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Thais Caldara Mussi
Magnetic resonance imaging of the prostate is an imaging method that has shown increasing relevance in urological practice. Due to technological evolution of scanners and the introduction of functional sequences, it has enabled greater accuracy in detection and characterization of prostate tumors.
June 28, 2018: Einstein
Poliana Nunes Wanderlei, Erik Montagna
OBJECTIVE: To formulate and to implement a virtual learning environment course in patient safety, and to propose ways to estimate the impact of the course in patient safety outcomes. METHODS: The course was part of an accreditation process and involved all employees of a public hospital in Brazil. The whole hospital staff was enrolled in the course. The accreditation team defined the syllabus. The education guidelines were divided into 12 modules related to quality, patient safety and required organizational practices...
June 28, 2018: Einstein
Nina Abreu, Inês Dias, Mafalda Cascais, Alexandra Luz, Pascoal Moleiro
OBJECTIVE: To characterize the care flow and the primary diagnoses of an Adolescent Medicine Clinic. METHODS: A retrospective descriptive study, with analysis of clinical processes of adolescents (10-18 years) seen at the Adolescent Medicine Clinic, from January 2006 to December 2013. The following variables were analyzed: sex, age, number of visits, referring service and primary diagnoses according to the International Statistical Classification of Diseases and Related Health Problems...
June 28, 2018: Einstein
Isaac Felipe Leite Braz, Raquel Andresa Duarte Gomes, Mariele Silva de Azevedo, Francisco das Chagas Marison Alves, Danilo Silveira Seabra, Francisco Pignataro Lima, Joabe Dos Santos Pereira
OBJECTIVE: To evaluate the perception of elderly population about cancer, correlating it with the clinical variables sex, age and past history of cancer. METHODS: The sample was composed of 300 individuals, 174 (58%) women. A questionnaire containing ten questions and based on the Health Information National Trends Survey was used. For statistical analysis, a p value <0.05 was considered significant. RESULTS: Individuals aged 80 years and older were more likely to believe that regular tests can identify cancer in early stages, compared to elderly aged under 80 years (OR: 0...
June 28, 2018: Einstein
Henrique Alkalay Helber, Aline Lury Hada, Raquel Baptista Pio, Pedro Henrique Zavarize de Moraes, Diogo Bugano Diniz Gomes
Immunotherapy-induced pneumonitis is a rare complication with incidence estimated around 3%. This disease is difficult to diagnose and has great morbidity. For this reason, it became a challenge for oncologists and emergencists. We reviewed the case of five patients who used anti-PD1 (program cell death receptor antagonist 1) for antineoplastic treatment and developed treatment-induced pneumonitis. All patients had respiratory problems because of immunotherapy and presence of ground-glass radiologic change...
June 21, 2018: Einstein
Quevellin Alves Dos Santos
No abstract text is available yet for this article.
June 21, 2018: Einstein
Josyandra Paula de Freitas, Mariana Pereira Inácio Silvestri, César Eduardo Fernandes, Emerson de Oliveira
OBJECTIVE: To evaluate the quality of sleep in women with urinary incontinence before and after sling surgery. METHODS: A prospective study of case series of women with urodynamic diagnosis of stress urinary incontinence. To evaluate the subjective quality of sleep, two specific questionnaires were used and validated for the Portuguese Language: Epworth Sleepiness Scale and Pittsburgh Sleep Quality Index. The questionnaires were applied before and 6 months after surgical repair...
June 21, 2018: Einstein
Ana Carolina de Souza E Silva, Domingos Sávio de Carvalho Sousa, Eunice Bobô de Carvalho Perraud, Fátima Rosane de Almeida Oliveira, Bruna Cristina Cardoso Martins
OBJECTIVE: To describe and evaluate the pharmacotherapeutic follow-up by a clinical pharmacist in an intensive care unit. METHODS: A descriptive and cross-sectional study carried out from August to October 2016. The data were collected through a form, and pharmacotherapeutic follow-up conducted by a clinical pharmacist at the respiratory intensive care unit of a tertiary hospital. The problems recorded in the prescriptions were quantified, classified and evaluated according to severity; the recommendations made by the pharmacist were analyzed considering the impact on pharmacotherapy...
June 21, 2018: Einstein
Ronaldo Rodrigues da Costa, Suzane Fernandes da Silva, Romário Costa Fochat, Raquel Leite Macedo, Thamiris Vilela Pereira, Marcio Roberto Silva, Carmen Perches Gomide Pinto, Isabel Cristina Gonçalves Leite
OBJECTIVE: To compare the performance of the Ogawa-Kudoh method with the modified Petroff technique in diagnosis of pulmonary tuberculosis. METHODS: A total of 205 sputum samples from 166 patients with clinical suspicion or under pulmonary tuberculosis follow-up, seen at a public tertiary care hospital, from July 2014 to July 2016 were used. All samples were simultaneously processed using the Ogawa-Kudoh and modified Petroff decontamination methods, according to the recommendations of the Ministry of Health...
June 11, 2018: Einstein
Caleb Shitsuka, Flávia Kazue Ibuki, Fernando Neves Nogueira, Fausto Medeiros Mendes, Marcelo Bönecker
OBJECTIVE: To evaluate oxidative stress in saliva of children with dental erosion as compared to children with no erosion. METHODS: One single examiner, trained and prepared to make diagnosis of dental erosion according to the Basic Erosive Wear Examination index, selected 40 children aged 4 to 6 years, who attended a pediatric dentistry prevention clinic. Two groups were formed - one comprising children with dental erosion (n=22), and another with no dental erosion (n=18)...
