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  1. Article ; Online: Nephrobronchial fistula: a diagnostic challenge in a patient with IgG4-related disease.

    Plens, Glauco Cabral Marinho / Bridi, Guilherme das Posses / Nascimento, Ellen Caroline Toledo do / Chate, Rodrigo Caruso / Baldi, Bruno Guedes / Arimura, Fábio Eiji / Kairalla, Ronaldo Adib

    Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia

    2024  Volume 49, Issue 6, Page(s) e20230317

    MeSH term(s) Humans ; Immunoglobulin G4-Related Disease/complications ; Immunoglobulin G4-Related Disease/diagnosis
    Language Portuguese
    Publishing date 2024-01-05
    Publishing country Brazil
    Document type Case Reports ; Letter
    ZDB-ID 2223157-2
    ISSN 1806-3756 ; 1806-3713
    ISSN (online) 1806-3756
    ISSN 1806-3713
    DOI 10.36416/1806-3756/e20230317
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Caring for patients at risk of ARDS: the role of driving pressure.

    Plens, Glauco Cabral Marinho / Costa, Eduardo Leite Vieira

    Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia

    2021  Volume 47, Issue 1, Page(s) e20210013

    MeSH term(s) Humans ; Patient Care ; Prospective Studies ; Respiration, Artificial ; Respiratory Distress Syndrome ; Risk Factors
    Language Portuguese
    Publishing date 2021-02-24
    Publishing country Brazil
    Document type Editorial ; Comment
    ZDB-ID 2223157-2
    ISSN 1806-3756 ; 1806-3713
    ISSN (online) 1806-3756
    ISSN 1806-3713
    DOI 10.36416/1806-3756/e20210013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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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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