Einstein-Sao Paulo最新文献

{"title":"Remote team-based learning during COVID-19: lower academic performance is associated with the exclusion of test grades from final grades.","authors":"Juliana Magdalon, Leandro Luongo Matos, Marcelo Vivolo Aun, Marcelo Madeira, Welbert de Oliveira Pereira, Durval Anibal Daniel Filho, Elda Maria Stafuzza Gonçalves Pires","doi":"10.31744/einstein_journal/2025AO1007","DOIUrl":"10.31744/einstein_journal/2025AO1007","url":null,"abstract":"<p><strong>Background: </strong>Magdalon et al. demonstrated that excluding iRAT grades from the final grade calculation of the course negatively impacted student performance and attendance in team-based learning sessions.</p><p><strong>Introduction: </strong>The COVID-19 pandemic necessitated a shift from in-person to remote learning, including team-based learning activities. Many studies have explored several aspects of team-based learning; however, there is still a lack of knowledge regarding the factors affecting students' attitudes and performance.</p><p><strong>Objective: </strong>To evaluate the impact of the COVID-19 pandemic on medical students' performance in individual readiness assurance tests during team-based learning activities, given that their grades were excluded from the final course grades.</p><p><strong>Methods: </strong>We compared the number of team-based learning applications, student absences, and individual readiness assurance tests grades of medical undergraduate students in three different scenarios: Group 1, in-person individual readiness assurance tests before the pandemic; Group 2, remote individual readiness assurance tests during the lockdown period when their grades were excluded from the final grade calculation; and Group 3, in-person individual readiness assurance tests during the pandemic after lockdown restrictions eased.</p><p><strong>Results: </strong>Remote team-based learning led to significantly lower grades than in-person evaluations. Moreover, the number of students with failing or insufficient grades (below seven) increased during the remote learning period, when their grades were excluded from the final grade calculation, compared to in-person individual readiness assurance tests before the pandemic. Furthermore, absenteeism was higher when the online strategy was applied.</p><p><strong>Conclusion: </strong>We observed lower academic performance by medical students during remote team-based learning sessions, likely owing to the exclusion of individual readiness assurance tests grades from the final course grade calculations during the COVID-19 pandemic.</p>","PeriodicalId":47359,"journal":{"name":"Einstein-Sao Paulo","volume":"23 ","pages":"eAO1007"},"PeriodicalIF":1.1,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190897","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}

{"title":"Hand hygiene adherence in intensive care units: comparison before and during the COVID-19 pandemic in a municipality of São Paulo state.","authors":"Vanessa Aparecida Vilas-Boas, Pedro Antonio Teodoro de Moraes, Marcela Grispino Vieira Torres de Lolo, Edinêis de Brito Guirardello, Maria Isabel Pedreira de Freitas","doi":"10.31744/einstein_journal/2025AO0951","DOIUrl":"10.31744/einstein_journal/2025AO0951","url":null,"abstract":"<p><strong>Background: </strong>This is a pioneering study on the assessment of a Brazilian municipality entire, comparing alcohol-based hand sanitizer consumption before and during the COVID-19 pandemic. Vilas-Boas et al reported a rise from 24.2mL/PD in 2018 to 46.6 in 2020, being for adult intensive care units the municipality exceeded most of the Brazilian states. However, observed a decline in some hospitals in 2021.</p><p><strong>Objective: </strong>Compare alcohol-based hand sanitizer use in intensive care units in a municipality in São Paulo state, before and during the coronavirus pandemic.</p><p><strong>Methods: </strong>Analytical retrospective study using indirect documentation, with data obtained from a notification spreadsheet for epidemiological indicators of healthcare-associated infection in the state. Data on monthly alcohol-based sanitizer use were collected from the intensive care units of public and private general hospitals of the municipality. Analysis was conducted using descriptive statistics and graphically with run charts. The Mann-Whitney test was applied to compare the median consumption of public and private hospitals, at a 5% significance level.</p><p><strong>Results: </strong>Adult, neonatal and pediatric intensive care units showed median increases in hand sanitizer use of 34.03 to 57.64, 31.53 to 48.66 and 34.38 to 60.35mL/patient-day, respectively. Private hospitals showed greater hand sanitizer use in the adult and pediatric intensive care units compared to public institutions.</p><p><strong>Conclusion: </strong>The pandemic contributed to increasing hand sanitizer use in municipal intensive care units, but there is still room for improvement. More effort is needed to ensure that hand sanitizer use remains high.</p>","PeriodicalId":47359,"journal":{"name":"Einstein-Sao Paulo","volume":"23 ","pages":"eAO0951"},"PeriodicalIF":1.1,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190895","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}

