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- ItemSomente MetadadadosInitial care and outcome of glioblastoma multiforme patients in 2 diverse health care scenarios in Brazil: does public versus private health care matter?(Oxford Univ Press Inc, 2014-07-01) Maia Loureiro, Luiz Victor; Pontes, Luciola de Barros; Callegaro-Filho, Donato; Koch, Ludmila de Oliveira; Weltman, Eduardo; Victor, Elivane da Silva; Santos, Adrialdo Jose [UNIFESP]; Rodrigues Borges, Lia Raquel [UNIFESP]; Segreto, Roberto Araujo [UNIFESP]; Fleury Malheiros, Suzana Maria [UNIFESP]; Hosp Israelita Albert Einstein; Universidade Federal de São Paulo (UNIFESP)The aim of this study was to describe the epidemiological and survival features of patients with glioblastoma multiforme treated in 2 health care scenarios-public and private-in Brazil.We retrospectively analyzed clinical, treatment, and outcome characteristics of glioblastoma multiforme patients from 2003 to 2011 at 2 institutions.The median age of the 171 patients (117 public and 54 private) was 59.3 years (range, 18-84). the median survival for patients treated in private institutions was 17.4 months (95% confidence interval, 11.1-23.7) compared with 7.1 months (95% confidence interval, 3.8-10.4) for patients treated in public institutions (P < .001). the time from the first symptom to surgery was longer in the public setting (median of 64 days for the public hospital and 31 days for the private institution; P = .003). the patients at the private hospital received radiotherapy concurrent with chemotherapy in 59.3% of cases; at the public hospital, only 21.4% (P < .001). Despite these differences, the institution of treatment was not found to be an independent predictor of outcome (hazard ratio, 1.675; 95% confidence interval, 0.951-2.949; P = .074). the Karnofsky performance status and any additional treatment after surgery were predictors of survival. A hazard ratio of 0.010 (95% confidence interval, 0.003-0.033; P < .001) was observed for gross total tumor resection followed by radiotherapy concurrent with chemotherapy.Despite obvious disparities between the hospitals, the medical assistance scenario was not an independent predictor of survival. However, survival was directly influenced by additional treatment after surgery. Therefore, increasing access to resources in developing countries like Brazil is critical.
- ItemRestritoRegulamentação de seguros para animais domésticos(Universidade Federal de São Paulo, 2021-08-10) de Castro, Guilherme [UNIFESP]; Muçouçah, Renato de Almeida Oliveira [UNIFESP]; http://lattes.cnpq.br/1340937637945645Assim como na vida de um humano, existem diversos fatores inerentes à vida de um animal que podem trazer futuras complicações. Dentro deste risco, é criado um produto voltado para garantir a saúde e o bem-estar de animais domésticos. Este trabalho visa estudar os fatores inerentes à subscrição desta linha de negócio que vem sendo comercializada nacionalmente de forma relativamente recente, tendo determinados pormenores ainda a serem discutidos, analisados e explorados, bem como avaliar a aceitação populacional ao seguro.