Arquivos - Página 4
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Revista HCPA
v. 26 n. 1 (2006) -
Anais da 25ª Semana Científica do HCPA
v. 25 n. Suplemento (2005) -
Revista HCPA
v. 25 n. 3 (2005) -
Revista HCPA
v. 25 n. 1-2 (2005) -
Anais da 24ª Semana Científica do HCPA
v. 24 n. Suplemento (2004) -
Revista HCPA
v. 24 n. 2-3 (2004) -
Revista HCPA
v. 24 n. 1 (2004) -
Anais da 23ª Semana Científica do HCPA
v. 23 n. Suplemento (2003) -
Revista HCPA
v. 23 n. 3 (2003) -
Revista HCPA
v. 23 n. 1 - 2 (2003)MUDANDO CONTINUAMENTE E AGREGANDO PARA CRESCER
Em tempos de mudança enfrentamos uma pletora de artigos enviados e a possibilidade cada vez maior de termos a divulgação de nossa produção.
Acrescentamos novas sessões onde estão contemplados resumos de teses bem como resumos de artigos publicados em revistas internacionais de autores locais. Reconhecendo a necessidade de publicação em revistas internacionais por parte de nossos pesquisadores promovemos veiculação destes artigos para nosso conhecimento.
A resposta do Serviço de Endocrinologia demonstra a imensa possibilidade que nossos Serviços tem de poder divulgar suas pesquisas e ao mesmo tempo promover educação continuada.
Estes dois números fazem parte da iniciativa anterior de ter assuntos de fundo para revista. Sem dúvida estamos fazendo com um dos grupos mais produtivos e representativos da nossa pesquisa sendo um exemplo para todos que querem crescer cientificamente.
Continuamos com a publicação de artigos gerais, além dos resumos de teses e dos artigos publicados no exterior, fazendo com que cada professor sinta-se responsável pela qualidade de nossa revista.
Portanto, temos o dever de encaminhar os trabalhos para que possamos desfrutar deste conhecimento gerado e estarmos orgulhosos de nossa publicação internacional e das teses orientadas.
Eduardo Pandolfi PassosE d i t o r i a l
Este número da revista do Hospital de Clínicas de Porto Alegre é de responsabilidade do Serviço de
Endocrinologia. Procurou-se apresentar artigos que refletissem as atividades desenvolvidas ao longo dos
últimos 25 anos. Desde o início, os professores do Serviço têm implementado protocolos de assistência
voltados para os problemas considerados os mais importantes pela sua elevada prevalência e relevância
clínica. Assim, foram criadas rotinas para o atendimento da cetoacidose diabética e iniciou-se também
uma avaliação sistemática das complicações crônicas do diabete. Isto motivou a criação de linhas de
pesquisa específicas que foram desenvolvidas persistentemente ao longo destes anos e culminaram na
publicação de vários trabalhos originais em revistas internacionais. Neste número, um trabalho desenvolvido por alunos de iniciação científica descreve a prevalência atual dessas complicações, e observa-se uma
redução significativa em relação aos estudos iniciais, traduzindo as melhores condições de diagnóstico e
tratamento. É apresentada também uma análise da relação entre a estrutura glomerular e a função renal
em pacientes diabéticos, na tentativa de identificar os marcadores precoces do comprometimento renal no
diabete.
Os novos conceitos de diagnóstico do diabete melito e das alterações da homeostase glicêmica, assim
como as novas modalidades de tratamento da hiperglicemia e das co-morbidades freqüentemente associadas nos pacientes com diabete melito tipo 2 – hipertensão arterial, obesidade e dislipidemia – são também
apresentados em artigos de revisão.
As doenças da tireóide representam as endocrinopatias mais freqüentes e portanto, também foram
contempladas. O nosso grupo vem se dedicando a responder perguntas encontradas freqüentemente na
prática clínica e ainda não respondidas satisfatoriamente. O hipertireoidismo por doença de Graves é uma
das doenças de tireóide mais importantes, tanto pela sua freqüência elevada, como pela morbi-mortalidade associada. O tratamento usualmente praticado baseia-se na administração de medicamentos antitireoideanos por um tempo prolongado de 1 a 2 anos. Idealizou-se um tratamento simplificado que consiste
na administração de uma dose única de iodo radioativo. Esta proposta é apresentada neste número, tendo
sido analisada em um estudo clínico randomizado controlado que resultou em publicações em revistas
conceituadas e obteve grande aceitação na literatura internacional. A introdução de técnicas de Biologia
Molecular em nosso laboratório a partir de 1996 permitiu que fossem estudados aspectos relacionados à
possível transformação maligna dos bócios assim como a detecção precoce do carcinoma medular de
tireóide hereditário.
