MARIA JOSE CARVALHO CARMONA

(Fonte: Lattes)
Índice h a partir de 2011
16
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Cirurgia, Faculdade de Medicina - Docente
Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina - Médico
Instituto Central, Hospital das Clínicas, Faculdade de Medicina
LIM/08 - Laboratório de Anestesiologia, Hospital das Clínicas, Faculdade de Medicina

Resultados de Busca

Agora exibindo 1 - 10 de 11
  • article 4 Citação(ões) na Scopus
    Assessment of a digital game as a neuropsychological test for postoperative cognitive dysfunction
    (2022) LUCATELLI, André; GOULART, Ananaira Alves; SILVEIRA, Paulo Sergio Panse; SIQUEIRA, José de Oliveira; CARMONA, Maria José Carvalho; PEREIRA, Valéria Fontenelle Angelim; VALENTIN, Livia Stocco Sanches; VIEIRA, Joaquim Edson
    Abstract Objective: Postoperative cognitive dysfunction may result from worsening in a condition of previous impairment. It causes greater difficulty in recovery, longer hospital stays, and consequent delay in returning to work activities. Digital games have a potential neuromodulatory and rehabilitation effect. In this study, a digital game was used as a neuropsychological test to assess postoperative cognitive dysfunction, with preoperative patient performance as control. Methods: It was a non-controlled study, with patients selected among candidates for elective non-cardiac surgery, evaluated in the preand postoperative periods. The digital game used has six phases developed to evaluate selective attention, alternating attention, visuoperception, inhibitory control, short-term memory, and long-term memory. The digital game takes about 25 minutes. Scores are the sum of correct answers in each cognitive domain. Statistical analysis compared these cognitive functions preand post-surgery using a generalized linear mixed model (ANCOVA). Results: Sixty patients were evaluated, 40% male and 60% female, with a mean age of 52.7 ± 13.5 years. Except for visuoperception, a reduction in post-surgery scores was found in all phases of the digital game. Conclusion: The digital game was able to detect decline in several cognitive functions postoperatively. As its completion is faster than in conventional tests on paper, this digital game may be a potentially recommended tool for assessing patients, especially the elderly and in the early postoperative period.
  • article 3 Citação(ões) na Scopus
    Emergence delirium in children: a Brazilian survey
    (2022) QUINTÃO, Vinícius Caldeira; SALES, Charlize Kessin de Oliveira; HERRERA, Estefania Morales; ELLERKMANN, Richard K; ROSEN, H. David; CARMONA, Maria José Carvalho
    Abstract Background: Pediatric emergence delirium is characterized by a disturbance of a child’s awareness during the early postoperative period that manifests as disorientation, altered attention and perception. The incidence of emergence delirium varies between 18% and 80% depending on risk factors and how it is measured. Reports from Canada, Germany, Italy, United Kingdom, and France demonstrated a wide range of preventive measures and definitions, indicating that there is a lack of clarity regarding emergence delirium. We aimed to assess the practices and beliefs among Brazilian anesthesiologists regarding emergence delirium. Methods: A web-based survey was developed using REDCap®. A link and QR Code were sent by email to all Brazilian anesthesiologists associated with the Brazilian Society of Anesthesiology (SBA). Results: We collected 671 completed questionnaires. The majority of respondents (97%) considered emergence delirium a relevant adverse event. Thirty-two percent of respondents reported routinely administrating medication to prevent emergence delirium, with clonidine (16%) and propofol (15%) being the most commonly prescribed medications. More than 70% of respondents reported a high level of patient and parent anxiety, a previous history of emergence delirium, and untreated pain as risk factors for emergence delirium. Regarding treatment, thirty-five percent of respondents reported using propofol, followed by midazolam (26%). Conclusion: Although most respondents considered emergence delirium a relevant adverse event, only one-third of them routinely applied preventive measures. Clonidine and propofol were the first choices for pharmacological prevention. For treatment, propofol and midazolam were the most commonly prescribed medications.
