1,491 results match your criteria: "Hospital de Clinicas de Porto Alegre HCPA.[Affiliation]"

Beyond the Pandemic: Longitudinal Lessons on Social Support, Sleep Quality, and Burnout Among Healthcare Workers.

J Occup Environ Med

November 2024

From the Graduate Program in Psychiatry and Behavioral Sciences, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil (C.M.M., B.T.-S., P.B.L., S.H.); Psychodynamic Psychiatry Lab, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil (C.M.M., B.T.-S., P.B.L., S.H.); and Münchner Lehr- und Forschungsinstitut der Deutschen Akademie für Psychoanalyse, München, Germany (P.B.L.).

Objectives: To assess occupational burnout (OB) changes among Brazilian healthcare workers (HCWs) from COVID-19 onset to 6 months later (T1) and identify risk and protective factors.

Methods: Using the Copenhagen Burnout Inventory and hierarchical multivariate linear regression in a two-stage online survey (initial n = 1054; T1 n = 316), this study examined the impact of various factors on OB.

Results: Significant increases in personal and work-related OB were observed by T1.

View Article and Find Full Text PDF

Impact of multicomponent intervention on hospitalized clinical patient outcomes: A pre-post study in a university hospital.

J Healthc Qual Res

November 2024

Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.

Background And Objective: Hospitalization significantly interferes with the individual's well-being and it occurs both during and after the hospitalization period. Different approaches to minimize morbidity related to hospitalization and the post-discharge period have been proposed, especially to those aimed at reducing readmission rates. The aim of this study is to evaluate the effect of multicomponent intervention (MI) on operational indicators and continuity of care outcomes.

View Article and Find Full Text PDF

Use of Citicoline in Attention-Deficit/Hyperactivity Disorder: A Pilot Study.

Clin Neuropharmacol

September 2024

Programa de Pós-Graduação em Ciências Médicas, Universidade do Vale do Taquari (UNIVATES), Lajeado, Brazil.

Objectives: Attention-deficit/hyperactivity disorder (ADHD) is a prevalent neurobehavioral disorder in school-aged children. Although there are several drug treatment options, some patients do not have adequate therapeutic responses to conventional medications or experience considerable adverse effects. Citicoline is an endogenous molecule that has beneficial effects on attention, impulsivity, and memory and is a potential treatment for ADHD.

View Article and Find Full Text PDF

TERT promoter mutations C228T and C250T are associated with disease aggressiveness and poor clinical outcomes in patients with papillary thyroid carcinomas. However, very little is known about the transcriptional consequences of these mutations and whether they both carry similar oncogenic potential. Here we characterized the transcriptional disturbances and clinical outcomes associated with the presence of each of these two mutations using data derived from The Cancer Genome Atlas.

View Article and Find Full Text PDF

Purpose: We aim to evaluate the impact of surgical wound complications in the first 30 postoperative days after incisional hernia repair on the long-term quality of life of patients. In addition, the impact of the surgical technique and preoperative comorbidities on the quality of life of patients will also be evaluated.

Method: Prospective cohort study, which evaluates 115 patients who underwent incisional hernioplasty between 2019 and 2020, using the onlay and retromuscular techniques.

View Article and Find Full Text PDF

To assess the ideal time for caffeine administration in preterms, identifying its effects and safety. Study Design: Meta-analysis conducted including preterms <32 weeks GA or BW < 1500 g, comparing caffeine administration time: <24 x ≥24HOL, <48 x ≥48HOL, <72 x ≥72HOL. 18 studies included 76.

View Article and Find Full Text PDF

Hormone replacement therapy did not alleviate temporomandibular joint inflammatory pain in ovariectomized rats.

Odontology

January 2025

Postgraduate Program in Biological Sciences: Pharmacology and Therapeutics, Institute of Basic Health Sciences (ICBS), Universidade Federal Do Rio Grande Do Sul (UFRGS), Porto Alegre, RS, 90050-170, Brazil.

This study had the aim of examining the relationships between variations in estrogen levels resulting from ovariectomy, and estrogen hormone replacement therapy (HRT) in rats subjected to an orofacial inflammatory pain model. Eighty adult female Wistar rats were initially divided into 2 groups: Sham or ovariectomy (OVX-D1). Seven days later (D7), the rats were subjected to an unilateral infiltration of Freund's Complete Adjuvant (CFA) or saline solution into the right temporomandibular joint (TMJ).

View Article and Find Full Text PDF

Open science in biomedicine: Overcoming barriers in omics studies.

Eur Neuropsychopharmacol

September 2024

Laboratory of Molecular Psychiatry, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil; Department of Pharmacology and Graduate Program of Pharmacology and Therapeutics, Institute for Basic Medical Science, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil; Graduate Program in Biological Sciences: Pharmacology and Therapeutics, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil. Electronic address:

View Article and Find Full Text PDF

Beyond the bite: understanding and managing post-arboviral pain.

