291 results match your criteria: "Centro Hospitalar do Médio Ave[Affiliation]"
Cureus
October 2024
Orthopedics and Traumatology, Unidade Local de Saúde de Barcelos/Esposende, Barcelos, PRT.
Stress fractures of the medial malleolus are uncommon and considered high-risk due to potential complications such as progression to complete fracture, delayed union, nonunion, and chronic pain. Identified risk factors include varus alignment of the lower limb, chronic anteromedial impingement, excessive pronation/supination, broad talar neck, and ankle instability. To our knowledge, no reports of recurrence after surgical treatment have been reported.
View Article and Find Full Text PDFEur J Radiol
December 2024
RISE@Health, 4200‑450 Porto, Portugal; Department of Biomedicine - Unit of Anatomy, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal. Electronic address:
Background: White matter changes (WMC) have been associated with the underlying presence of chronic cerebral ischemia, such as in carotid stenosis and age-related white matter changes (ARWMC). A low attenuation on computed tomography (CT) characterizes these alterations. Patients undergoing carotid endarterectomy (CEA) with severe WMC may be at increased risk of intraoperative neurologic deficits (IND) during carotid clamping.
View Article and Find Full Text PDFHum Reprod Open
September 2024
CICS-UBI, Health Sciences Research Centre, University of Beira Interior, Covilhã, Portugal.
Klin Padiatr
August 2024
Division of Pediatric Infectious Diseases, Medical Center-University of Freiburg Center for Pediatrics, Freiburg, Germany.
Intensive Crit Care Nurs
February 2025
Centro Hospitalar S. João, E.P.E., Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal; Faculdade de Medicina da Universidade do Porto, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal. Electronic address:
Acta Chir Belg
July 2024
RISE@Heath, Porto, Portugal.
Background: In noncardiac surgery, several biomarkers are known to play a role in predicting long-term complications, such as major adverse cardiovascular events (MACE), myocardial infarction, or death. Carotid endarterectomy (CEA) is considered a low to medium-risk surgery for carotid stenosis aimed at preventing stroke events. Brain natriuretic peptide (BNP) is a biomarker with potential prognostic value regarding MACE.
View Article and Find Full Text PDFBraz J Phys Ther
August 2024
Respiratory Research and Rehabilitation Laboratory (Lab3R), School of Health Sciences (ESSUA), University of Aveiro, Aveiro, Portugal; Institute of Biomedicine (iBiMED), University of Aveiro, Aveiro, Portugal. Electronic address:
Background: Functional capacity impairment is a crucial consequence of chronic obstructive pulmonary disease (COPD). Although it can be identified with simple tests, such as the sit-to-stand tests, its prevalence, relation with disease severity, and the characteristics of people presenting this impairment remain unknown.
Objective: To explore the functional capacity of people with COPD.
Clin Neurol Neurosurg
August 2024
Department of Biomedicine - Unit of Anatomy, Faculty of Medicine, University of Porto, Portugal; RISE@Health, Rua Dr. Plácido da Costa, s/n, Porto 4200‑450, Portugal; Department of Angiology and Vascular Surgery, Centro Hospitalar Universitário de São João, Porto, Portugal. Electronic address:
Purpose: Cerebrovascular diseases remain a critical focus of medical research due to their substantial impact on global health. Carotid stenosis, often associated with atherosclerosis and advancing age, profoundly affects cerebral blood supply and white matter integrity. This study aims to assess how age-related white matter changes (ARWMC) score, applied to cortex and Basal Ganglia, relates to cardiovascular and cerebrovascular events in patients who underwent carotid endarterectomy (CEA).
View Article and Find Full Text PDFRev Paul Pediatr
May 2024
ACeS Ave/Famalicão, USF Joane, Vila Nova de Famalicão, Portugal.
Objective: To capacitate pregnant women to comply with measures designed to prevent sudden infant death syndrome.
Methods: A quasi-experimental study was conducted before and after the intervention that included pregnant women attending the Course of Preparation for Childbirth and Parenthood of Health Centers Cluster. Six training sessions were given in the context of preventing this syndrome.
