Zilma Silveira Nogueira Reis

Zilma Silveira Nogueira Reis
  • MD, PhD
  • Coordenador do Centro de Informática em Saúde da Faculdade de Medicina da UFMG at Federal University of Minas Gerais

I am an Associate Professor and the coordinator of the Medical Informatics Centre, UFMG - Brazil

About

245
Publications
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Introduction
I am the coordinator of the Health Informatics Centre in the Faculty of Medicine (UFMG), since 2012. Vice-president of the Brazilian Society of Health Informatics (SBIS), 2017-18. Awardee of the Grand Challenges Explorations of the Bill & Melinda Gates Foundation (2015) and the 9th Round of Grand Challenges Canada, Stars in Global Health (2018), Building Global Innovation Program by ISCTE-IUL - MIT, 7th Edition, 2016 and Venture Well (2017). Visitant professor at Lisbon University (2018-2019).
Current institution
Federal University of Minas Gerais
Current position
  • Coordenador do Centro de Informática em Saúde da Faculdade de Medicina da UFMG
Additional affiliations
January 2008 - December 2012
Federal University of Minas Gerais

Publications

Publications (245)
Article
Full-text available
Objectives To evaluate whether postpartum haemorrhage (PPH) can be predicted using both machine learning (ML) and traditional statistical models. Design Diagnostic systematic review and meta-analysis of observational and clinical studies, prospectively registered on PROSPERO, performed accordingly to the Preferred Reporting Items for Systematic Re...
Book
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O eBook Proteção de Dados em Pesquisa na Saúde surge em um momento oportuno para promover, em todos os interessados no tema, as reflexões necessárias diante do desafio de conciliar os avanços tecnológicos com as normativas de privacidade. É com grande satisfação que o Centro de Inovação em Inteligência Artificial para Saúde apresenta esta obra, que...
Chapter
Artigos (Short commnuication) com os anais do XIX Congresso Brasileiro de Controle de Infecção e Epidemiologia Hospitalar, IV Simpósio Brasileiro de Stweardship de Antimicrobianos, III Congresso Brasileiro de Controle de Infecções em Pediatria e Neonatologia e VII Congresso Mineiro de Infectologia.
Article
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Introduction: Hypertensive disorders in pregnancy remain a global challenge for the reduction of maternal morbidity and mortality, especially in low and middle income countries. In Brazil, it is estimated that the prevalence is 10%, being the main cause of maternal deaths. Objective: This study aims to analyze the profile of pregnant women with hyp...
Preprint
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Objective This study aims to evaluate the knowledge, attitudes, and practices of Brazilian women regarding menopause, related symptoms, and the use of hormone therapy, including indications and contraindications. Methods A cross-sectional study was conducted between 18/07/2022 and 01/10/2023, involving women aged 40 to 65 years from various cities...
Article
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Objetivo: Avaliar a realidade aumentada (RA) no ensino de anatomia humana para ciências médicas e compará-las aos métodos tradicionais, além de analisar a experiência dos estudantes. Métodos: Elaborada com base nas recomendações do PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyzes). Fez-se a busca, nas bases de dados estabe...
Article
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O TikTok tem se destacado pelo grande número de usuários no Brasil. Entre os conteúdos compartilhados, destacam-se aqueles relacionados à saúde, incluindo o Transtorno do Espectro Autista (TEA), que recebe atenção significativa. Objetivo: Esta pesquisa visa examinar as implicações decorrentes da disseminação generalizada de conteúdos sobre TEA para...
Preprint
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The search will be carried out in the following databases: MEDLINE (PubMed), Cochrane Library, Embase-Elsevier, Scopus-Elsevier, Web of Science, LILACS-BVS, IEEE. To define the search strategies, we will have support from the library of the Faculty of Medicine of the Univesidade Federal de Minas Gerais (one of the institutions that are part of this...
Article
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Objective To assess the support of large language models (LLMs) in generating clearer and more personalized medication instructions to enhance e-prescription. Patients and Methods We established patient-centered guidelines for adequate, acceptable, and personalized directions to enhance e-prescription. A dataset comprising 104 outpatient scenarios...
