1,158 results match your criteria: "Centro Hospitalar de Lisboa Ocidental.[Affiliation]"

Article Synopsis
  • The percutaneous treatment of structural heart disease (SHD) is advancing quickly, with the EAPCI's Core Curriculum (CC) defining the necessary competencies for newly trained interventional cardiologists (IC).
  • SHD interventional cardiologists manage adult patients throughout the entire treatment process, requiring skills in advanced imaging and planning software, as well as proficiency in procedures related to the aortic, mitral, and tricuspid heart valves.
  • Completing specialized SHD training typically takes at least 18 months, though it can be shortened to 1 year for focused training on specific areas, with the goal of promoting standardized, high-quality training across Europe for better patient care and future certifications.
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: Temporomandibular disorders (TMD) encompass a range of musculoskeletal and neuromuscular conditions affecting the temporomandibular joint (TMJ) and associated structures. This cross-sectional study, conducted in a Portuguese TMD department, aimed to assess the relationship between malocclusion and TMD severity. : Data on demographic variables, TMD clinical symptoms, and malocclusion classes were collected using the EUROTMJ database.

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Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that is characterised by a wide range of symptoms and a risk for irreversible organ damage, leading to increased morbidity and mortality. To improve long-term outcomes, innovative therapeutic goals have been explored, including attainment and maintenance of remission or low disease activity, with minimal use of glucocorticoids. Other goals encompass early diagnosis, potent yet less toxic therapies, appropriate glucocorticoid tapering, and better quality of life for the patients.

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Background: Dexamethasone is associated with increased blood glucose levels that could impact patient outcomes or management. This study aimed to synthesize the available evidence regarding the impact of an intraoperative single dose of dexamethasone on blood glucose levels.

Methods: We searched CENTRAL, MEDLINE, and clinicaltrials.

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Background: There is a growing recognition that staff attitudes toward coercion in mental health care may influence its application. This study presents the psychometric properties of the Portuguese version of the Staff Attitudes towards Coercion Scale (SACS) and describes mental health professionals' attitudes towards coercion in Portugal.

Methods: Mental health professionals working in five Portuguese mental health services in urban and rural regions of Portugal were invited to complete a questionnaire comprising the SACS and a socio-demographic form.

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Age and Vasodilator Response to Different Hyperemic Agents: Adenosine versus Contrast Medium.

Rev Cardiovasc Med

July 2024

Diagnostic, Interventional and Acute Cardiac Care Unit, Ospedale Isola Tiberina - Gemelli Isola, 00186 Rome, Italy.

Background: Age-related remodelling has the potential to affect the microvascular response to hyperemic stimuli. However, its precise effects on the vasodilatory response to adenosine and contrast medium, as well as its influence on fractional flow reserve (FFR) and contrast fractional flow reserve (cFFR), have not been previously investigated. We investigate the impact of age on these indices.

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Introduction: Obinutuzumab is a type II anti-CD20 monoclonal antibody associated with a higher rate of toxicity when compared to rituximab. Gastrointestinal side-effects have been reported but data is still sparse.

Case Presentation: A 47-year-old female with medical history of stage IV follicular non-Hodgkin lymphoma under chemotherapy presented with chronic bloody diarrhea and iron deficiency anemia.

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Recommendations for the implementation of a national lung cancer screening program in Portugal-A consensus statement.

Pulmonology

November 2024

Pneumologia, ULS São João, CHUSJ, Porto, Portugal; FMUP, Porto, Portugal; i3S, UP, Porto, Portugal; Presidente da Sociedade Portuguesa de Pneumologia.

Article Synopsis
  • - Lung cancer is a major global health issue, and low-dose computed tomography (LDCT) screening can reduce mortality rates by up to 25%, making it a cost-effective solution that European countries are encouraged to explore for implementation.
  • - A task force reviewed literature and engaged in discussions to develop recommendations for launching lung cancer screening programs in Portugal, focusing on the guidelines of the World Health Organization tailored to the local healthcare system.
  • - Key areas covered in the recommendations include identifying eligible populations, invitation methods, radiological requirements, result reporting, referral processes, and the integration of smoking cessation programs as essential for effective lung cancer screening.
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Several studies suggested the presence of non-motor symptoms in Essential Tremor (ET), including REM sleep behavioral disorder (RBD). RBD is an essential criterion for Prodromal Parkinson's Disease (PPD), suggesting a link between ET and PD. Our objective was to assess the prevalence and features of ET patients with RBD and PDD.

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Article Synopsis
  • Heart failure (HF) is a serious condition with high rates of illness, death, and healthcare expenses, and dapagliflozin has been shown to lower the risk of death and hospital stays for HF patients.
  • This study analyzed HF-related hospitalization data from six hospitals in Portugal between 2019 and 2021 to estimate the potential healthcare savings from dapagliflozin use, utilizing various cost calculation methods in line with Portuguese regulations.
  • Findings indicate that using dapagliflozin could save Portuguese hospitals between approximately EUR 1.6 million and EUR 6.6 million due to reduced hospitalizations, highlighting its economic benefits alongside its positive effects on patient health.
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Sociodemographic, Clinical, and Behavioral Factors Associated with Sexual Transmitted Infection among HIV-1 Positive Migrants in Portugal: Are There Differences between Sexes?

