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  1. Article: Black esophagus.

    Monteiro, Jean Michell Correia / Castelo, Lucas Freire / Fischer, William George Giusti / Felipe-Silva, Aloisio

    Autopsy & case reports

    2019  Volume 9, Issue 1, Page(s) e2018077

    Language English
    Publishing date 2019-03-08
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 2815488-5
    ISSN 2236-1960
    ISSN 2236-1960
    DOI 10.4322/acr.2018.077
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Dabigatran and warfarin in nonvalvular atrial fibrillation or atrial flutter in outpatient clinic practice in Brazil.

    Monteiro, Jean Michell Correia / San-Martin, Daniel Lordelo / Silva, Beatriz Carneiro Gondim / Souza, Ian Felipe Barbosa / Oliveira Filho, Jamary / Jesus, Pedro

    Arquivos de neuro-psiquiatria

    2019  Volume 77, Issue 2, Page(s) 80–83

    Abstract: Objectives: To compare warfarin and dabigatran for thromboembolic event prevention in patients with nonvalvular atrial fibrillation or atrial flutter.: Methods: This was a retrospective cohort of participants with nonvalvular atrial fibrillation or ... ...

    Abstract Objectives: To compare warfarin and dabigatran for thromboembolic event prevention in patients with nonvalvular atrial fibrillation or atrial flutter.
    Methods: This was a retrospective cohort of participants with nonvalvular atrial fibrillation or atrial flutter using either warfarin or dabigatran in a reference center in Brazil.
    Results: There were 112 patients (mean age 65.5 years), with 55.3% using warfarin. The median duration of follow-up was 1.9 years for warfarin and 1.6 years for dabigatran (p = 0.167). Warfarin patients had a higher median of medical appointments per year (8.3 [6.8-10.4] vs 3.1 [2.3-4.2], p < 0.001) and the frequency of minor bleeding was more than four times higher (17.7% vs 4.0%, p = 0.035). Among patients with prior stroke, those using warfarin had 2.6 times more medical appointments for person-years of follow-up (8.5 vs 3.3). There was no major bleeding or embolic event during follow-up period.
    Conclusion: The dabigatran group had a lower frequency of minor bleeding and number of medical appointments than the warfarin group, without more embolic events or major bleeding.
    MeSH term(s) Aged ; Aged, 80 and over ; Ambulatory Care Facilities ; Anti-Arrhythmia Agents/therapeutic use ; Anticoagulants/therapeutic use ; Atrial Fibrillation/complications ; Atrial Fibrillation/prevention & control ; Atrial Flutter/complications ; Atrial Flutter/prevention & control ; Brazil ; Dabigatran/therapeutic use ; Female ; Follow-Up Studies ; Hemorrhage/prevention & control ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Risk Factors ; Statistics, Nonparametric ; Stroke/etiology ; Stroke/prevention & control ; Thromboembolism/etiology ; Thromboembolism/prevention & control ; Treatment Outcome ; Warfarin/therapeutic use
    Chemical Substances Anti-Arrhythmia Agents ; Anticoagulants ; Warfarin (5Q7ZVV76EI) ; Dabigatran (I0VM4M70GC)
    Language English
    Publishing date 2019-02-27
    Publishing country Brazil
    Document type Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 418916-4
    ISSN 1678-4227 ; 0004-282X
    ISSN (online) 1678-4227
    ISSN 0004-282X
    DOI 10.1590/0004-282X20190005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Ui I Zs.239: Show issues Location:
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  3. Article ; Online: Perception of usefulness of laboratory tests ordering by internal medicine residents in ambulatory setting: A single-center prospective cohort study.

    Doi, Dimitria / Vale, Romulo Ribeiro do / Monteiro, Jean Michell Correia / Plens, Glauco Cabral Marinho / Ferreira Junior, Mario / Fonseca, Luiz Augusto Marcondes / Perazzio, Sandro Félix / Besen, Bruno Adler Maccagnan Pinheiro / Lichtenstein, Arnaldo / Taniguchi, Leandro Utino / Sumita, Nairo Massakazu / Corá, Aline Pivetta / Eisencraft, Adriana Pasmanik / Duarte, Alberto José da Silva

    PloS one

    2021  Volume 16, Issue 5, Page(s) e0250769

    Abstract: The demand for high value health care uncovered a steady trend in laboratory tests ordering and inappropriate testing practices. Residents' training in laboratory ordering practice provides an opportunity for quality improvement. We collected information ...