A partir de 1988, o Serviço de Endocrinologia do Hospital de Clínicas de Porto Alegre passou a ser o
centro de referência para a distribuição de hormônio do crescimento às crianças portadoras de deficiência
deste hormônio. Estão incluídos artigos que analisam os procedimentos diagnósticos envolvidos na avaliação da baixa estatura, como também a experiência do tratamento e acompanhamento da coorte de
crianças com deficiência de hormônio de crescimento tratados em nosso Hospital.
O emprego amplo dos métodos de imagens favoreceu a detecção de alterações morfológicas em
glândulas endócrinas, denominadas genericamente de incidentalomas. Estes incidentalomas têm sido
relatados freqüentemente na glândula adrenal e a sua avaliação precisa, importante para definir a relevância clínica deste achado, é descrita neste número.
Por fim, são apresentados alguns resultados da Unidade de Ginecologia Endócrina, criada em 1989,
e que vem se dedicando ao estudo dos problemas endocrinológicos relacionados à mulher, especialmente
os aspectos patogênicos, a avaliação e o tratamento dos estados hiperandrogênicos e do climatério. Alternativas práticas para o tratamento do climatério e alterações metabólicas encontradas nesta etapa são
comentadas em dois artigos.
Os trabalhos apresentados neste número da Revista do HCPA representam muitos anos de dedicação dos professores do Serviço de Endocrinologia aos princípios acadêmicos da assistência e pesquisa em
harmonia com as atividades de ensino de graduação, especialização e pós-graduação. Os alunos de graduação têm sido estimulados a se engajarem ativamente nestes processos. Muitos destes alunos ingressaram
em programas de residência e posteriormente seguiram formação acadêmica formal e hoje fazem parte do
corpo docente de faculdades de medicina no País e no exterior.
As atividades de pesquisa aqui representadas dependeram fundamentalmente do empenho e da
criatividade dos alunos de pós-graduação que transformaram projetos em resultados originais e inovadores.
O Programa de Pós-graduação em Ciências Médicas: Endocrinologia, Nutrição e Metabolismo iniciou as
suas atividades em 1996 e até o momento já titulou 22 mestres e 14 doutores de forma crescente e
progressiva, conforme apresentado na Figura 1. Todos os egressos do doutorado estão exercendo funções
em instituições acadêmicas.Todas as dissertações e teses originaram publicações em revistas internacionais relevantes de elevado índice de impacto. Como pode se perceber nas Figuras 2 e 3, o número e a qualidade das publicações vêm
aumentando progressivamente e apresenta uma boa correlação com o número de dissertações e teses apresentadas (R=0,833, P=0,04; R=0,911, P=0,011, respectivamente).Ao longo destes anos de atividades o Serviço de Endocrinologia tem recebido apoio contínuo da Administração do Hospital de Clínicas de Porto Alegre que junto com recursos obtidos de agências de fomento à pesquisa – especialmente Fundação Coordenação de Aperfeiçoamento e Ensino - propiciaram as condições de infra-estrutura e área física ideais para a realização das atividades de ensino e pesquisa existentes.
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Anais da 22ª Semana Científica do HCPA
v. 22 n. Suplemento (2002) -
Revista HCPA
v. 22 n. 3 (2002)A PUBLICATION FOR RESEARCH AND EDUCATION
Revista HCPA is the journal of the Medical School at Universidade Federal do Rio Grande do Sul. For this reason, perhaps it deserves special treatment by the professors of this School in our University.
The difficulties and the possibility of consolidating a continuing publication, and most importantly, apublication that has contributions of attested quality, are being currently discussed in the scientific literature worldwide. We have an exceptionally experienced body of teachers, physicians and other professionals working at Hospital de Clínicas de Porto Alegre. Thus, our research activities and topics of continuing medical education have guaranteed space in this journal. On the other hand, we are aware of the need to have papers published in journals of greater impact, which ensure better scores for graduate programs. However, the local public should learn about our research activities and our internationally published papers. Thus, we are introducing an innovation to Revista HCPA with the inclusion of the following sections: Abstracts of thesis and dissertations presented at Graduate Programs at UFRGS and Abstracts of papers published internationally by local authors.
