Pub Date : 2023-10-09eCollection Date: 2023-01-01DOI: 10.31744/einstein_journal/2023AO0195
Antonia Sinesi, Valentino Natoli, Cinzia Casu, Savino Cefola, Ruggiero Damato, Roberta Grassi, Gianna Maria Nardi
This work aimed to report values on oral hygiene habits at home during the pandemic and compare the differences between previous oral hygiene habits. A total of 1,136 questionnaires were filled in via a link sent through email to the patients. The answers show that although they had more time during the pandemic, they spent less time on dental and tongue hygiene. Dental and tongue hygiene are key to maintaining systemic health. The questionnaire was sent by e-mail to 1,136 male and female patients throughout Italy. Demonstrate and understand whether patients during the pandemic cleaned and spent time cleaning and maintaining their teeth and tongue hygiene. The questionnaire testifies to the fact that it is not the time but the patient's compliance and motivation that makes the difference.
Objective: This work aimed to report values regarding oral hygiene habits at home during the pandemic and compare the difference with previous oral hygiene habits.
Methods: This study was performed anonymously and had patients answer an online questionnaire. The questionnaire consisted of 11 closed-answer questions (except 1) concerning oral hygiene habits at home at the time of COVID-19 and participant characteristics, including gender and age. A total of 1,136 questionnaires were filled in via a link sent by email to the patients.
Results: Among the 1,136 patients examined, 32.4% (372) were male and 67.6% (775) were female, and almost half (47.9%) of the patients who answered the questionnaire were aged 18-40 years. Patients who participated in our survey were asked questions related to dental and tongue hygiene. The answers showed that although they had more time during the pandemic, they brushed their teeth less and did not brush their tongues regularly.
Conclusion: Patients with periodontal problems usually have less time for brushing and do not have good plaque control. The questionnaire showed the opposite, such that the patient's compliance and motivation matters more than time. Thus, dentists and dental hygienists must encourage and make patients understand the importance of oral hygiene at home.
{"title":"Epidemiological evaluation of patient compliance regarding oral health and hygiene during the COVID-19 period.","authors":"Antonia Sinesi, Valentino Natoli, Cinzia Casu, Savino Cefola, Ruggiero Damato, Roberta Grassi, Gianna Maria Nardi","doi":"10.31744/einstein_journal/2023AO0195","DOIUrl":"10.31744/einstein_journal/2023AO0195","url":null,"abstract":"<p><p>This work aimed to report values on oral hygiene habits at home during the pandemic and compare the differences between previous oral hygiene habits. A total of 1,136 questionnaires were filled in via a link sent through email to the patients. The answers show that although they had more time during the pandemic, they spent less time on dental and tongue hygiene. Dental and tongue hygiene are key to maintaining systemic health. The questionnaire was sent by e-mail to 1,136 male and female patients throughout Italy. Demonstrate and understand whether patients during the pandemic cleaned and spent time cleaning and maintaining their teeth and tongue hygiene. The questionnaire testifies to the fact that it is not the time but the patient's compliance and motivation that makes the difference.</p><p><strong>Objective: </strong>This work aimed to report values regarding oral hygiene habits at home during the pandemic and compare the difference with previous oral hygiene habits.</p><p><strong>Methods: </strong>This study was performed anonymously and had patients answer an online questionnaire. The questionnaire consisted of 11 closed-answer questions (except 1) concerning oral hygiene habits at home at the time of COVID-19 and participant characteristics, including gender and age. A total of 1,136 questionnaires were filled in via a link sent by email to the patients.</p><p><strong>Results: </strong>Among the 1,136 patients examined, 32.4% (372) were male and 67.6% (775) were female, and almost half (47.9%) of the patients who answered the questionnaire were aged 18-40 years. Patients who participated in our survey were asked questions related to dental and tongue hygiene. The answers showed that although they had more time during the pandemic, they brushed their teeth less and did not brush their tongues regularly.</p><p><strong>Conclusion: </strong>Patients with periodontal problems usually have less time for brushing and do not have good plaque control. The questionnaire showed the opposite, such that the patient's compliance and motivation matters more than time. Thus, dentists and dental hygienists must encourage and make patients understand the importance of oral hygiene at home.</p>","PeriodicalId":47359,"journal":{"name":"Einstein-Sao Paulo","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10519668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-15eCollection Date: 2023-01-01DOI: 10.31744/einstein_journal/2023AE0428
Eduardo Cordioli, Mara Giavina-Bianchi, Carlos Henrique Sartorato Pedrotti, Sérgio Podgaec
Objective: The primary aim of this study was to understand the difference in the use of Telemedicine by Brazilian physicians before and after the onset of COVID-19 pandemic and their intention to continue using it post the pandemic period. The secondary objective was to analyze the differences of opinion between physicians in the private and public sectors.
