RICARDO TAVARES DE CARVALHO
Projetos de Pesquisa
Unidades Organizacionais
PAHC, Hospital das Clínicas, Faculdade de Medicina - Médico
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
5 resultados
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- Palliative Care in the state of Rio de Janeiro (Brazil): characteristics of the services(2023) SILVA, C. N. G. da; POUSA, F. de Sousa; CORREA, T. L.; CARVALHO, R. T. deThis research explores the status of Palliative Care (PC) services in the state of Rio de Janeiro (RJ), Brazil, by iden-tifying the number of services and their respective characteristics. Through an observational, cross-sectional, de-scriptive, and quantitative approach, this study examines a textual and numerical database about professionals who provide palliative care assistance in Rio de Janeiro. Out of the existing palliative care services analyzed, fourteen were evaluated, twelve of which were located in the RJ metropolitan region. The majority of professionals worked with private funding within hospitals. The PC teams were most commonly composed of physicians, with only 17.1% of the professionals having formal PC training. Palliative Care services in Rio de Janeiro seem to follow a similar pattern to Brazil and Latin America. However, the characteristics of this pattern may not adequately address the significant needs of middle-income countries.
- Evaluation of a New Triage Protocol for Palliative Care for Patients with COVID-19 in Brazil(2023) CORREA, Tulio Loyola; SIMAO, Aurea Maria Salomao; SOBREIRA, Joyce Veceli Barros; ANBAR, Fernanda Baeninger; YARSHELL, Flavia; BRANDAO, Ana Beatriz; ESTUQUE, Monica Queiros; ROCHA, Juraci Aparecida; CARVALHO, Ricardo Tavares deObjectives: To evaluate the implementation of a triage protocol for palliative care (PC) during the COVID-19 pandemic (PALI-COVID) at a referral center in Brazil.Methods: A retrospective observational study was conducted. Based on the triage protocol, patients were classified into a red group, a yellow group, and a green group (GG). Patients should receive PC as recommended for each group.Results: A total of 1517 patients were included in the analysis. About 11% (n = 162) of patients received PC. About 35% (n = 529) of all patients died. There was a significant difference in the mortality rate between the groups; the GG had the highest mortality rate. Most patients who died (77.1%) did not receive PC.Conclusion: PALI-COVID was effective in identifying patients who had a higher risk of death and needed end-of-life support. Despite the protocol, few patients received PC.
- Aspectos demográficos e acesso aos projetos pedagógicos dos cursos de Medicina no Brasil(2023) MORAES, Rodrigo dos Santos; JACOB-FILHO, Wilson; CARVALHO, Ricardo Tavares deAbstract Introduction: The expansion of higher education in Brazil is recent. In the medical field, with the advent of the “Mais Médicos” Program, this expansion became feasible and culminated with the publication of new National Curricular Guidelines (DCN, Diretrizes Curriculares Nacionais) for undergraduate medical courses. The Pedagogical Course Project (PCP) translates what is accomplished in the course and works as an instrument of communication between the institution and society. The analysis of the PCPs of Higher Education Institutions provides the identification of elements that point to the convergence or move away from the changes proposed by the DCN 2014. Objective: To describe demographically in Brazil the number of public and private medical courses by state and region of the federation, the number of available vacancies, and access to the PCPs of these schools through a systematized methodology. Method: A study was carried out in all institutions with medical courses in Brazil by the year 2021. The search for the PCPs was carried out in the institutional website. In case of lack of information, an electronic message was sent to the medical course coordination. When it was not possible to contact the coordinator directly through the institutional website, a message was sent to the coordinator by accessing their curriculum lattes. Results: A total of 336 medical schools were identified, 115 (34.2%) of which were public and 226 (65.8%) private ones. A higher concentration of courses was observed in the southeast region (41.3%), followed by the northeast region (24.6%). Of the public institutions, the northeast region has the highest concentration of schools (35.6%), followed by the southeast region (26%). The opposite was observed regarding the private institutions. A total of 134 PCPs were obtained (39.8% of the total), 83% from public schools and 17% from private ones. Conclusion: Although the availability of the pedagogical information document on the institution’s website is an obligation, this was not verified in reality, which makes it necessary to implement policies for valuing and monitoring PCP availability, thus facilitating its access by the most interested parties: students, the academic community and researchers in the field of medical education.
conferenceObject Palliative Care Needs in Patients Admitted With Severe COVID-19 in Brazil: A Descriptive Study(2023) STANZANI, L.; FIGUEIREDO, R.; AMORIM, F.; CARVALHO, R.conferenceObject Evaluation of Morphine and Oxygen Use in Terminally Ill Adult Patients With Dyspnea in Two Public Hospitals in Brazil: A Cross-sectional Study(2023) STANZANI, L.; MARQUES, M.; AMORIM, F.; CARVALHO, R.