FABIO DE FREITAS BUSNARDO
Projetos de Pesquisa
Unidades Organizacionais
Instituto Central, Hospital das Clínicas, Faculdade de Medicina
Instituto do Câncer do Estado de São Paulo, Hospital das Clínicas, Faculdade de Medicina - Médico
Instituto do Câncer do Estado de São Paulo, Hospital das Clínicas, Faculdade de Medicina - Médico
4 resultados
Resultados de Busca
Agora exibindo 1 - 4 de 4
- Online learning and COVID-19: a meta-synthesis analysis(2020) CAMARGO, Cristina Pires; TEMPSKI, Patricia Zen; BUSNARDO, Fabio Freitas; MARTINS, Milton de Arruda; GEMPERLI, RolfThe COVID-19 pandemic demanded a quick shift from presential to e-learning processes. Unlike planned e-learning programs, medical schools have had to quickly deliver the entire medical curriculum using remote strategies. This study aimed to perform a meta-synthesis of previous pandemic situations and describe the experience of the Sao Paulo University School of Medicine. We searched the Cochrane Central Register of Controlled Trials, Medline, EMBASE, Lilacs, Scopus, Web of Science, and ERIC, using the following keywords: (""SARS"" OR ""severe acute respiratory syndrome"" OR ""severe acute respiratory syndrome"" OR ""Middle East Respiratory Syndrome Coronavirus"" OR ""middle east respiratory syndrome*"" OR ""MERS-CoV"" OR ""Mers"" OR ""Middle Eastern Respiratory Syndrome*"" OR ""MERS-CoV*"" OR ""coronavirus"" OR ""Coronavirus Infections"" OR ""coronavirus*"" OR ""COVID-19"" OR ""2019-nCoV"" OR ""SARS-CoV-2"") AND (""online education"" OR ""Education, Distance"" OR ""e-learning"" OR ""course online"" OR ""flipped classroom"") AND (""lockdown"" OR ""social distance"" OR ""quarantine""). The endpoints were the online platforms used for online learning, the model of class, recorded versus online interaction, duration of online lectures, and students' and teachers' perceptions of online learning. We retrieved 38 records; only seven articles studied online education methods related to the pandemic and social distancing rules. The most frequently used online platform was Zoom (R). The studies examined both synchronous and asynchronous approaches. There was no evidence regarding duration and students' and teachers' attitude. This study suggests that the online learning shift was feasible; however, because of the nature of the education shift (pandemic), future studies must further analyze the educational structure.
- Ulcer pressure prevention and opportunity for innovation during the COVID-19 crisis(2020) NANI, Fernando Souza; STEFANI, Kelly Cristina; BUSNARDO, Fabio de Freitas; MONTEIRO, Gustavo Gomes Ribeiro; SANTOS, Maria Gabriela Guimaraes Ribeiro dos; JOHN, Vanderley Moacyr; GOUVEA, Douglas; CARMONA, Maria Jose C.
- A multidisciplinary approach to prevent and treat pressure sores in proned COVID-19 patients at a quaternary university hospital(2020) BUSNARDO, Fabio de Freitas; MONTEIRO, Gustavo Gomes; MENDES, Rogerio Rafael da Silva; ABBAS, Laielly; PAGOTTO, Vitor Figueiredo; CAMARGO, Cristina; CARMONA, Maria Jose Prime Carvalho; GEMPERLI, Rolf
- Prognostic factors affecting outcomes in multivisceral en bloc resection for colorectal cancer(2017) NAHAS, Caio Sergio Rizkallah; NAHAS, Sergio Carlos; RIBEIRO-JUNIOR, Ulysses; BUSTAMANTE-LOPEZ, Leonardo; MARQUES, Carlos Frederico Sparapan; PINTO, Rodrigo Ambar; IMPERIALE, Antonio Rocco; COTTI, Guilherme Cutait; NAHAS, William Carlos; CHADE, Daher Cezar; PIATO, Dariane Sampaio; BUSNARDO, Fabio; CECCONELLO, IvanOBJECTIVES: This study sought to determine the clinical and pathological factors associated with perioperative morbidity, mortality and oncological outcomes after multivisceral en bloc resection in patients with colorectal cancer. METHODS: Between January 2009 and February 2014, 105 patients with primary colorectal cancer selected for multivisceral resection were identified from a prospective database. Clinical and pathological factors, perioperative morbidity and mortality and outcomes were obtained from medical records. Estimated local recurrence and overall survival were compared using the log-rank method, and Cox regression analysis was used to determine the independence of the studied parameters. ClinicalTrials.gov: NCT02859155. RESULTS: The median age of the patients was 60 (range 23-86) years, 66.7% were female, 80% of tumors were located in the rectum, 11.4% had stage-IV disease, and 54.3% received neoadjuvant chemoradiotherapy. The organs most frequently resected were ovaries and annexes (37%). Additionally, 30.5% of patients received abdominoperineal resection. Invasion of other organs was confirmed histologically in 53.5% of patients, and R0 resection was obtained in 72% of patients. The overall morbidity rate of patients in this study was 37.1%. Ureter resection and intraoperative blood transfusion were independently associated with an increased number of complications. The 30-day postoperative mortality rate was 1.9%. After 27 (range 5-57) months of follow-up, the mortality and local recurrence rates were 23% and 15%, respectively. Positive margins were associated with a higher recurrence rate. Positive margins, lymph node involvement, stage III/IV disease, and stage IV disease alone were associated with lower overall survival rates. On multivariate analysis, the only factor associated with reduced survival was lymph node involvement. CONCLUSIONS: Multivisceral en bloc resection for primary colorectal cancer can be performed with acceptable rates of morbidity and mortality and may lead to favorable oncological outcomes.