LUIS AUGUSTO SALES LIMA PILAN
Projetos de Pesquisa
Unidades Organizacionais
DIR CLINIC, Hospital das Clínicas, Faculdade de Medicina - Médico
4 resultados
Resultados de Busca
Agora exibindo 1 - 4 de 4
- Family Interview to Enable Donation of Organs for Transplantation: Evidence-based Practice(2018) MORAES, E. L. de; SANTO, M. J. dos; SILVA, L. B. de Barros e; PILAN, L. A. S. de Lima; LIMA, E. A. A. de; SANTANA, A. G. de; MARTINS, M. S.Background. In this study we propose a theoretical and practical basis for the best practices for interviewing relatives of brain-dead eligible organ donors. Methods. This investigation was a reflective study of the methodologic factors of the family interview that affect their decision regarding the donation of a deceased patient's organs for transplantation. The articles that formed the empirical basis of the trial were obtained from PubMed, which is a free-access tool of the MEDLINE database of the United States National Library of Medicine. Published articles that allowed us to reflect on evidence-based family interview practice were selected. Results. Thirty-six scientific articles were used to guide our assessment the family interview, providing evidence for its adequate execution in view of the following prerequisites: When should the family interview be performed? Where should it be done? How many and which people should participate in the interview? Who should perform it? How should it be done? Conclusion. Scientific studies offer evidence to donation and transplantation specialists that can help them in their daily work regarding their interactions with relatives in the process of decisionmaking and family consent.
bookPart O médico do trabalho nas empresas e a sua interface com as outras áreas(2022) PILAN, Luis Augusto Sales Lima; MENDONçA, Keilá Carvalho R. de Oliveira Piovesan- Cardiovascular risk factors in patients with first-episode psychosis in Sao Paulo, Brazil(2012) BENSENOR, Isabela M.; BRUNONI, Andre R.; PILAN, Luis Augusto; GOULART, Alessandra C.; BUSATTO, Geraldo F.; LOTUFO, Paulo A.; SCAZUFCA, Marcia; MENEZES, Paulo R.Objective: The objective was to evaluate the cardiovascular profile of first-episode psychosis patients in Sao Paulo, Brazil, an issue that has not been sufficiently explored in low-/middle-income countries. Method: A cross-sectional study was performed 1 to 3 years after an initial, larger survey that assessed first-episode psychosis in sao Paulo. We evaluated cardiovascular risk factors and lifestyle habits using standard clinical examination and laboratory evaluation. Results: Of 151 contacted patients, 82 agreed to participate (mean age=35 years; 54% female). The following diagnoses were found: 20.7% were obese, 29.3% had hypertension, 39.0% had dyslipidemia, 19.5% had metabolic syndrome, and 1.2% had a >20% 10-year risk of coronary heart disease based on Framingham score. Also, 72% were sedentary, 25.6% were current smokers, and 7.3% reported a heavy alcohol intake. Conclusion: Compared to other samples, ours presented a distinct profile of higher rates of hypertension and diabetes (possibly due to dietary habits) and lower rates of smoking and alcohol intake (possibly due to higher dependence on social support). Indirect comparison vs. healthy, age-matched Brazilians revealed that our sample had higher frequencies of hypertension, diabetes and metabolic syndrome. Therefore, we confirmed a high cardiovascular risk in first-episode psychosis in Brazil. Transcultural studies are needed to investigate to which extent lifestyle contributes to such increased risk.
- My Loved One Was Not an Organ Donor: Ethical Dilemmas for Family Members of Deceased Potential Donors When Making the Decision on Donation(2019) MORAES, E. Leal de; SILVA, L. B. de Barros e; PILAN, L. A. S. L.; LIM, E. A. A. de; SANTANA, A. C. de; PAIXAO, N. C. S. da; MAISON, C. La; MARTINS, M. S.; SANTOS, M. J. dosObjective. The study focuses on the experience of family members of deceased potential donors in deciding to refuse donation when their loved one had expressed his or her wish in life not to donate organs and tissues for transplantation. Method. This is a qualitative study that uses social phenomenology as the theoretical reference, interviewing 8 family members of deceased potential donors. Results. The family members' experiences were represented by the following categories: beliefs related to donation, fear in the face of the loved one's death, and the ethical dilemma of deciding to refuse the donation. The meaning of the refusal to donate was represented by the following categories: respect for the loved one's wishes and the family's peace of mind with the decision. Conclusions. The study shed light on the experience of family members of deceased potential donors in making the decision to refuse donation. The concerns that motivate refusal were elucidated and the meanings of the decision's intentionality were unveiled. The resulting knowledge about these families' experiences provides backing for experts in donation and transplantation who work in different realities, pointing to strategies for improving care for such family members.