    Abstract The demand for high value health care uncovered a steady trend in laboratory tests ordering and inappropriate testing practices. Residents' training in laboratory ordering practice provides an opportunity for quality improvement. We collected information on demographics, the main reason for the appointment, preexisting medical conditions and presence of co-morbidities from first-visit patients to the internal medicine outpatient service of our university general hospital. We also collected information on all laboratory tests ordered by the attending medical residents. At a follow-up visit, we recorded residents' subjective perception on the usefulness of each ordered laboratory test for the purposes of diagnosis, prognosis, treatment or screening. We observed that 17.3% of all ordered tests had no perceived utility by the attending resident. Tests were usually ordered to exclude differential diagnoses (26.7%) and to help prognosis estimation (19.1%). Age and co-morbidity influenced the chosen category to legitimate usefulness of tests ordering. This study suggests that clinical objectives (diagnosis, prognosis, treatment or prevention) as well as personalization to age and previous health conditions should be considered before test ordering to allow a more appropriate laboratory tests ordering, but further studies are necessary to examine this framework beyond this medical training scenario.
    MeSH term(s) Adult ; Ambulatory Care Facilities/statistics & numerical data ; Attitude of Health Personnel ; Clinical Laboratory Techniques ; Cohort Studies ; Female ; Humans ; Internal Medicine/education ; Internship and Residency/statistics & numerical data ; Male
    Language English
    Publishing date 2021-05-11
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1932-6203
    ISSN (online) 1932-6203
    DOI 10.1371/journal.pone.0250769
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Dabigatran and warfarin in nonvalvular atrial fibrillation or atrial flutter in outpatient clinic practice in Brazil

    Monteiro, Jean Michell Correia / San-Martin, Daniel Lordelo / Silva, Beatriz Carneiro Gondim / Souza, Ian Felipe Barbosa / Oliveira, Jamary / Jesus, Pedro

    Arquivos de Neuro-Psiquiatria

    2019  Volume 77, Issue 02, Page(s) 80–83

    Abstract: Objectives: To compare warfarin and dabigatran for thromboembolic event prevention in patients with nonvalvular atrial fibrillation or atrial flutter.: Methods: This was a retrospective cohort of participants with nonvalvular atrial fibrillation or ... ...

    Abstract Objectives: To compare warfarin and dabigatran for thromboembolic event prevention in patients with nonvalvular atrial fibrillation or atrial flutter.
    Methods: This was a retrospective cohort of participants with nonvalvular atrial fibrillation or atrial flutter using either warfarin or dabigatran in a reference center in Brazil.
    Results: There were 112 patients (mean age 65.5 years), with 55.3% using warfarin. The median duration of follow-up was 1.9 years for warfarin and 1.6 years for dabigatran (p = 0.167). Warfarin patients had a higher median of medical appointments per year (8.3 [6.8-10.4] vs 3.1 [2.3-4.2], p < 0.001) and the frequency of minor bleeding was more than four times higher (17.7% vs 4.0%, p = 0.035). Among patients with prior stroke, those using warfarin had 2.6 times more medical appointments for person-years of follow-up (8.5 vs 3.3). There was no major bleeding or embolic event during follow-up period.
    Conclusion: The dabigatran group had a lower frequency of minor bleeding and number of medical appointments than the warfarin group, without more embolic events or major bleeding.
    Keywords Dabigatran ; warfarin ; atrial fibrillation ; atrial flutter ; stroke ; Dabigatrana ; varfarina ; fibrilação atrial ; flutter atrial ; acidente vascular cerebral
    Language English
    Publishing date 2019-02-01
    Publisher Thieme Revinter Publicações Ltda.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 418916-4
    ISSN 1678-4227 ; 0004-282X
    ISSN (online) 1678-4227
    ISSN 0004-282X
    DOI 10.1590/0004-282X20190005
    Database Thieme publisher's database

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    In stock of ZB MED Cologne/Königswinter

    Ui I Zs.239: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

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