Book
Full-text available
Educação permanente para enfermeiros, médicos da equipe de saúde da família e equipes multiprofissionais EBOOK 3 2024
Article
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Background Access to diagnostic tools like chest radiography (CXR) is challenging in resource-limited areas. Despite reduced reliance on CXR due to the need for quick clinical decisions, its usage remains prevalent in the approach to neonatal respiratory distress syndrome (NRDS). Objectives To assess CXR’s role in diagnosing and grading NRDS sever...
Preprint
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Purpose: This SOP outlines a set of patient-centered guidelines designed to enhance the personalization, clarity, and acceptability of e-prescription instructions. These guidelines are intended for healthcare professionals, aiming to improve the quality and effectiveness of prescription communications. Context: This procedure utilizes prescriptions...
Article
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Objective Postpartum hemorrhage (PPH) is the leading cause of maternal death globally. Therefore, prevention strategies have been created. The study aimed to evaluate the occurrence of PPH and its risk factors after implementing a risk stratification at admission in a teaching hospital. Methods A retrospective cohort involving a database of SISMAT...
Book
Full-text available
Educação permanente para enfermeiros, médicos da equipe de saúde da família, cirurgiões-dentistas e equipes multiprofissionais
Article
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Background Clinicians face barriers when assessing lung maturity at birth due to global inequalities. Still, strategies for testing based solely on gestational age to predict the likelihood of respiratory distress syndrome (RDS) do not offer a comprehensive approach to addressing the challenge of uncertain outcomes. We hypothesize that a noninvasiv...
Article
Background Individuals with hearing impairments may face hindrances in health care assistance, which may significantly impact the prognosis and the incidence of complications and iatrogenic events. Therefore, the development of automatic communication systems to assist the interaction between this population and health care workers is paramount. O...
Preprint
BACKGROUND Individuals with hearing impairments may face hindrances in health care assistance, which may significantly impact the prognosis and the incidence of complications and iatrogenic events. Therefore, the development of automatic communication systems to assist the interaction between this population and health care workers is paramount. O...
Article
Full-text available
Background A handheld optical device was developed to evaluate a newborn's skin maturity by assessing the photobiological properties of the tissue and processing it with other variables to predict early neonatal prognosis related to prematurity. This study assessed the device's ability to predict respiratory distress syndrome (RDS). Methods To ass...
Preprint
BACKGROUND Clinicians face barriers when assessing lung maturity at birth due to global inequalities. Still, strategies for testing based solely on gestational age to predict the likelihood of respiratory distress syndrome (RDS) do not offer a comprehensive approach to addressing the challenge of uncertain outcomes. We hypothesize that a noninvasiv...
Article
Full-text available
Introdução: O bem-estar da mulher em uma visão integral do cuidado à saúde feminina, exemplificado pelo cuidado obstétrico e atenção pré-natal, se respalda no acesso aos serviços de saúdes e à informação de qualidade, o que aumenta o empoderamento feminino, reduz complicações e os índices de mortalidade materno-fetais. Impulsionados pelo período de...
Article
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Objective To discuss the points that still challenge low‐ and middle‐income countries (LMICs) and strategies that have been studied to help them overcome these issues. Methods Narrative review addressing 20 years of articles concerning pre‐eclampsia morbidity and mortality in LMICs. We summarized evidence‐based strategies to overcome the challenge...
Article
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Background Early identification of COVID-19 symptoms and burnout among residents is essential for proper management. Digital assistants might help in the large-scale screening of residents. Objective To assess the implementation of a chatbot for tele-screening emotional exhaustion and COVID-19 among residents at a hospital in Brazil. Methods From...
Article
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Resumo Este artigo tem como objetivo relatar dois projetos de design de jogos sérios concebidos com o objetivo de promover a difusão de informações confiáveis e a adoção de comportamentos preventivos durante a pandemia de COVID-19. Duas abordagens distintas de design são descritas, analisadas e comparadas em uma estrutura fundamentada na literatura...
Article
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Introduction: From the scenario imposed by the COVID-19pandemic in 2020, it was necessary to have access toinformation as a mode of transmission and prevention of thespread of the new coronavirus, considered critical healthmeasures. Serious games have advantages in disseminatingreliable information during a pandemic, as they can offerqualified cont...