Pathogens

July 2024

Global Health and Tropical Medicine, GHTM, Associate Laboratory in Translation and Innovation towards Global Health, LA-REAL, Instituto de Higiene e Medicina Tropical, IHMT, Universidade NOVA de Lisboa, UNL, Rua da Junqueira 100, 1349-008 Lisbon, Portugal.

Introduction: Sexually transmitted infections (STIs) continue to occur at high levels. According to the WHO, each year there are an estimated 374 million new infections with syphilis, gonorrhea, chlamydia, and trichomoniasis. STIs are associated with an increased risk of acquiring HIV infection.

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Article Synopsis
  • Lymphogranuloma venereum (LGV) is a sexually transmitted infection that primarily affects the anogenital area but can occasionally manifest in extragenital locations, like the neck.
  • A case study highlights a young man with HIV who experienced painful swelling in his neck, leading to a challenging diagnosis that required various medical tests.
  • The patient's diagnosis of LGV was confirmed via genotyping, and he was effectively treated with doxycycline and surgical drainage, underscoring the need for thorough testing in patients with unexplained neck swelling, especially those with a history of unprotected oral sex.
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Attributable mortality of candidemia - Results from the ECMM Candida III multinational European Observational Cohort Study.

J Infect

September 2024

University of Cologne, Faculty of Medicine and University Hospital Cologne, Institute of Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Cologne, Germany; University of Cologne, Faculty of Medicine and University Hospital Cologne, Department I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf (CIO ABCD) and Excellence Center for Medical Mycology (ECMM), Cologne, Germany; German Centre for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne, Germany.

Introduction: Despite antifungal advancements, candidaemia still has a high mortality rate of up to 40%. The ECMM Candida III study in Europe investigated the changing epidemiology and outcomes of candidaemia for better understanding and management of these infections.

Methods: In this observational cohort study, participating hospitals enrolled the first ten consecutive adults with blood culture-proven candidemia.

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Giant cell carcinoma of the urinary bladder : Clinicopathologic analysis and oncological outcomes.

Virchows Arch

September 2024

Department of Pathology and Laboratory Medicine, Department of Surgery/Urology, Warren Alpert Medical School of Brown University, Lifespan Health, and The Legorreta Cancer Center at Brown University, Providence, RI, USA.

Article Synopsis
  • The study analyzes 23 cases of giant cell urothelial carcinoma, a rare type of bladder cancer noted for its distinctive features classified by the World Health Organization.
  • Histologically, the tumors displayed a range of structures, often containing a significant giant cell component, alongside other types of differentiated cancers.
  • Patients diagnosed with this subtype had a higher incidence of advanced disease and showed differing survival rates compared to conventional urothelial carcinoma, suggesting a poorer prognosis overall.
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Response to the letter "Cardio-oncology guidelines, structural heart disease and Kounis syndrome in the upcoming guidelines".

Rev Port Cardiol

October 2024

Unidade de Intervenção Cardiovascular I Hospital de Santa Cruz, Centro Hospitalar de Lisboa Ocidental, Portugal; Associação Portuguesa de Intervenção Cardiovascular, Sociedade Portuguesa de Cardiologia, Portugal; Hospital Lusíadas Lisboa, Portugal.

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The subjective experience of coercion may have a more significant impact on clinical outcomes than formal coercive measures. This study aimed to investigate the subjective experience of coercion among patients on admission in Portuguese psychiatric departments by assessing their perceived coercion, procedural justice, and negative pressures during admission. The study also investigated whether this subjective experience of coercion changed with time during admission, and the predictors of this change.

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Article Synopsis
  • The study aims to evaluate agreement among dermatologists on how to manage and prevent irritation from topical retinoids used for treating facial and trunk acne, aiming to reduce treatment dropouts.
  • A questionnaire derived from existing literature was given to 133 dermatologists, revealing that 82.3% of the 34 recommendations received significant agreement, especially on patient education and application methods.
  • The findings suggest that irritation is a common and manageable response to retinoids, and following appropriate guidelines can help patients stick with their treatments.
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The Level of Personality Functioning Scale-Self-Report (LPFS-SR) operationalizes Criterion A of the DSM-5 Alternative Model for Personality Disorders. The current study aimed 1) to examine the internal consistency of the Portuguese version of the LPFS-SR in a community sample and a clinical sample, 2) to compare non-clinical participants (N = 282, Mage = 48.01, SD = 10.

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Background: Few antiviral therapies have been studied in patients with coronavirus disease 2019 (COVID-19) and kidney impairment. Herein, the efficacy, safety, and pharmacokinetics of remdesivir, its metabolites, and sulfobutylether-β-cyclodextrin excipient were evaluated in hospitalized patients with COVID-19 and severe kidney impairment.

Methods: In REDPINE, a phase 3, randomized, double-blind, placebo-controlled study, participants aged ≥12 years hospitalized for COVID-19 pneumonia with acute kidney injury, chronic kidney disease, or kidney failure were randomized 2:1 to receive intravenous remdesivir (200 mg on day 1; 100 mg daily up to day 5) or placebo (enrollment from March 2021 to March 2022).