Braz J Anesthesiol

June 2024

Hospital de Clínicas de Porto Alegre (HCPA), Serviço de Anestesia e Medicina Perioperatória, Porto Alegre, RS, Brazil; Santa Casa de Porto Alegre, Serviço de Anestesia, Porto Alegre, RS, Brazil; Hospital Nossa Senhora da Conceição, Serviço de Anestesia, Porto Alegre, RS, Brazil; Universidade Federal do Rio Grande do Sul (UFRGS), Programa de Pós-graduação em Ciências Pneumológicas, Porto Alegre, RS, Brazil; Universidade Federal do Rio Grande do Sul (UFRGS), Programa de Pós-graduação em Ciências Cirúrgicas, Porto Alegre, RS, Brazil; Faculdade de Medicina da Universidade de São Paulo (FMUSP), Programa de Pós-Graduação em Anestesiologia, Ciências Cirúrgicas e Medicina Perioperatória, São Paulo, SP, Brazil.

View Article and Find Full Text PDF

Objective: This study evaluated the influence of a single educational intervention on the perception and knowledge of strategies for communicating oral cancer diagnoses.

Methods: A educational intervention, 72 dentists and 41 dental undergraduates participated in the 'Maio Vermelho Project', a continuing education activity. Participants completed a 14-question online questionnaire concerning their experiences and perceptions of delivering difficult news.

View Article and Find Full Text PDF

The S20 Brazilian Mental Health Report for Building a Just World and a Sustainable Planet: Part II.

Braz J Psychiatry

November 2024

Academia Brasileira de Ciências, Rio de Janeiro, RJ, Brazil. Laboratório de Pânico e Respiração, Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil. Ambulatório de Depressão Resistente ao Tratamento, Instituto de Psiquiatria, UFRJ, Rio de Janeiro, RJ, Brazil.

This is the second part of the Brazilian S20 mental health report. The mental health working group is dedicated to leveraging scientific insights to foster innovation and propose actionable recommendations for implementation in Brazil and participating countries. In addressing the heightened mental health challenges in a post-pandemic world, strategies should encompass several key elements.

View Article and Find Full Text PDF

The S20 Brazilian Mental Health Report for building a just world and a sustainable planet: Part I.

Braz J Psychiatry

November 2024

Instituto de Estudos Avançados, USP, São Paulo, SP, Brazil. Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, BA, Brazil.

This is the first part of two documents prepared by experts for the Brazilian S20 mental health report. These reports outline strategies aimed at addressing the exacerbated mental health challenges arising from a post-pandemic world. Ongoing psychiatric epidemiology research has yielded evidence linking mental health with intricate social determinants, including gender, race/ethnicity, racism, socioeconomic status, social deprivation, and employment, among others.

View Article and Find Full Text PDF

How are early-career dementia researchers considered and supported on a national level by dementia plans and organizations? An overview of global policy approaches.

Alzheimers Dement

July 2024

Department of Psychiatry and Neuropsychology and Alzheimer Centre Limburg, School for Mental Health and Neurosciences, Maastricht University, Maastricht, The Netherlands.

Introduction: Despite representing an essential workforce, it is unclear how global policy efforts target early-career dementia researchers (ECDRs). Thus, this study aimed to provide an overview of policies through which ECDRs are considered and supported by dementia plans and organizations.

Methods: G20 member states were evaluated for their national dementia plan alongside policies of leading dementia organizations.

View Article and Find Full Text PDF
Article Synopsis
  • - The IDEA-RiSCo study aims to assess the risk and presence of depression in Brazilian adolescents aged 14 to 16 through a structured longitudinal approach, involving clinical evaluations and smartphone data collection.
  • - Out of 7,720 screened adolescents, 150 participants (divided into low, high risk, and those with major depressive episodes) were recruited, and follow-ups showed high retention rates, with participants citing familiarity with the research team as a motivator.
  • - The study incorporates innovative methods like a WhatsApp bot and combines diverse data sources, demonstrating the feasibility of utilizing mobile technology in longitudinal research on adolescent mental health in middle-income countries.
View Article and Find Full Text PDF

Identification of a founder effect involving n.197C>T variant in RMRP gene associated to cartilage-hair hypoplasia syndrome in Brazilian patients.

Sci Rep

June 2024

Laboratório de Biologia Molecular/Medicina Genômica, Centro de Genética Médica Dr. José Carlos Cabral de Almeida & Serviço de Referência para Doenças Raras - Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF) - FIOCRUZ, Rio de Janeiro, Brazil.

Cartilage-hair hypoplasia syndrome (CHH) is an autosomal recessive disorder frequently linked to n.72A>G (previously known as n.70A>G and n.

View Article and Find Full Text PDF

Background: Over the last 3 decades, over 700 million individuals worldwide have been diagnosed with chronic kidney disease (CKD). In a 2017 survey in southern Brazil, 11.4% of those surveyed had CKD.

