MARCOS GIANNETTI MACHADO
Índice h a partir de 2011
6
Projetos de Pesquisa
Unidades Organizacionais
Instituto Central, Hospital das Clínicas, Faculdade de Medicina
5 resultados
Resultados de Busca
Agora exibindo 1 - 5 de 5
- REPLY BY THE AUTHORS: RE: Impact of COVID-19 on a urology residency program(2021) DANILOVIC, Alexandre; TORRICELLI, Fabio Cesar Miranda; ANJOS, Gabriel dos; CORDEIRO, Mauricio Dener; MACHADO, Marcos Giannetti; SROUGI, Miguel; NAHAS, William C.
- Impact of COVID-19 on education, health and lifestyle behaviour of Brazilian urology residents(2021) PREZOTTI, Jose Antonio; HENRIQUES, Joao Victor T.; FAVORITO, Luciano A.; CANALINI, Alfredo F.; MACHADO, Marcos G.; V, Thulio B. Brandao; V, Akemi M. Barbosa; MOROMIZATO, Julyana K. M.; ANZOLCH, Karin M. J.; FERNANDES, Roni de C.; RODRIGUES, Fransber R. A.; BELLUCCI, Carlos H. S.; SILVA, Caroline S.; POMPEO, Antonio Carlos L.; JR, Jose de Bessa; GOMES, Cristiano M.Objectives: To evaluate the impact of COVID-19 on clinical and surgical practice, educational activities, health and lifestyle behavior of Brazilian urology residents. Materials and Methods: A web-based survey was sent to 468 Brazilian urology residents from postgraduate years (PGY) 3 to 5 to collect data on clinical practice and training after 4 months of COVID-19. We also assessed health-related and behavior changes, rate of infection by SARS-CoV-2, deployment to the front line of COVID-19, residents' concerns, and access to personal protective equipment (PPE). Results: Massive reductions in elective and emergency patient consultations, diagnostic procedures and surgeries were reported across the country, affecting PGY 3 to 5 alike. Most in-person educational activities were abolished. The median damage to the urological training expected for 2020 was 6.0 [3.4-7.7], on a scale from 0 to 10, with senior residents estimating a greater damage (P< 0.001). Educational interventions developed included online case-based discussions, subspeciality conferences and lectures, and grand rounds. Most senior residents favored extending residency to compensate for training loss and most younger residents favored no additional training (p< 0.001). Modifications in health and lifestyle included weight gain (43.8%), reduced physical activity (68.6%), increased alcoholic intake (44.9%) and cigarette consumption (53.6%), worsening of sexual life (25.2%) and feelings of sadness or depression (48,2%). Almost half were summoned to work on the COVID-19 front-line and 24.4% had COVID-19. Most residents had inadequate training to deal with COVID-19 patients and most reported a shortage of PPE. Residents' concerns included the risk of contaminating family members, being away from residency program, developing severe COVID-19 and overloading colleagues. Conclusions: COVID-19 had a massive impact in Brazilian urology residents' training, health and lifestyle behavior, which may reflect what happened in other medical specialties. Studies should confirm these findings to help developing strategies to mitigate residents' losses.
- Brazilian consensus on vesicoureteral reflux-recommendations for clinical practice(2020) NETTO, Jose Murillo B.; RONDON, Atila Victal; MACHADO, Marcos Giannetti; ZERATI FILHO, Miguel; NASCIMENTO, Rodrigo Lessa Pena; LIMA, Salvador Vilar Correa; CALADO, Adriano de Almeida; JR, Ubirajara BarrosoIntroduction: Vesicoureteral Reflux (VUR) is characterized by a retrograde flow of urine from the bladder into the ureters and kidneys. It is one of the most common urinary tract anomalies and the major cause of urinary tract infection (UTI) in the first years of life. If not properly diagnosed and treated can lead to recurrent UTI, renal scar and, in severe cases, to end stage renal disease. Despite recent advances in scientific and technological knowledge, evaluation and treatment of VUR is still controversial and there is still considerable heterogeneity in evaluation methods and therapeutic approaches. The aim of the present consensus is to give a practical orientation on how to evaluate and treat VUR. Methods: The board of Pediatric Urology of the Brazilian Society of Urology joined a group of experts and reviewed all important issues on Vesicoureteral Reflux evaluation and treatment and elaborated a draft of the document. On November 2017 the panel met to review, discuss and write a consensus document. Results and Discussion: Vesicoureteral Reflux is a common and challenging problem in children. Children presenting with Vesicoureteral Reflux require careful evaluation and treatment to avoid future urinary tract infections and kidney scars. The panel addressed recommendations on up to date choice of diagnosis evaluation and therapies.
- Impact of COVID-19 on a urology residency program(2021) DANILOVIC, Alexandre; TORRICELLI, Fabio Cesar Miranda; ANJOS, Gabriel dos; CORDEIRO, Mauricio Dener; MACHADO, Marcos Giannetti; SROUGI, Miguel; NAHAS, William C.
- Laparoscopic ureteropyeloanastomosis in the treatment of duplex system(2012) HISANO, Marcelo; DENES, Francisco T.; BRITO, Artur H.; LUCON, Marcos; MACHADO, Marcos G.; BRUSCHINI, Homero; SROUGI, MiguelPurpose: Duplex system is one of the most common anomalies of upper urinary tract. Anatomical and clinical presentation determine its treatment. Usually, the upper moiety has a poor function and requires resection, but when it is not significantly impaired, preservation is recommended. Laparoscopic reconstruction with upper pole preservation is presented as an alternative treatment. Materials and Methods: Four female patients with duplex system, one presenting with recurrent urinary tract infection and the others with urinary incontinence associated to infrasphincteric ectopic ureter, were treated. Surgical procedure envolved a laparoscopic ureteropyeloanastomosis of the upper pole ureter to the pelvis of the lower moiety, with prior insertion of a double J stent. Results: Surgical time varied from 120 to 150 minutes, with minimal blood loss in all cases. Follow-up varied from 15 to 30 months, with resolution of the clinical symptoms and preservation of the upper moiety function. Conclusion: Laparoscopic ureteropyeloanatomosis is a feasible and safe minimally invasive option in the treatment of duplex system.