João Antônio de Queiroz Oliveira

Centro Universitário do Norte

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Milena Soriano Marcolino

Universidade Federal de Minas Gerais

Antônio Luiz Pinho Ribeiro

Universidade Federal de Minas Gerais

Maria Auxiliadora Parreiras Martins

Universidade Federal de Minas Gerais

Júnia Xavier Maia

Hospital das Clínicas da Universidade Federal de Minas Gerais

Christiane Corrêa Rodrigues Cimini

Universidade Federal dos Vales do Jequitinhonha e Mucuri

Clareci Silva Cardoso

Universidade de Itaúna

Israel Júnior Borges do Nascimento

World Health Organization Regional Office for Europe

Maíra Viana Rego Souza-Silva

Universidade Federal de Minas Gerais

Vânia Soares de Oliveira e Almeida Pinto

Universidade Federal dos Vales do Jequitinhonha e Mucuri

Thábata Queiroz Vivas de Sá

Universidade Federal de Minas Gerais

Cooperative Institutions

Universidade Federal de Minas Gerais

Hospital Curry Cabral

IPO Porto

Hospital das Clínicas da Universidade Federal de Minas Gerais

Instituto Português de Oncologia Francisco Gentil

Centro Hospitalar de Lisboa Central

University of Lisbon

University of Washington

Institute for Health Metrics and Evaluation

Universidade de São Paulo

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Development and Implementation of a Computerized Decision Support System for Screening Hypertension and Diabetes in a Resource-Constrained Region

International Journal of Cardiovascular Sciences (2024)

Laura Defensor Ribeiro de Melo Antônio Luiz Pinho Ribeiro João Antônio de Queiroz Oliveira Júnia Xavier Maia Thábata Queiroz Vivas de Sá

10.36660/ijcs.20230085

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Satisfaction of Emergency Physicians with the Care Provided to Patients with Cardiovascular Diseases in the Northern Region of Minas Gerais

Figshare (2018)

Milena Soriano Marcolino João Antônio de Queiroz Oliveira Grace Kelly Matos e Silva Thatiane Dantas Dias Bárbara Campos Abreu Marino

Abstract Background: The dissatisfaction of health professionals in emergency services has a negative influence on both the quality of care provided for acute myocardial infarction (AMI) patients and the retention of those professionals. Objective: To assess physicians’ satisfaction with the structure of care and diagnosis at the emergency services in the Northern Region of Minas Gerais before the implementation of the AMI system of care. Methods: This cross-sectional study included physicians from the emergency units of the ambulance service (SAMU) and level II, III and IV regional hospitals. Satisfaction was assessed by using the CARDIOSATIS-Team scale. The median score for each item, the overall scale and the domains were calculated and then compared by groups using the non-parametric Mann-Whitney test. Correlation between time since graduation and satisfaction level was assessed using Spearman correlation. A p value < 0.05 was considered significant. Results: Of the 137 physicians included in the study, 46% worked at SAMU. Most of the interviewees showed overall dissatisfaction with the structure of care, and the median score for the overall scale was 2.0 [interquartile range (IQR) 2.0-4.0]. Most SAMU physicians expressed their dissatisfaction with the care provided (54%), the structure for managing cardiovascular diseases (52%), and the technology available for diagnosis (54%). The evaluation of the overall satisfaction evidenced that the dissatisfaction of SAMU physicians was lower when compared to that of hospital emergency physicians. Level III/IV hospital physicians expressed greater overall satisfaction when compared to level II hospital physicians. Conclusion: This study showed the overall dissatisfaction of the emergency physicians in the region assessed with the structure of care for cardiovascular emergencies.

10.6084/m9.figshare.7045559

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ABO-Incompatible Liver Transplantation in Acute Liver Failure: A Single Portuguese Center Study

Transplantation Proceedings (2013)

Marco Mendes Ana Carina Ferreira Ana Carina Ferreira Francisco Remédio Inês Aires

Plasmapheresis

Immunosuppression

Basiliximab

Daclizumab

Thymoglobulin

10.1016/j.transproceed.2013.02.012

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Citations (19)

Desenvolvimento, implementação e avaliação da usabilidade de um aplicativo baseado em suporte à decisão para rastreamento de Hipertensão Arterial e Diabetes Mellitus: um subestudo do Projeto Healthrise

Laura Defensor Ribeiro de Melo João Antônio de Queiroz Oliveira Milena Soriano Marcolino Christiane Corrêa Rodrigues Cimini Thábata Queiroz Vivas de Sá

