-twins-with-exstrophic-bladder-and-urinary-incontinence
#1
Antonio Macedo, Marcela Leal da Cruz
We report a case of secondary urinary reconstruction of previously separated conjoined twins with exstrophic bladder and urinary incontinence. Patients were male and aged 13-year-old. Twin one had a history of failed enterocystoplasty that extruded and was visible like an exstrophic neobladder. He underwent a procedure to close bladder neck and reconfigure abdominal wall. After the procedure the patient developed a fistula that was treated, but it persisted and, for this reason, a catheterizable pouch was constructed and native bladder was discarded...
November 8, 2018: Einstein
https://www.readbyqxmd.com/read/30427487/indications-clinical-outcomes-and-complications-of-1-949-flexible-bronchoscopies
#2
Altair da Silva Costa, Paulo Rogerio Scordamaglio, Iunis Suzuki, Addy Lidvina Mejia Palomino, Marcia Jacomelli
OBJECTIVE: To describe indications, clinical outcomes and complications of flexible bronchoscopy. METHODS: A descriptive observational study of bronchoscopies performed at the endoscopy service of Hospital Israelita Albert Einstein . Demographic (age, gender and origin) and medical (indications and results of endoscopy and diagnostic tests, such as biopsy collection, lavage, cytology and culture) data were analyzed. Electronic medical records with incomplete data or reporting interventional procedures were excluded...
November 8, 2018: Einstein
https://www.readbyqxmd.com/read/30427486/suitability-of-new-drugs-registered-in-brazil-from-2003-to-2013-for-pediatric-age-groups
#3
Jaqueline Cristina da Silveira Xavier E Castro, Stephanie Ferreira Botelho, Taisa Roberta Lopes Machado, Maria Auxiliadora Parreiras Martins, Liliana Batista Vieira, Adriano Max Moreira Reis
OBJECTIVE: To analyze suitability of new drugs registered in Brazil from 2003 to 2013 for pediatric age groups. METHODS: A descriptive study of drugs with pediatric indication included in a retrospective cohort of new drugs registered in Brazil. The evaluation of drug suitability for the pediatric age group was performed using the following criteria: suitability of dosage form and capacity to deliver the recommended dose. The drugs were considered adequate for the pediatric age groups when they met both criteria...
November 8, 2018: Einstein
https://www.readbyqxmd.com/read/30427485/nurse-work-environment-comparison-between-private-and-public-hospitals
#4
Bárbara Sharon Maia Pires, Luana Zétula Fernandes de Oliveira, Cibele Leite Siqueira, Liliane Bauer Feldman, Ramon Antônio Oliveira, Renata Cristina Gasparino
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 over the practice setting and relationships with physicians...
November 8, 2018: Einstein
https://www.readbyqxmd.com/read/30427484/comparative-study-of-transepidermal-water-loss-in-patients-with-and-without-hyperhidrosis-by-closed-chamber-measurer-in-an-air-conditioned-environment
#5
Andre Miotto, Pedro Augusto Antunes Honda, Thiago Gangi Bachichi, Caio Santos Holanda, Ernesto Evangelista Neto, João Alessio Juliano Perfeito, Luiz Eduardo Villaça Leão, Altair da Silva Costa
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...
November 8, 2018: Einstein
https://www.readbyqxmd.com/read/30427483/influence-of-grandmothers-on-exclusive-breastfeeding-cross-sectional-study
#6
Thelen Daiana Mendonça Ferreira, Luciana Dantas Piccioni, Patricia Helena Breno Queiroz, Eliete Maria Silva, Ianê Nogueira do Vale
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...
November 8, 2018: Einstein
https://www.readbyqxmd.com/read/30427482/low-birth-weight-and-its-associated-factors
#7
Andreia Ielpo Magalhães Moreira, Paulo Roberto Moreira de Sousa, Flavio Sarno
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 <2...
November 8, 2018: Einstein
https://www.readbyqxmd.com/read/30427481/medications-used-in-pediatric-cystic-fibrosis-population
#8
Stella Pegoraro Alves, Márcia de Azevedo Frank, Denise Bueno
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...
