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Oliveira A, Menezes M, Cunha R, Carvalho T, Dunoes I, Bravo E, Dinis R. P-83 Pancreatic cancer, treatment options, and sequential therapy: The experience of a district oncology center. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.04.165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Oliveira A, Menezes M, Cunha R, Carvalho T, Dunoes I, Trinca F, Inácio M, Bravo E, Dinis R. P-84 Colon cancer in the elderly: A comprehensive assessment of treatment and its outcomes. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.04.166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Tomás T, Nogueira-Costa G, Eiriz I, Vitorino M, Vicente R, Oliveira A, Luz P, Baleiras M, Spencer A, Costa LLD, Liu P, Cadavez E, Correia M, Atalaia G, Silva M, Fiúza T. P-278 Neutrophil-to-lymphocyte, lymphocyte-to-monocyte and platelet-to-lymphocyte ratios as predictive markers of pathological response to FLOT neoadjuvant strategy in locally advanced gastric/gastroesophageal junction cancer. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.04.360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Marques C, Xavier S, Azevedo J, Marques M, Soares M, Macedo A, Oliveira A, Pereira A. Confirmatory Factor Analysis of the Postpartum Depression Screening Scale-21 in a Sample of Portuguese Women. Eur Psychiatry 2020. [DOI: 10.1016/j.eurpsy.2017.02.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
IntroductionThe postpartum depression screening scale (PDSS; Beck & Gable, 2002) is a widely used measure to assess women's depressive symptoms after their children's birth. Pereira et al. adapted, validated and developed a short-version of PDSS for Portuguese women (PDSS-21).ObjectiveTo examine the factor structure of the PDSS–21, using confirmatory factor analysis (CFA) in a sample of Portuguese women in the postpartum period.MethodsThe sample was composed of 208 women (mean age = 32.72; SD = 4.49) who completed the PDSS–21 approximately at the 6th week postpartum. CFA was used to test the model suggested by prior exploratory factor analyses of PDSS–21. AMOS software was used.ResultsAfter two items were deleted and some errors were correlated, CFA indicated a good fit for the second-order factor (χ2/df = 1.793; CFI = 0.957; GFI = 0.889, rmsea = 0.062; P [rmsea ≤ 0.05] < 0.056). The 19–item PDSS showed excellent internal consistency (α = 0.92) and the four dimensions presented Cronbach's alphas ranging between good (α = 0.83) and excellent (α = 0.93).ConclusionsThese findings suggest that the 19–item PDSS obtained through CFA is a reliable and valid measure to assess depressive symptoms among women in the postpartum period.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Marques A, Rebelo P, Paixão C, Almeida S, Jácome C, Cruz J, Oliveira A. Enhancing the assessment of cardiorespiratory fitness using field tests. Physiotherapy 2020; 109:54-64. [PMID: 32173042 DOI: 10.1016/j.physio.2019.06.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2018] [Revised: 03/11/2019] [Accepted: 06/13/2019] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To establish normative values and reference equations of the 6-minute walk test (6MWT), incremental shuttle walk test (ISWT) and unsupported upper limb exercise test (UULEX) for Portuguese adults. DESIGN Cross-sectional study. Descriptive statistics and differences between age decades and genders were explored using univariate general linear models to compute reference values. Reference equations were established with a forward stepwise multiple regression. SETTING General community. PARTICIPANTS In total, 645 adult volunteers without disabilities [43% male, mean age 55.1 (standard deviation 23.6) years] were recruited from the university campus and surrounding community. INTERVENTION Not applicable. MAIN OUTCOME MEASURES Data on age, gender, height, weight, body mass index and smoking status were collected using a structured questionnaire. Physical activity was evaluated using the Brief Physical Activity Assessment Tool. Participants performed two repetitions of the 6MWT, ISWT and UULEX, and the best repetition was used for analysis. RESULTS Overall, performance was better in males than in females, and decreased with age. Participants' performance was significantly reduced after the sixth decade of life compared with the other decades (P<0.001). Reference equations were: 6MWT=226.93-(5.00×age)+(360.41×height), R2=71%; ISWT=393.81-(17.98×age)+(185.64×gender)+(775.88×height), R2=83%; and UULEX=16.71-(0.14×age)+(2.66×gender), R2=57%. CONCLUSION Leg or arm exercise field tests are affected significantly by age and gender. These results will aid health professionals to interpret the results of field tests obtained from healthy or diseased adult populations.