{"title":"Recruitment maneuvers in patients with acute respiratory distress syndrome: a systematic review and metanalysis.","authors":"Alice Cardoso de Jesus, Arthur Marchesini de Figueiredo, André Luiz Lisboa Cordeiro","doi":"10.31744/einstein_journal/2024RW0372","DOIUrl":"10.31744/einstein_journal/2024RW0372","url":null,"abstract":"<p><strong>Objective: </strong>To systematically review the effects of recruitment maneuvers on patients with acute respiratory distress syndrome.</p><p><strong>Methods: </strong>This systematic review and meta-analysis using the PICO methodology with keywords (respiratory distress syndrome, recruitment maneuvers, lung recruitment, acute respiratory distress syndrome, alveolar recruitment, and adult acute respiratory distress syndrome). Studies involving patients >18 years, regardless of sex, with acute respiratory distress syndrome, mechanically ventilated for at least 24 h, published in English, Portuguese, and Spanish, with no year restrictions, were included. Studies that combined recruitment maneuvers with other techniques and those conducted in animals were excluded. Boolean operators \"AND\" and \"OR\" were used.</p><p><strong>Results: </strong>Fifteen studies were included. The recruitment maneuver proved to be effective in oxygenating patients (mean difference=45.05 mmHg (95% confidence interval (95%CI): 31.37-58.74)), but there was no statistically significant difference in the rate of mortality OR=0.89 (95%CI=0.74-1.08) and barotrauma RR=0.93 (95%CI=0.56-1.54).</p><p><strong>Conclusion: </strong>Recruitment maneuvers should not be used routinely in the care of patients with acute respiratory distress syndrome, but it is a good rescue strategy when other methods fail to improve oxygenation.</p><p><strong>Prospero database registration: </strong>(www.crd.york.ac.uk/prospero) under ID CRD42021227231.</p>","PeriodicalId":47359,"journal":{"name":"Einstein-Sao Paulo","volume":"22 ","pages":"eRW0372"},"PeriodicalIF":1.1,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855714","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}

{"title":"Epiphyseal displacement of the distal humerus in a neonate: a case report.","authors":"Talissa Oliveira Generoso, Susana Dos Reis Braga, Francesco Camara Blumetti, Maurício Pegoraro, Amancio Ramalho Júnior","doi":"10.31744/einstein_journal/2024RC0868","DOIUrl":"10.31744/einstein_journal/2024RC0868","url":null,"abstract":"<p><p>Epiphyseal displacement of the distal humerus is rare and difficult to diagnose. In addition, the literature on the prognosis and treatment is limited. Here, we present a case of distal humeral physeal separation with significant displacement in a neonate. A favorable outcome was obtained following closed reduction and percutaneous fixation with Kirschner wires assisted by arthrography. This report adds valuable information on this subject to the existing literature.</p>","PeriodicalId":47359,"journal":{"name":"Einstein-Sao Paulo","volume":"22 ","pages":"eRC0868"},"PeriodicalIF":1.1,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855460","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}

{"title":"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.","authors":"Fernando Gatti de Menezes, Thiago Domingos Corrêa, Bruno de Arruda Bravim, Paula Tuma, Moacyr Silva Júnior, Emy Akiyama Gouveia, Alexandra do Rosário Toniolo, Graziela Geanfrancisco Matta de Paiva, Paula Fernanda Martineli, Helena Maria Fernandes Castagna, Talita Silva Sarro Moraes, Ana Carolina Santiago, Priscila Gonçalves, Brunna Oliveira Pereira, Nathalia Thomazi Gonçalves, Daniel Tavares Malheiro, Vanessa Damazio Teich, Miguel Cendoroglo Neto","doi":"10.31744/einstein_journal/2024AO0939","DOIUrl":"10.31744/einstein_journal/2024AO0939","url":null,"abstract":"<p><strong>Objective: </strong>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 Infection, and ventilator-associated pneumonia, and to describe healthcare-associated infections in the waves of the COVID-19 pandemic.</p><p><strong>Methods: </strong>This nested case-control study was conducted in a 137-bed adult medical/surgical intensive care unit at a private hospital in São Paulo, Brazil, between January 11, 2019, and May 21, 2022. Case patients were identified using the Nosocomial Infection Control Committee database and control patients were identified using the intensive care unit's EPIMED system. For the analysis of risk factors, the chi-square test, multiple logistic regression model, and Kaplan-Meier method were used to identify independent risk factors, considering p<0.05.</p><p><strong>Results: </strong>The Case Group consisted of 189 healthcare-associated infections, including ventilator-associated pneumonia (61.4%), Central Line-Associated Bloodstream Infection (30.1%), Catheter-Associated Urinary Tract Infection (8.5%), and the Control Group consisted of 6,834 patients. The independent risk factors were COVID-19 infection (OR=2.84, 95%CI=1.92-4.23, p<0.01), length of stay in intensive care greater than 14 days (OR=3.15, 95%CI=1.95-5.14, p<0.01), length of hospital stay greater than 30 days (OR=3.64, 95%CI=2.44-5.51, p<0.01), and patients who were in the third wave (OR=1.72, 95%CI=1.05-2.91, p=0.04). Ventilator-associated pneumonia was the only healthcare-related infection for which COVID-19 infection was an independent risk factor (OR=3.32, 95%CI=1.92-5.94, p<0.01).</p><p><strong>Conclusion: </strong>COVID-19 and length of hospital stay were independent risk factors for healthcare-associated infections, and only ventilator-associated pneumonia was affected by the COVID-19 pandemic.</p>","PeriodicalId":47359,"journal":{"name":"Einstein-Sao Paulo","volume":"22 ","pages":"eAO0939"},"PeriodicalIF":1.1,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855730","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}