It is only by bringing together and allowing as many authors as possible to present their research that we will spread knowledge and improve education.
Revista HCPA, the journal of the Medical School at Universidade Federal do Rio Grande do Sul, has been published for more than 20 years uninterruptedly. If the possibilities provided by the improvement of our journal are understood, we will certainly receive contributions of increasingly more authors. Thus, we invite all those who are interested in collaborating with our Revista HCPA to help in the consolidation of this journal.
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Revista HCPA
v. 22 n. 2 (2002) -
Revista HCPA
v. 22 n. 1 (2002)Revista HCPA: This is our journal
In the years that I have served as Editor at Revista HCPA I have witnessed the great effort made by a considerable group of people to ensure the viability of our journal. Maintaining a journal like Revista HCPA is not an easy task, and this is not only because of financial reasons; there is also much ambiguity on the part of our investigators in terms of submitting their papers to Revista HCPA. Although this is understandable, taking into account the current policies of funding agencies, which have adopted a series of requirements concerning the journals in which research results should be published, on the other hand this situation leads to a paradoxical vicious circle: because it receives few submissions, the quality of Revista HCPA tends to decrease; and because of the decreasing quality, Revista HCPA receives fewer and fewer submissions. It is not uncommon to hear colleagues say that “this article is too good to be published in Revista HCPA.”
I believe it is time for us to face this reality and define the true vocation of our Journal. Should we try to emulate international journals? Should we focus on a more regional public? Should we favor a teaching profile, with the publication of more articles geared towards practitioners?
Regardless of the answer, I believe that the debate concerning our Journal has to take into account an important point: Revista HCPA is our Journal. It is in our hands to make it become a powerful vehicle – for that, all we have to do is to seriously engage in submitting some of our research results, take part in Editorial Board meetings, meet the deadlines for reviewing articles, etc. If we fulfill simple goals, and if we dedicate some of our best papers to Revista HCPA, we could, in a relatively short period of time, increase its quality to a level acceptable also to funding agencies, in addition to making it become a significant forum of scientific debate.
Thus, until the end of 2002, I invite all colleagues to engage in this debate and to reflect on the possibility of having a Journal that truly represents the scientific production of Hospital de Clínicas de Porto Alegre, a journal that circulates true knowledge and continued education and meets the demands of funding agencies. This is the time for us to look at the future of Revista HCPA and develop the strategic plan that will ensure to Revista HCPA the longevity it deserves.
Eduardo P. Passos
Editor -
Revista HCPA
v. 21 n. 3 (2001) -
Revista HCPA
v. 21 n. 2 (2001) -
Revista HCPA
v. 21 n. 1 (2001) -
Revista HCPA
v. 20 n. 3 (2000)Research, assistance, and education
In this issue of the Revista HCPA we address the subject of nephrology
with the support of Dr. Roberto Manfro, who partakes in this journal as an
Associate Editor. The studies published here are a small example of the
comprehensive work that is being carried out by professionals of the Nephrology
Services at the Hospital de Clínicas de Porto Alegre. Created in 1975, the
Nephrology Services has maintained an up-to-date and efficient service by
combining research - with inpatient and outpatient settings - and programs
aimed at assistance and education.
As a contribution to the maintenance of the quality of the Services, a
Graduate course program in Nephrology was created also in the 1970s. The
program operates, until today, as part of the Graduate studies in Nephrology
of the Universidade Federal do Rio Grande do Sul. Recently, the Graduate
course has also started a doctorate program and it also accepts students
192 Revista HCPA 2000;20 (3)
from schools other than the Medical, such as those from the areas of biological
sciences.
We would like to thank all contributions sent to the Revista HCPA
and also to call on all authors to participate in the disseminating and promoting
of research at the Hospital de Clínicas through this journal. The Revista HCPA
is now also a publishing instrument at the services of the Fundação Médica
do Rio Grande do Sul (State of Rio Grande do Sul Medical Foundation) and
will be able to count on the support of the Foundation to extend its reach.