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Martins J, Moreira A, Assunção M, Oliveira A, Almeida J. Trade-off in plant-ant interactions: seasonal variations. BRAZ J BIOL 2020; 80:921-933. [PMID: 31967280 DOI: 10.1590/1519-6984.229848] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2019] [Accepted: 11/20/2019] [Indexed: 11/21/2022] Open
Abstract
This work evaluated the effect of seasonality on ant-plant interaction in a Seasonally Dry Tropical Forests, using as an ecological model the species Ipomoea carnea subs. fistulosa (Convolvulaceae). We performed systematic collection of ants, herbivores and leaves in marked plants, evaluated the efficiency of herbivorous capture by ants, and the effects of ant presence over the pollinator behavior and plant fitness in dry and rainy seasons. The presence of ants in the plants reduced the number of herbivores (dry season: F2.27=4.7617, p=0.0166; rainy season: F2.27=5.8655, p=0.0078). However, the capture efficiency was negatively affected by the presence of myrmecophilous larvae, so that the average of ants recruited on termite leaves was 2.06 ants per termite, the average recruitment of ants on larval leaves was 22.4 larva ants. In addition, the presence of ants reduced pollinator visits and promoted fruit reduction during the dry season (ANOVA: F = 3.44; p = 0.0653). In conclusion, the association with ants can result in a balance not always favorable to the host plant, and this result actually depends on abiotic (e.g. precipitation) and biotic factors (e.g. ant species composition and abundance, influence of other trophic levels and identity of associated herbivores).
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Silva C, Ribeiras R, Teles R, Brito J, Nolasco T, Oliveira A, Horta E, Mendes M. P1715 Aortic stenosis with concomitant LVOTO: an alternative treatment to surgery. Eur Heart J Cardiovasc Imaging 2020. [DOI: 10.1093/ehjci/jez319.1078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
The dilemma of the patient with both aortic stenosis (AS) and significant left ventricular outflow tract obstruction (LVOTO) is usually managed through conventional surgery. Patients included in TAVI studies are highly selected, and the presence of LVOTO is a common exclusion criteria. Permanent pacing is referred as a possible treatment in medically refractory symptomatic patients with obstructive hypertrophic cardiomyopathy. We report a case of AS and LVOTO that was submitted to transcatheter aortic valve replacement (TAVR) due to high surgical risk, and submitted to a definitive pacemaker implantation after the procedure.
This case is about a female patient with 82 years old and a history of a severe aortic stenosis with a significant ventricular hypertrophy that causes LVOTO. She had a previous history of hypertension, dyslipidemia, osteoporosis and breast cancer. The patient presented with angina (grade II in Canadian Cardiovascular Society Angina Grade), dyspnea and weakness (classe II of New York Heart Association functional classification). Transthoracic Echocardiography (TTE) presented with severe aortic stenosis with a basal septal ventricular hypertrophy of 18 millimeters, a systolic anterior motion of the mitral valve (SAM) both conditioning LVOTO (maximal gradient of 75 mmHg at rest) and moderate mitral regurgitation (MR). Coronariography showed no coronary lesions. Transfemoral TAVR was successfully implanted under general anesthesia and transesophageal echocardiography monitoring (TOE). During ballooning pre-dilatation a complete atrioventricular block developed. Immediately after the valve implantation TOE showed a well-positioned prothesis without intra or peri-prosthetic regurgitation but with an intraventricular gradient (IVG) above 50mmHg and a moderate to severe MR. SAM, IVG and MR were medically managed and the patient went to the intensive cardiac unit (ICU) with a IVG of 50mmHg and a moderate MR. In the next 24H in the ICU, the patient had a clinical deterioration and TTE found an increased intraventricular gradient (140 mmHg) and a severe mitral regurgitation. It was decided to implant a Dual Chamber pacemaker (DDD PM) and adjust beta-blocker and fluid therapy. A progressive clinical improvement was observed and clinical stabilization attained after 48H. At discharge (7 days after TAVR), TTE showed decreased intraventricular gradients (30 mmHg at rest, 50 mmHg with Valsalva maneuver), telesystolic SAM and a moderate mitral regurgitation. At 6 moths follow up, patient was free of cardiovascular events and had no symptoms of heart failure.