November 8, 2018: Einstein
https://www.readbyqxmd.com/read/30427480/efficiency-in-the-operational-process-reduction-of-incorrect-entries-and-guarantee-of-compliance-in-the-rendering-of-accounts
#9
Daniela Nobrega Pavão, Monique Buttignol, Adriano José Pereira, Renato Tanjoni, Ederson Haroldo Pereira de Almeida, Patricia Leisnock, Gabriela Sato, Eliézer Silva
OBJECTIVE: To verify the impact of the Lean Six Sigma methodology in reducing incorrect entries of non-appropriated revenues and expenses. METHODS: Process for the review and application of the Lean Six Sigma methodology between December 2015 and September 2016, in a high-complexity general hospital in the city of São Paulo (SP). RESULTS: A total of 3,756,814 (100%) entries were audited between December 2015 and September 2016. The Sigma level evolved over the course of the process and increased from 3...
November 8, 2018: Einstein
https://www.readbyqxmd.com/read/30427479/helium-oxygen-mixture-clinical-applicability-in-an-intensive-care-unit
#10
Milena Siciliano Nascimento, Érica Santos, Cristiane do Prado
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 severe, even after one hour of conventional treatment...
November 8, 2018: Einstein
https://www.readbyqxmd.com/read/30427478/isolated-middle-colic-artery-injury-after-blunt-abdominal-trauma
#11
Eduardo Kaiser Ururahy Nunes Fonseca, Fernando Ide Yamauchi, Milton Steinman, Thais Caldara Mussi, Adriano Tachibana, Ronaldo Hueb Baroni
No abstract text is available yet for this article.
November 8, 2018: Einstein
https://www.readbyqxmd.com/read/30281765/percutaneous-drainage-of-iliopsoas-abscess-an-effective-option-in-cases-not-suitable-for-surgery
#12
Diego Lima Nava Martins, Francisco de Assis Cavalcante Junior, Priscila Mina Falsarella, Antonio Rahal Junior, Rodrigo Gobbo Garcia
The aim of this study were to describe the technique of percutaneous drainage of iliopsoas abscess, and to discuss the benefits of using this minimally-invasive tool. A single center study with retrospective analysis of patients with psoas abscess confirmed by imaging scans, sent to the interventional medicine center and submitted to computed tomography and ultrasound-guided percutaneous drainage, from November 2013 to August 2016. Seven patients underwent percutaneous drainage of psoas abscess in this period...
September 21, 2018: Einstein
https://www.readbyqxmd.com/read/30281764/cardiac-tissue-engineering-current-state-of-the-art-materials-cells-and-tissue-formation
#13
REVIEW
Isabella Caroline Pereira Rodrigues, Andreas Kaasi, Rubens Maciel Filho, André Luiz Jardini, Laís Pellizzer Gabriel
Cardiovascular diseases are the major cause of death worldwide. The heart has limited capacity of regeneration, therefore, transplantation is the only solution in some cases despite presenting many disadvantages. Tissue engineering has been considered the ideal strategy for regenerative medicine in cardiology. It is an interdisciplinary field combining many techniques that aim to maintain, regenerate or replace a tissue or organ. The main approach of cardiac tissue engineering is to create cardiac grafts, either whole heart substitutes or tissues that can be efficiently implanted in the organism, regenerating the tissue and giving rise to a fully functional heart, without causing side effects, such as immunogenicity...
September 21, 2018: Einstein
https://www.readbyqxmd.com/read/30281763/factors-associated-with-hospital-admissions-due-to-hypertension
#14
Rosimery Cruz de Oliveira Dantas, João Paulo Teixeira da Silva, Davidson Cruz de Oliveira Dantas, Ângelo Giuseppe Roncalli
OBJECTIVE: To study the temporality of hospital admissions due to arterial hypertension and its associated factors. METHODS: An ecological study with secondary data on hospital admissions due to essential arterial hypertension - ICD 10, from the Hospital Information System, the Mortality Information System and and the Primary Care Information System, between 2010 and 2015. Descriptive analysis using means, proportions and linear regression. RESULTS: We recorded 493,299 hospitalizations due to arterial hypertension from 2010 to 2015, with an average annual progressive cost decrease of -7...