Methods: We conducted an online medical survey through the SurveyMonkey platform in a large hospital in São Paulo, Brazil, from May to July 2022.
Results: Three-hundred-and -two physicians responded to the survey. We found that there was a significant increase in the number of physicians who started using Telemedicine in both the public and private sectors (p<0.0001) since the onset of COVID-19 pandemic and that >50% of them intend to continue using Telemedicine in their daily practice. Most responders consider that Telemedicine is useful in screening, diagnosis and management of patients; that it facilitates the physician's daily practice; that it can maintain or even add financial gains through reducing office expenses; and that is another medium for dispensing medical care. They also believe that Telemedicine should be regulated by the Brazilian Federal Council of Medicine. There were no significant differences between the responses from private and public sector physicians.
Conclusion: Telemedicine has played a major role in healthcare since the onset of COVID-19 pandemic and most of the physicians approve its use and intend to continue using Telemedicine in their daily practice.
{"title":"Brazilian Medical Survey on Telemedicine since the onset of COVID-19.","authors":"Eduardo Cordioli, Mara Giavina-Bianchi, Carlos Henrique Sartorato Pedrotti, Sérgio Podgaec","doi":"10.31744/einstein_journal/2023AE0428","DOIUrl":"https://doi.org/10.31744/einstein_journal/2023AE0428","url":null,"abstract":"<p><strong>Objective: </strong>The primary aim of this study was to understand the difference in the use of Telemedicine by Brazilian physicians before and after the onset of COVID-19 pandemic and their intention to continue using it post the pandemic period. The secondary objective was to analyze the differences of opinion between physicians in the private and public sectors.</p><p><strong>Methods: </strong>We conducted an online medical survey through the SurveyMonkey platform in a large hospital in São Paulo, Brazil, from May to July 2022.</p><p><strong>Results: </strong>Three-hundred-and -two physicians responded to the survey. We found that there was a significant increase in the number of physicians who started using Telemedicine in both the public and private sectors (p<0.0001) since the onset of COVID-19 pandemic and that >50% of them intend to continue using Telemedicine in their daily practice. Most responders consider that Telemedicine is useful in screening, diagnosis and management of patients; that it facilitates the physician's daily practice; that it can maintain or even add financial gains through reducing office expenses; and that is another medium for dispensing medical care. They also believe that Telemedicine should be regulated by the Brazilian Federal Council of Medicine. There were no significant differences between the responses from private and public sector physicians.</p><p><strong>Conclusion: </strong>Telemedicine has played a major role in healthcare since the onset of COVID-19 pandemic and most of the physicians approve its use and intend to continue using Telemedicine in their daily practice.</p>","PeriodicalId":47359,"journal":{"name":"Einstein-Sao Paulo","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10501763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41137396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-15eCollection Date: 2023-01-01DOI: 10.31744/einstein_journal/2023AO0119
Bruno Caldin da Silva, Ricardo Luiz Cordioli, Bento Fortunato Cardoso Dos Santos, João Carlos de Campos Guerra, Roseny Dos Reis Rodrigues, Guilherme Martins de Souza, Carolina Ashihara, Thais Dias Midega, Niklas Söderberg Campos, Bárbara Vieira Carneiro, Flávia Nunes Dias Campos, Hélio Penna Guimarães, Gustavo Faissol Janot de Matos, Valdir Fernandes de Aranda, Leonardo José Rolim Ferraz, Thiago Domingos Corrêa
Objective: The incidence of thrombotic events and acute kidney injury is high in critically ill patients with COVID-19. We aimed to evaluate and compare the coagulation profiles of patients with COVID-19 developing acute kidney injury versus those who did not, during their intensive care unit stay.
