A5054256550- Intensive Care Unit Cognitive Disorders
- Long-Term Effects of COVID-19
- Geriatric Care and Nursing Homes
- Interprofessional Education and Collaboration
- Primary Care and Health Outcomes
- Healthcare innovation and challenges
- COVID-19 and Mental Health
- Family and Patient Care in Intensive Care Units
- COVID-19 Clinical Research Studies
- Critical Realism in Sociology
- Business and Management Studies
- Frailty in Older Adults
- Health disparities and outcomes
- Social and Economic Solidarity
- Health Policy Implementation Science
- Disability Education and Employment
- Respiratory Support and Mechanisms
- Socioeconomic Development in Asia
- Mental Health and Patient Involvement
- Evaluation and Performance Assessment
- Urban and sociocultural dynamics
- Public Health Policies and Education
- Disaster Response and Management
- Second Language Learning and Teaching
- Social Work Education and Practice
Hospital Moinhos de Vento
2018-2025
Torrens University Australia
2020-2024
Fundação Getulio Vargas
2023
Media Design School
2022
Evidence (Italy)
2021
Australian National University
2020
Nanyang Technological University
2014-2019
Asia-Pacific Regional Network for Early Childhood
2017
Universidade La Salle
2017
Universidade de Caxias do Sul
2016
Abstract Objective To determine whether tocilizumab improves clinical outcomes for patients with severe or critical coronavirus disease 2019 (covid-19). Design Randomised, open label trial. Setting Nine hospitals in Brazil, 8 May to 17 July 2020. Participants Adults confirmed covid-19 who were receiving supplemental oxygen mechanical ventilation and had abnormal levels of at least two serum biomarkers (C reactive protein, D dimer, lactate dehydrogenase, ferritin). The data monitoring...
This article aims to contribute the methodological discussion initiated by Pawson and Manzano-Santaella (2012). It proposes a possible elaboration of ‘trio explanatory components’ (Pawson Tilley, 1997: 77) used as strategy in realist evaluation – Context-Mechanism-Outcome configuration (CMOc). temporarily diverts attention away from social programs focus on pre-existing context action related mechanisms that may be operating within it. draws conceptual theoretical guidance offered Roy...
Pawson and Tilley’s acknowledgment of programs embedded in multiple social systems has gained little traction realist synthesis evaluation practice. A practice focusing on fairly closed systems—explaining how work do not work—has emerged. This article negotiates the boundaries knowledge pertinent to have program design from a perspective. It highlights critical realism as another possible response thinking evaluation. Moving one level up program, it theorizes about structures, mechanisms,...
Realist evaluation has gained prominence in the field of recent years. Its theory-driven approach to explaining how and why programmes work or not makes it attractive many novices, early career researchers, organizations implementing various globally relevant policymakers programme implementers. While realist seeks be pragmatic, adopting principles methods that can used help focus an evaluation, its deep ontological epistemological foundations make application real-life situations...
This article explains how the meta-theoretical framework of critical realism addresses methodological issues concern to social psychologists and scientists. The outlines key tenets – its notion stratified nature reality generative mechanisms as powers in natural objects that cause things; knowledge rather than only empirical; acceptance epistemological but not judgmental relativism; monist ontology. then introduces realist theory provide a for understanding society–person connection. It...
The internationalisation of higher education has been challenged by the significant decline in international student mobility caused COVID-19 pandemic. emergence at a distance before paved new avenue for education, with distinctive feature knowledge without human mobility. However, few studies have explored an context. ethnographic case study identifies three channels – Information and Communication Technology (ICT), curriculum virtual community practice argues that creation model SECI...
Abstract Background The long-term effects of mild COVID-19 infection on Health-related Quality Life (HRQoL) are not yet well understood. study objective was to assess HRQoL and factors associated with its worsening 12 months after SARS-CoV-2 infection. Methods Multicenter prospective cohort in Brazil between January 2022 December 2023. Pasrticipants were ≥ 18 years outpatients for symptomatic confirmed by either RT-PCR or antigen test included. Telephone interviews conducted at 1, 3, 6, 9...
Background: Certain aspects of intensive care unit admission and care, including patient acuity treatments to manage acute critical illnesses, can intensify loss functionality decrease quality life after hospital discharge. We sought identify the risk factors associated with functional decline following illness explore its impact on health-related in a post hoc analysis prospective multi-center cohort study. Methods: The study involved 1,301 critically ill subjects who were assessed 3 months...