Article
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Introduction: A new medical device was previously developed to estimate gestational age (GA) at birth by processing a machine learning algorithm on the light scatter signal acquired on the newborn's skin. The study aims to validate GA calculated by the new device (test), comparing the result with the best available GA in newborns with low birth we...
Article
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Background: During the COVID-19 pandemic, telehealth was expanded without the opportunity to evaluate the adopted technology's usability extensively. Objective: To synthesize evidence on health professionals' perceptions regarding the usability of telehealth systems in the primary care of individuals with non-communicable diseases (NCDs) (hypert...
Article
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Background Recognizing premature newborns and small-for-gestational-age (SGA) is essential for providing care and supporting public policies. This systematic review aims to identify the influence of the last menstrual period (LMP) compared to ultrasonography (USG) before 24 weeks of gestation references on prematurity and SGA proportions at birth....
Article
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Background: The assessment of clinical prognosis of pregnant COVID-19 patients at hospital presentation is challenging, due to physiological adaptations during pregnancy. Our aim was to assess the performance of the ABC2-SPH score to predict in-hospital mortality and mechanical ventilation support in pregnant patients with COVID-19, to assess the...
Book
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Este eBook foi elaborado no contexto do curso de capacitação Introdução à Análise de Dados em Saúde com Python ofertado pelo Centro de Inovação em Inteligência Artificial para Saúde. O curso tem como objetivo introduzir o estudo exploratório de bases de dados de saúde, com a utilização do Python. Neste eBook, procura-se apresentar uma abordagem pre...
Article
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Introduction: The COVID-19 pandemic prompted policies that limited direct human interactions globally. Due to this, healthcare systems worldwide have witnessed unprecedented challenges in providing adequate and continuous healthcare for patients with Non-Communicable Diseases (NCDs), among them hypertension and diabetes. The pandemic promoted the e...
Preprint
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BACKGROUND Telehealth has been established as a strategy to provide health care for patients with hypertension and diabetes from the COVID-19 pandemic onward. However, little is known about its usability from a healthcare professional's perspective. OBJECTIVE To assess evidence on health professionals’ perceptions of the usability of telehealth sy...
Article
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Background: The potential of chatbots for screening and monitoring COVID-19 was envisioned since the very outbreak of the disease. Chatbots can help disseminate up-to-date and trustworthy information, promote healthy social behavior and support the provision of healthcare services safely and at scale. In this scenario and in view of its far-reachi...
Preprint
BACKGROUND The potential of chatbots for screening and monitoring COVID-19 was envisioned since the outbreak of the disease. Chatbots can help disseminate up-to-date and trustworthy information, promote healthy social behavior, and support the provision of health care services safely and at scale. In this scenario and in view of its far-reaching po...
Article
Full-text available
Background: Early access to antenatal care and high-cost technologies for pregnancy dating challenge early neonatal risk assessment at birth in resource-constrained settings. To overcome the absence or inaccuracy of postnatal gestational age (GA), we developed a new medical device to assess GA based on the photobiological properties of newborns' s...
Article
Full-text available
Background: Educators and health assistants can act as key players in controlling the pandemic. In general, they are respected by the community, especially in rural areas, and can help guide and raise the population's awareness of preventive measures. The objective of this paper is to evaluate the results in knowledge progress of an e-learning cou...
Preprint
Full-text available
Background: The early access to prenatal care and high-cost technologies for pregnancy dating challenge the early neonatal risks assessment at birth in resource-constrained settings. To overcome the absence or low accuracy of postnatal gestational age, we developed a frugal innovation based on the photobiological properties of the newborn's skin an...
Chapter
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The chapter provides a vision of new methods of pregnancy dating at birth to overcome the high costs of existing approaches or lack of access to the existing technologies. The authors have presented a literature review on recent scientific reports exploring novel technologies, such as those based on the newborn's skin maturity assessment as machine...
Preprint
BACKGROUND Although a great number of teleconsultation services have been developed during COVID-19 pandemic, studies assessing usability and healthcare provider satisfaction are still incipient. OBJECTIVE To describe the development, implementation and expansion of a synchronous teleconsultation service targeting patients with symptoms of COVID-1...
Article
Full-text available
Background: Although a great number of teleconsultation services have been developed during COVID-19 pandemic, studies assessing usability and healthcare provider satisfaction are still incipient. Objective: To describe the development, implementation and expansion of a synchronous teleconsultation service targeting patients with symptoms of COV...