Methods: Conventional coagulation and platelet function tests, fibrinolysis, endogenous inhibitors of coagulation tests, and rotational thromboelastometry were conducted on days 0, 1, 3, 7, and 14 following intensive care unit admission.
Results: Out of 30 patients included, 13 (43.4%) met the criteria for acute kidney injury. Comparing both groups, patients with acute kidney injury were older: 73 (60-84) versus 54 (47-64) years, p=0.027, and had a lower baseline glomerular filtration rate: 70 (51-81) versus 93 (83-106) mL/min/1.73m2, p=0.004. On day 1, D-dimer and fibrinogen levels were elevated but similar between groups: 1780 (1319-5517) versus 1794 (726-2324) ng/mL, p=0.145 and 608 (550-700) versus 642 (469-722) g/dL, p=0.95, respectively. Rotational thromboelastometry data were also similar between groups. However, antithrombin activity and protein C levels were lower in patients who developed acute kidney injury: 82 (75-92) versus 98 (90-116), p=0.028 and 70 (52-82) versus 88 (78-101) µ/mL, p=0.038, respectively. Mean protein C levels were lower in the group with acute kidney injury across multiple time points during their stay in the intensive care unit.
Conclusion: Critically ill patients experiencing acute kidney injury exhibited lower endogenous anticoagulant levels. Further studies are needed to understand the role of natural anticoagulants in the pathophysiology of acute kidney injury within this population.
{"title":"COVID-19-associated coagulopathy and acute kidney injury in critically ill patients.","authors":"Bruno Caldin da Silva, Ricardo Luiz Cordioli, Bento Fortunato Cardoso Dos Santos, João Carlos de Campos Guerra, Roseny Dos Reis Rodrigues, Guilherme Martins de Souza, Carolina Ashihara, Thais Dias Midega, Niklas Söderberg Campos, Bárbara Vieira Carneiro, Flávia Nunes Dias Campos, Hélio Penna Guimarães, Gustavo Faissol Janot de Matos, Valdir Fernandes de Aranda, Leonardo José Rolim Ferraz, Thiago Domingos Corrêa","doi":"10.31744/einstein_journal/2023AO0119","DOIUrl":"https://doi.org/10.31744/einstein_journal/2023AO0119","url":null,"abstract":"<p><strong>Objective: </strong>The incidence of thrombotic events and acute kidney injury is high in critically ill patients with COVID-19. We aimed to evaluate and compare the coagulation profiles of patients with COVID-19 developing acute kidney injury versus those who did not, during their intensive care unit stay.</p><p><strong>Methods: </strong>Conventional coagulation and platelet function tests, fibrinolysis, endogenous inhibitors of coagulation tests, and rotational thromboelastometry were conducted on days 0, 1, 3, 7, and 14 following intensive care unit admission.</p><p><strong>Results: </strong>Out of 30 patients included, 13 (43.4%) met the criteria for acute kidney injury. Comparing both groups, patients with acute kidney injury were older: 73 (60-84) versus 54 (47-64) years, p=0.027, and had a lower baseline glomerular filtration rate: 70 (51-81) versus 93 (83-106) mL/min/1.73m2, p=0.004. On day 1, D-dimer and fibrinogen levels were elevated but similar between groups: 1780 (1319-5517) versus 1794 (726-2324) ng/mL, p=0.145 and 608 (550-700) versus 642 (469-722) g/dL, p=0.95, respectively. Rotational thromboelastometry data were also similar between groups. However, antithrombin activity and protein C levels were lower in patients who developed acute kidney injury: 82 (75-92) versus 98 (90-116), p=0.028 and 70 (52-82) versus 88 (78-101) µ/mL, p=0.038, respectively. Mean protein C levels were lower in the group with acute kidney injury across multiple time points during their stay in the intensive care unit.</p><p><strong>Conclusion: </strong>Critically ill patients experiencing acute kidney injury exhibited lower endogenous anticoagulant levels. Further studies are needed to understand the role of natural anticoagulants in the pathophysiology of acute kidney injury within this population.</p>","PeriodicalId":47359,"journal":{"name":"Einstein-Sao Paulo","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10501765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41172579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Despite its rarity, symptomatic micronutrient deficiency remains a public health problem. Scurvy is the differential diagnosis for bleeding disorders and hematological and rheumatological diseases, especially in patients with eating disorders. However, it is unrelated to autism spectrum disorders or other neurodevelopmental disorders. A previously healthy 10-year-old boy living in São Paulo, Brazil, had a history of significant food selectivity unrelated to autism spectrum disorder, resulting in symptomatic ascorbic acid deficiency (scurvy). This resulted in pain and purpuric lesions on the lower limbs, gingival edema, bleeding during tooth brushing, asthenia, weakness, malaise, and sadness. Therefore, dietary anamnesis is important for routine monitoring of child growth and development. This process helps prevent nutritional deficiencies, facilitates early diagnosis of eating disorders, and enables multidisciplinary follow-up for these patients.