Eduardo Passos
Editor -
Revista HCPA
v. 20 n. 2 (2000)Representing our qualified service
Number 2 of the 20th volume of Revista HCPA delivers a sample of the
activities carried out at the Gynecology and Obstetrics Service of our Hospital.
Doctor Fernando Freitas, chief of Gynecology and Obstetrics and associate
editor of this issue, has put together and organized a number of significant
studies reflecting the qualified staff of doctors and researchers of the Service.
These studies include original contributions, special contributions, and a case
report that are altogether fitting to the betterment of discussions regarding the
wide spectrum of matters related to Gynecology. As an example of the quality
of the Obstetrics and Gynecology Service at Hospital de Clínicas, the maternity
at that service is a reference center for high risk care. Patients at the maternity
will receive care from multiprofessional teams specialized on high risk
situations involving the mother, the fetus, and the newborn.
The present issue of Revista HCPA brings original and special articles
Espelhando qualidade
100 Revista HCPA 2000;20 (2)
as well as a case report that will certainly contribute to enhance the discussion
concerning the wide range of topics encompassed by the field of obstetrics
and gynecology.
The debate should not end right here, within the pages of our Revista
HCPA. In reaffirming its task as a medium for the publication of research
studies, Revista HCPA operates as a means to encourage scientific studies
carried out within the Hospital de Clínicas de Porto Alegre and outside hospital
walls. Publishing the scientific production of our researchers allows us to
present the qualified work that is carried out in this institution, and reflects our
day-to-day search for the betterment and improvement of the services offered
to our patients.
Eduardo Passos
Editor -
Revista HCPA
v. 20 n. 1 (2000)Revista HCPA: 20 years
Revista HCPA reaches the new millenium with a young soul: at year
2000, we celebrate its 20th anniversary. During this time, it has fulfilled its role
as a vehicle for the dissemination of biomedical research and health education.
More than that, it has fulfilled its mission of giving visibility to the research
carried out at Hospital de Clínicas de Porto Alegre, and as a result to the high
quality of this Institution. This responsibility is renewed with every new issue of
Revista HCPA. Our journal becomes, over and over again, a forum for scientific
debate, gathering all of those who believe that research is intimately associated
with quality of life.
The publication of Revista HCPA abstracts in the Internet has prompted
several requests for articles and subscriptions from Brazilian and foreign
4 Revista HCPA 2000;20 (1)
universities. Starting in 2000, the Medical Foundation at HCPA will take over
the administration and distribution of Revista HCPA; this will certainly mean
more subscriptions and sponsorship opportunities. Also, it will mean more
exposure, and therefore authors should feel more encouraged than ever to
publish their work in Revista HCPA. As we enter the last year in this millenium,
we reaffirm our responsibilities: to make things happen and to make them
visible; and to confirm the importance of Revista HCPA as a major link between
peers and between our Hospital and the communities it serves.
Finally, as we celebrate the 20th anniversary of Revista HCPA, we would
also like to acknowledge the work of all previous editors – Professor Nilo Galvão,
Professor Sérgio Menna Barreto, and Professor Luiz Lavinsky – the joint effort
of all who have dedicated their time to this project has made it a lasting success.
Congratulations!
Eduardo Passos
Editor -
Revista HCPA
v. 19 n. 3 (1999)Good news for a new year
As we move along with our aim of recovering and stimulating the scientific
production of the outstanding Services at Hospital de Clínicas de Porto Alegre,
we present the last 1999 issue of Revista HCPA. This is a collection of works
by a highly qualified group of colleagues from the Intensive Care Center,
coordinated by Professor Silvia Regina Rios Vieira, who has recently returned
from a period of studies in France.
Professor Rio Vieira has long contributed to the organization of Revista
HCPA. Therefore, it is an honor to have her as Associate Editor in the present
issue, which closes one year and already looks into the next. And the next
year is full of great expectations.
In 2000, we celebrate the 20th anniversary of Revista HCPA. Along these
years, our journal has matured as a medium of expression for the work
developed at our Institution. Revista HCPA continues on the Internet, and
starting with the next issue, it will received administrative support from the
Medical Foundation. This will result in more flexibility for obtaining other types
280 Revista HCPA 1999;19 (3)
of sponsorships and for selling subscriptions, opening up the scope of the
journal.