{"title":"Efficacy of treatment with tumor-infiltrating lymphocytes as adoptive cell therapy: an integrative review.","authors":"Lucas Marques Soares da Silva, Eleni Solange de Brito Gomes, Julia Hailer Vieira, Murilo Porfírio de Aguiar, Saulo Fernando Moreira da Silva, Marcia Antoniazi Michelin","doi":"10.31744/einstein_journal/2024RW0935","DOIUrl":"10.31744/einstein_journal/2024RW0935","url":null,"abstract":"<p><strong>Objective: </strong>This integrative review article examines the efficacy of adoptive cell therapy using tumor-infiltrating lymphocytes, with a particular focus on the treatment of melanomas and other solid tumors.</p><p><strong>Methods: </strong>The methodology encompasses theme definition, comprehensive database searches, and a critical review of pertinent literature. Of the 1,947 articles initially identified, 15 were meticulously selected based on stringent inclusion and exclusion criteria.</p><p><strong>Results: </strong>The findings suggest that tumor-infiltrating lymphocytes-based therapy is particularly effective in treating metastatic melanomas, as noted by its tailored approach and substantial potential. However, the applicability of these findings to other solid tumor types remains limited.</p><p><strong>Conclusion: </strong>This review indicates that adoptive cell therapy using tumor-infiltrating lymphocytes demonstrates efficacy, especially in the treatment of metastatic melanoma, and shows considerable promise for treating solid tumors.</p>","PeriodicalId":47359,"journal":{"name":"Einstein-Sao Paulo","volume":"22 ","pages":"eRW0935"},"PeriodicalIF":1.1,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855370","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}

{"title":"Migration of metallic acupuncture threads from the breast to the right ventricle: a case report.","authors":"Nicole Simões Marini, Marcela Caetano Vilela Lauar, Mateus Galletti Oliveira, Pedro José Damato Dias Barroso, Laura Mulazzani Minuzzi Macedo, Eduardo Kaiser Ururahy Nunes Fonseca, Érica Elisângela Françolin Federicci","doi":"10.31744/einstein_journal/2024RC1280","DOIUrl":"10.31744/einstein_journal/2024RC1280","url":null,"abstract":"<p><p>This case report discusses the migration of a foreign body from the breast to the mediastinum, which is rarely reported, and highlights complications associated with Okibari acupuncture. This technique involves the insertion of metal fragments into the skin. A 53-year-old woman underwent mammography showing acupuncture-related metallic fragments in the breast. Cardiac evaluation revealed the presence of metallic fragments in the right ventricle and myocardium. Despite the fragments' location in the mediastinum, the patient remained asymptomatic, leading us to take a conservative approach. This case highlights the importance of awareness of the potential complications of foreign bodies and emphasizes the need for careful monitoring.</p>","PeriodicalId":47359,"journal":{"name":"Einstein-Sao Paulo","volume":"22 ","pages":"eRC1280"},"PeriodicalIF":1.1,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855690","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}

{"title":"The association between erectile dysfunction and depression: a cross-sectional study of 21,139 Brazilian men.","authors":"Rafael Mathias Pitta, Oskar Kaufmann, Julio Silva Nogueira Luz, Raphael Mendes Ritti-Dias, Luana de Lima Queiroga, Nelson Wolosker","doi":"10.31744/einstein_journal/2024AO1063","DOIUrl":"10.31744/einstein_journal/2024AO1063","url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>We included 21,139 men (≥40 years) who underwent continuous health screening in a quaternary hospital in São Paulo between January 2008 and December 2018. The analysis included laboratory, clinical, and behavioral profile data.</p><p><strong>Results: </strong>The multivariate model indicated that alcohol consumption, perceived stress, lower urinary tract symptoms, erectile dysfunction, body mass index, and triglyceride levels were independent and strong factors associated with depression in men. Additionally, higher levels of physical activity were found to be an independent and strong factor associated with reduced odds of depression in men (all p<0.001). Additionally, depressed men had a higher body mass index (28.50±4.35 versus 27.65±3.93kg/m², p=0.003), and increased prevalence of hypertension, diabetes mellitus , lower urinary tract symptoms, metabolic syndrome, nonalcoholic fatty liver, sedentary physical activity levels, active tobacco use, risk of alcohol consumption, and perceived stress.</p><p><strong>Conclusion: </strong>Erectile dysfunction was an independent and strong factor associated with depression in Brazilian men, highlighting the need for integrated treatment approaches addressing both conditions.</p>","PeriodicalId":47359,"journal":{"name":"Einstein-Sao Paulo","volume":"22 ","pages":"eAO1063"},"PeriodicalIF":1.1,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855733","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}

