Highlights ■ Ultrasound improves success rates and reducescomplications during vascular puncture. ■ Simulation-based training enables safe and effectiveacquisition of procedural skills. ■ A low-cost, reproducible simulation model was developed. ■ Specialists validated the model as effective for teaching and training. ABSTRACT Objective: To develop a low-fidelity, low-cost simulation model for ultrasound-guided vascular puncture that is easily reproducible and validated by an expert panel. Methods: Sequential tests using different materials were conducted based on phantom models described in the literature. The […]

Highlights ■ Institutional food practices mediate dignity and recognition. ■ Power relations shape autonomy in food assistance  services. ■ Food provision can reinforce power asymmetries in institutional relations. ■ Dignity is ontological and cannot be negotiated. ABSTRACT This essay draws on a qualitative study that explored the understandings of employees responsible for planning, preparing, and distributing meals in three food assistance services in downtown São Paulo (Brazil) regarding food provision for people experiencing homelessness. In that study, 12 semi-structured interviews […]

Highlights ■ This paper proposes a contextual and non-reductionist ontology of mental health disorders. ■ It reframes the diathesis-stress model through radical behaviorism and functional contextualism. ■ It emphasizes dynamic interactions between vulnerabilities and environmental stressors. ■ It guides clinical practice toward integrative, personalized, and system-sensitive interventions. ABSTRACT This conceptual article examines the ontological and epistemological foundations of mental health disorders through the lens of the diathesis-stress model. It seeks to articulate how this model contributes to a more comprehensive […]

Highlights ■ In-house 68Ga radiopharmaceutical synthesis under GMP in a tertiary hospital radiopharmacy. ■ Over 7,500 patients underwent imaging with [68Ga]Ga-  DOTATATE and [68Ga]Ga-PSMA-11. ■ This is the first radiopharmacy in Brazil to introduce [68Ga] Ga-DOTA-UBI, and [68Ga]Ga-FAPi-46. ABSTRACT In this study, we report the implementation of in-house synthesis of gallium-68 (68Ga)-labeled radiopharmaceuticals for positron emission tomography (PET) at a tertiary hospital radiopharmacy. [68Ga]Ga-DOTATATE and [68Ga]Ga-PSMA-11 were introduced into clinical practice in January 2014 and October 2015, respectively, following the […]

Highlights ■ LATAM RegistrAME is the first clinical registry study of spinal muscular atrophy linked to 5q-SMA in Latin America (LATAM), including all ages. ■ This study will provide the first clinical evidence of access to medication for 5q-SMA treatment in LATAM. ■ It will describe the functional assessment and ventilatory support of 5q-SMA patients with diverse sociodemographic aspects. ABSTRACT Spinal muscular atrophy is a rare hereditary neurodegenerative disease characterized by  progressive motor neuron loss. The most common form of […]

Highlights Disruptive medical staff behavior potentially affects patient care. Surgical specialties have the highest incidence of disruptive medical staff behavior. Proper diagnosis and management is key to the mitigating disruptive medical staff behavior. ABSTRACT Objective: To describe the 3-year long experience of addressing disruptive events by medical staff in a private hospital. Methods: The cross-sectional study that was conducted between 2020 and 2022, involved collection, analysis, and management of suspected cases of disruptive behavior by medical staff. Results: Relevant information […]

Highlights Lung ultrasound enables precise diagnosis and ongoing monitoring of the disease. Ultrasound is an effective tool for assessing pulmonary findings in COVID-19. Structured reports enhance communication and are easily reproducible. ABSTRACT Objective: We aimed to share our experience in implementing a structured system for COVID-19 lung findings, elucidating key aspects of the lung ultrasound score to facilitate its standardized clinical use beyond the pandemic scenario. Methods: Using a scoring system to classify the extent of lung involvement, we retrospectively […]

Highlights Every research endeavor commences with a fundamental question. Sharing of findings by researchers and students contributes toward the expansion of knowledge. Teaching scientific methodology is a pivotal step in nurturing critical thinking skills. Science permeates our daily lives and plays a crucial role in addressing societal issues. ABSTRACT The Scientists of Tomorrow/Cientistas do Amanhã project is an immersive science training program developed by the Program of Post-Graduation in Health Sciences at Hospital Israelita Albert Einstein. This program was conducted […]

Highlights Telemedicine played a major role in healthcare during the COVID-19 pandemic. A statistically significant number of physicians started using Telemedicine since the onset of COVID-19 pandemic. Most physicians approve its use and intend to continue using Telemedicine in their daily practice. Objective The primary aim of this study was to understand the difference in the use of Telemedicine by Brazilian physicians before and after the onset of COVID-19 pandemic and their intention to continue using it post the pandemic […]

Highlights Notification of complications of arterial surgeries is essential in identifying strategies to improve surgical outcomes. Screening of prevalent and/or morbid diseases allows early intervention and prevention of complications. Use of telemedicine in vascular follow-up allows optimizing the use of resources and reducing the burden on health services. Concentrating complex cases in reference hospitals leads to improved surgical outcomes. ABSTRACT Objective To evaluate outcomes of vascular surgeries and identify strategies to improve public vascular care. Methods This was a descriptive, […]