  • article 4 Citação(ões) na Scopus
    Comparison of digital games as a cognitive function assessment tool for current standardized neuropsychological tests
    (2022) GOULART, Ananaira Alves; LUCATELLI, André; SILVEIRA, Paulo Sergio Panse; SIQUEIRA, José de Oliveira; PEREIRA, Valéria Fontanelle Angelim; CARMONA, Maria José Carvalho; VALENTIN, Livia Stocco Sanches; VIEIRA, Joaquim Edson
    Abstract Objective: Cognitive dysfunction may occur postoperatively. Fast and efficient assessment of Postoperative Cognitive Dysfunction (POCD) can minimize loss of quality of life, and therefore, a study comparing a digital game with standard neuropsychological tests to assess executive, mnemonic, and attention functions to evaluate POCD seems to be relevant both for research and clinical practice. Methods: A battery of standardized tests and a digital game (MentalPlus®) were administered to 60 patients at the Central Institute of Hospital das Clínicas in São Paulo (36 women and 24 men), with ages between 29 and 82 years, preand post-surgery performed under anesthesia. Correlation and linear regression model were used to compare the scores obtained from the standardized tests to the scores of the six executive and cognitive functions evaluated by the game (shortand long-term memory, selective and alternating attention, inhibitory control, and visual perception). Results: After correlation analysis, a statistically significant result was found mainly for the correlation between the scores from the phase of the digital game assessing the visuoperception function and the scores from the A and B cards of the Stroop Test (p < 0.001, r = 0.99 and r = 0.64, respectively), and the scores from TMTA (p = 0.0046, r = 0.51). We also found a moderate correlation between the phase of the game assessing short-memory function and VVLT (p < 0.001, r = 0.41). No statistically significant correlations were found for the other functions assessed. Conclusion: The digital game provided scores in agreement with standardized tests for evaluating visual perception and possibly short-term memory cognitive functions. Further studies are necessary to verify the correlation of other phases of the digital game with standardized tests assessing cognitive functions.
  • article 1 Citação(ões) na Scopus
    Two years of the COVID-19 pandemic: an anesthesiology perspective
    (2022) SCHMIDT, André P.; MÓDOLO, Norma S.P.; DE AMORIM, Célio G.; SIMÕES, Cláudia M.; KRAYCHETE, Durval C.; JOAQUIM, Eduardo H.G.; LINEBURGER, Eric B.; PAPA, Fábio V.; FERNANDES, Fátima C.; MENDES, Florentino F.; GUIMARÃES, Gabriel M.N.; BARROS, Guilherme A.M.; SILVA-JR, João M.; LIMA, Laís H. Navarro e; AZI, Liana M.T.A.; CARVALHO, Lorena I.M.; STEFANI, Luciana C.; GARCIA, Luis V.; CARMONA, Maria José C.; SALGADO FILHO, Marcello F.; NASCIMENTO JUNIOR, Paulo do; ALVES, Rodrigo L.; CARVALHO, Vanessa H.; QUINTÃO, Vinicius C.
  • article 0 Citação(ões) na Scopus
    Registration of clinical trials in anesthesiology: promoting transparency in clinical research
    (2022) SCHMIDT, André P.; CARMONA, Maria José C.
  • article 3 Citação(ões) na Scopus
    CPR Quality Assessment in Schoolchildren Training
    (2022) OLIVEIRA, Katia M. G.; CARMONA, Maria Jose C.; MANSUR, Antonio P.; TAKADA, Julio Y.; FIJACKO, Nino; SEMERARO, Federico; LOCKEY, Andrew; BOETTIGER, Bernd W.; NAKAGAWA, Naomi K.
