A5035466010- Bariatric Surgery and Outcomes
- COVID-19 Clinical Research Studies
- Clinical Nutrition and Gastroenterology
- Long-Term Effects of COVID-19
- Linguistics and Education Research
- Nutrition and Health in Aging
- Family and Patient Care in Intensive Care Units
- Chronic Kidney Disease and Diabetes
- Healthcare cost, quality, practices
- Diabetes Treatment and Management
- Linguistics and Language Studies
- Linguistics and Discourse Analysis
- Philosophy, Ethics, and Existentialism
- Venous Thromboembolism Diagnosis and Management
- Autopsy Techniques and Outcomes
- Empathy and Medical Education
- Urban and sociocultural dynamics
- Healthcare Regulation
- Cardiovascular Disease and Adiposity
- Nosocomial Infections in ICU
- Body Contouring and Surgery
- Abdominal Surgery and Complications
- Paleopathology and ancient diseases
- Forensic Entomology and Diptera Studies
- Health Systems, Economic Evaluations, Quality of Life
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2013-2023
Princeton University
2023
Hospital Universitário da Universidade de São Paulo
2023
Hospital Alemão Oswaldo Cruz
2017-2022
Hospital São Paulo
2017-2022
Centro Regional de Derechos Humanos y Justicia de Género, Corporación Humanas
2021
Universidade de São Paulo
2008-2013
Universidade Brasil
2010-2013
Universidad Internacional
2013
To evaluate the effects of therapeutic heparin compared with prophylactic among moderately ill patients covid-19 admitted to hospital wards.
Early-stage chronic kidney disease (CKD) characterized by microalbuminuria is associated with future cardiovascular events, progression toward end-stage renal disease, and early mortality in patients type 2 diabetes.To compare the albuminuria-lowering effects of Roux-en-Y gastric bypass (RYGB) surgery vs best medical treatment early-stage CKD, diabetes, obesity.For this randomized clinical trial, established diabetes were recruited from a single center April 1, 2013, through March 31, 2016,...
The role of the Model for End-Stage Liver Disease (MELD) score in predicting complications, such as Acute Kidney Injury (AKI), after orthotopic liver transplantation (OLT) has yet to be evaluated and serum creatinine may too heavily weighted existing MELD formula, since it many pitfalls cirrhotic patients.Retrospective data perioperative period from consecutive adult OLTs performed January December 2009 were recorded. Univariate multivariate analysis analyze risk factors AKI mortality...
Abstract Background Heparin, in addition to its anticoagulant properties, has anti-inflammatory and potential anti-viral effects, may improve endothelial function patients with Covid-19. Early initiation of therapeutic heparin could decrease the thrombo-inflammatory process, reduce risk critical illness or death. Methods We randomly assigned moderately ill hospitalized ward admitted for Covid-19 elevated D-dimer level prophylactic heparin. The primary outcome was a composite death, invasive...
Introduction There are several randomised controlled trials (RCTs) that have already shown metabolic/bariatric surgery achieves short-term and long-term glycaemic control while there no level 1A of evidence data regarding the effects on microvascular complications type 2 diabetes mellitus (T2DM). Purpose The aim this trial is to investigate efficacy safety Roux-en-Y gastric bypass (RYGB) plus best medical treatment (BMT) versus BMT alone improve outcomes in patients with T2DM a body mass...
Microvascular lung vessels obstructive thromboinflammatory syndrome has been proposed as a possible mechanism of respiratory failure in COVID-19 patients. However, it only observed post-mortem studies and never documented vivo, probably because lack CT scan sensitivity small pulmonary arteries. The aim the present study was to assess safety, tolerability, diagnostic value optical coherence tomography (OCT) for assessment patients with pneumonia microvascular syndrome.The COVID-OCT trial...
We designed a cohort study to describe characteristics and outcomes of patients with coronavirus disease (COVID-19) admitted the intensive care unit (ICU) in largest public hospital Sao Paulo, Brazil, as Latin America becomes epicenter pandemic.This is protocol for being conducted at an academic Brazil 300 adult ICU beds dedicated COVID-19 patients. will include suspected or confirmed during period. The main outcome survival 28 days. Data be collected prospectively retrospectively by trained...
Embora absolutamente pertinente, a relação entre texto e medicina ainda é pouco pesquisada no meio acadêmico brasileiro. Não obstante, fato que toda prática médica permeada de narrativas, quer sejam as dos pacientes, contam aos médicos histórias suas doenças, médicos, recontam essas acordo com modelos científicos aprendidos sua experiência clínica. Inspirado na Narrative-Based Medicine, campo teórico já consolidado anglófono, em algumas teorias provenientes Estudos Literários das Ciências...
INTRODUÇÃO: As úlceras da mucosa gastroduodenal que aparecem após graves insultos têm sido chamadas de associadas ao estresse ou, mais genericamente, "doença associada estresse" (DMAE). São conhecidas desde a Antiguidade e apesar relacionarem-se com altos índices morbidade mortalidade, esquemas profilaxia no intuito minimizar seus riscos, só foram introduzidos recentemente. Os inibidores bomba prótons desempenhado papel importante nesse cenário. MÉTODOS: O presente artigo é uma breve revisão...
A partir da apresentação de três casos clínicos, o autor se lança a uma crítica à matriz teórica Medicina Narrativa e do que tem sido conhecido como Humanidades Médicas. Pretende-se mostrar tornar narrativas pacientes um objeto privilegiado estudo dos profissionais saúde utilizar métodos quantitativos para medir sua eficiência ou, por fim, considerá-las mero instrumento atingir metas terapêuticas ou mesmo acolhimento, é empobrecer debate no campo Hydén Mishler chamaram “Linguagem Medicina”....
ABSTRACT The clinical encounter, as an inter-human relationship between the patient and their doctor, constitutes arena where a clash worldviews of these agents can occur. Traditionally, encounter has been studied from externalist perspective, extrinsic to event itself, focusing on quantifiable outcomes. In his early texts, Bakhtin develops philosophy act that remarkably suits complexity encounter. By combining elements epistemology, gnoseology, axiology, ontology in architecture world...
RESUMO O encontro clínico, como relação inter-humana entre o(a) paciente e seu médico(a), constitui-se na arena onde um embate as visões de mundo desses agentes pode se dar. Classicamente, estuda-se o clínico a partir uma perspectiva externalista, extrínseca ao evento em si, que visa desfechos quantificáveis. Bakhtin, seus textos iniciais, elabora filosofia do ato ajusta maneira notável à complexidade clínico. Ao unir elementos epistemologia, gnosiologia, axiologia ontologia sua...