5,819 results match your criteria: "EPE; Santa Maria Hospital[Affiliation]"

Serum Neutrophil Biomarkers to Predict Crohn's Disease Progression and Infliximab Treatment Outcomes.

United European Gastroenterol J

December 2024

Faculty of Medicine, Department of Biomedicine, Unit of Pharmacology and Therapeutics, University of Porto, Porto, Portugal.

Background And Aims: Predicting the treatment outcomes of biological therapies is an unmet need in Crohn's Disease. In this study, we explored the potential of serum neutrophil-related biomarkers to predict infliximab therapeutic results and disease progression in Crohn's Disease patients, over a 2-year period, in a real-world setting.

Methods: The study included 100 asymptomatic Crohn's Disease patients in the IFX maintenance phase from the prospective, observational, multicenter DIRECT study.

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The Ross Procedure in Aortic Valve Replacement: Long-Term Insights and Future Perspectives.

Rev Port Cardiol

December 2024

Pediatric Cardiology Department, Hospital de Santa Marta, Unidade Local de Saúde São José EPE, 1150-293 Lisbon, Portugal; Clínica Universitária de Cardiologia Pediátrica, Centro Clínico Académico de Lisboa, 1150-293 Lisbon, Portugal; Comprehensive Health Research Center, NOVA Medical School, Faculdade de Ciências Médicas, NMS, FCM, Universidade NOVA de Lisboa, 1169-056 Lisbon, Portugal. Electronic address:

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A woman in her early 20s with progressive keratoconus underwent corneal collagen cross-linking using the sub400 protocol. The central 5.5 mm of the epithelium was removed after the application of 20% alcohol.

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Background: Nonprimary osteochondral lesions of the talus (OLT) pose a significant challenge in orthopaedics, with no definitive consensus on optimal surgical treatment.

Purpose: To consolidate the most recent evidence on operative treatments for nonprimary OLT by assessing patient-reported outcomes (PROs), postoperative complications, and clinical failures.

Study Design: Systematic review; Level of evidence, 4.

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This is the protocol for a Campbell systematic review. The aim of this scoping review is to map, describe and characterize the available evidence on the role that formal care might have in complementing informal caregivers role - romantic partners, parallel family members (e.g.

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Article Synopsis
  • This study focuses on identifying extraprostatic extension (EPE) in prostate cancer patients using advanced imaging techniques, highlighting its importance for treatment outcomes.
  • Researchers analyzed MRI scans from 20 patients who underwent surgery, extracting over 200 radiomic features to help differentiate between EPE and non-EPE lesions.
  • The results showed that an MLP neural network model using 18 key features could accurately predict EPE, achieving a sensitivity of 75%, specificity of 79%, and an area-under-curve (AUC) of 0.82, indicating promising predictive capability.
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Stereotactic biopsies are essential for obtaining accurate histopathological analysis to guide treatment decisions for deep-seated brain lesions. Manually guided methods, while commonly used and highly precise, can be limited by potential inaccuracies and insufficient tissue sampling. The emerging robot-assisted (RA) techniques offer enhanced precision and could address these limitations for improved accuracy.

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Background And Objective: The role of prostate-specific membrane antigen (PSMA)-based positron emission tomography (PET)/computed tomography (CT) in addition to magnetic resonance imaging (MRI) for local staging of prostate cancer (PC) has been poorly addressed so far. Our aim was to assess the diagnostic accuracy of PSMA PET/CT and MRI, alone and combined, for detection of extraprostatic extension (EPE) and seminal vesicle invasion (SVI) in PC.

Methods: We conducted a multicenter retrospective study evaluating patients undergoing PSMA PET/CT and MRI before radical prostatectomy.

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Article Synopsis
  • * Despite initial treatment, he later experienced psychosis and tremors, with subsequent MRI revealing new lesions and positive anti-NMDAR antibodies, indicating an autoimmune response.
  • * Prompt recognition and treatment of post-surgical inflammatory processes are crucial, as herpetic encephalitis can potentially trigger anti-NMDAR encephalitis, requiring immediate medical intervention.
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Background: Neurofibromatosis type 1 (NF1) is a common genetic disorder of phenotypic variability with age-dependent penetrance. This study describes the diagnosis, clinical characterization, management, and outcomes of a large patient cohort with plexiform neurofibroma (PN) treated with selumetinib in a real-world clinical setting.

