Healthcare System
Mostrando 13-24 de 354 artigos, teses e dissertações.
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13. Clinical and epidemiological characteristics and individual experiences of illness in men with COVID-19: mixed method study
ABSTRACT BACKGROUND: Since the beginning of the coronavirus disease 2019 (COVID-19) pandemic, studies have shown that this disease has affected the male population on a significant scale in various parts of the world, making men one of the main risk groups. OBJECTIVE: To analyze the clinical and epidemiological characteristics and experiences of illness
Sao Paulo Medical Journal. Publicado em: 2022
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14. Epidemiology and outcomes of septic shock in children with complex chronic conditions in a developing country PICU
Abstract Objective: To investigate the role of Complex Chronic Conditions (CCCs) on the outcomes of pediatric patients with refractory septic shock, as well as the accuracy of PELOD-2 and Vasoactive Inotropic Score (VIS) to predict mortality in this specific population. Methods: This is a single-center, retrospective cohort study. All patients diagnosed wi
Jornal de Pediatria. Publicado em: 2022
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15. A randomized clinical trial on inhaled ciclesonide for managing acute asthma in the emergency room
ABSTRACT BACKGROUND: Use of inhaled corticosteroids for managing acute asthma exacerbations has been tested since the 1990s. OBJECTIVE: To compare high doses of inhaled ciclesonide with systemic hydrocortisone for managing acute asthma exacerbations in the emergency department. DESIGN AND SETTING: Double-blind, randomized clinical trial in the public heal
Sao Paulo Medical Journal. Publicado em: 2022
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16. Influence of treatment access on survival of metastatic renal cell carcinoma in brazilian cancer center
ABSTRACT Background: Tyrosine kinase inhibitors (TKI) and immunotherapy improved survival in metastatic renal cell carcinoma (mRCC). Disparities in treatment access are present in healthcare systems globally. The aim of this study was to analyze survival outcomes of mRCC patients treated with first-line TKIs in the public (PHS) and private (PrS) health syst
Int. braz j urol.. Publicado em: 2021-06
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17. Estimating Brazilian states’ demands for intensive care unit and clinical hospital beds during the COVID-19 pandemic: development of a predictive model
ABSTRACT BACKGROUND: The fragility of healthcare systems worldwide had not been exposed by any pandemic until now. The lack of integrated methods for bed capacity planning compromises the effectiveness of public and private hospitals’ services. OBJECTIVES: To estimate the impact of the COVID-19 pandemic on the provision of intensive care unit and clinica
Sao Paulo Med. J.. Publicado em: 2021-04
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18. Performance of the Pandemic Medical Early Warning Score (PMEWS), Simple Triage Scoring System (STSS) and Confusion, Uremia, Respiratory rate, Blood pressure and age ≥ 65 (CURB-65) score among patients with COVID-19 pneumonia in an emergency department triage setting: a retrospective study
ABSTRACT BACKGROUND: Healthcare institutions are confronted with large numbers of patient admissions during large-scale or long-term public health emergencies like pandemics. Appropriate and effective triage is needed for effective resource use. OBJECTIVES: To evaluate the effectiveness of the Pandemic Medical Early Warning Score (PMEWS), Simple Triage S
Sao Paulo Med. J.. Publicado em: 2021-04
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19. Direct healthcare costs and their relationships with age at start of drug use and current pattern of use: a cross-sectional study
ABSTRACT BACKGROUND: It is well known that early start of drug use can lead users to psychosocial problems in adulthood, but its relationship with users’ direct healthcare costs has not been well established OBJECTIVES: To estimate the direct healthcare costs of drug dependency treated at a community mental health service, and to ascertain whether earl
Sao Paulo Med. J.. Publicado em: 2021-02
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20. Critical analysis on the use of cholecalciferol as a COVID-19 intervention: a narrative review
ABSTRACT BACKGROUND: The World Health Organization has declared that a pandemic situation exists in relation to the disease caused by the new coronavirus, COVID-19. So far, the absence of a vaccine against the new coronavirus has led people worldwide to seek various therapeutic alternatives, including use of cholecalciferol. DESIGN AND SETTING: Narrative
Sao Paulo Med. J.. Publicado em: 2021-02
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21. Validation of the Skindex-17 quality of life assessment instrument for a Brazilian population,
Abstract Background: Health-related quality of life assesses how diseases affect the daily life of people; there are several generic instruments for this assessment in dermatology. Skindex was created in 1996; it is a multidimensional instrument, aiming to encompass some psychological and social aspects not yet addressed by other questionnaires. Among its v
An. Bras. Dermatol.. Publicado em: 2021-02
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22. Total antibiotic use in a state-wide area and resistance patterns in Brazilian hospitals: an ecologic study
ABSTRACT Introduction: Use of antibiotic and bacterial resistance is the result of a complex interaction not completely understood. Objectives: To evaluate the impact of entire antimicrobial use (community plus hospitals) on the incidence of bloodstream infections in intensive care units adjusted by socioeconomic factors, quality of healthcare, and access
Braz J Infect Dis. Publicado em: 2020-12
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23. Lowering costs for large-scale screening in psychosis: a systematic review and meta-analysis of performance and value of information for speech-based psychiatric evaluation
Objective: Obstacles for computational tools in psychiatry include gathering robust evidence and keeping implementation costs reasonable. We report a systematic review of automated speech evaluation for the psychosis spectrum and analyze the value of information for a screening program in a healthcare system with a limited number of psychiatrists (Maputo, M
Braz. J. Psychiatry. Publicado em: 2020-12
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24. Patterns of radioiodine use for differentiated thyroid carcinoma in Brazil: insights and a call for action from a 20-year database
ABSTRACT Objective: This study aimed to explore the patterns of radioactive iodine (RAI) use for differentiated thyroid cancer (DTC) in Brazil over the past 20 years. Materials and methods: A retrospective analysis of the DTC-related RAI prescriptions, from 2000 to 2018, retrieved from the Department of Informatics of the Unified Health System (Datasus) an
Arch. Endocrinol. Metab.. Publicado em: 2020-12