Carlos Roberto Ribeiro de Carvalho
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View article: Telehealth as a Strategy to Expand Access in Brazil’s Unified Health System (SUS): An Analysis of São Paulo State’s Experience Across the Three Levels of Healthcare (Preprint)
Telehealth as a Strategy to Expand Access in Brazil’s Unified Health System (SUS): An Analysis of São Paulo State’s Experience Across the Three Levels of Healthcare (Preprint) Open
BACKGROUND The COVID-19 pandemic accelerated the adoption of telehealth as a key strategy within Brazil’s Unified Health System (SUS). In São Paulo State, digital health initiatives have been developed to implement telehealth-based care m…
View article: #1898 Investigating the skeletal muscle and kidney function crosstalk in survivors of critical illness
#1898 Investigating the skeletal muscle and kidney function crosstalk in survivors of critical illness Open
Background and Aims The skeletal muscles and kidneys are frequently affected during critical illness, yet their crosstalk remains poorly explored in the long-term. We investigated the crosstalk between skeletal muscle and kidney function i…
View article: Mechanisms of exercise limitation and prevalence of pulmonary hypertension in hypersensitivity pneumonitis
Mechanisms of exercise limitation and prevalence of pulmonary hypertension in hypersensitivity pneumonitis Open
View article: QUANDO CUIDAR É O ESSENCIAL: PANORAMA ATUAL DOS DESAFIOS NOS CUIDADOS PALIATIVOS PEDIÁTRICOS
QUANDO CUIDAR É O ESSENCIAL: PANORAMA ATUAL DOS DESAFIOS NOS CUIDADOS PALIATIVOS PEDIÁTRICOS Open
A saúde de crianças que apresentam doenças ameaçadoras da vida engloba a dimensão física, as questões sociais, emocionais e espirituais, sendo, juntamente com a rede de apoio, o núcleo dos cuidados paliativos pediátricos (CPP). A filosofia…
View article: Community-Acquired Acute Kidney Injury and Late Kidney Dysfunction in Survivors of COVID-19 Hospitalization
Community-Acquired Acute Kidney Injury and Late Kidney Dysfunction in Survivors of COVID-19 Hospitalization Open
In conclusion, late kidney dysfunction affected 1 in 4 COVID-19 survivors. CA-AKI, but not HA-AKI, was an independent risk factor for late kidney dysfunction. These findings suggest that renal long COVID might be frequent and that a specif…
View article: Correlation between fatigue and pulmonary involvement in the post-COVID-19 condition: a cross-sectional study 6–12 months after hospital discharge
Correlation between fatigue and pulmonary involvement in the post-COVID-19 condition: a cross-sectional study 6–12 months after hospital discharge Open
Introduction Post-COVID-19 conditions (PCC) may include pulmonary sequelae, fatigue and other symptoms, but its mechanisms are not fully elucidated. Objective This study investigated the correlation between fatigue and the presence of pulm…
View article: A influência da IA na indústria farmacêutica
A influência da IA na indústria farmacêutica Open
A inteligência Artificial surgiu com intuito de aperfeiçoar o gerenciamento de dados e informações, levando avanços tecnológicos às mais diversas áreas, percorrendo um longo caminho até chegar na área da saúde e destacando-se, principalmen…
View article: 201 Improving Referrals, Access to Care Pathways and Policies in a Surgical Department: Enhancing Access to Information Through Online Resources
201 Improving Referrals, Access to Care Pathways and Policies in a Surgical Department: Enhancing Access to Information Through Online Resources Open
Aim At our district general hospital in Surrey, we identified that the information displayed on the Urology intranet page was incomplete, inaccurate and outdated. Subsequently pathways weren’t consistently followed, and staff spent more ti…
View article: Renal Long COVID: A Scoping Review
Renal Long COVID: A Scoping Review Open
View article: Author Correction: Neuroleptics used in critical COVID associated with moderate-severe dyspnea after hospital discharge
Author Correction: Neuroleptics used in critical COVID associated with moderate-severe dyspnea after hospital discharge Open