Article
Full-text available
A pandemia do novo coronavírus tem sobrecarregado os sistemas de saúde ao limite da capacidade de atendimento. Nosso objetivo foi avaliar a eficácia de um chatbot desenvolvido para triagem de pacientes, antes de teleconsulta, para identificar sintomas de COVID-19. Sintomas informados no diálogo foram comparados com os relatados aos médicos, em um s...
Article
Full-text available
Oral health care is critical for overall well-being, which is associated with better obstetric outcomes. The aim of the present integrative review was to assess scientific reports to support the planning of effective oral health interventions to prevent preterm birth (PTB) and low birth weight (LBW), as a secondary target. Seven bibliographic bases...
Preprint
Full-text available
A multicenter clinical trial evaluated the accuracy of a novel device to detect preterm newborns. A portable multiband reflectance photometric device assessed 781 newborns’ skin maturity and used machine learning models to predict reference gestational age, adjusting it to birth weight and antenatal corticosteroid therapy exposure. The day differen...
Article
Full-text available
The COVID-19 pandemic and the need for social distancing have created a demand for new and innovative solutions in healthcare systems worldwide. One of the strategies that have been implemented are chatbots, which can be helpful in providing reliable health information and preventing people from seeking assistance in healthcare centers and being un...
Article
Full-text available
Objective The structural maturation of the skin is considered a potential marker of pregnancy dating. This study investigated the correlation between the morphometrical skin characteristics with the pregnancy chronology to propose models for predicting gestational age. Methods A cross-sectional analysis selected 35 corpses of newborns. The biopsy...
Poster
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The complexity of comorbidities that compromise the metabolic, cardiovascular and pulmonary system has not been shown to be related to the severity of COVID-19 in pregnant women.
Conference Paper
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This study is part of the Preemie-Test validation, a disruptive technology to access the gestational age using the baby skin reflectance1. The LMIC outpatient birth is the primary target of this approach. A preliminary PWA (Progressive Web App) version over the Ionic Framework attended to achieve the target-audience requirements. Using the scrum ag...
Preprint
Full-text available
Background: Assessing predictors of critical outcomes in COVID-19 may advise timely treatments and better prepare facilities to overcome extra adversities during pregnancy. However, many clinical parameters of existent scores are deeply modified by physiologic adaptations. Our aim was to assess the feasibility of a prognosis score developed for gen...
Preprint
Full-text available
Background Assessing predictors of critical outcomes in COVID-19 may advise timely treatments and better prepare facilities to overcome extra adversities during pregnancy. However, many clinical parameters of existent scores are deeply modified by physiologic adaptations. Our aim was to assess the feasibility of a prognosis score developed for gene...
Article
Full-text available
Children and adolescents with Covid-19 have been shown lower mortality less intense symptoms when compared to adults, but studies in Brazil have been based on the compulsory notifying system only. Objective: To analyse clinical, laboratory, radiological characteristics and outcomes of hospitalized patients under 20 years with Covid-19. Methods: Cas...
Article
Full-text available
Introduction: The maintenance of the newborn temperature is one of the most relevant factors for his survival. Maintaining thermal control prevents several complications related to hypothermia and hyperthermia and reduces the chance of dying from different causes. Temperature monitoring systems are common in neonatal intensive care units. However,...
Preprint
Full-text available
Introduction: Children and adolescents with Covid-19 have been shown lower mortality less intense symptoms when compared to adults, but studies in Brazil have been based on the compulsory notifying system only. Objective: To analyse clinical, laboratory, radiological characteristics and outcomes of hospitalized patients under 20 years with Covid-19...
Book
Full-text available
A qualidade do registro de saúde envolve aspectos como a padronização de dados, integridade e confiabilidade da informação. As terminologias são recursos que otimizam a linguagem escrita e falada entre profissionais, normalizando termos para facilitar a comunicação sobre a saúde entre as pessoas. Neste sentido, a capacitação dos profissionais de sa...
Article
Full-text available
Background: Information systems allow for the availability of clinical records in computer databases. Obstetric caring demands a continuous process of information sharing between health professionals. However, the lack of communication between points of assistance has allowed for an accumulation of local data without the benefits of data interopera...