June 11, 2018: Einstein
Michele Bittencourt Silveira, Ricardo Pedrozo Saldanha, José Carlos de Carvalho Leite, Thamyres Oliveira Ferreira da Silva, Thiago Silva, Lidiane Isabel Filippin
OBJECTIVE: To develop and validate the content of the online Questionnaire for Fall Risk Assessment in the Elderly. METHODS: The instrument was developed based on the International Classification of Functioning, Disability and Health (ICF) of the World Health Organization. Initially, the set of items was submitted to evaluation of judges (healthcare professionals with experience in elderly health), who could suggest inclusion or exclusion of questions from the instrument; they were also asked to rate each question according to the expected scope...
June 11, 2018: Einstein
Letícia Maria Araujo Oliveira Nunes, Caroline Duarte de Mello-Amoedo, Fernando Ide Yamauchi, Ronaldo Hueb Baroni
No abstract text is available yet for this article.
June 11, 2018: Einstein
Amanda Alves da Silva, Juliane Carlotto, Inajara Rotta
The definition of antineoplastic administration sequences can help planning of therapeutic regimens in a more rational way, and thus optimize chemotherapy effects on patients, increasing efficacy and reducing toxic effects. In this way, this study aimed to evaluate the infusion order of antineoplastic agents of the main therapeutic protocols used in the treatment of colorectal and breast cancer which are used in a tertiary hospital, identifying possible interactions dependent on the infusion sequence. For the definition of protocols adopted in the hospital, medical prescriptions were used in the period of January to March 2016 and a literature review was conducted to search for studies assessing the sequence of administering the selected regimens...
June 7, 2018: Einstein
Camila Nascimento Alves, Tiago Kiyoshi Kitabayashi Braga, Danusa Neves Somensi, Bruno Sérgio Vilhena do Nascimento, José Antônio Santos de Lima, Satomi Fujihara
The X-linked spinal and bulbar muscular atrophy (Kennedy's disease) is a rare X-linked, recessive, lower motor neuron disease, characterized by weakness, atrophy, and fasciculations of the appendicular and bulbar muscle. The disease is caused by an expansion of the CAG repetition in the androgen receptor gene. Patients with Kennedy's disease have more than 39 CAG repetitions. We report a case of 57-year-old man, resident of Monte Dourado (PA, Brazil) who complained of brachiocrural paresis evolving for 3 years along with fasciculations and tremors of extremities...
June 7, 2018: Einstein
Welbert Oliveira Pereira, Fernanda Teresa Lima
No abstract text is available yet for this article.
June 7, 2018: Einstein
Suelyne Rodrigues de Morais, Ana Carolina Cavalcante Viana, Ana Filomena Camacho Santos Daltro, Priscila da Silva Mendonça
OBJECTIVE: To analyze the prevalence of overweight and the use of conicity index for cardiovascular risk assessment in individuals submitted to autologous hematopoietic stem cell transplantation. METHODS: The sample comprised 91 patients of both sexes, who underwent autologous hematopoietic stem cell transplantation from September 2008 to December 2013, aged 18 years or over. To determine the nutritional profile, we collected anthropometric data on weight, height, waist circumference upon hospital admission...
June 7, 2018: Einstein
Juliana da Silva Moro, Marília Cunha Maroneze, Thiago Machado Ardenghi, Luisa Machado Barin, Cristiane Cademartori Danesi
OBJECTIVE: To evaluate the epidemiological profile and survival rate of oral and oropharyngeal cancer patients seen at a university hospital. METHODS: A cross-sectional study was carried out by means of the pathological reports of patients with oral and oropharyngeal cancer, seen at a university hospital of the Southern Region, between January 2004 and December 2014. Information was collected on patients and tumors. The mortality rate was gathered from the patient death registry in the Mortality Information System...
June 7, 2018: Einstein
Jorge Agi, Niro Kasahara, Claudio Luiz Lottenberg
OBJECTIVE: To evaluate the quality of online information on age-related macular degeneration available in Portuguese. METHODS: The search term "age-related macular degeneration" was used to browse the web using four different search engines. The first 40 websites appearing on match lists provided by each search engine were recorded and those listed in at least three tab pages selected. The Sandvik Severity Index was used as to assess website quality. RESULTS: Quality of information available on selected websites was rated average (mean Sandvik Score 7...
June 7, 2018: Einstein
Cristian Roncada, Thiago de Araujo Cardoso, Bianca Martininghi Bugança, Luísa Carolina Bischoff, Karina Soldera, Paulo Márcio Pitrez
OBJECTIVE: To evaluate the levels of knowledge about asthma of parents of school children. METHODS: A cross-sectional study was carried out with parents of children with medical diagnosis of asthma (mild, moderate and severe), followed up at an outpatient referral center for childhood asthma in the Southern region of Brazil (Asthma Group). Parents of children with asthma in remission and healthy children were also selected (Control Group). The Newcastle Asthma Knowledge Questionnaire (NAKQ) questionnaire was applied in both groups...
June 7, 2018: Einstein
Patrícia Amaro Andrade, Carolina Araújo Dos Santos, Heloísa Helena Firmino, Carla de Oliveira Barbosa Rosa
OBJECTIVE: To determine frequency of dysphagia risk and associated factors in hospitalized patients as well as to evaluate nutritional status by using different methods and correlate the status with scores of the Eating Assessment Tool (EAT-10). METHODS: This was a cross-sectional study including 909 inpatients of a philanthropic hospital. For the diagnosis of dysphagia we used an adapted and validated Brazilian version of the Eating Assessment Tool (EAT-10). The nutritional status was evaluated through the subjective global assessment, and anthropometric measurements included weight, calf and arm circumference, and knee height...
June 7, 2018: Einstein
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