Methods: This single-center observational study consecutively enrolled patients with NF1-PN treated with selumetinib from April 2018 to 2023.

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Introduction: Leptin and ghrelin are two hormones that play a role in weight homeostasis. Leptin, which is produced primarily by adipocytes and is dependent on body fat mass, suppresses appetite and increases energy expenditure. Conversely, ghrelin is the "hunger hormone", it stimulates appetite and promotes fat storage.

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Adaptive Kernel Convolutional Stereo Matching Recurrent Network.

Sensors (Basel)

November 2024

Changchun Institute of Optics, Fine Mechanics and Physics, Chinese Academy of Sciences, Changchun 130033, China.

For binocular stereo matching techniques, the most advanced method currently is using an iterative structure based on GRUs. Methods in this class have shown high performance on both high-resolution images and standard benchmarks. However, simply replacing cost aggregation with a GRU iterative method leads to the original cost volume for disparity calculation lacking non-local geometric and contextual information.

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Portuguese Lipid Study (e_LIPID).

J Clin Med

November 2024

Grupo de Investigação Cardiovascular, Departamento de Promoção da Saúde e Prevenção de Doenças não Transmissíveis, Instituto Nacional de Saúde Doutor Ricardo Jorge, 1649-016 Lisbon, Portugal.

: Incidence of cardiovascular disease (CVD) is increasing in low- and middle-income countries because of changing lifestyles. Since dyslipidaemia is a major independent cardiovascular risk factor, its correct identification is critical to implement specific interventions for CVD prevention. This study aimed to characterise the lipid profile of the Portuguese population.

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Early Acute Kidney Injury in Stroke Patients Submitted to Endovascular Treatment: A Cohort Study.

J Clin Med

November 2024

Department of Internal Medicine, Unidade Local de Saúde de Gaia e Espinho EPE, Rua Conceição Fernandes, 4434-502 Vila Nova de Gaia, Portugal.

Article Synopsis
  • Acute kidney injury (AKI) occurs in patients after endovascular therapy for acute ischemic stroke, impacting recovery and survival rates.
  • A study involving 1150 patients revealed an AKI incidence of 6%, with risk factors including older age, longer treatment times, and lower kidney function.
  • AKI significantly correlates with higher mortality rates, emphasizing the need for improved treatment strategies for at-risk patients.
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Cardiac Rehabilitation for Fontan Circulation Patients: A Systematic Review, and Meta-Analysis.

Medicina (Kaunas)

November 2024

Unidade Local de Saúde São José EPE, Pediatric Cardiology Department, Hospital de Santa Marta, Reference Center for Congenital Heart Diseases, Member of the European Reference Network for Rare, Low Prevalence Complex Diseases of the Heart (ERN GUARD-Heart), 1150-199 Lisbon, Portugal.

: Despite advances in the surgical management of patients with Fontan circulation, their exercise capacity and quality of life remain significantly impaired. Exercise-based cardiac rehabilitation (CR) offers promising improvements in these areas, but the implementation and adherence to these programmes are often inconsistent. This systematic review and meta-analysis aimed to evaluate the safety, efficacy, and optimal exercise modalities for Fontan patients.

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Microbiota Orchestra in Parkinson's Disease: The Nasal and Oral Maestros.

Biomedicines

October 2024

Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health and Science, Campus Universitário, Quinta da Granja, 2829-511 Monte de Caparica, Portugal.

Unlabelled: Parkinson's disease (PD) is characterized by the progressive degeneration of dopaminergic neurons, leading to a range of motor and non-motor symptoms.

Background/objectives: Over the past decade, studies have identified a potential link between the microbiome and PD pathophysiology. The literature suggests that specific bacterial communities from the gut, oral, and nasal microbiota may be involved in neuroinflammatory processes, which are hallmarks of PD.