Article
Full-text available
Introduction: Preventing and fighting COVID-19 are of the utmost importance. In this context, the importance of using telemedicine tools has grown, including teleconsultations, epidemiological telemonitoring, remote diagnosis, support, and training of health professionals. Objective: This article aims to report the results of a distance-training co...
Conference Paper
Full-text available
The novel coronavirus pandemic has overloaded healthcare systems to the limit. Our aim was to assess the effectiveness of a chatbot to identify symptoms of COVID-19. The chatbot was developed to screen patients before teleconsultation. The symptoms informed in the dialogue were compared with those reported to the doctors in an emergency service. Am...
Conference Paper
A pandemia do novo coronavírus tem sobrecarregado os sistemas de saúde ao limite da capacidade de atendimento. Nosso objetivo foi avaliar a eficácia de um chatbot desenvolvido para triagem de pacientes, antes de teleconsulta, para identificar sintomas de COVID-19. Sintomas informados no diálogo foram comparados com os relatados aos médicos, em um s...
Conference Paper
Full-text available
Obstetric caring demands a continuous process of information sharing between health professionals. However, the lack of communication between points of assistance has allowed for an accumulation of local data without the benefits of data interoperability. The study’s objective is to develop an information model with essential obstetric data to fost...
Method
A predição do prognóstico da COVID-19 com uso de técnicas de aprendizado de máquina: uma revisão sistemática Introdução: A pandemia da COVID-19 desafia sistemas de saúde, exaurindo recursos humanos e financeiros. No Brasil, a otimização dos processos de atenção aos acometidos se tornou essencial, direcionando os casos de pior prognóstico para o cui...
Article
Full-text available
O Programa AVAS21 - Ambiente Virtual de Aprendizagem para o Século 21 - surgiu há sete anos, tendo como proposta organizar as produções tecnológicas educacionais existentes na Faculdade de Medicina da Universidade Federal de Minas Gerais, implementar novos projetos de inserção de tecnologias e possibilitar a divulgação e utilização do material dese...
Article
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Para compilar este volume com textos de qualidade, procurámos contribuições de autores experts em suas áreas. Os artigos foram revistos e avaliados por revisores científicos experientes que cederam o seu tempo para participarem na publicação desta edição, trabalho imprescindível que é de salientar. Como membros e apoiadores da AULP, a Universidade...
Article
Full-text available
Background No treatment for COVID-19 is yet available; therefore, providing access to information about SARS-CoV-2, the transmission route of the virus, and ways to prevent the spread of infection is a critical sanitary measure worldwide. Serious games have advantages in the dissemination of reliable information during the pandemic; they can provid...
Article
Full-text available
Introduction: Anesthesia is an important resource for pain relief during labor. It is not a risk-free procedure and its use involves decision-making based on clinical and obstetric conditions, a woman’s desire and availability of the procedure. This study aimed to analyze the association between this intervention and the occurrence of operative del...
Article
Full-text available
Background No treatment for COVID-19 is yet available; therefore, providing access to information about SARS-CoV-2, the transmission route of the virus, and ways to prevent the spread of infection is a critical sanitary measure worldwide. Serious games have advantages in the dissemination of reliable information during the pandemic; they can provid...
Preprint
BACKGROUND No treatment for COVID-19 is yet available; therefore, providing access to information about SARS-CoV-2, the transmission route of the virus, and ways to prevent the spread of infection is a critical sanitary measure worldwide. Serious games have advantages in the dissemination of reliable information during the pandemic; they can provid...
Patent
Full-text available
This technology presents processes for determining the gestational age based on histomorphometric measurements, especially the skin on the palm, the abdomen, and the sole, using histomorphometric measurements of epidermis thickness, the stratum corneum thickness, the thickness of the cell sub-layer of the epidermis, the thickness of the dermis, the...
Patent
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The present technology invented processes for predicting lung maturity at birth, a device, and its uses. It is based on the interaction between light and the newborn's skin. For use in childbirth settings, healthcare professionals need to make timely decisions to provide care and protection to the newborn individually, assessing the imminent and re...