    Whilst CPR training is widely recommended, quality of performance is infrequently explored. We evaluated whether a checklist can be an adequate tool for chest compression quality assessment in schoolchildren, compared with a real-time software. This observational study (March 2019-2020) included 104 schoolchildren with no previous CPR training (11-17 years old, 66 girls, 84 primary schoolchildren, 20 high schoolchildren). Simultaneous evaluations of CPR quality were performed using an observational checklist and real-time software. High-quality CPR was determined as a combination of 70% correct maneuvers in compression rate (100-120/min), depth (5-6 cm), and complete release, using a real-time software and three positive performance in skills using a checklist. We adjusted a multivariate logistic regression model for age, sex, and BMI. We found moderate to high agreement percentages in quality of CPR performance (rate: 68.3%, depth: 79.8%, and complete release: 91.3%) between a checklist and real-time software. Only 38.5% of schoolchildren (similar to 14 years-old, similar to 54.4 kg, and similar to 22.1 kg/m(2)) showed high-quality CPR. High-quality CPR was more often performed by older schoolchildren (OR = 1.43, 95%IC:1.09-1.86), and sex was not an independent factor (OR = 1.26, 95%IC:0.52-3.07). For high-quality CPR in schoolchildren, a checklist showed moderate to high agreement with real-time software. Better performance was associated with age regardless of sex and BMI.
  • article 0 Citação(ões) na Scopus
    On the shoulders of giants
    (2022) CARMONA, Maria Jose Carvalho
  • article 1 Citação(ões) na Scopus
    Use of software to guide the management of intraoperative hemodynamic instability
    (2022) SALGADO-FILHO, Marcello Fonseca; SACHETTO, Rafael; CARMONA, Maria José Carvalho
  • article 2 Citação(ões) na Scopus
    The lack of knowledge on acute stroke in Brazil: A cross-sectional study with children, adolescents, and adults from public schools
    (2022) CALDERARO, Marcelo; SALLES, Igor C.; GOUVEA, Gabriela B.; MONTEIRO, Vinicius S.; MANSUR, Antonio P.; I, Henrique N. Shinohara; AIKAWA, Priscila; UMEDA, Iracema I. K.; SEMERARO, Federico; CARMONA, Maria Jose C.; BOTTIGER, Bernd W.; NAKAGAWA, Naomi K.
    Objective: Stroke is an important cause of disability and death in adults worldwide. However, it is preventable in most cases and treatable as long as patients recognize it and reach capable medical facilities in time. This commu-nity-based study investigated students' stroke knowledge, Emergency Medical Services (EMS) activation, associ-ated risk factors, warning signs and symptoms, and prior experience from different educational levels in the KIDS SAVE LIVES BRAZIL project. Methods: The authors conducted the survey with a structured questionnaire in 2019-2020. Results: Students from the elementary-school (n = 1187,-13 y.o., prior experience: 14%, 51% women), high school (n = 806,-17 y.o., prior experience: 13%, 47% women) and University (n = 1961,-22 y.o., prior experience: 9%, 66% women) completed the survey. Among the students, the awareness of stroke general knowl-edge, associated risk factors, and warning signs and symptoms varied between 42%-66%. When stimulated, less than 52% of the students associated stroke with hypercholesterolemia, smoking, diabetes, and hypertension. When stimulated, 62%-65% of students recognized arm weakness, facial drooping, and speech difficulty; only fewer identified acute headache (43%). Interestingly, 67% knew the EMS number; 81% wanted to have stroke education at school, and-75% wanted it mandatory. Women, higher education, and prior experience were associ-ated with higher scores of knowing risk factors (OR = 1.28, 95% CI: 1.10-1.48; OR = 2.12, 95% CI: 1.87-2.40; OR = 1.46, 95% CI: 1.16-1.83; respectively), and warning signs-symptoms (OR = 2.22, 95% CI: 1.89-2.60; OR = 3.30, 95% CI: 2.81-3.87; OR = 2.04, 95% CI: 1.58-2.63; respectively). Conclusion: Having higher education, prior experience, and being a woman increases stroke-associated risk fac-tors, and warning signs and symptoms identification. Schoolchildren and adolescents should be the main target population for stroke awareness.