Anna S. Levin
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View article: A Tailored Serious Game for Central Line-Associated Bloodstream Infection Prevention: From Needs Assessment to an Innovative Educational Tool
A Tailored Serious Game for Central Line-Associated Bloodstream Infection Prevention: From Needs Assessment to an Innovative Educational Tool Open
Central line-associated bloodstream infection (CLABSI) prevention remains challenging in clinical settings. This experience describes how barriers identified through a needs assessment in Brazilian hospitals were translated into a tailored…
View article: Attitudes Driving Regional Differences in LAI Antipsychotic Utilization for Schizophrenia Among Healthcare Professionals, Patients, and Caregivers (ADVANCE): Results From a Multinational Survey Study
Attitudes Driving Regional Differences in LAI Antipsychotic Utilization for Schizophrenia Among Healthcare Professionals, Patients, and Caregivers (ADVANCE): Results From a Multinational Survey Study Open
Background Long-acting injectable antipsychotics (LAIs) improve adherence and reduce schizophrenia relapse rates vs oral antipsychotics (OAs) but remain underused. The ADVANCE study explored country-level differences in LAI use among healt…
View article: Experiences and perceptions of patients, caregivers, and healthcare professionals with long-acting injectable antipsychotics for the treatment of schizophrenia: qualitative results from the multinational ADVANCE study
Experiences and perceptions of patients, caregivers, and healthcare professionals with long-acting injectable antipsychotics for the treatment of schizophrenia: qualitative results from the multinational ADVANCE study Open
Introduction Schizophrenia imposes a substantial burden on individuals and society. Long-acting injectable antipsychotics (LAIs) improve adherence and reduce relapse and hospitalization rates compared with oral treatments for schizophrenia…
View article: Evaluating antimicrobial prescriptions in primary health care across an entire Brazilian city through the analysis of electronic medical records: where public health and data science converge
Evaluating antimicrobial prescriptions in primary health care across an entire Brazilian city through the analysis of electronic medical records: where public health and data science converge Open
Background Exploring records from entire cities to make decisions, particularly within public health systems, remains challenging. Methods This study investigates the public health data of São Caetano do Sul (SCS), in Brazil, to uncover pa…
View article: Patient and physician perceptions of the burden of tardive dyskinesia: an international survey
Patient and physician perceptions of the burden of tardive dyskinesia: an international survey Open
Background Tardive dyskinesia (TD) negatively affects overall quality of life (QoL) and day-to-day activities, and perceptions of these effects and their impact may vary between cultures and societies, or providers and patients. Physicians…
View article: Evaluating long-term MRSA colonization and household spread: Insights from a community-based study
Evaluating long-term MRSA colonization and household spread: Insights from a community-based study Open
Methicillin-Resistant Staphylococcus Aureus (MRSA) is commonly transmitted among hospitalized patients through direct contact or contaminated objects. However, the dynamics of household transmission of MRSA remain unclear, posing challenge…
View article: The educational impact of medical students’ participation in a short-term health expedition: The Iguape one health experience
The educational impact of medical students’ participation in a short-term health expedition: The Iguape one health experience Open
Health expeditions like the one conducted may not offer significant improvements in measurable clinical competencies in the short term but have a substantial effect on students' career decisions, aligning with public health needs and reinf…
View article: Characterization of aminoglycoside resistance in multidrug-resistant Klebsiella pneumoniae isolates
Characterization of aminoglycoside resistance in multidrug-resistant Klebsiella pneumoniae isolates Open
Multidrug-resistant (MDR) Klebsiella pneumoniae, particularly the lineages resistant to carbapenems and aminoglycosides, is an escalating global public health threat across human, animal, and environmental reservoirs. We examined phenotypi…
View article: Contrasting Deep Learning Models for Direct Respiratory Insufficiency Detection Versus Blood Oxygen Saturation Estimation
Contrasting Deep Learning Models for Direct Respiratory Insufficiency Detection Versus Blood Oxygen Saturation Estimation Open
We contrast high effectiveness of state of the art deep learning architectures designed for general audio classification tasks, refined for respiratory insufficiency (RI) detection and blood oxygen saturation (SpO$_2$) estimation and class…
View article: Implementation of the Infant-Toddler Checklist in Swedish child health services at 18 months: an observational study
Implementation of the Infant-Toddler Checklist in Swedish child health services at 18 months: an observational study Open
Background Communication and language disorders are common conditions that emerge early and negatively impact quality of life across the life course. Early identification may be facilitated using a validated screening tool such as the Infa…
View article: A higher proportion of children aged 4 years were referred to speech and language therapists after the introduction of a new language screening tool
A higher proportion of children aged 4 years were referred to speech and language therapists after the introduction of a new language screening tool Open
Aim Language difficulties in children can have enduring impacts on their academic and emotional well‐being. Consequently, early identification and intervention are critical. This study aimed to investigate the impact of introducing Språkfy…
View article: Data-driven, cross-disciplinary collaboration: lessons learned at the largest academic health center in Latin America during the COVID-19 pandemic
Data-driven, cross-disciplinary collaboration: lessons learned at the largest academic health center in Latin America during the COVID-19 pandemic Open
Introduction The COVID-19 pandemic has prompted global research efforts to reduce infection impact, highlighting the potential of cross-disciplinary collaboration to enhance research quality and efficiency. Methods At the FMUSP-HC academic…
View article: COVID-19 IN INFLAMMATORY BOWEL DISEASE: SHOULD WE BE MORE CAREFUL WITH THE USE OF SALICYLATES?