September 21, 2018: Einstein
https://www.readbyqxmd.com/read/30281762/what-do-physicians-know-about-homosexuality-translation-and-adaptation-of-knowledge-about-homosexuality-questionnaire
#15
Renata Corrêa-Ribeiro, Fabio Iglesias, Einstein Francisco Camargos
OBJECTIVE: To adapt the Knowledge about Homosexuality Questionnaire to Brazilian Portuguese, and to assess knowledge of heterosexual physicians on homosexuality. METHODS: The following steps for cultural adaptation were made: translation by two independent evaluators, translation synthesis, and evaluation of semantic properties by the target population, followed by the development of a pilot study and administration of the instrument to 224 heterosexual physicians working in the Brazilian Federal District...
September 21, 2018: Einstein
https://www.readbyqxmd.com/read/30281761/profile-of-medical-students-in-the-first-group-of-the-faculdade-israelita-de-ci%C3%A3%C2%AAncias-da-sa%C3%A3%C2%BAde-albert-einstein
#16
Ângela Tavares Paes, Bruna de Freitas Dias, Giulia Nicolucci Eleutério, Vitória Penido de Paula
OBJECTIVE: To describe first medical students' profile of the Faculdade Israelita de Ciências da Saúde Albert Einstein. METHODS: Data were collected using an electronic questionnaire during the Biostatistics course in August of 2016. The students were inquired about demographic characteristics, data on their secondary education and college entrance exams, practice of physical exercise, leisure activities done, to have a physician in the family, and specialty that they intended to pursue as a career...
September 21, 2018: Einstein
https://www.readbyqxmd.com/read/30231147/partnership-for-productive-development-of-biosimilar-products-perspectives-of-access-to-biological-products-in-the-brazilian-market
#17
REVIEW
Morton Aaron Scheinberg, Paulo Antonio Oldani Felix, Igor Age Kos, Maurício De Angelo Andrade, Valderilio Feijó Azevedo
The manufacturing process for biological products is complex, expensive and critical to the final product, with an impact on their efficacy and safety. They have been increasingly used to treat several diseases, and account for approximately 50% of the yearly budget for the Brazilian public health system. As the patents of biological products expire, several biosimilars are developed. However, there are concerns regarding their efficacy and safety; therefore, the regulatory agencies establish rules to approve and monitor these products...
September 17, 2018: Einstein
https://www.readbyqxmd.com/read/30231146/big-data-use-in-medical-research
#18
EDITORIAL
Thiago Gonçalves Dos Santos Martins, Ana Luiza Fontes de Azevedo Costa, Thomaz Gonçalves Dos Santos Martins
No abstract text is available yet for this article.
September 17, 2018: Einstein
https://www.readbyqxmd.com/read/30231145/analysis-of-optimal-solutions-in-article-on-linear-programming
#19
LETTER
José Sérgio Domingues
No abstract text is available yet for this article.
September 17, 2018: Einstein
https://www.readbyqxmd.com/read/30231144/sexual-behaviors-study-in-the-youth
#20
Patrícia Sofia Ferreira Miranda, Joana Margarida Gonçalves Aquino, Ricardo Miguel Patrício de Carvalho Monteiro, Maria Dos Anjos Coelho Rodrigues Dixe, Alexandra Maria Branco da Luz, Pascoal Moleiro
OBJECTIVE: To characterize sexual behaviors in a sample of adolescents and youth. METHODS: An analytical descriptive study using a questionnaire about sexual behaviors, adapted from the World Health Organization. It was distributed to students from a Portuguese city aged 14-24 years, during two months. Two age groups were defined: G1 - students aged 14-19 years; G2 - aged 20-24 years. RESULTS: The sample included 2,369 students, 61% females and 70% in G1...
September 17, 2018: Einstein
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