View Article and Find Full Text PDF

Background: A stronger preference for immediate rewards has been reported in individuals with ADHD and other disorders. However, the consistency of the associations between this preference and psychiatric conditions as well as functional outcomes have been questioned. Research on its association with longitudinal outcomes is scarce.

View Article and Find Full Text PDF

The role of cannabinoids in chronic pain management: clinical insights and challenges.

Braz J Anesthesiol

June 2024

Hospital de Clínicas de Porto Alegre (HCPA), Serviço de Anestesia e Medicina Perioperatória, Porto Alegre, RS, Brazil; Santa Casa de Porto Alegre, Serviço de Anestesia, Porto Alegre, RS, Brazil; Hospital Nossa Senhora da Conceição (HNSC), Serviço de Anestesia, Porto Alegre, RS, Brazil; Universidade Federal do Rio Grande do Sul (UFRGS), Programa de Pós-graduação em Ciências Pneumológicas, Porto Alegre, RS, Brazil; Universidade Federal do Rio Grande do Sul (UFRGS), Programa de Pós-graduação em Ciências Cirúrgicas, Porto Alegre, RS, Brazil; Faculdade de Medicina da Universidade de São Paulo (FMUSP), Programa de Pós-Graduação em Anestesiologia, Ciências Cirúrgicas e Medicina Perioperatória, São Paulo, SP, Brazil. Electronic address:

View Article and Find Full Text PDF

Blood-feeding behavior has independently evolved in arthropods multiple times. Unlike hard ticks, soft ticks employ a rapid-feeding strategy for hematophagy, and there are comparatively limited studies on the transcriptomes of these organisms. This study investigates the soft tick Ornithodoros hermsi, conducting histopathological examinations at bitten skin sites and tick whole-body transcriptomic analyses across various developmental and feeding stages, including larvae, 1st-nymphal, and 2nd-nymphal stages.

View Article and Find Full Text PDF

Factors influencing clinical trial participation of women with fibromyalgia across the United States: a cross-sectional survey.

Women Health

May 2024

Neuromodulation Center and Center for Clinical Research Learning, Spaulding Rehabilitation Hospital and Massachusetts General Hospital, Harvard Medical School, Boston, USA.

Although fibromyalgia is a widespread chronic pain condition where 90 percent of patients are women, they are underrepresented in Randomized Clinical Trials (RCTs). We aim to describe the willingness to participate, assess different factors, and explore the impact of sociodemographic and clinical characteristics on perceived barriers to trial participation. This is a cross-sectional survey targeting women with fibromyalgia.

View Article and Find Full Text PDF

Postoperative intensive care allocation and mortality in high-risk surgical patients: evidence from a low- and middle-income country cohort.

Braz J Anesthesiol

June 2024

Universidade Federal do Rio Grande do Sul (UFRGS), Faculdade de Medicina, Departamento de Cirurgia, Porto Alegre, RS, Brazil. Electronic address:

Article Synopsis
  • The study investigates the impact of ICU admission on postoperative mortality for high-risk surgical patients in Low- and Middle-Income Countries (LMICs), finding that ICU allocation did not significantly reduce mortality rates despite higher allocation to it among the most at-risk patients.
  • Among 1431 patients analyzed, those in the ICU had a 28% 30-day mortality rate compared to 8.9% in the Postanesthetic Care Unit, indicating that the location of care might not be the sole factor influencing outcomes.
  • The findings highlight a need for improved postoperative care strategies and further exploration of risk assessment models to aid in decision-making for high-risk patients, particularly in resource-limited settings.
View Article and Find Full Text PDF

Comparative study of two laboratory techniques for the detection of HLA-B27 in patients with axial spondyloarthritis: a cross-sectional analysis.

Adv Rheumatol

May 2024

Serviço de Reumatologia, Hospital de Clínicas de Porto Alegre - HCPA, Faculdade de Medicina da Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos, 2350, Porto Alegre, Rio Grande do Sul, 90035-903, Brazil.

Background: The diagnostic and prognostic relevance of Human Leukocyte Antigen B-27 (HLA-B27) in Axial Spondyloarthritis (AxSpA) is undeniable, with 70% of Ankylosing Spondylitis (AS) patients carrying the B27 gene, contrasted with a mere 4.35% in the general population. Flow cytometry (FC) and Polymerase Chain Reaction (PCR) have emerged as the predominant techniques for routine HLA-B27 typing.

View Article and Find Full Text PDF
Article Synopsis
  • - Mixed features presentation in bipolar disorder (BD) is the most severe form, with increased serum levels of CCL11 contributing to cognitive decline and functional deterioration, a process known as neuroprogression.
  • - Metabolic syndrome (MetS) is common in BD and could heighten inflammation and CCL11 levels, potentially worsening mood episodes with mixed features.
  • - The study aimed to determine if MetS mediates the relationship between CCL11 levels and mixed mood episodes in BD, finding a trend suggesting MetS may play a significant role in accelerating neuroprogression in affected individuals.
View Article and Find Full Text PDF