{"title":"Scurvy and food selectivity in childhood: a case report.","authors":"Nicole Carvalho Xavier Micheloni da Silva, Paula Fraiman Blatyta Caselli, Chahine Pereira Marinho, Lucia Daihana Godoy Lopez, Fernanda Menezes Vasconcelos, Mariana Vicentin Nauff, Kamila Caixeta Gonçalves","doi":"10.31744/einstein_journal/2023RC0356","DOIUrl":"https://doi.org/10.31744/einstein_journal/2023RC0356","url":null,"abstract":"<p><p>Despite its rarity, symptomatic micronutrient deficiency remains a public health problem. Scurvy is the differential diagnosis for bleeding disorders and hematological and rheumatological diseases, especially in patients with eating disorders. However, it is unrelated to autism spectrum disorders or other neurodevelopmental disorders. A previously healthy 10-year-old boy living in São Paulo, Brazil, had a history of significant food selectivity unrelated to autism spectrum disorder, resulting in symptomatic ascorbic acid deficiency (scurvy). This resulted in pain and purpuric lesions on the lower limbs, gingival edema, bleeding during tooth brushing, asthenia, weakness, malaise, and sadness. Therefore, dietary anamnesis is important for routine monitoring of child growth and development. This process helps prevent nutritional deficiencies, facilitates early diagnosis of eating disorders, and enables multidisciplinary follow-up for these patients.</p>","PeriodicalId":47359,"journal":{"name":"Einstein-Sao Paulo","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10501761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41152291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-08eCollection Date: 2023-01-01DOI: 10.31744/einstein_journal/2023AO0071
Beatriz Nistal-Nuño
Objective: The variation in mortality rates of intensive care unit oncological patients may imply that clinical characteristics and prognoses are very different between specific subsets of patients with cancer. The specific characteristics of patients with cancer have not been included as risk factors in the established severity-of-illness scoring systems and comorbidity scores, showing limitations in predicting mortality risk. This study aimed to devise a predictive tool for in-hospital mortality for adult patients with a respiratory neoplasm admitted to the intensive care unit, using an artificial neural network.
Methods: A total of 1,221 stays in the intensive care unit from the Beth Israel Deaconess Medical Center were studied. The primary endpoint was the all-cause in-hospital mortality prediction. An artificial neural network was developed and compared with six severity-of-illness scores and one comorbidity score. Model building was based on important predictors of lung cancer mortality, such as several laboratory parameters, demographic parameters, organ-supporting treatments, and other clinical information. Discrimination and calibration were assessed.
Results: The AUROC for the multilayer perceptron was 0.885, while it was <0.74 for the conventional systems. The AUPRC for the multilayer perceptron was 0.731, whereas it was ≤0.482 for the conventional systems. The superiority of multilayer perceptron was statistically significant for all pairwise AUROC and AUPRC comparisons. The Brier Score was better for the multilayer perceptron (0.109) than for OASIS (0.148), SAPS III (0.163), and SAPS II (0.154).