To identify the frequency, causes, and risk factors of early late mortality among general adult patients discharged from ICUs.Multicenter, prospective cohort study.ICUs 10 tertiary hospitals in Brazil.One-thousand five-hundred fifty-four ICU survivors with an stay greater than 72 hours for medical emergency surgical admissions or 120 elective admissions.None.The main outcomes were (30 d) (31 to 365 mortality. Causes death extracted certificates records. Twelve-month cumulative was 28.2% (439...
Introduction Integrated community healthcare Hubs may offer a ‘one stop shop’ for service users with complex health and social needs, more efficiently use resources. Various policy imperatives exist to implement Hub models of care, however, there is dearth research specifically evaluating targeted at families experiencing adversity. To contribute building this evidence, we propose co-design, test evaluate integrated care in two Australian services low socioeconomic areas that serve...
Abstract Objectives To identify the prevalence and associated factors of cognitive dysfunction, 1 year after ICU discharge, among adult patients, it´s relation with quality life. Methods Multicenter, prospective cohort study including ICUs 10 tertiary hospitals in Brazil, between May 2014 December 2018. The patients included were 452 survivors (median age 60; 47.6% women) an stay greater than 72 h. Results At 12 months a Montreal Cognitive Assessment (tMOCA) telephone score less was defined...
To establish the prevalence of physical, cognitive and psychiatric disabilities, associated factors their relationship with qualities life intensive care survivors in Brazil.A prospective multicenter cohort study is currently being conducted at 10 adult medical-surgical units representative 5 Brazilian geopolitical regions. Patients aged ≥ 18 years who are discharged from participating stay 72 hours or more unit for medical emergency surgery admissions 120 elective consecutively included....
Introduction: Intergenerational cycles of poverty, violence and crime, poor education employment opportunities, psychopathology, lifestyle health behaviours require innovative models care delivery to break them. We describe a programme research informed service development targeting vulnerable families in inner metropolitan Sydney, Australia that is designed build confirm "Theory Neighbourhood Context, Stress, Depression, the Developmental Origins Health Disease (DOHaD)". an intervention...
In July 2015 Sydney Local Health District (SLHD) implemented an integrated care initiative for vulnerable families in the Inner West region of Sydney, Australia. The was designed as a cross-agency coordination network that would ensure families: had their complex health and social needs met; kept themselves children safe; were connected to society. We will describe development design drew on earlier realist causal program theoretical work.Realist theory used inform collaborative families....
Treatment with mechanical circulatory support (MCS) has been proposed to mitigate mortality in cardiogenic shock (CS). However, there is a lack of data on MCS programs implementation and the effect learning curve its outcomes limited resources countries such as Brazil.Prospective cohort patients CS admitted four tertiary-care centers treated Impella CP or veno-arterial extracorporeal membrane oxygenation (VA-ECMO). Clinical were peri-procedural complications, short-term rate, centers' curve....
Abstract Background Healthy Homes and Neighbourhoods (HHAN) Integrated Care Initiative was established to improve the care of families with complex health social needs who reside in Sydney Local Health District. HHAN seeks provide long-term multi-disciplinary coordination as well enhance capacity building promote integrated care. The critical realist study reported here is part longitudinal development evaluation interventions Sydney, Australia. Methods We describe qualitative component a...
In March 2014, the New South Wales (NSW) Government (Australia) announced NSW Integrated Care Strategy. response, a family-centred, population-based, integrated care initiative for vulnerable families and their children in Sydney, Australia was developed. The called Healthy Homes Neighbourhoods. A realist translational social epidemiology programme of research collaborative design is at foundation its evaluation.The UK Medical Research Council (MRC) Framework evaluating complex health...
Background: We will describe here a translational social epidemiology protocol for confirming critical realist "Theory of Neighbourhood Context, Stress, Depression, and the Developmental Origins Health Disease (DOHaD)". The approach include concretising contextualising above causal theory into programme theories child adolescent interventions that aim to break intergenerational cycles disadvantage poor life outcomes. In undertaking this work we seek advance methodology within discipline...
Community-integrated care initiatives are increasingly being used for social and health service delivery show promising outcomes. Nevertheless, it is unclear what structures underlining causal agents (generative mechanisms) responsible explaining how why they work or not.Critical realist synthesis, a theory-driven approach to reviewing synthesising literature based on the critical philosophy of science, underpinned study. Two lenses guided our evidence community system patient-focused...
Healthy Homes and Neighbourhoods (HHAN), an integrated care programme in the Sydney Local Health District (SLHD), seeks to address needs of disadvantaged families through coordination, as one its components. This research aims determine for whom, when why coordination component HHAN works, establish reported outcomes clients, service-providers partner organisations.Critical realist methodology was utilised undertake a qualitative evaluation impact coordination. Purposive sampling used select...