- Infection Control in Healthcare
- Infection Control and Ventilation
- Glioma Diagnosis and Treatment
- Nosocomial Infections in ICU
- SARS-CoV-2 and COVID-19 Research
- Olfactory and Sensory Function Studies
- Burn Injury Management and Outcomes
- Vaccine Coverage and Hesitancy
- Urban Green Space and Health
- Bacterial Identification and Susceptibility Testing
- Urinary Tract Infections Management
- COVID-19 and Mental Health
- Antibiotic Use and Resistance
- Advanced Radiotherapy Techniques
- Acute Kidney Injury Research
- Long-Term Effects of COVID-19
- Dental Research and COVID-19
- Cell death mechanisms and regulation
- Hematopoietic Stem Cell Transplantation
- Occupational Health and Burnout
- Patient Satisfaction in Healthcare
- Food Safety and Hygiene
- Meningioma and schwannoma management
- Pharmaceutical Practices and Patient Outcomes
- Streptococcal Infections and Treatments
Hospital Israelita Albert Einstein
2016-2025
Hospital Universitario Dr José Eleuterio Gonzalez
2022
All India Institute of Medical Sciences
2015
All India Institute of Medical Sciences Bhopal
2015
All India Institute of Medical Sciences Raipur
2015
Universidade Federal de São Paulo
2014
Hospital do Coração
2012-2013
Hospital Santa Luzia
2013
Hospital Bandeirantes
2013
Beneficência Portuguesa de São Paulo
2013
Abstract Objective: To determine risk factors for the development of long coronavirus disease 2019 (COVID-19) in healthcare personnel (HCP). Methods: We conducted a case–control study among HCP who had confirmed symptomatic COVID-19 working Brazilian system between March 1, 2020, and July 15, 2022. Cases were defined as those having COVID according to Centers Disease Control Prevention definition. Controls documented but did not develop COVID. Multiple logistic regression was used assess...
Studies have found that patients with acute coronary syndromes (ACS) often do not receive evidence-based therapies in community practice. This is particularly true low- and middle-income countries.To evaluate whether a multifaceted quality improvement (QI) intervention can improve the use of reduce incidence major cardiovascular events among ACS country.The BRIDGE-ACS (Brazilian Intervention to Increase Evidence Usage Acute Coronary Syndromes) trial, cluster-randomized (concealed allocation)...
Abstract Background Little is currently known about vaccine effectiveness (VE) for either 2 doses of Oxford-AstraZeneca (ChAdOx1) viral vector or CoronaVac (Instituto Butantan) inactivated followed by a third dose mRNA (Pfizer/BioNTech) among healthcare workers (HCWs). Methods We conducted retrospective cohort study HCWs (aged ≥18 years) working in private system Brazil from January to December 2021. VE was defined as 1 – incidence rate ratio (IRR), with IRR determined using Poisson models...
Nature-based interventions (NBIs) benefit human well-being, but clinical trials comparing different NBIs in various natural environments are scarce. To evaluate the efficacy of a multicomponent nature-based intervention (MNBI) comparison to control group (classical forest bathing). well-being; Secondary outcomes: vitality, happiness, connection, and engagement with nature across urban, peri-urban, rural areas. Randomized trial 486 participants between October/2022 June/2023, from five areas...
ObjectivesThe purpose of this study was to compare methods for assessing compliance with hand hygiene in an intensive care unit (ICU), a step-down (SDU), and hematology–oncology unit.MethodsOver 20-week period, we compared measurements by three different methods: direct observation, electronic handwash counter alcohol gel, measuring the volume product used (alcohol gel) ICU, SDU, tertiary care, private hospital.ResultsBy observation evaluated 1078 opportunities 1075 517 unit, rates 70.7%,...
OBJECTIVE:To evaluate the effectiveness of Brazilian Cardioprotective Diet Program in reducing blood pressures, fasting glucose levels and body mass indices patients with established atherothrombotic disease.METHOD: This randomized controlled pilot trial included outpatients who were over 45 years age cardiovascular disease.Group A, received Program, had weekly sessions dietitians.Groups B C usual dietary therapy that is given to diseases as proposed by guidelines.This diet same nutrient...
Background— Diabetes mellitus represents an independent risk factor for contrast-induced acute kidney injury. We report the results of a prespecified substudy patients with diabetes included in Acetylcysteine Contrast-Induced Nephropathy Trial (ACT), largest randomized study evaluating effects acetylcysteine prevention injury conducted to date. Methods and Results— From 2308 ACT, 1395 had were considered present analysis. The drugs (acetylcysteine 1200 mg or matching placebo) administered...
Few studies have assessed the time to blood culture positivity as a predictor of clinical outcome in fungal bloodstream infections (BSIs). The purpose this study was evaluate (TTP) cultures patients with Candida albicans BSIs and assess its impact on outcome.A historical cohort 89 adults C. BSIs. TTP defined between start incubation that automated alert signal indicating growth bottle sounded.Patients TTPs ≤ 36 h (n=39) >36 (n=50) were compared. Septic shock occurred 46.2% 40.0% (p=0.56). A...
Abstract Affectively rated image databases have their main application in studies that require inducing distinct stimuli on subjects. Widespread are designed to cover a broad range of stimuli, from negative positive (valence), and relaxed excited (arousal). The availability narrow domain databases, thoroughly analyze few categories images induce particular stimulus, is limited. We present affective database with images, named e-Nature Positive Emotions Photography Database (e-NatPOEM),...
Stress levels are evident among health professionals. However, there few studies on sensory-based self-care aimed at stress management, self-esteem and subjective well-being in this group of professionals.To assess the impact a intervention mediated by senses levels, professionals hospital environment.A total 93 participated an unblinded clinical trial, randomized into four groups: 1) control (no intervention); 2) Monosensory-daily body moisturizing (DBM) with odorless cream; 3)...
Abstract Objective: We investigated real-world vaccine effectiveness for Oxford-AstraZeneca (ChAdOx1) and CoronaVac against laboratory-confirmed severe acute respiratory coronavirus virus 2 (SARS-CoV-2) infection among healthcare workers (HCWs). Methods: conducted a retrospective cohort study HCWs (aged ≥18 years) working in private system Brazil between January 1, 2021 August 3, 2021, to assess effectiveness. calculated as 1 − rate ratio (RR), with RR determined by adjusting Poisson models...
The collection of blood cultures is an extremely important method in the management patients with suspected infection. Microbiology laboratories should monitor culture collection.Over 8-month period we developed a prospective, observational study adult Intensive Care Unit (ICU). We correlated mass contained vials positivity and also verified relationship between volume collected for diagnosis bloodstream infection (BSI), as well explored factors predicting positive cultures.We evaluated 345...
The number of medication errors occurring in healthcare is large and many are preventable. To analyze evaluate whether Positive Deviance effective reducing them.The study was divided into three phases: (2011- Phase I, control period; 2012 - II, manager intervention, 2013 III, frontline worker intervention). In Phases II the method (PD) used to mitigate classified as "C" higher according National Coordinating Council for Medication Error Reporting Prevention (NCC MERP). reported were compared...
Objective To evaluate the effect of waiting time (WT) to radiotherapy (RT) on overall survival (OS) glioblastoma (GBM) patients as a reliable prognostic variable in Brazil, scenario medical disparities. Method Retrospective study 115 GBM from two different health-care institutions (one public and one private) Brazil who underwent post-operative RT. Results Median WT RT was 6 weeks (range, 1.3-17.6). The median OS for ≤ 13.5 months (95%CI , 9.1-17.9) > 14.2 (95%CI, 11.2-17.2) (HR 1.165,...