With such an excellent perspective, we end this volume with yet another
invitation to all colleagues to submit their work to Revista HCPA. We are open
to all individual researchers, and to those who would like to propose issues
that are focused on the work of specific groups.
Eduardo Passos
Editor -
Revista HCPA
v. 19 n. 2 (1999) -
Revista HCPA
v. 19 n. 1 (1999)New section to Discussion
The concept of a University Hospital implies the ideas of assistance,
teaching and research. However, it is clear that the concept behind Hospital
de Clínicas de Porto Alegre is much wider. At our Hospital, we are also
concerned with community programs, with sharing pertinent information, and
with developing projects that are important for the communities that we serve.
Despite the tight resources, we work hard to complete the projects we start.
In our experience with Revista HCPA, we have noticed that HCPA staff
are ready to respond promptly to the challenges they are presented with.
This is reflected in the enthusiasm with which our colleagues have accepted
the task of Associate Editor, helping to organize each issue of our journal
around a specific topic. The participation of these Associate Editors has meant
more consistency and higher scientific content, with more original,
experimental, work. Also, it has given more visibility to the research developed
in our Institution, and has ensured space for relevant clinical reviews.
Therefore, Revista HCPA has recently been receiving a larger number of
inquiries and requests for regular subscriptions.Eduardo Passos
Editor -
18ª Semana Científica do HCPA
v. 18 n. Suplemento (1998) -
Revista HCPA
v. 18 n. 3 (1998)A great satisfaction
Our journal has risen a greater deal of interest than what we have foreseen in the short time since its reformulation. The idea of an associate editor, chosen among Scientific Council Members, was very important for increasing the scientific and educational level of the journal. This is a way of publicizing our production as qualified research groups, and to acknowledge our contribution to continued medical education. We reach colleagues who are interested in state-of-the-art subjects and also those who look for review and in-depth information regarding a specific subject.
There have been many favorable reactions to the participation of an associate editor of thematic issues. Initially, the associate editors are invited among Scientific Council members, so that all members are involved in the process of change. We have tried to select subjects or specialties which have a broad impact; also, we have looked for editors who have had publications of impact within the last years, in national and international
journals. In 1998, our associate editors were Professor Sérgio Menna Barreto (pneumology), Professor Rogério Friedman (endocrinology), and presently, Professor Themis R. da Silveira (hepatology). The next issue will offer articles in psychiatry, coordinated by Professor Paulo Abreu.Finally, it is with great satisfaction that we have received the support and the explicit approval of professors who are interested in contributing
with our journal and in participating as associate editors. Therefore, it seems that we are indeed raising the interest of those who are enthusiastic about the development of ideas and knowledge. We thank all those who have manifested their support, and we renew our invitation, so that they keep contributing their work to Revista HCPA.Eduardo Passos
Editor -
Revista HCPA
v. 18 n. 2 (1998)A TIME FOR REFLECTION
The year of 1998 is especially meaningful for Revista HCPA, because it is the year in which we celebrate the 100th anniversary of our School of Medicine. In the following pages, our readers will find enough reason to
reflect about the significance of such a date. In his editorial, Professor Pedro Gus briefly outlines the history of the School of Medicine, and at the same 134 Revista HCPA 1998;18 (2) time emphasizes the persistence and will of students and professors, which enabled the school to overcome hard times. In addition, the editorial written by Professor Sérgio Pinto Machado, Chief Executive Officer of Hospital de Clínicas de Porto Alegre, stresses the importance of the relationship between the School of Medicine and the Hospital. Taken together, the ideas foregrounded in these editorials are extremely relevant for Revista HCPA. In a number of ways, Revista materializes the relationship between these two worthy Institutions. This is a publication founded upon the same will, and impelled by the same effort, described by Dr. Gus.The contents of this issue of Revista HCPA, in which Dr. Rogério Friedman is an invited Editor, reflect the high-quality academic work carried out at HCPA. Dr. Friedman highlights innovative aspects of the research being developed right here in the field of Endocrinology, which, as can be seen from the set of papers he selected, has an impressive repercussion world-wide. We hope that these works may serve as incentive for our collaborators, so that, in the coming year, Revista HCPA may grow with the submission of many original articles which will mirror the excellence of the scientific work developed both at the School of Medicine and at HCPA.
Eduardo Passos
Editor -
Revista HCPA
v. 18 n. 1 (1998)