{"title":"APENDIC-RADS: an ultrasound reporting system for the diagnosis of acute appendicitis.","authors":"Marcos Roberto Gomes de Queiroz, Victor Arantes Jabour, José Leão de Souza Junior, Milena Ribeiro Paixão, Paulo Savoia Dias da Silva, Davi Wen Wei Kang, Gaby Cecilia Yupanqui Guerra Barboza, Guilherme Muniz Bourroul, Juliana Maria Haddad de Lamare, Irline Cordeiro de Macedo Pontes, Gabriela Cauper de Carvalho Pereira, Wanessa Rolando Roselli, Marcelo Rocha Corrêa da Silva, Antonio Rahal Junior, Cesar Augusto Passos Braga, Miguel José Francisco Neto","doi":"10.31744/einstein_journal/2024AO1164","DOIUrl":"10.31744/einstein_journal/2024AO1164","url":null,"abstract":"<p><strong>Objective: </strong>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 System (APENDIC-RADS) to standardize the reporting of appendix ultrasound findings.</p><p><strong>Methods: </strong>This single-center retrospective study included consecutive patients of all ages who underwent abdominal ultrasonography for the investigation of acute appendicitis. The primary outcome was histopathological confirmation of acute appendicitis post-surgery. The imaging findings were classified into five categories: APENDIC-RADS 0, where the appendix cannot be visualized; APENDIC-RADS 1, indicating a normal appendix; APENDIC-RADS 2, describing an appendix that is likely normal but only partially visualized; APENDIC-RADS 3, appendicitis cannot be ruled out due to uncertain features and APENDIC-RADS 4, acute appendicitis.</p><p><strong>Results: </strong>A total of 747 patients were assessed for suspected acute appendicitis using ultrasonography. Of the diagnosed patients, 52% were male, primarily exhibiting symptoms such as nausea and/or vomiting (60%), right iliac fossa pain (54%), and sudden decompression in the right iliac fossa (24%). Stratification into APENDIC-RADS categories revealed a significant variation in the incidence of acute appendicitis, with incidence rates of 4.5% for category 0 and 0.7%, 2.2%, 11.5%, and 93.5% for categories 1 to 4, respectively (p<0.001). The APENDIC-RADS showed excellent discriminative ability, evidenced by an area under the receiver operating characteristic curve of 0.950 (95%CI=0.899-1).</p><p><strong>Conclusion: </strong>APENDIC-RADS categorization demonstrated excellent performance in standardizing the ultrasound-determined probability of acute appendicitis. Its implementation could improve physician communication and standardization of patient management.</p>","PeriodicalId":47359,"journal":{"name":"Einstein-Sao Paulo","volume":"22 ","pages":"eAO1164"},"PeriodicalIF":1.1,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856208","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}

{"title":"Nephropulmonary fistula with coralliform stone migration into the thorax: a case report.","authors":"João Marco Braz Scarpa Mariano Pereira, Leonardo de Oliveira Antunes, Laiane Bicho Janegitz, Matheus José Maia Pereira, Luiz Carlos Maciel, Alberto Kalil Kobbaz","doi":"10.31744/einstein_journal/2024RC1220","DOIUrl":"10.31744/einstein_journal/2024RC1220","url":null,"abstract":"<p><p>A nephropulmonary fistula is a rare complication of a non-functioning kidney, associated with a history of infection. Medical literature describes it as an adult disease in the pre-antibiotic era, and nowadays, is a rare complication. This study reports the case of a patient with nephrolithiasis who developed a nephropulmonary fistula resulting in the migration of renal coralliform stones to the lung parenchyma. The treatment included posterior mini-thoracotomy with partial costectomy of the 9th right costal arch, pneumonotomy for the lung abscess, stone removal, abscess drainage with a Foley probe, and pleural drainage with a tubular drain.</p>","PeriodicalId":47359,"journal":{"name":"Einstein-Sao Paulo","volume":"22 ","pages":"eRC1220"},"PeriodicalIF":1.1,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855692","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}