View article: Telehealth Initiative to Enhance Primary Care Access in Brazil (UBS+Digital Project): Multicenter Prospective Study
Telehealth Initiative to Enhance Primary Care Access in Brazil (UBS+Digital Project): Multicenter Prospective Study Open
Background Brazil faces significant inequities in health care access, particularly in remote communities. The Brazilian Unified Health System is struggling to deliver adequate health care to its vast population. Telehealth, regulated in Br…
View article: Neuroleptics used in critical COVID associated with moderate-severe dyspnea after hospital discharge
Neuroleptics used in critical COVID associated with moderate-severe dyspnea after hospital discharge Open
Dyspnea is a prominent symptom in patients with long COVID due to its high prevalence and significant clinical impact. However, the influence of commonly used medications in critically ill patients on long-term dyspnea remains unclear. Thi…
View article: Inteligência Artificial no Monitoramento em Unidade de Terapia Intensiva (UTI)
Inteligência Artificial no Monitoramento em Unidade de Terapia Intensiva (UTI) Open
Inteligência Artificial no Monitoramento em Unidade de Terapia Intensiva (UTI) Qual o avanço da inteligência artificial na UTI? A busca pelo conhecimento em prol dos avanços no cuidado ao paciente crítico, adoção de estratégias inovadoras …
View article: Brazilian Thoracic Association recommendations for the management of lymphangioleiomyomatosis
Brazilian Thoracic Association recommendations for the management of lymphangioleiomyomatosis Open
Lymphangioleiomyomatosis (LAM) is a rare disease, characterized as a low-grade neoplasm with metastatic potential that mainly affects women of reproductive age, in which there is proliferation of atypical smooth muscle cells (LAM cells) an…
View article: A Telehealth Model in Prison Units of Sao Paulo State: Implementation and Preliminary Results
A Telehealth Model in Prison Units of Sao Paulo State: Implementation and Preliminary Results Open
View article: Challenges and Opportunities in Teaching and Training Pediatric Cardiac Critical Care in Developing Countries: A Narrative Review
Challenges and Opportunities in Teaching and Training Pediatric Cardiac Critical Care in Developing Countries: A Narrative Review Open
View article: Water reuse application in a poor area in Brazil: A multi-criteria analysis approach
Water reuse application in a poor area in Brazil: A multi-criteria analysis approach Open
View article: Joint statement on evidence-based practices in mechanical ventilation: suggestions from two Brazilian medical societies
Joint statement on evidence-based practices in mechanical ventilation: suggestions from two Brazilian medical societies Open
Mechanical ventilation can be a life-saving intervention, but its implementation requires a multidisciplinary approach, with an understanding of its indications and contraindications due to the potential for complications. The management o…
View article: High-Flow Nasal Oxygen vs Noninvasive Ventilation in Patients With Acute Respiratory Failure
High-Flow Nasal Oxygen vs Noninvasive Ventilation in Patients With Acute Respiratory Failure Open
Importance High-flow nasal oxygen (HFNO) and noninvasive ventilation (NIV) are commonly used respiratory support therapies for patients with acute respiratory failure (ARF). Objective To assess whether HFNO is noninferior to NIV on the rat…
View article: Estimated carbon emissions and support cost savings to telemedicine for patients with tracheal diseases
Estimated carbon emissions and support cost savings to telemedicine for patients with tracheal diseases Open
Telemedicine consultations, in addition to significantly reducing carbon emissions and costs, promote greater accessibility and sustainability in medical care. These findings may influence public policies to expand telemedicine programs, e…
View article: Acute respiratory distress syndrome and acute kidney injury in critically ill patients: a scoping review protocol about the lung-kidney crosstalk