Book
Full-text available
A capacitação dos profissionais de saúde é um elemento fundamental para o sucesso da ação transformadora da tecnologia em prol da equidade, integralidade, longitudinalidade e universalidade em saúde pública. O registro de dados com qualidade, em sistemas de informação alinhados às demandas do cidadão e de sua comunidade, permite uma melhor percepçã...
Article
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Yearly, there are an estimated 213 million pregnancies worldwide.1 The coronavirus disease 2019 (COVID-19) pandemic, an unprecedented event, has affected millions worldwide and made pregnancy an international public health concern.
Book
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O registro de dados sobre a saúde do cidadão é atividade essencial na assistência à saúde. Em paralelo às rotinas da prestação do cuidado, a coleta qualificada de dados tem o potencial de impactar diretamente o serviço prestado, tornando-o mais seguro e efetivo. A qualidade do registro envolve aspectos como a padronização de dados, a segurança, int...
Article
This study aimed to evaluate soluble endoglin (sEng) in urine as a preeclampsia predictor. Ninety-three pregnant women at risk for preeclampsia were followed. Spot urine sample ELISA analysis before 20 weeks of gestation was done to assess protein levels. Logistic regression analysis evaluated associations between preeclampsia with sEng/creatinine...
Conference Paper
Full-text available
This study introduces ANA, a chatbot assistant about COVID-19 in Brazilian Portuguese, developed by a multidisciplinary team of Linguists, Computer Scientists and Medical Researchers. ANA aims to assist Brazilian Portuguese-speaking patients seeking information about the disease as well as screen suspect cases, initially in the Brazilian cities of...
Article
Full-text available
Background: The correct dating of pregnancy is critical to support timely decisions and provide obstetric care during birth. The early obstetric ultrasound assessment before 14 weeks is considered the best reference to assist in determining gestational age (GA), with an accuracy of ±5 to 7 days. However, this information is limited in many settings...
Article
This study aimed to identify the maternal, labour and newborn risk factors associated with an Apgar score of ≤3 in the first minute of life. This was a cross-sectional evaluation from an internal database information system in a tertiary referral obstetric and neonatal centre. Newborns with gestational age ≥24 weeks and birth weight ≥500 g with a r...
Preprint
Full-text available
BACKGROUND: The correct dating of pregnancy is critical to support timely decisions and provide attempt obstetric care during birth. The early obstetric ultrasound assessment before 14 weeks is considered the best reference to assist in determining gestational age (GA), with an accuracy of ±5–7 days. However, this information is limited in many set...
Method
Full-text available
The authors detailed describe the standard procedures for immaturity-related respiratory disorders during the first 72h of life. These disorders are respiratory distress syndrome of newborn (SDR) and transient tachypnea of the newborn (TTN), secondary outcomes in the International Clinical Trials Registry Platform under the numbers RBR-3f5bm5 and R...
Method
Full-text available
This protocol presents an algorithm for gestational age assessment when a reliable last menstrual period or an obstetric ultrasound is available in the birth scenario. A software was developed to automatically process data entries into the best estimative of the gestational age at birth. It shall be used by the multicenter team of researchers, du...
Article
Full-text available
The proliferation of electronic health (e-Health) initiatives in Brazil over the last 2 decades has resulted in a considerable fragmentation within health information technology (IT), with a strong political interference. The problem regarding this issue became twofold: 1) there are considerable flaws regarding interoperability and security involvi...
Preprint
Full-text available
The authors detailed describe the standard procedures for immaturity-related respiratory disorders during the first 72h of life. These disorders are respiratory distress syndrome of newborn (SDR) and transient tachypnea of the newborn (TTN), secondary outcomes in the International Clinical Trials Registry Platform under the numbers RBR-3f5bm5 and R...
Conference Paper
Full-text available
Resumo Abstract A evidência sugere que a aprendizagem cooperativa contribui para o desenvolvimento de uma maior capacidade de trabalho em grupo podendo contribuir para melhores resultados cognitivos e um melhor desempenho nas atividades académicas. Neste artigo, descrevemos uma abordagem de ensino baseada em wiki que promove junto dos estudantes de...
Article
Full-text available
Background: Estimation of gestational age (GA) is important to make timely decisions and provide appropriate neonatal care. Clinical maturity scales to estimate GA have used skin texture and color to assess maturity at birth facing situations of the uncertainty of pregnancy dating. The size and darkness of the areola around the nipple to grade skin...