Anais do 9º Congresso Brasileiro de Telemedicina e Telessaúde - CBTms (978-85-5722-215-1) - Desenvolvimento, Implementação E Avaliação Da Usabilidade De Um Aplicativo Baseado Em Suporte À Decisão Para Rastreamento De Hipertensão Arterial E Diabetes Mellitus: Um Subestudo Do Projeto Healthrise

10.29327/cbtms9.145182

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Perfil clínico e epidemiológico de pacientes com doenças gastroesofágicas atendidos no ambulatório-escola do ITPAC Porto

Brazilian Journal of Health Review (2024)

Joel Ribamar de Freitas Lunguinho Giovanna Mendes Monteiro Rosa Maria Dias Dourado Paulo C. Dias Pedro Josefino Custódio de Araújo

JUSTIFICATIVA/PROBLEMA: A partir da análise dos prontuários médicos dos pacientes atendidos no ambulatório do Instituto Tocantinense Presidente Antônio Carlos (ITPAC) de Porto Nacional, é possível identificar as doenças gastroesofágicas mais comuns, avaliar prevalência, incidência, mortalidade, bem como a distribuição geográfica e temporal destas, monitorar as tendências das patologias ao longo do tempo e identificar os fatores de risco e de proteção. OBJETIVO: Por meio dessa análise, pretende-se traçar as características clínicas e epidemiológicas mediante o perfil dos pacientes assistidos, abordando necessidades de saúde da população portuense, podendo melhor direcionar o desenvolvimento de políticas e programas de saúde. METODOLOGIA: Serão coletadas informações detalhadas de prontuários médicos analisadas em artigos, incluindo as possíveis etiologias das afecções: doença do refluxo gastroesofágico (DRGE), gastrite e úlcera gástrica, as faixas etárias preponderantes dessas afecções, os fatores de risco associados, bem como os sinais e sintomas apresentados. Além disso, a análise contemplará os diagnósticos efetuados e as terapêuticas empregadas para cada caso. RESULTADOS/CONCLUSÃO: Observou-se uma predominância de pacientes do sexo feminino (71,4%), com idade média de 44,26 anos. Os diagnósticos mais comuns foram gastrite (30,6% dos casos), epigastralgia (15,6%) e DRGE (9,5%). Aproximadamente 32,3% dos atendimentos foram de pacientes de outros municípios.

10.34119/bjhrv7n9-392

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Utilização e percepção de impacto de aplicativos de mensagem instantânea para smartphones na prática médica

Israel Júnior Borges do Nascimento Iago Souza Wolff João Antônio de Queiroz Oliveira Laura Derfensor Ribeiro Maíra Viana Souza e Silva

Instant

10.29327/cbtms9.145142

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486 Intrathecal (IT) trastuzumab in leptomeningeal and central nervous system (CNS) metastases from HER2+ breast cancer (BC): What if we could bypass the blood–brain barrier (BBB)?

European Journal of Cancer Supplements (2010)

M. Oliveira Sofía Braga José Luís Passos‐Coelho João Antônio de Queiroz Oliveira

Intrathecal

Meningeal carcinomatosis

10.1016/s1359-6349(10)70507-3

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Community-based interventions for detection and management of diabetes and hypertension in underserved communities: a mixed-methods evaluation in Brazil, India, South Africa and the USA

BMJ Global Health (2020)

Luísa Sório Flor Shelley Wilson Paurvi Bhatt Miranda Bryant Aaron Burnett

Introduction As non-communicable disease (NCD) burden rises worldwide, community-based programmes are a promising strategy to bridge gaps in NCD care. The HealthRise programme sought to improve hypertension and diabetes management for underserved communities in nine sites across Brazil, India, South Africa and the USA between 2016 and 2018. This study presents findings from the programme’s endline evaluation. Methods The evaluation utilises a mixed-methods quasi-experimental design. Process indicators assess programme implementation; quantitative data examine patients’ biometric measures and qualitative data characterise programme successes and challenges. Programme impact was assessed using the percentage of patients meeting blood pressure and A1c treatment targets and tracking changes in these measures over time. Results Almost 60 000 screenings, most of them in India, resulted in 1464 new hypertension and 295 new diabetes cases across sites. In Brazil, patients exhibited statistically significant reductions in blood pressure and A1c. In Shimla, India, and in South Africa, country with the shortest implementation period, there were no differences between patients served by facilities in HealthRise areas relative to comparison areas. Among participating patients with diabetes in Hennepin and Ramsey counties and hypertension patients in Hennepin County, the percentage of HealthRise patients meeting treatment targets at endline was significantly higher relative to comparison group patients. Qualitative analysis identified linking different providers, services, communities and information systems as positive HealthRise attributes. Gaps in health system capacities and sociodemographic factors, including poverty, low levels of health education and limited access to nutritious food, are remaining challenges. Conclusions Findings from Brazil and the USA indicate that the HealthRise model has the potential to improve patient outcomes. Short implementation periods and strong emphasis on screening may have contributed to the lack of detectable differences in other sites. Community-based care cannot deliver its full potential if sociodemographic and health system barriers are not addressed in tandem.