Conclusion: Discrimination was excellent for multilayer perceptron, which may be a valuable tool for assessing critically ill patients with lung cancer.
{"title":"Outcome prediction for critical care patients with respiratory neoplasms using a multilayer perceptron neural network.","authors":"Beatriz Nistal-Nuño","doi":"10.31744/einstein_journal/2023AO0071","DOIUrl":"https://doi.org/10.31744/einstein_journal/2023AO0071","url":null,"abstract":"<p><strong>Objective: </strong>The variation in mortality rates of intensive care unit oncological patients may imply that clinical characteristics and prognoses are very different between specific subsets of patients with cancer. The specific characteristics of patients with cancer have not been included as risk factors in the established severity-of-illness scoring systems and comorbidity scores, showing limitations in predicting mortality risk. This study aimed to devise a predictive tool for in-hospital mortality for adult patients with a respiratory neoplasm admitted to the intensive care unit, using an artificial neural network.</p><p><strong>Methods: </strong>A total of 1,221 stays in the intensive care unit from the Beth Israel Deaconess Medical Center were studied. The primary endpoint was the all-cause in-hospital mortality prediction. An artificial neural network was developed and compared with six severity-of-illness scores and one comorbidity score. Model building was based on important predictors of lung cancer mortality, such as several laboratory parameters, demographic parameters, organ-supporting treatments, and other clinical information. Discrimination and calibration were assessed.</p><p><strong>Results: </strong>The AUROC for the multilayer perceptron was 0.885, while it was <0.74 for the conventional systems. The AUPRC for the multilayer perceptron was 0.731, whereas it was ≤0.482 for the conventional systems. The superiority of multilayer perceptron was statistically significant for all pairwise AUROC and AUPRC comparisons. The Brier Score was better for the multilayer perceptron (0.109) than for OASIS (0.148), SAPS III (0.163), and SAPS II (0.154).</p><p><strong>Conclusion: </strong>Discrimination was excellent for multilayer perceptron, which may be a valuable tool for assessing critically ill patients with lung cancer.</p>","PeriodicalId":47359,"journal":{"name":"Einstein-Sao Paulo","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10501764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41158810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-08eCollection Date: 2023-01-01DOI: 10.31744/einstein_journal/2023RC0478
Bruno Mirandola Bulisani, Murilo Rocha Rodrigues, Luiz Guilherme Lisboa Gomes, Milena Arruda de Oliveira Leite, Felipe Martin Bianco Rossi, Nathan Rostey, Jaques Waisberg
Roux-en-Y gastric bypass, a procedure proven effective for treating morbid obesity and metabolic disorders, carries the risk of complications such as the formation of internal hernias. These hernias are often difficult to diagnose and can be potentially fatal because they can cause structural obstruction. Most internal hernias occur in the jejunojejunostomy mesentery space, followed by Petersen's space hernias, although herniation at other locations can also occur. Our case report presents an example of a rare internal hernia after laparoscopic Roux-en-Y gastric bypass. A 36-year-old woman presented with an uncommon internal hernia located between the liver and alimentary loop, resulting in the formation of a new space and consequently incarcerating the entire biliopancreatic loop. This type of internal hernia is rare and has not been reported in the literature, indicating that this is the first report of such a case. In this case, we realized that the diagnosis was challenging and imaging examinations could not help determine the etiology of the pain and obstruction. Therefore, videolaparoscopy revealed an uncommon hernia formed by firm adhesion between the hepatic segment III and the alimentary loop mesentery. Our case is an example of an internal hernia that was not detected with a normal computed tomography scan of the abdomen and pelvis. Only diagnostic laparoscopy revealed herniation, effectively preventing further complications for the patient.
