Publications by authors named "Filipa Madeira"

Article Synopsis
  • Racial disparities in clinical recommendations can lead to significant health disparities, with implicit racial attitudes among healthcare providers being a key factor.
  • A study involving 210 White medical trainees found that those with stronger implicit biases towards White individuals provided fewer words and treatment options for Black patients compared to White patients.
  • The results highlight the subtle yet harmful effects of implicit bias in healthcare and emphasize the importance of understanding how these attitudes influence clinical decision-making.
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Time is fundamental to organizing all aspects of human life. When invested in relationships, it has a psychological meaning as it indicates how much individuals value others and their interest in maintaining social relationships. Previous research has identified an intergroup time bias (ITB) in racialized social relations, defined as a discriminatory behavior in which White individuals invest more time in evaluating White than Black individuals.

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Introduction: Recently, simulation as an educational method has gained increasing importance in Medicine. However, medical education has favored the acquisition of individual knowledge and skills, while overlooking the development of teamwork skills. Since most errors in clinical practice are due to human factors, i.

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Objectives: Drawing on theories of distributive justice and intergroup discrimination, we examined how much distributive justice criterion and racial group membership contribute to bias in healthcare allocation decisions, by testing a theoretical model that specifies perceived stereotypicality and individual responsibility as a serial mediation process in the relationship between disease's contraction controllability (controllable vs. non-controllable) and bias in medical decision-making.

Method: White Portuguese medical students (N = 213) participated in an online experimental study conducted in two phases.

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THIS ARTICLE USES WORDS OR LANGUAGE THAT IS CONSIDERED PROFANE, VULGAR, OR OFFENSIVE BY SOME READERS. The new generation of direct-acting antivirals has improved dramatically the rates of cure for chronic hepatitis C. Yet, evidence shows that racial groups are deemed more often ineligible for hepatitis C treatment, despite no clinical evidence supporting differential treatment for Black and White patients.

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Article Synopsis
  • Effective communication among surgeons and anesthesiologists is crucial in managing severe trauma, and the joint DSTC-DATC courses serve as important teamwork training opportunities.
  • A study involving 93 participants showed that after attending these courses, candidates reported a significant improvement in their communication skills, particularly valuing routine communication and team debriefs.
  • The training led to enhanced perceptions of intraoperative communication, indicating a potential positive impact on patient care, though further studies are needed to assess the long-term effects.
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Introduction: Although uncommon, major vessel hemorrhage is the most feared complication of mediastinoscopy. Our goal was to determine the optimal management strategy and to develop a simple and accessible protocol for optimizing care in these situations.

Methods: Data collection after reviewing the relevant literature.

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Anesthesiologists face stressful working conditions that can culminate in burnout syndrome. Despite various studies and protective measures which have attempted to prevent this situation, burnout continues to be a problem within the profession, impacting negatively on physicians' lives and their performance. In this review article mechanisms and consequences of burnout are described in addition to individual strategies for stress management and burnout reduction with potential impact on health care quality and wellbeing in anesthesiologists.

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Introduction: Peripherally inserted central catheters, or PICC lines, are frequently used for central venous access because they reduce complications associated with large vein cannulation (CVC). Adequate position of the tip of the catheter is important to central venous pressure (CVP) measurement and drug administration. Inadequate positioning and procedural complications mandate radiologic confirmation.

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