J Cereb Blood Flow Metab
November 2024
UnIC@RISE, Department of Clinical Neurosciences and Mental Health, Faculty of Medicine of University of Porto, Porto, Portugal.
We examined the relation between transcranial Doppler (TCD) markers of cerebral blood flow regulation and cognitive performance in hypertension (HT) patients to evaluate the predictive value of these markers for cognitive decline. We assessed dynamic cerebral autoregulation (dCA), vasoreactivity to carbon dioxide, and neurovascular coupling (NVC) in the middle (MCA) and posterior (PCA) cerebral arteries of 52 patients. Neuropsychological evaluation included the Montreal Cognitive Assessment and tests covering attention, executive function, processing speed, and memory.
View Article and Find Full Text PDFCureus
April 2024
Internal Medicine, Centro Hospitalar do Médio Ave, Santo Tirso, PRT.
Infectious aortitis is a rare entity with high mortality and should be considered in the presence of persistent bacteremia, especially in the absence of endocarditis. We present the clinical case of a woman who developed aortitis due to methicillin-sensitive , complicated with mycotic aneurysm and recurrent bacteremia, even under appropriate treatment. Given the concomitant probable diagnosis of malignant pancreatic neoplasia, the hypothesis of a possible relationship or contribution to bacteremia is raised.
View Article and Find Full Text PDFEClinicalMedicine
February 2024
Service de Pneumologie, Groupe Hospitalier Pitié Salpêtrière, Sorbonne Université 47-83 Boulevard de l'Hôpital, Paris Cedex 13, 75651, France.
Proc Inst Mech Eng H
June 2024
LAETA, INEGI, Faculty of Engineering, University of Porto, Porto, Portugal.
Cureus
February 2024
Internal Medicine, Unidade Local de Saúde do Alto Minho (ULSAM) - Hospital de Santa Luzia, Viana do Castelo, PRT.
Cureus
February 2024
Pediatrics, Centro Hospitalar do Médio Ave, Vila Nova de Famalicão, PRT.
Cytomegalovirus (CMV), a member of the family, typically causes asymptomatic infections or mild mononucleosis-like syndromes in immunocompetent individuals. However, severe manifestations are well-documented in immunocompromised populations. This case report presents a previously healthy seven-year-old girl with a rare and complex presentation of primary CMV infection leading to severe multiorgan involvement, hepatosplenomegaly, cholestasis, bicytopenia, and a prolonged disease course.
View Article and Find Full Text PDFClin Shoulder Elb
March 2024
Department of Orthopaedics, Centro Hospitalar Universitário de Santo António, Porto, Portugal.
Background: Open reduction and internal fixation (ORIF) with a locking plate is a popular surgical treatment for proximal humeral fractures (PHF). This study aimed to assess the occurrence of complications in elderly patients with PHF treated surgically using ORIF with a locking plate and to investigate the potential differences between patients treated by shoulder surgeons and non-shoulder surgeons.
Methods: A retrospective study was conducted using a single-center database to identify patients aged ≥70 years who underwent ORIF for PHF between January 1, 2011, and December 31, 2021.
Cureus
December 2023
Surgery, Centro Hospitalar do Médio Ave, Santo Tirso, PRT.
Splenic artery aneurysms are rare and usually asymptomatic, with a high risk of mortality once they get ruptured. A case report of a spontaneous rupture of a splenic artery aneurysm in a 65-year-old female is reported. The patient presented in the emergency department with abdominal pain, nausea, and vomiting, followed by syncope.
View Article and Find Full Text PDFCureus
December 2023
Anesthesiology, Intensive Care and Emergency Department, Centro Hospitalar Universitário de Santo António, Porto, PRT.
The retroclavicular approach to the infraclavicular region (RAPTIR) is a recently described locoregional technique for upper limb analgesia that offers advantages over the classic infraclavicular block. RAPTIR is considered an effective and easy-to-perform block associated with few complications and better patient comfort. We present a case of a critically ill patient with thoracic and upper limb trauma.