{"title":"Internal post-bariatric hernia due to hepatic adhesion: a case report.","authors":"Bruno Mirandola Bulisani, Murilo Rocha Rodrigues, Luiz Guilherme Lisboa Gomes, Milena Arruda de Oliveira Leite, Felipe Martin Bianco Rossi, Nathan Rostey, Jaques Waisberg","doi":"10.31744/einstein_journal/2023RC0478","DOIUrl":"https://doi.org/10.31744/einstein_journal/2023RC0478","url":null,"abstract":"<p><p>Roux-en-Y gastric bypass, a procedure proven effective for treating morbid obesity and metabolic disorders, carries the risk of complications such as the formation of internal hernias. These hernias are often difficult to diagnose and can be potentially fatal because they can cause structural obstruction. Most internal hernias occur in the jejunojejunostomy mesentery space, followed by Petersen's space hernias, although herniation at other locations can also occur. Our case report presents an example of a rare internal hernia after laparoscopic Roux-en-Y gastric bypass. A 36-year-old woman presented with an uncommon internal hernia located between the liver and alimentary loop, resulting in the formation of a new space and consequently incarcerating the entire biliopancreatic loop. This type of internal hernia is rare and has not been reported in the literature, indicating that this is the first report of such a case. In this case, we realized that the diagnosis was challenging and imaging examinations could not help determine the etiology of the pain and obstruction. Therefore, videolaparoscopy revealed an uncommon hernia formed by firm adhesion between the hepatic segment III and the alimentary loop mesentery. Our case is an example of an internal hernia that was not detected with a normal computed tomography scan of the abdomen and pelvis. Only diagnostic laparoscopy revealed herniation, effectively preventing further complications for the patient.</p>","PeriodicalId":47359,"journal":{"name":"Einstein-Sao Paulo","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10501762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41152030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-31eCollection Date: 2023-01-01DOI: 10.31744/einstein_journal/2023AO0094
Marcilene de Paula, Doroteia Aparecida Höfelmann
Objective: To evaluate prenatal and puerperium care levels received and identify their association with sociodemographic and obstetric characteristics.
Methods: This cross-sectional study was conducted from May to December 2020 and included women who gave birth at the Municipal Hospital of Fazenda Rio Grande, Paraná, Brazil. Data were collected through interviews and review of portfolios and medical records. The variables extracted from the prenatal protocols of Paraná and the Ministry of Health were grouped into five compliance indices: CI1 - clinical examination; CI2 - health education; CI3 - queries; CI4 - examinations and vaccines; and CI5 - postpartum appointments. Prenatal care was considered adequate when 80% or more adequacy was obtained.
Results: A total of 307 women participated in this study. Prenatal compliance was 16.6% considering the entire set of variables. The best performance was for CI4 (54.7%) and the worst for CI5 (13.3%). The lowest adequacy occurred among single women (10.9%) compared to those who lived with a partner (19.9%) (p=0.043) and among women with black/brown skin color (9.5%) compared to those with white/yellow skin color (20.3%) (p=0.016).
Conclusion: Most women did not receive adequate care, with those in situations of greater social vulnerability received worse quality care.
{"title":"Quality assessment of prenatal and puerperium care.","authors":"Marcilene de Paula, Doroteia Aparecida Höfelmann","doi":"10.31744/einstein_journal/2023AO0094","DOIUrl":"10.31744/einstein_journal/2023AO0094","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate prenatal and puerperium care levels received and identify their association with sociodemographic and obstetric characteristics.</p><p><strong>Methods: </strong>This cross-sectional study was conducted from May to December 2020 and included women who gave birth at the Municipal Hospital of Fazenda Rio Grande, Paraná, Brazil. Data were collected through interviews and review of portfolios and medical records. The variables extracted from the prenatal protocols of Paraná and the Ministry of Health were grouped into five compliance indices: CI1 - clinical examination; CI2 - health education; CI3 - queries; CI4 - examinations and vaccines; and CI5 - postpartum appointments. Prenatal care was considered adequate when 80% or more adequacy was obtained.