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European countries have included healthcare workers (HCWs) among priority groups for COVID-19 vaccination. We established a multi-country hospital network to measure the SARS-CoV-2 incidence and effectiveness of COVID-19 vaccines among HCWs against laboratory-confirmed SARS-CoV-2 infection. HCWs from 19 hospitals in 10 countries participated in a dynamic prospective cohort study, providing samples for SARS-CoV-2 testing at enrolment and during weekly/fortnightly follow-up.

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The Adversarial Robust and Generalizable Stereo Matching for Infrared Binocular Based on Deep Learning.

J Imaging

October 2024

School of Automation Science and Electrical Engineering, Beihang University, 37 Xueyuan Road, Haidian District, Beijing 100191, China.

Despite the considerable success of deep learning methods in stereo matching for binocular images, the generalizability and robustness of these algorithms, particularly under challenging conditions such as occlusions or degraded infrared textures, remain uncertain. This paper presents a novel deep-learning-based depth optimization method that obviates the need for large infrared image datasets and adapts seamlessly to any specific infrared camera. Moreover, this adaptability extends to standard binocular images, allowing the method to work effectively on both infrared and visible light stereo images.

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Article Synopsis
  • - A retrospective study of 162 patients analyzed the effectiveness of two types of MRI imaging (DLR T2WI and TSE T2WI) in assessing prostate cancer following biopsy, excluding cases where the cancer was only found in the peripheral zone.
  • - DLR T2WI significantly reduced scan time by 69% compared to TSE T2WI while maintaining high intermethod agreement for classifications of cancer severity (PI-RADS) and extraprostatic extension (EPE) as measured by various coefficients.
  • - Both imaging methods showed similar performance in detecting clinically significant prostate cancer (csPCa) with no significant differences in diagnostic accuracy, suggesting DLR T2WI is a time-efficient, reliable alternative for evaluating lesions
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Prostate cancer (PCa) is the most common non-skin malignancy among men and the fourth leading cause of cancer-related deaths globally. Accurate staging of PCa, particularly the assessment of extra-prostatic extension (EPE), is critical for prognosis and treatment planning. EPE, typically evaluated using magnetic resonance imaging (MRI), is associated with higher risks of positive surgical margins, biochemical recurrence, metastasis, and reduced overall survival.

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A fundamental characteristic of extreme precipitation events (EPEs) is their horizontal scale. This horizontal scale can influence the intensity of an EPE through its effect on the timescale of an EPE as well as its effect on the strength of convective feedbacks. Thus, to have confidence in future projections of extreme precipitation, the horizontal scales of EPEs in global climate models (GCMs) should be evaluated.

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Equity of access to palliative care: a scoping review.

Int J Equity Health

November 2024

Faculty of Medicine, University of Lisbon, Avenida Professor Egas Moniz, Lisbon, 1649-028, Portugal.

Background: Palliative care (PC) has the potential to alleviate suffering and enhance quality of life for patients with serious progressive diseases; however, access to PC remains unequal across different populations.

Objective: This scoping review aimed to systematically examine the literature on: (1) the primary contributors to inequity in accessing PC; (2) the key barriers to achieving equitable access to PC; (3) the essential recommendations for addressing these issues.

Methods: The PubMed, Web of Science, and Embase databases were searched for English-language articles published since 2017.

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Utilisation patterns of radiotherapy among older patients: Insights from Portuguese National Cancer Registry data.

J Cancer Policy

November 2024

CINTESIS - Center for Health Technology and Services Research, Porto, Portugal; Department of Population Studies, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, Portugal.

Article Synopsis
  • By 2040, millions of older adults in Europe will need radiation therapy due to increasing cancer rates in this age group.
  • This study focused on evaluating the usage of external radiotherapy (EBRT) in Portugal by analyzing data from the National Cancer Registry and comparing actual utilization rates with ideal rates adjusted for patient comorbidities.
  • Findings revealed that actual EBRT utilization rates were generally below recommended levels, especially for older patients, with significant variation depending on cancer type and age, highlighting a need for increased access and treatment equity in this demographic.
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