Vila Real de Santo António, Portugal
Vila Real de Santo António, Portugal

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Pereira H.,Hospital Garcia Of Orta Epe | Campante Teles R.,Centro Hospitalar Of Lisbon Ocidental | Costa M.,Centro Hospitalar iversitario Of Coimbra Chc | Canas Da Silva P.,Centro Hospitalar Of Lisbon Norte | And 19 more authors.
Revista Portuguesa de Cardiologia | Year: 2015

Introduction and Objectives The aim of the present paper is to report trends in Portuguese interventional cardiology from 2004 to 2013 and to compare them with other European countries. Methods Based on the Portuguese National Registry of Interventional Cardiology and on official data from the Directorate-General of Health, we give an overview of developments in coronary interventions from 2004 to 2013. Results In 2013, 36 810 diagnostic catheterization procedures were performed, representing an increase of 34% compared to 2007 and a rate of 3529 coronary angiograms per million population. Coronary interventions increased by 65% in the decade from 2004 to 2013, with a total of 13 897 procedures and a rate of 1333 coronary interventions per million population in 2013. Primary percutaneous coronary intervention (PCI) increased by 265% from 2004 to 2013 (1328 vs. 3524), an adjusted rate of 338 primary PCIs per million, representing 25% of total angioplasties. Stents were the most frequently used devices, drug-eluting stents being used in 73% in 2013. Radial access increased from 4.1% in 2004 to 57.9% in 2013. Conclusion Interventional cardiology in Portugal has been expanding since 2004. We would emphasize the fact that in 2013 all Portuguese interventional cardiology centers were participating in the National Registry of Interventional Cardiology, as well as the growth in primary PCI and increased use of radial access. © 2015 Sociedade Portuguesa de Cardiologia.


Oliveira-Santos M.,Centro Hospitalar Of Tras Os Montes E Alto Douro Epe | Santos J.A.,University of Trás os Montes e Alto Douro | Soares J.,Centro Hospitalar Of Tras Os Montes E Alto Douro Epe | Dias A.,Centro Hospitalar Of Tras Os Montes E Alto Douro Epe | Quaresma M.,Centro Hospitalar Of Tras Os Montes E Alto Douro Epe
International Journal of Biometeorology | Year: 2016

Acute viral bronchiolitis is a common cause for infant hospital admissions. Of all etiological agents, respiratory syncytial virus (RSV) is commonly the most frequent. The present study assesses relationships between atmospheric factors and RSV infections in under 3-year-old patients admitted to the Inpatient Paediatric Service of Vila Real (North of Portugal). For this purpose, (1) clinical files of children admitted with a diagnosis of acute bronchiolitis from September 2005 to December 2015 (>10 years) were scrutinised and (2) local daily temperature/precipitation series, as well as six weather types controlling meteorological conditions in Portugal, were used. Fifty-five percent of all 770 admitted children were effectively infected with a given virus, whilst 48 % (367) were RSV+, i.e. 87 % of virus-infected children were RSV+. The bulk of incidence is verified in the first year of age (82 %, 302), slightly higher in males. RSV outbreaks are typically from December to March, but important inter-annual variability is found in both magnitude and shape. Although no clear connections were found between monthly temperatures/precipitation and RSV outbreaks apart from seasonality, a linkage to wintertime cold spells is apparent on a daily basis. Anomalously low minimum temperatures from the day of admittance back to 10 days before are observed. This relationship is supported by anomalously high occurrences of the E and AA weather types over the same period, which usually trigger dry and cold weather. These findings highlight some predictability in the RSV occurrences, revealing potential for modelling and risk assessments. © 2016 ISB


Alves M.J.,Centro Hospitalar Of Tras Os Montes E Alto Douro Epe | Alves M.J.,Instituto Polytechnic Of Bragana | Oliveira R.,Polytechnic Institute of Porto | Balteiro J.,Polytechnic Institute of Coimbra | Cruz E.A.,Polytechnic Institute of Porto
Revista Portuguesa de Saude Publica | Year: 2011