</p><p><strong>Results: </strong>A total of 307 women participated in this study. Prenatal compliance was 16.6% considering the entire set of variables. The best performance was for CI4 (54.7%) and the worst for CI5 (13.3%). The lowest adequacy occurred among single women (10.9%) compared to those who lived with a partner (19.9%) (p=0.043) and among women with black/brown skin color (9.5%) compared to those with white/yellow skin color (20.3%) (p=0.016).</p><p><strong>Conclusion: </strong>Most women did not receive adequate care, with those in situations of greater social vulnerability received worse quality care.</p>","PeriodicalId":47359,"journal":{"name":"Einstein-Sao Paulo","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10382073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9932422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-28DOI: 10.24114/eins.v11i2.45000
Ety Jumiati, Ratni Sirait, Nia Soraya
Elektrolit adalah zat yang dapat menghantarkan listrik. Salah satu buah yang mengandung elektrolit adalah buah mangga yang dapat dimanfaatkan sebagai bio-baterai sebagai energi alternatif dengan menggunakan variasi volume 200ml, 300ml, dan 400ml. Penelitian ini dimana pengukuran yang akan diamati pada larutan elektrolit adalah pH, tegangan listrik, arus listrik dan kemampuan larutan jus mangga untuk menyalakan lampu LED berwarna putih. Penelitian ini menggunakan metode sel galvanik dengan menggunakan elektroda Cu dan Zn. Pengujian larutan elektrolit mangga menghasilkan nilai pH 2,3, nilai tegangan dan arus listrik maksimum diperoleh pada volume 400 dengan nilai 2,32 V dan 4,24 mA. Dapat dikatakan bahwa semakin besar volumenya maka semakin besar pula nilai keluaran listriknya. Kata Kunci: Mangga, Bio-Baterai, NaCl, Sifat Listrik NaCl.
{"title":"Hubungan Antara Tegangan dan Arus Listrik Terhadap Bio-Baterai Larutan Sari Buah Mangga","authors":"Ety Jumiati, Ratni Sirait, Nia Soraya","doi":"10.24114/eins.v11i2.45000","DOIUrl":"https://doi.org/10.24114/eins.v11i2.45000","url":null,"abstract":"Elektrolit adalah zat yang dapat menghantarkan listrik. Salah satu buah yang mengandung elektrolit adalah buah mangga yang dapat dimanfaatkan sebagai bio-baterai sebagai energi alternatif dengan menggunakan variasi volume 200ml, 300ml, dan 400ml. Penelitian ini dimana pengukuran yang akan diamati pada larutan elektrolit adalah pH, tegangan listrik, arus listrik dan kemampuan larutan jus mangga untuk menyalakan lampu LED berwarna putih. Penelitian ini menggunakan metode sel galvanik dengan menggunakan elektroda Cu dan Zn. Pengujian larutan elektrolit mangga menghasilkan nilai pH 2,3, nilai tegangan dan arus listrik maksimum diperoleh pada volume 400 dengan nilai 2,32 V dan 4,24 mA. Dapat dikatakan bahwa semakin besar volumenya maka semakin besar pula nilai keluaran listriknya. Kata Kunci: Mangga, Bio-Baterai, NaCl, Sifat Listrik NaCl.","PeriodicalId":47359,"journal":{"name":"Einstein-Sao Paulo","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87054985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-28DOI: 10.24114/eins.v11i2.47051
Tristiandinda Permata, Aurista Miftahatul Ilmah
Ferry ships generally have various kinds of cargo such as passengers, motorbikes, livestock, or goods carried by passengers. The process of transferring the load requires a special path or path in its transfer which is called a Ramp door. One of the important factors in making Ramp doors is their strength, so there is a need for strength analysis in rampdoor design on certain types of ships, one of which is multipurpose ships, strength analysis on ramp doors for certain loads can be visualized using solidwork software.In a comparison of the strength analysis between using the software and calculating the stress, the difference is not that significant and the biggest difference is the calculation of the stress on the load of passengers riding motorbikes when going through the Ramp door. From the results obtained in the calculations and the software, there is a difference of 4.29 % with the safety factor in accordance with the rules of safety factor, which exceeds the number 1.