Article
Full-text available
Objective To evaluate the association between the upright and supine maternal positions for birth and the incidence of obstetric anal sphincter injuries (OASIs). Methods Retrospective cohort study analyzed the data of 1,728 pregnant women who vaginally delivered live single cephalic newborns with a birth weight of 2,500 g. Multiple regression analy...
Preprint
BACKGROUND A low birth weight is an independent risk factor for adverse infant outcomes and a predictor of chronic disease in adulthood. In these situations, differentiating between prematurity and small for gestational age (SGA) or simultaneous conditions are essential to ensuring adequate care. Such diagnoses, however, depend on reliable pregnanc...
Article
Full-text available
Background: A low birth weight is an independent risk factor for adverse infant outcomes and a predictor of chronic disease in adulthood. In these situations, differentiating between prematurity and small for gestational age (SGA) or simultaneous conditions is essential to ensuring adequate care. Such diagnoses, however, depend on reliable pregnan...
Method
Full-text available
The authors describe the skin reflection measurement, obtained using a handheld optoelectronic device, to estimate gestational age of a newborn. The prototype unit of measurement and process of gestational age estimation were patented under number BR1020170235688 (CTIT-PN862) PCT/IB2017/056786 (WO2018083602). The Preemie-Test device was developed...
Preprint
Full-text available
The authors describe the skin reflection measurement, obtained using a handheld optoelectronic device, to estimate gestational age of a newborn. The prototype unit of measurement and process of gestational age estimation were patented under number BR1020170235688 (CTIT-PN862) PCT/IB2017/056786 (WO2018083602). The Preemie-Test device was developed t...
Article
Full-text available
Background The development and maturation of the skin is a process that occurs during the gestation and neonatal period. Histological skin biopsy studies are relevant to improve knowledge on the skin protective barrier during the perinatal period. The thin skin of preterm newborns is unable to maintain homeostasis, thermal regulation through the sk...
Book
Full-text available
Trata-se de um guia desenvolvido pelos professores para dar apoio à disciplina Informação e Decisão em Saúde, no formato ensino-a-distância. Esta disciplina está organizada em 11 unidades de aprendizagem, que são: • Unidade 1 – Introdução à informação em saúde • Unidade 2 – O registro da informação em saúde • Unidade 3 – Sistemas de informação em s...
Conference Paper
Full-text available
Evidence suggests that cooperative learning fosters students' ability to work with others and may lead to better cognitive outcomes and higher achievement. In this article, we describe a wiki-based teaching approach which promotes, within Portuguese speaking countries, student collaborative production of learning materials related to Medical Inform...
Method
Full-text available
Background: Spontaneous preterm birth is a worldwide concern due to the impact on infant mortality. Good quality of antenatal care pregnancy has the potential to reduce the rate of prematurity and improve neonatal outcome. Periodontal disease suppose to affect preterm labor. The impact of interventions to promote the oral health of pregnant women i...
Article
Full-text available
Background: Birth plans are meant to be a declaration of the expectations and preferences of pregnant woman regarding childbirth. The My-Prenatal-Care application (app) engages pregnant women in an educational intervention for a healthy pregnancy. We hypothesized that users’ positive perception of an in-app birth plan is a relevant step for establ...
Article
Full-text available
Background: The correct dating of pregnancy is critical to support timely decisions and provide obstetric care during birth. The early obstetric ultrasound assessment before 14 weeks is considered the best reference to assist in determining gestational age (GA), with an accuracy of ±5 to 7 days. However, this information is limited in many setting...
Article
Full-text available
Introduction Recognising prematurity is critical in order to attend to immediate needs in childbirth settings, guiding the extent of medical care provided for newborns. A new medical device has been developed to carry out the preemie-test, an innovative approach to estimate gestational age (GA), based on the photobiological properties of the newbor...
Research Proposal
Full-text available
Electronic Record for Continuity of Patient Care: A use case for Doctor's handovers in hospitals. Background: Handovers sessions are relevant medical activities in hospitals. Effective communication during the transfer of care is critical to foster the continuity of medical assistance and patient safety. In this opportunity, Electronic Health Reco...

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