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Felipe Viégas

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Research paper thumbnail of The corona-virus disease 2019 pandemic compromised routine care for hypertension: a survey conducted among excellence centers of the European Society of Hypertension

Journal of Hypertension, 2021

Background: The Covid-19 pandemic caused a shutdown of healthcare systems in many countries. We e... more Background: The Covid-19 pandemic caused a shutdown of healthcare systems in many countries. We explored the impact on hypertension care in the Excellence Center (EC) network of the European Society of Hypertension. Methods: We conducted a 17-question electronic survey among ECs. Results: Overall, 52 ECs from 20 European and three non-European countries participated, providing hypertension service for a median of 1500 hypertensive patients per center per year. Eighty-five percent of the ECs reported a shutdown lasting for 9 weeks (range 0–16). The number of patients treated per week decreased by 90%: from a median of 50 (range 10–400) before the pandemic to a median of 5.0 (range 0–150) during the pandemic (P < 0.0001). 60% of patients (range 0–100%) declared limited access to medical consultations. The majority of ECs (57%) could not provide 24-h ambulatory BP monitoring, whereas a median of 63% (range 0–100%) of the patients were regularly performing home BP monitoring. In the majority (75%) of the ECs, hypertension service returned to normal after the first wave of the pandemic. In 66% of the ECs, the physicians received many questions regarding the use of renin–angiotensin system (RAS) blockers. Stopping RAS-blocker therapy (in a few patients) either by patients or physicians was reported in 27 and 36.5% of the ECs. Conclusion: Patient care in hypertension ECs was compromised during the Covid-19-related shutdown. These data highlight the necessity to develop new strategies for hypertension care including virtual clinics to maintain services during challenging times.

Research paper thumbnail of A Ressignificacao Do Ativismo Judicial Pela Evolucao Jurisprudencial Do Supremo Tribunal Federal

Revista Acadêmica da Faculdade de Direito do Recife, Apr 27, 2021

De há muito cresce a tensão entre os Poderes da República, fruto da problemática separação funcio... more De há muito cresce a tensão entre os Poderes da República, fruto da problemática separação funcional das instituições democráticas. Os interesses políticos dos destinatários das decisões judiciais, em muitos dos casos, são diametralmente opostos, o que torna dificultosa a delimitação da atuação funcional de cada Poder. Nesse contexto, o presente estudo objetiva trazer uma nova visão ao instituto do ativismo judicial. Embora, tradicionalmente, o termo "ativismo judicial" remeta a conotação negativa sobre um possível excesso da atuação do Judiciário, verse -á que nem toda decisão judicial que interfira, em certa medida, em funções típicas de outros Poderes, é uma decisão negativamente ativista. Essa visão contemporânea do ativismo judicial, inclusive, vem sendo progressivamente solidificada na jurisprudência do Supremo Tribunal Federal.

Research paper thumbnail of The corona-virus disease 2019 pandemic compromised routine care for hypertension: a survey conducted among excellence centers of the European Society of Hypertension

Journal of Hypertension, 2021

Background: The Covid-19 pandemic caused a shutdown of healthcare systems in many countries. We e... more Background: The Covid-19 pandemic caused a shutdown of healthcare systems in many countries. We explored the impact on hypertension care in the Excellence Center (EC) network of the European Society of Hypertension. Methods: We conducted a 17-question electronic survey among ECs. Results: Overall, 52 ECs from 20 European and three non-European countries participated, providing hypertension service for a median of 1500 hypertensive patients per center per year. Eighty-five percent of the ECs reported a shutdown lasting for 9 weeks (range 0–16). The number of patients treated per week decreased by 90%: from a median of 50 (range 10–400) before the pandemic to a median of 5.0 (range 0–150) during the pandemic (P < 0.0001). 60% of patients (range 0–100%) declared limited access to medical consultations. The majority of ECs (57%) could not provide 24-h ambulatory BP monitoring, whereas a median of 63% (range 0–100%) of the patients were regularly performing home BP monitoring. In the majority (75%) of the ECs, hypertension service returned to normal after the first wave of the pandemic. In 66% of the ECs, the physicians received many questions regarding the use of renin–angiotensin system (RAS) blockers. Stopping RAS-blocker therapy (in a few patients) either by patients or physicians was reported in 27 and 36.5% of the ECs. Conclusion: Patient care in hypertension ECs was compromised during the Covid-19-related shutdown. These data highlight the necessity to develop new strategies for hypertension care including virtual clinics to maintain services during challenging times.

Research paper thumbnail of A Ressignificacao Do Ativismo Judicial Pela Evolucao Jurisprudencial Do Supremo Tribunal Federal

Revista Acadêmica da Faculdade de Direito do Recife, Apr 27, 2021

De há muito cresce a tensão entre os Poderes da República, fruto da problemática separação funcio... more De há muito cresce a tensão entre os Poderes da República, fruto da problemática separação funcional das instituições democráticas. Os interesses políticos dos destinatários das decisões judiciais, em muitos dos casos, são diametralmente opostos, o que torna dificultosa a delimitação da atuação funcional de cada Poder. Nesse contexto, o presente estudo objetiva trazer uma nova visão ao instituto do ativismo judicial. Embora, tradicionalmente, o termo "ativismo judicial" remeta a conotação negativa sobre um possível excesso da atuação do Judiciário, verse -á que nem toda decisão judicial que interfira, em certa medida, em funções típicas de outros Poderes, é uma decisão negativamente ativista. Essa visão contemporânea do ativismo judicial, inclusive, vem sendo progressivamente solidificada na jurisprudência do Supremo Tribunal Federal.

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