{"title":"ANALISA KEKUATAN KONSTRUKSI PADA DESAIN RAMP DOOR KAPAL JENIS MULTIPURPOSE","authors":"Tristiandinda Permata, Aurista Miftahatul Ilmah","doi":"10.24114/eins.v11i2.47051","DOIUrl":"https://doi.org/10.24114/eins.v11i2.47051","url":null,"abstract":"Ferry ships generally have various kinds of cargo such as passengers, motorbikes, livestock, or goods carried by passengers. The process of transferring the load requires a special path or path in its transfer which is called a Ramp door. One of the important factors in making Ramp doors is their strength, so there is a need for strength analysis in rampdoor design on certain types of ships, one of which is multipurpose ships, strength analysis on ramp doors for certain loads can be visualized using solidwork software.In a comparison of the strength analysis between using the software and calculating the stress, the difference is not that significant and the biggest difference is the calculation of the stress on the load of passengers riding motorbikes when going through the Ramp door. From the results obtained in the calculations and the software, there is a difference of 4.29 % with the safety factor in accordance with the rules of safety factor, which exceeds the number 1. ","PeriodicalId":47359,"journal":{"name":"Einstein-Sao Paulo","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75078391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-28DOI: 10.24114/eins.v11i2.39254
Siti Rahmah, Motlan .
Telah dilakukan penelitian yang bertujuan: (i) untuk mengetahui apakah briket arang batang pohon teh dapat memenuhi standar mutu SNI tentang briket bioarang, (ii) untuk mengetahui pengaruh variasi jumlah komposisi campuran perekat pada briket batang pohon teh yang paling sesuai dengan standar SNI, (iii) Untuk mengetahui komposisi pencampuran arang batang pohon teh dengan perekat corn starch yang menghasilkan karakteristik briket yang optimal. Metode yang digunakan adalah metode eksperimental dengan pendekatan secara kuantitatif. Sampel yang digunakan adalah arang batang pohon teh dan Corn Starch sebagai perekat dengan perbandingan 90%:10%, 70%:30%,dan 50%:50%. Analisis yang dilakukan antara lain kadar air, densitas, dan nilai kalor. Batang pohon teh dengan perekat Corn Starch dapat dimanfaatkan untuk menghasilkan briket bioarang. Penggunaan jumlah perekat yang bervariasi memberikan pengaruh terhadap karakteristik briket yang dihasilkan. Briket dengan karakteristik yang paling optimal terdapat pada sample B yaitu dengan nilai kadar air, densitas, dan nilai kalor yaitu 6,19 %, 0,51 g/cm3 , (+) 11,89 kal/g.
{"title":"PENGARUH VARIASI JUMLAH PEREKAT TERHADAP KARAKTERISTIK BRIKET ARANG ABATANG POHON TEH","authors":"Siti Rahmah, Motlan .","doi":"10.24114/eins.v11i2.39254","DOIUrl":"https://doi.org/10.24114/eins.v11i2.39254","url":null,"abstract":"Telah dilakukan penelitian yang bertujuan: (i) untuk mengetahui apakah briket arang batang pohon teh dapat memenuhi standar mutu SNI tentang briket bioarang, (ii) untuk mengetahui pengaruh variasi jumlah komposisi campuran perekat pada briket batang pohon teh yang paling sesuai dengan standar SNI, (iii) Untuk mengetahui komposisi pencampuran arang batang pohon teh dengan perekat corn starch yang menghasilkan karakteristik briket yang optimal. Metode yang digunakan adalah metode eksperimental dengan pendekatan secara kuantitatif. Sampel yang digunakan adalah arang batang pohon teh dan Corn Starch sebagai perekat dengan perbandingan 90%:10%, 70%:30%,dan 50%:50%. Analisis yang dilakukan antara lain kadar air, densitas, dan nilai kalor. Batang pohon teh dengan perekat Corn Starch dapat dimanfaatkan untuk menghasilkan briket bioarang. Penggunaan jumlah perekat yang bervariasi memberikan pengaruh terhadap karakteristik briket yang dihasilkan. Briket dengan karakteristik yang paling optimal terdapat pada sample B yaitu dengan nilai kadar air, densitas, dan nilai kalor yaitu 6,19 %, 0,51 g/cm3 , (+) 11,89 kal/g.","PeriodicalId":47359,"journal":{"name":"Einstein-Sao Paulo","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79907195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}