Acute respiratory distress syndrome and acute kidney injury in critically ill patients: a scoping review protocol about the lung-kidney crosstalk Open
Introduction Acute respiratory distress syndrome (ARDS) is a risk factor for several adverse clinical outcomes, including mortality. Acute kidney injury (AKI) is one of the most common extrapulmonary complications in ARDS. Despite the high…
View article: Telehealth Initiative to Enhance Primary Care Access in Brazil (UBS+Digital Project): Multicenter Prospective Study (Preprint)
Telehealth Initiative to Enhance Primary Care Access in Brazil (UBS+Digital Project): Multicenter Prospective Study (Preprint) Open
BACKGROUND Brazil faces significant inequities in health care access, particularly in remote communities. The Brazilian Unified Health System is struggling to deliver adequate health care to its vast population. Telehealth, regulated in B…
View article: Trauma-Associated Sleep Disorder: a New Parasomnia Characterized by REM Without Atonia
Trauma-Associated Sleep Disorder: a New Parasomnia Characterized by REM Without Atonia Open
View article: FUNÇÃO RENAL A LONGO PRAZO DE SOBREVIVENTES HOSPITALIZADOS POR COVID-19: UMA COORTE PROSPECTIVA
FUNÇÃO RENAL A LONGO PRAZO DE SOBREVIVENTES HOSPITALIZADOS POR COVID-19: UMA COORTE PROSPECTIVA Open
Introdução: O termo COVID longa abrange alterações clínicas associadas à COVID-19 que persistem por mais de 2 meses. Os efeitos da COVID longa na função renal ainda são pouco conhecidos. Objetivo: Investigar a função renal a longo prazo de…
View article: Clinical and functional outcomes associated with quality of life in patients with lymphangioleiomyomatosis: a cross-sectional study
Clinical and functional outcomes associated with quality of life in patients with lymphangioleiomyomatosis: a cross-sectional study Open
Background: Lymphangioleiomyomatosis (LAM) is a rare (twenty-one per million female inhabitants) neoplastic cystic lung disease that impairs health-related quality of life (HRQoL). However, the factors associated with impaired quality of l…
View article: Impact of extended lung protection during mechanical ventilation on lung recovery in patients with COVID-19 ARDS: a phase II randomized controlled trial
Impact of extended lung protection during mechanical ventilation on lung recovery in patients with COVID-19 ARDS: a phase II randomized controlled trial Open
Background Protective ventilation seems crucial during early Acute Respiratory Distress Syndrome (ARDS), but the optimal duration of lung protection remains undefined. High driving pressures (ΔP) and excessive patient ventilatory drive may…
View article: Graphene oxide microstrip antenna-based sensor for oxygen gas sensing in medical applications
Graphene oxide microstrip antenna-based sensor for oxygen gas sensing in medical applications Open
In this work, we report the development of a new graphene oxide (GO) sensor based on a microstrip antenna for detecting and measuring O 2 concentration. GO was prepared from natural graphite powder using a modified Hummers procedure and th…
View article: Post-COVID-19 respiratory sequelae two years after hospitalization: an ambidirectional study
Post-COVID-19 respiratory sequelae two years after hospitalization: an ambidirectional study Open
View article: Multi-purpose InSTRument for Astronomy at Low-resolution: MISTRAL@OHP
Multi-purpose InSTRument for Astronomy at Low-resolution: MISTRAL@OHP Open
MISTRAL is the new Faint Object Spectroscopic Camera mounted at the folded Cassegrain focus of the 1.93m telescope of Haute-Provence Observatory. We describe the design and components of the instrument and give some details about its opera…
View article: Post-COVID-19 condition: systemic inflammation and low functional exercise capacity
Post-COVID-19 condition: systemic inflammation and low functional exercise capacity Open
Introduction Post-COVID-19 condition (PCC) is characterised by a plethora of symptoms, with fatigue appearing as the most frequently reported. The alterations that drive both the persistent and post-acute disease newly acquired symptoms ar…