Introduction: Tricomoniose is one of the most common not viral Sexually Transmitted Diseases (STDs) in the whole world, with an annual incidence superior to 180 million cases. The World Health Organization estimated that this infection explains almost 50% of all the curable STDs in the whole world. In Portugal few epidemiologic studies have been carried out on parasitosis. Thus, the objective of this study consisted on determining the prevalence of the T. vagianlis in women who attended the consultation of family planning in the CS N.°1 CS N.°2 and the Hospital in Chaves, and on establishing a possible association of this parasatism with sociodemographic characteristics, symptomatology, sexual behaviour and previous treatment of parasitosis, through the reply to an inquiry. Materials and methods: A sample of vaginal smears was collected in 288 symptomatic and asymptomatic women for research of T. vaginalis appealing to the direct and cultural examination. Results: Of the 288 women who adhered to the study, 11 (3,8%) were found to have tricomoniose. Variables such as age, marital status, degree of education, use of contraceptive, do not present significant statistical results relatively to the number of positive cases. Among positive cases only 54, 5% of the women were symptomatic being the remaining 45,5% asymptomatic. A statistical significant association was found between tricomoniose and multiple sexual partners. Conclusion: In result, there is a need for further studies with the intention to reevaluate the current picture of this parasitosis in Portugal. Finally it seems to be of the utmost importance to inform the population about the high number of asymptomatic cases of parasitosis, as well as about the consequences that may arise from that fact. © 2010 Published by Elsevier España, S. L. on behalf of Escola Nacional de Saúde Pública. All rights reserved.


Fructuoso M.R.,Centro Hospitalar Of Tras Os Montes E Alto Douro Epe | Castro R.,Centro Hospitalar Of Tras Os Montes E Alto Douro Epe | Oliveira I.,Centro Hospitalar Of Tras Os Montes E Alto Douro Epe | Prata C.,Centro Hospitalar Of Tras Os Montes E Alto Douro Epe | Morgado T.,Centro Hospitalar Of Tras Os Montes E Alto Douro Epe
Nefrologia | Year: 2011

Background: The evaluation of health-related quality of life (QOL) in chronic kidney disease intends to quantify its consequences, according to the patient's subjective perception. Aim: To evaluate the health-related QOL in four groups of patients followed at our Nephrology Department: chronic kidney disease (CKD) stages 1-4, kidney transplant (KT), haemodialysis (HD) and peritoneal dialysis (PD) patients. Patients and Methods: Thirty patients with CKD stages 1-4 and 30 KT patients were randomly selected. All patients from our Haemodialysis and Peritoneal Dialysis Units with capacity to answer the inquiry (37 and 14, respectively) were also selected. The instruments applied were the SF-36 and KDQOL-SF 1.3. Results: The four groups presented better results in the «Social Functioning» scale (77.68 ± 18.46 in PD; 74.17 ± 29.53 in KT; 66.81 ± 31.39 in CKD 1-4; 62.16 ± 32.84 in HD; p = 0.192). The lowest results appeared in the «General Health» scale (39.92 ± 19.12 in CKD; 45.95 ± 21.56 in HD; 47.13 ± 23.15 in KT; 51.79 ± 18.89 in PD; p = 0.321). Peritoneal dialysis patients achieved the best results in the Physical Health Component, but this difference disappeared after adjustment to confounding factors. Age, gender and haemoglobin level were the variables related with QOL. However, PD patients obtained better scores comparing to HD patients in the following KDQOL-SF scales: «Effects of kidney disease», «Burden of kidney disease» and «Patient satisfaction» (p <0.05). Conclusions: Health-related QOL was better in peritoneal dialysis patients comparing to haemodialysis patients in specific scales of chronic kidney disease. Age, gender and haemoglobin level interfered with health-related QOL.© 2011 Revista Nefrología. Órgano Oficial de la Sociedad Española de Nefrología.


Lopes-Conceicao L.,University of Porto | Pereira M.,University of Porto | Araujo C.,University of Porto | Araujo C.,Centro Hospitalar Of Tras Os Montes E Alto Douro Epe | And 3 more authors.
Revista Portuguesa de Cardiologia | Year: 2014

