Publications by authors named "Miguel Paiva"
The escalating trend of inappropriate visits to Emergency Departments (ED) has led to significant concerns, including resource misallocation, compromised patient care, and an increased burden on healthcare workers. Portugal faces a notable challenge, reporting one of the highest ED visit rates, with an annual average of approximately 6 million ED visits from 2013 to 2023. In response, the "Call First, Save Lives" pilot project was launched by the Portuguese NHS Executive Board, in 2023, at the Local Health Unit (LHU) of Póvoa de Varzim/Vila do Conde.
View Article and Find Full Text PDFDeep brain stimulation of the subthalamic nucleus under general anesthesia versus local anesthesia in the treatment of Parkinson's disease: a meta-analysis of randomized clinical trials.
Izabely de Dos Reis Paula Vitor Expedito Alves Ribeiro Ocílio Ribeiro Gonçalves Victor Gonçalves Soares Maria Antonia Oliveira Machado Pereira Miguel Henrique Pereira de Paiva Wellingson Silva Paiva
Neurosurg Rev
July 2024
Article Synopsis
- Deep brain stimulation (DBS) is a common treatment for Parkinson's disease (PD) when symptoms are hard to control with medication, with this review comparing outcomes of surgery using general anesthesia (GA) versus local anesthesia plus sedation (LA + S).
- The review included 3 randomized studies with 203 patients, analyzing various health measures like motor improvement and risk of complications post-surgery.
- Findings showed no significant differences in clinical outcomes, infection rates, or mood changes between the two anesthesia methods after a 6-month follow-up.
Article Synopsis
- The study aimed to assess the prevalence of metabolic syndrome (MS) and its components in Brazilian adolescents by analyzing data from various research databases for studies published between 2010 and 2021.
- A total of 15 studies involving over 43,000 adolescents found that the prevalence of MS was 2.9% in males and 2.4% in females, with significant regional variations across Brazil.
- The most common components of MS identified were low high-density lipoprotein (22.1%), abdominal obesity (11.0%), and arterial hypertension (10.3%), underscoring the need for improved public health strategies.