View Article and Find Full Text PDFCureus
November 2023
Internal Medicine, Centro Hospitalar do Médio Ave, Santo Tirso, PRT.
Corticosteroid-induced myopathy is the most common drug-induced myopathy and could appear during the treatment of diseases where corticosteroids are the mainstay of treatment. We present a clinical case of a patient treated with corticosteroids who presented with proximal muscle weakness, myalgias, marked elevation of muscle enzymes, and acute kidney injury due to rhabdomyolysis. The definitive diagnosis was only possible through a muscle biopsy.
View Article and Find Full Text PDFFront Health Serv
December 2023
Anaesthesiology Department, Centro Hospitalar de Lisboa Central, Lisboa, Portugal.
Objectives: The current European crisis in human resources in health has opened the debate about working conditions and fair wages. This is the case with Resident doctors, which have faced challenges throughout Europe. In Portugal, they account for about a third of the doctors in the Portuguese National Health Service.
View Article and Find Full Text PDFBuerger's disease (BD), also known as thromboangiitis obliterans, is a non-atherosclerotic inflammatory disorder of unknown aetiology that affects small-sized and medium-sized vessels of the extremities. It is usually observed in middle-aged adults, especially those who smoke or use tobacco products. This condition is more frequently observed in men, although recent findings indicate an increasing prevalence among women, potentially due to increased cigarette use.
View Article and Find Full Text PDFBirth Defects Res
January 2024
Centro De Medicina Fetal, Serviço de Obstetrícia, Departamento da Mulher e da Medicina Reprodutiva, Centro Materno Infantil do Norte, Centro Hospitalar Universitário do Porto EPE, Porto, Portugal.
Background: Interrupted aortic arch (IAA) is a rare congenital heart disease characterized by loss of continuity between the ascending and the descending aorta. Prenatal diagnosis of IAA by echocardiography is challenging but nonetheless can be accomplished via a systematization of cardiac fetal evaluation.
Case Presentation: We report a case of fetal IAA type A prenatally diagnosed through two-dimensional echocardiography using both a three vessel-trachea view and a sagittal view.
Ann Vasc Surg
May 2024
Department of Angiology and Vascular Surgery, Centro Hospitalar Universitário de São João, Porto, Portugal; Department of Surgery and Physiology, Faculdade de Medicina da Universidade do Porto, Porto, Portugal; Faculty of Medicine, Department of Biomedicine - Unit of Anatomy, University of Porto, Portugal. Electronic address:
Introduction/objective: Carotid stenosis (CS) is an important cause of ischemic stroke. Secondary prevention lies in performing a carotid endarterectomy (CEA) procedure, the recommended treatment in most cases. When 2 or more vascular regions are simultaneously affected by atherosclerosis, mainly the carotid arteries, coronary arteries, or limb arteries, a multivessel disease polyvascular disease (PVD) is present.
View Article and Find Full Text PDFARP Rheumatol
November 2023
Unidade Local de Saúde do Alto Minho.
Nutrients
September 2023
Diagnosis and Treatment of Congenital Metabolic Diseases Unit (UDyTEMC), Department of Pediatrics, Faculty of Medicine, Clinical University Hospital of Santiago de Compostela, University of Santiago de Compostela, CIBERER, MetabERN, Institute of Clinical Research of Santiago de Compostela (IDIS), Rúa de San Francisco s/n, 15706 Santiago de Compostela, Spain.
Many adults with phenylketonuria (PKU) rely on medical nutrition therapy (MNT; low phenylalanine (Phe) diet with protein substitutes/medical foods) to maintain blood Phe concentrations within recommended ranges and prevent PKU-associated comorbidities. Despite disease detection through newborn screening and introduction of MNT as early as birth, adherence to MNT often deteriorates from childhood onwards, complicating the assessment of its effectiveness in the long term. Via a modified Delphi process, consensus (≥70% agreement) was sought on 19 statements among an international, multidisciplinary 13-member expert panel.
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