Introduction and Objectives Reperfusion and revascularization therapies play an important role in the management of coronary heart disease and have contributed to decreases in case fatality rates. We aimed to describe the use of these therapies for the treatment of acute coronary syndrome (ACS) patients over time in Portugal.Methods PubMed was searched in July 2012. The proportion of patients treated with fibrinolysis, primary percutaneous coronary intervention (PCI), any PCI and coronary artery bypass grafting (CABG) was described according to type of ACS: STEMI (≥90% patients with ST-segment elevation or Q-wave myocardial infarction), NSTE-ACS (≥90% patients with non-ST-segment elevation ACS) and mixed ACS (all others).Results We identified 41 eligible studies, published between 1989 and 2011. Twenty-eight reported on samples considered representative of ACS patients treated in Portugal. The small number of estimates of the use of each treatment in STEMI and NSTE-ACS patients precluded identification of any time trend. In the last 20 years, the proportion of mixed ACS patients treated with fibrinolysis decreased and the use of PCI increased, while the use of CABG did not change.Conclusions The general pattern of the use of reperfusion and revascularization is in accordance with that reported in other developed countries, reflecting a favorable trend in the quality of care of ACS patients. The relatively small number of estimates on the same procedure in comparable patients limits the generalizability of the conclusions, and highlights the need for systematic approaches to monitor the use of treatments over time. © 2014 Sociedade Portuguesa de Cardiologia.


Costa B.L.,Centro Hospitalar iversitario Of Coimbra Epe | Nobre S.,Centro Hospitalar iversitario Of Coimbra Epe | Costa A.,Centro Hospitalar Of Tras Os Montes E Alto Douro Epe | Ferreira H.,Hospital Tondela Viseu Epe | And 5 more authors.
Sinapse | Year: 2015

Background: Admission at Pediatric Intensive Care Units (PICU) is recommended for prevention, early diagnosis and treatment of complications related to the resection of brain neoplasms in children. Methods: Characterization of population admitted at a PICU, after the first surgery for resection of brain tumor, between January 2007 and December 2013. We reviewed clinical records as well as imaging and laboratory tests. We evaluated pre-operative, intra-operative and post-operative variables. We compared those variables between two groups: group A (less than or 24 hours at PICU); group B (more than 24 hours at PICU). Results: The study included 54 patients. The median age was 6,7 years. The majority of patients (70,4%) presented intracranial hypertension. The most common tumor location was the posterior fossa (59,3%). The most common histological types were: medulloblastoma (24,1%) and pylocitic astrocytoma. Hydrocephalus (61,1%) and midline shift/brain herniation (25,9%) existed frequently. One patient died. Patients stayed at PICU, on average, 79 hours. They were extubated invariably, on average, 9,8 hours after admission. Postoperative adverse events occurred in 40.7% of patients. After discharge to the ward, 3 patients were re-admitted at PICU. Both groups A and B included 27 children. The following variables were associated with internment at PICU longer than 24 hours: prolonged surgery (p=0.006), de novo neurologic deficit (p=0.018), need to perform an urgent cranial CT/MRI (p=0.002), longer time until extubation (p=0.000). Conclusions: In the absence of intra or post-operative adverse events, the transfer of patients from PICU to ward less than 24 hours after surgery for brain tumor resection is safe. © 2015 Sociedade Portuguesa de Neurologia.


PubMed | Centro Hospitalar Of Tras Os Montes E Alto Douro Epe and University of Trás os Montes e Alto Douro
Type: Journal Article | Journal: International journal of biometeorology | Year: 2016

Acute viral bronchiolitis is a common cause for infant hospital admissions. Of all etiological agents, respiratory syncytial virus (RSV) is commonly the most frequent. The present study assesses relationships between atmospheric factors and RSV infections in under 3-year-old patients admitted to the Inpatient Paediatric Service of Vila Real (North of Portugal). For this purpose, (1) clinical files of children admitted with a diagnosis of acute bronchiolitis from September 2005 to December 2015 (>10years) were scrutinised and (2) local daily temperature/precipitation series, as well as six weather types controlling meteorological conditions in Portugal, were used. Fifty-five percent of all 770 admitted children were effectively infected with a given virus, whilst 48% (367) were RSV+, i.e. 87% of virus-infected children were RSV+. The bulk of incidence is verified in the first year of age (82%, 302), slightly higher in males. RSV outbreaks are typically from December to March, but important inter-annual variability is found in both magnitude and shape. Although no clear connections were found between monthly temperatures/precipitation and RSV outbreaks apart from seasonality, a linkage to wintertime cold spells is apparent on a daily basis. Anomalously low minimum temperatures from the day of admittance back to 10days before are observed. This relationship is supported by anomalously high occurrences of the E and AA weather types over the same period, which usually trigger dry and cold weather. These findings highlight some predictability in the RSV occurrences, revealing potential for modelling and risk assessments.

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