COVID-19 IN INFLAMMATORY BOWEL DISEASE: SHOULD WE BE MORE CAREFUL WITH THE USE OF SALICYLATES? Open
Backgrounds: Fortunately, much has been studied about COVID-19 in patients with inflammatory bowel diseases (IBD). Evidence suggests that these patients do not appear to be at increased risk of severe COVID-19. However, there are still som…
View article: Pre‐transplant multidrug‐resistant infections in liver transplant recipients‐epidemiology and impact on transplantation outcome
Pre‐transplant multidrug‐resistant infections in liver transplant recipients‐epidemiology and impact on transplantation outcome Open
Background Cirrhotic patients are highly exposed to healthcare services and antibiotics. Although pre‐liver transplantation (LT) infections are directly related to the worsening of liver function, the impact of these infections on LT outco…
View article: Transmission of Carbapenem-Resistant <i>Enterobacterales</i> in an Overcrowded Emergency Department: Controlling the Spread to the Hospital
Transmission of Carbapenem-Resistant <i>Enterobacterales</i> in an Overcrowded Emergency Department: Controlling the Spread to the Hospital Open
Background Overcrowded emergency departments (EDs) may increase the risk of carbapenem-resistant Enterobacterales (CRE) transmission. Methods We conducted a quasi-experimental study divided into 2 phases (baseline and intervention) to inve…
View article: Crude Mortality Associated With the Empirical Use of Polymyxins in Septic Patients in a Setting of High Prevalence of Carbapenem-Resistant Gram-negative Bacteria: Retrospective Analysis of a Cohort
Crude Mortality Associated With the Empirical Use of Polymyxins in Septic Patients in a Setting of High Prevalence of Carbapenem-Resistant Gram-negative Bacteria: Retrospective Analysis of a Cohort Open
Background Our aim in this retrospective cohort study was to assess the impact on mortality of the empirical use of polymyxin as therapy for carbapenem-resistant gram-negative bacteria (CR-GNB) in septic patients. The study was performed a…
View article: Melanoma Brain Metastases: A Systematic Review of Opportunities for Earlier Detection, Diagnosis, and Treatment
Melanoma Brain Metastases: A Systematic Review of Opportunities for Earlier Detection, Diagnosis, and Treatment Open
Introduction: Melanoma continues to represent the most serious skin cancer worldwide. However, few attempts have been made to connect the body of research on advanced melanoma. In the present review, we report on strides made in the diagno…
View article: Reinfection rate in a cohort of healthcare workers over 2 years of the COVID-19 pandemic
Reinfection rate in a cohort of healthcare workers over 2 years of the COVID-19 pandemic Open
In this large cohort of healthcare workers, we aimed to estimate the rate of reinfections by SARS-CoV-2 over 2 years of the COVID-19 pandemic. We investigated the proportion of reinfections among all the cases of SARS-CoV-2 infection from …
View article: Swedish Child Health Services Register: a quality register for child health services and children’s well-being
Swedish Child Health Services Register: a quality register for child health services and children’s well-being Open
Background Swedish child health services (CHS) is a free-of-charge healthcare system that reaches almost all children under the age of 6. The aim for the CHS is to improve children’s physical, psychological and social health by promoting h…
View article: Impact of COVID-19 on healthcare-associated infections: Antimicrobial consumption does not follow antimicrobial resistance
Impact of COVID-19 on healthcare-associated infections: Antimicrobial consumption does not follow antimicrobial resistance Open
HAI increased during COVID-19. The microorganisms' susceptibility profile did not change with the pandemic, but the authors observed a disproportionate increase in large-spectrum antimicrobial drug use.