Non-communicable disease

10.1136/bmjgh-2019-001959

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Citations (53)

Satisfaction of Emergency Physicians with the Care Provided to Patients with Cardiovascular Diseases in the Northern Region of Minas Gerais

Arquivos Brasileiros de Cardiologia (2018)

Milena Soriano Marcolino João Antônio de Queiroz Oliveira Grace Kelly Matos e Silva Thatiane Dantas Dias Bárbara Campos Abreu Marino

The dissatisfaction of health professionals in emergency services has a negative influence on both the quality of care provided for acute myocardial infarction (AMI) patients and the retention of those professionals.To assess physicians' satisfaction with the structure of care and diagnosis at the emergency services in the Northern Region of Minas Gerais before the implementation of the AMI system of care.This cross-sectional study included physicians from the emergency units of the ambulance service (SAMU) and level II, III and IV regional hospitals. Satisfaction was assessed by using the CARDIOSATIS-Team scale. The median score for each item, the overall scale and the domains were calculated and then compared by groups using the non-parametric Mann-Whitney test. Correlation between time since graduation and satisfaction level was assessed using Spearman correlation. A p value < 0.05 was considered significant.Of the 137 physicians included in the study, 46% worked at SAMU. Most of the interviewees showed overall dissatisfaction with the structure of care, and the median score for the overall scale was 2.0 [interquartile range (IQR) 2.0-4.0]. Most SAMU physicians expressed their dissatisfaction with the care provided (54%), the structure for managing cardiovascular diseases (52%), and the technology available for diagnosis (54%). The evaluation of the overall satisfaction evidenced that the dissatisfaction of SAMU physicians was lower when compared to that of hospital emergency physicians. Level III/IV hospital physicians expressed greater overall satisfaction when compared to level II hospital physicians.This study showed the overall dissatisfaction of the emergency physicians in the region assessed with the structure of care for cardiovascular emergencies.

Interquartile range

10.5935/abc.20180143

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Emergency department evaluation of orthotopic liver transplant recipients

Critical Care (2000)

Germano Couto Susan Marum João Antônio de Queiroz Oliveira M Rui Silva J P Ribeiro

The awareness of the diagnostic difficulty and the documented high mortality risk of perioperative myocardial infarction (PMI) has led to the wide use of work up to rule out PMI after major noncardiac operations.This has caused stable postoperative patients to be kept in monitored hospital beds for extended periods of time and to be subjected to additional tests.We hypothesized that the mortality of PMI is high and, therefore, the wide use of postoperative work up to identify these patients is justifiable.We performed the following study to prove our hypothesis.All patients in the recovery room after major noncardiac operations who underwent work up to rule out PMI were identified and followed.The PMI work up included care in an electronically monitored unit, physical assessment, continuous ECG monitoring, and three 12lead electrocardiograms and cardiac enzymes obtained at six to eight hour intervals.Data collection included patient demographics; preoperative cardiac risk factors; incidence of intraoperative hypotension, hemorrhage and ECG changes; type of anesthesia and operative procedures and their durations; postoperative ECG and cardiac enzyme results; the incidence of PMI and patient outcome.Two hundred patients were studied; 85 males and 115 females.Their mean age was 62.9 years.Preexisting conditions included hypertension in 162 patients, peripheral arterial disease in 102, diabetes mellitus in 97, angina in 30, previous myocardial infarction in 41, and smoking in 107.Of 200 patients, 164 had an abnormal preoperative ECG.Vascular operations were performed in 104 patients, nonvascular abdominal operations in 48, and other operations in the remaining 48.Intraoperatively, hypotension occurred in 29 patients, blood loss of >500 ml in 25 and ECG changes in 10.There were no deaths.PMI occurred in 5/200 (2.5%) patients.Four had undergone vascular operations and one had had an abdominal operation.The mean age of the patients with PMI was 64.2 years.The duration of operation and blood loss were similar to those of patients without PMI.None of these patients developed cardiac failure or cardiogenic shock and none of them died. Conclusion:The incidence of PMI among patients undergoing noncardiac surgery is low and its mortality is negligible.Physicians should become more selective in the use of monitored beds and in the ordering of a work up to rule out PMI. P2

10.1186/cc862

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