FREDERICO LEON ARRABAL FERNANDES
Projetos de Pesquisa
Unidades Organizacionais
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
Instituto do Câncer do Estado de São Paulo, Hospital das Clínicas, Faculdade de Medicina - Médico
Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina - Médico
Instituto do Câncer do Estado de São Paulo, Hospital das Clínicas, Faculdade de Medicina - Médico
Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina - Médico
9 resultados
Resultados de Busca
Agora exibindo 1 - 9 de 9
bookPart Métodos Diagnósticos Funcionais em Doenças Respiratórias(2016) SALGE, João Marcos; FERNANDES, Frederico Leon Arrabal; ALBUQUERQUE, André Luis Pereira debookPart Doença Pulmonar Obstrutiva Crônica (DPOC)(2016) STELMACH, Rafael; FERNANDES, Frederico Leon Arrabal; CARVALHO-PINTO, Regina Maria; CUKIER, AlbertobookPart Anatomia e Fisiologia dos Nervos Periféricos(2016) FERNANDES, Frederico leon Arrabal; SALGE, João MarcosbookPart Cor pulmonale(2016) FERNANDES, Frederico Leon Arrabal; ATHANAZIO, Rodrigo Abensur; STELMACH, Rafael; CUKIER, Alberto- Mechanisms underlying the role of exercise training as part of a weight loss program on asthma control in obese asthmatics(2016) FREITAS, Patricia; FERREIRA, Palmira G.; SILVA, Aline G.; STELMACH, Rafael; CARVALHO-PINTO, Regina; FERNANDES, Frederico L. A.; MARTINS, Milton A.; MANCINI, Marcio C.; SATO, Maria N.; CARVALHO, Celso R. F.
- Eosinófilos na DPOC: por que devo me importar?(2016) FERNANDES, Frederico Leon Arrabal
- Dynamic hyperinflation is not the main limiting factor during exercise in obese asthmatics(2016) CARVALHO, Celso Fernandes de; FERREIRA, Palmira Gabriele; FREITAS, Patricia Duarte; SILVA, Aline Grandi; STELMACH, Rafael; CUKIER, Alberto; FERNANDES, Frederico Leon Arrabal; MARTINS, Milton Arruda
- Can severe asthmatic patients achieve asthma control? A systematic approach in patients with difficult to control asthma followed in a specialized clinic(2016) ATHANAZIO, Rodrigo; CARVALHO-PINTO, Regina; FERNANDES, Frederico Leon Arrabal; RACHED, Samia; RABE, Klaus; CUKIER, Alberto; STELMACH, RafaelBackground: Despite advances in asthma treatment, severe asthma (SA) still results in high morbidity and use of health resources. Our hypothesis was that SA patients would achieve adequate control with a systematic protocol, including oral corticosteroids, budesonide/formoterol maintenance and reliever therapy and a multidisciplinary approach to improve adherence. Methods: Non-controlled (NC) SA patients were enrolled to receive 2 weeks of oral corticosteroids and 12 weeks of formoterol + budesonide. Assessments included asthma control questionnaire (ACQ), asthma control test (ACT), daily symptom diary, lung function and health-related quality of life (HRQoL) questionnaires. Results: Of 51 patients, 13 (25.5%) achieved control. NC patients had higher utilization of health resources and higher exacerbation rates. Both controlled (C) and NC patients had significantly reduced ACQ scores after oral corticosteroid treatment. After 12 weeks, C patients continued improving. NC patients did not have significant changes. A similar pattern was found regarding lung function, use of rescue medication, and days free of symptoms. After 2 weeks of oral corticosteroids, an increase occurred in those who achieved the ACQ cut off; however, 53.8% of C patients had an ACQ < 1.57 versus 21.1% of NC patients (p = 0.03). Both groups had low HRQoL at baseline with improvement after intervention. Conclusions: Despite rigorous, optimized follow-up treatment, 75% of SA patients did not achieve adequate symptom control and presented with impaired quality of life. Conversely, application of a low-cost, easy to implement systematic protocol can prevent up to 25% of SA patients from up-titrating to new and complex therapies, thus reducing costs and morbidity.
- Association of illness perceptions with psycho-demographic factors and physical activity in COPD patients(2016) XAVIER, Rafaella; LOPES, Aline Costa; PEREIRA, Ana Carolina Alves Caporali; CARVALHO-PINTO, Regina Maria; FERNANDES, Frederico Leon Arrabal; HARRISON, Samantha L.; CARVALHO, Celso Ricardo Fernandes