scholarly journals Collaborative multicenter trials in Latin America: challenges and opportunities in orthopedic and trauma surgery

2013 ◽  
Vol 131 (3) ◽  
pp. 187-192 ◽  
Author(s):  
Vinicius Ynoe de Moraes ◽  
Joao Carlos Belloti ◽  
Flavio Faloppa ◽  
Mohit Bhandari

CONTEXT AND OBJECTIVE Orthopedic research agendas should be considered from a worldwide perspective. Efforts should be planned as the means for obtaining evidence that is valid for health promotion with global outreach. DESIGN AND SETTING Exploratory study conducted at Universidade Federal de São Paulo (Unifesp), São Paulo, Brazil, and McMaster University, Hamilton, Canada. METHODS We identified and analyzed collaborative and multicenter research in Latin America, taking into account American and Canadian efforts as the reference points. We explored aspects of the data available from official sources and used data from traffic accidents as a model for discussing collaborative research in these countries. RESULTS The evaluation showed that the proportion of collaborative and multicenter studies in our setting is small. A brief analysis showed that the death rate due to traffic accidents is very high. Thus, it seems clear to us that initiatives involving collaborative studies are important for defining and better understanding the patterns of injuries resulting from orthopedic trauma and the forms of treatment. Orthopedic research may be an important tool for bringing together orthopedic surgeons, researchers and medical societies for joint action. CONCLUSIONS We have indicated some practical guidelines for initiatives in collaborative research and have proposed some solutions with a summarized plan of action for conducting evidence-based research involving orthopedic trauma.

2020 ◽  
pp. 23-42
Author(s):  
Camila D’Ottaviano ◽  
Suzana Pasternak ◽  
Jorge Bassani ◽  
Caio Santo Amore
Keyword(s):  

2019 ◽  
Author(s):  
VANIA SCHINZEL ◽  
SIMONE GUERRA LOPES DA SILVA ◽  
GIOVANA PALUDO ◽  
ALINE ROCHA ◽  
CLÁUDIO ARNALDO LEN ◽  
...  

1970 ◽  
pp. 33-41
Author(s):  
José D. Najar

Recently the study of the Syrian-Lebanese communities in Latin America has attracted much attention from scholars across a variety of disciplines (Klich & Lesser, 1998; Zobel, 2006; Akmir, 2009). Although the impact of this emerging body of scholarship has greatly contributed to our understanding of non-European immigrants to Latin America and their contribution to their adoptive countries, less attention has been paid to the roles and experiences of Syrian-Lebanese women or women of Syrian-Lebanese descent. Even less attention has been paid to their transnational experiences.Syrian-Lebanese women are often referenced only in passing and are typicallydepicted as homebound, or as women of leisure engaged in charitable work. Many of these trivial and anecdotal glimpses into the lives of Syrian-Lebanese women in Brazil reflect and reinforce the constant reproduction of gender and color hierarchies inBrazilian nationalist ideology. There has been even less focus on questions pertaining to the privileged white status the Syrian-Lebanese immigrants enjoyed upon their arrival in Brazil.


2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e18785-e18785
Author(s):  
Isabella Batista Martins Portugal ◽  
Luis Eduardo Werneck De Carvalho ◽  
Jean Henri Schoueri ◽  
Leandro Fórnias Machado Rezende ◽  
Fernando Luiz Affonso Fonseca ◽  
...  

e18785 Background: The novel coronavirus disease 2019 (COVID-19) pandemic has disrupted health care systems worldwide. In Brazil, the disease had its first case in the city of São Paulo, thus being the starting point and epicenter of this disease in Latin America. Neurological features are currently well recognized in COVID-19 indicating the neurotropic nature of the virus and include anosmia, myalgia, myositis, encephalitis, meningitis, cerebrovascular disease, Guillain–Barré syndrome, and post-infectious myelitis. CNS tumors though relatively rare (> 2% of all cancers) are a relevant source of cancer-related morbi-mortality worldwide. Although studies have reported higher COVID-19 severity in cancer patients, the consequences of the pandemic on health care for CNS tumors remain inconclusive and will probably be felt for decades. This study aimed to determine the impact of pandemic on the hospital admissions (HA) due to CNS tumors in the city of São Paulo, Brazil. Methods: This is a cross-sectional study of the HAs due to CNS tumors in the city of São Paulo comparing the outbreak period (January-June 2020) and a pre-pandemic corresponding period of the years 2017-2019. Data were obtained from the Brazilian Unified Health System - Hospital Information System database according to the chapter II of the International Classification of Diseases - 10th revision (ICD-10). Linear regression was used to analyze the relationship between the incidence of HAs and time (months). Results: A significant reduction in HAs due to CNS tumors was observed during the outbreak period (January-June 2020). Benign neoplasm of brain and other parts of CNS (-2, CI -2 to -1) and malignant neoplasm of brain (-5, CI -7 to -3) showed to be remarkably affected (see table). To our knowledge, this is the first scientific report of significant reduction of HAs due to CNS tumors during COVID-19 era. Conclusions: Our findings seem to be associated to delayed oncological diagnose and care to CNS tumor patients during the lockdown and health system collapse. A rebound help-seeking effect as well as more severe complications may present in the post‐pandemic. Further studies are needed to evaluate the impact of the ongoing pandemic in CNS neoplasms in order to strategically corroborate public health actions for short- and long-term implications of COVID-19 pandemic. [Table: see text]


Author(s):  
Maria de Fátima Morethy Couto

The São Paulo Biennial was a daring enterprise modelled on the Venice Biennial that took place for the first time in 1951 in Brazil due to a series of sociocultural and political factors, including a booming industrial sector looking to assert itself socially within Brazilian society. The São Paulo Biennial, the first of its kind in Latin America, looked at propagating Brazil’s image internationally in both the art scene and in the political and economic contexts. Its first instance in 1951 was led by the industrialist Francisco Matarazzo Sobrinho, better known as Ciccillo Matarazzo (1898–1977), who had also spearheaded the founding of the Museu de Arte Moderna de São Paulo (MAM-SP) half a decade earlier. The biennials above all promoted the circulation of artists, artworks and cultural agents, which was key in the exchange of information, tendencies, and tastes. At a time when the number of art magazines published in Brazil was reduced and travelling abroad was not easy, the São Paulo Biennials connected Brazilians with international contemporary production through the organization of vast retrospectives of modern pioneers such as Paul Klee, Mondrian, and Picasso in 1953, Léger in 1955, and Pollock in 1957.


1992 ◽  
Vol 22 (4) ◽  
pp. 767-781 ◽  
Author(s):  
Amélia Cohn

A tentative analysis is made of the recent São Paulo experience in health care management, in which the chief guideline has been to create institutional space for grass-roots and health worker participation within the State apparatus. The analysis takes Brazil's recent health policies and the so-called Sanitary Reform movement as reference points. The issue is approached from the angle of democracy and democracy's possibilities in the context of a society characterized by tremendous social inequalities, and in the context of the current international and national neoliberal offensive.


Sign in / Sign up

Export Citation Format

Share Document