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Arrhythmic Mitral Valve Prolapse Phenotype: An Unsupervised Machine Learning Analysis Using a Multicenter Cardiac MRI Registry.

Radiol Cardiothorac Imaging

June 2024

From the Primary Care Stratified Medicine Research Group, Centre for Academic Primary Care, Lifespan and Population Health Unit, School of Medicine, University of Nottingham, Nottingham, England (R.K.A.); IRCCS Humanitas Research Hospital, Rozzano, Italy (S.F., L.M., M.F.); School of Biomedical Engineering and Imaging Sciences-Faculty of Life Sciences and Medicine, King's College London, Westminster Bridge Rd, London SE1 7EH, England (S.F., V.S., A.C., G.G., P.G.M.); Department of Cardiology, Hospital de Santa Cruz, Centro Hospitalar de Lisboa Ocidental, Carnaxide, Lisbon, Portugal (P.M.L., A.M.F., J.A.); Department of Cardiology, University Hospital Muenster, Muenster, Germany (K.B.B., A.Y., A.R.F.); Department of Cardiology, Hartcentrum, Jessa Hospital, Hasselt, Belgium (S.M.F.); Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium (S.M.F.); Multimodality Cardiac Imaging Section, IRCSS Policlinico San Donato, San Donato Milanese, Italy (L.T., M.L.); Department of Radiology, Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy (L.T.); Department of Perioperative Cardiology and Cardiovascular Imaging, Centro Cardiologico Monzino IRCCS, Milan, Italy (S.M., G.P.); GVM Care & Research, Maria Cecilia Hospital, Cotignola, Italy (S.C., A.S.); Center for Cardiac MR, Lausanne University Hospital, CHUV, Lausanne, Switzerland (A.G.P., P.M., J.S.); Cardiologia-4, Dipartimento Cardio-toraco-vascolare A. De Gasperis, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy (I.B., G.Q., P.P.); Department of Cardiology, Hospital Universitario Vall d'Hebron, Institut de Recerca (VHIR), Universitat Autònoma de Barcelona, Barcelona, Spain (L.G.G., J.F.R.P.); Centro de Investigación Biomédica en Red, CIBERCV, Madrid, Spain (L.G.G., J.F.R.P.); Department of Cardiology, Division of Heart and Lungs, University Medical Center Utrecht, Utrecht, the Netherlands (A.J.T., T.L.); Fondazione CNR/Regione Toscana G. Monasterio, Pisa, Italy (F.B., C.D.A.); Department of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy (D.F., V.M., L.A.); Department of Cardiology, Istituto Auxologico Italiano, IRCCS, Milan, Italy (C.T., D.M., L.P.B.); Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy (D.M., L.P.B.); Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland (P.M., J.S.); Gasthuisberg University Hospital, Leuven, Belgium (B.V., J.B.); Department of Biomedical, Surgical and Dental Sciences (G.P.) and Department of Clinical Sciences and Community Health, Cardiovascular Section (D.A.), University of Milan, Milan, Italy; and Department of Clinical Therapeutics, National and Kapodistrian University of Athens, Athens, Greece (G.G.).

Purpose To use unsupervised machine learning to identify phenotypic clusters with increased risk of arrhythmic mitral valve prolapse (MVP). Materials and Methods This retrospective study included patients with MVP without hemodynamically significant mitral regurgitation or left ventricular (LV) dysfunction undergoing late gadolinium enhancement (LGE) cardiac MRI between October 2007 and June 2020 in 15 European tertiary centers. The study end point was a composite of sustained ventricular tachycardia, (aborted) sudden cardiac death, or unexplained syncope.

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Background: Seroepidemiological studies provide estimates of population-level immunity, prevalence/incidence of infections, and evaluation of vaccination programs. We assessed the seroprevalence of protective antibodies against influenza and evaluated the correlation of seroprevalence with the cumulative annual influenza incidence rate.

Methods: We conducted an annual repeated cross-sectional seroepidemiological survey, during June-August, from 2014 to 2019, in Portugal.

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Article Synopsis
  • Emerging data links subjective cognitive complaints (SCC) with a higher risk of cognitive decline in patients with Parkinson's Disease (PD).
  • The study aimed to see if SCC could predict future cognitive impairment in PD patients by assessing various symptoms and cognitive performance over four years.
  • Findings revealed that while SCC did not predict overall cognitive decline, it was significantly related to changes in specific cognitive areas, like attention and naming, offering insights for better patient understanding.
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Article Synopsis
  • Anti-CGRP monoclonal antibodies are effective treatments for preventing migraines, but patients show varied responses, influenced by specific clinical factors.
  • A study involving over 5,800 patients identified key predictors of treatment response at 6 months, including older age, unilateral pain, absence of depression, fewer monthly migraine days, and lower disability levels.
  • The findings highlight that higher migraine frequency and greater baseline disability negatively impact treatment effectiveness, which can inform future patient management and reimbursement policies.
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