This case shows that TAVR is a safe procedure in patients with LVOTO, but we have to be aware of potentially severe hemodynamic consequences of sudden reduce in after load pressure in these patients. In high risk surgical patients, DDD-PM can accomplish acute and at least medium term clinical and hemodynamic stabilization.
Abstract P1715 Figure. Echocardiography images
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Machado A, Oliveira A, Valente C, Burtin C, Marques A. Effects of a community-based pulmonary rehabilitation programme during acute exacerbations of chronic obstructive pulmonary disease – A quasi-experimental pilot study. Pulmonology 2020; 26:27-38. [DOI: 10.1016/j.pulmoe.2019.05.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2019] [Revised: 05/02/2019] [Accepted: 05/03/2019] [Indexed: 11/28/2022] Open
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Faria MT, Rodrigues S, Dias D, Rego R, Rocha H, Sa F, Oliveira A, Campelo M, Pereira J, Rocha-Goncalves F, Cunha JPS, Martins E. P2550The influence of tonic-clonic seizures on heart rate variability in patients with refractory epilepsy. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz748.0878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Heart Rate Variability (HRV) is an increasing area of interest in patients with epilepsy. The effects of epilepsy on the autonomic control of the heart are not completely understood and that autonomic dysfunction has been implicated in some cases of Sudden Unexpected Death in Epilepsy (SUDEP).
Objective
To study the influence of generalized tonic-clonic seizures (GTCS) on HRV of patients with focal refractory epilepsy.
Method
We prospectively evaluated (January 2015 to July 2018) 121 patients admitted to our institution's Epilepsy Monitoring Unit. All patients performed a 48-hour Holter recording. Patients who had GTCS during the recording were included and we selected the first GTCS as the index seizure. HRV (AVNN, SDNN, RMSSD, pNN50, and LF/HF) was evaluated by analyzing 5-min-ECG epochs during inter-ictal and post-ictal periods: baseline, pre-ictal (5 min before the GTCS seizure), post-ictal (5 min after the seizure), and late post-ictal (>5 hours after the seizure). We compared HRV data from these patients with normative values for a healthy population (controlling age and gender). The study was approved by our Institution Ethics Committee and all patients gave informed consent.
Results
Twenty three patients were included (mean age: 38.61±11.58; 70% Female). Thirty percent presented cardiovascular risk factors without known cardiac disease. We found significant differences between the analyzed periods for all but one (LF/HF) HRV metrics (using Friedman test, p<0.05, two-tailed). Specifically during the post-ictal period, we found a significant reduction for AVNN, SDNN, RMSSD and pNN50 (Wilcoxon test, p<0.05; two-tailed). LF/HF was increased during this period, but changes were not statistically significant. There was also a tendency for a reduction of AVNN, SDNN, RMSSD and pNN50 and an increase of LF/HF in our patients during all the analyzed periods when compared to normative healthy population values.
Conclusion
Our work shows reduced HRV after a GTCS in patients with focal resistant epilepsy, both in inter-ictal and post-ictal periods, when compared to normative healthy population values. These results might reflect long term structural changes in autonomic centers. The HRV changes were significant particularly during the post-ictal period, and should prompt further investigation, giving this period is critical for SUDEP.
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Candeias Faria D, Freitas P, Simoes J, Santos AR, Santos M, Oliveira A, Roque D, Ferreira J, Beringuilho M, Bicho Augusto J. P5018Prognosis of pulmonary embolism 30-day mortality risk based on five admission parameters: the PoPE score. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz746.0196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Pulmonary embolism (PE) is a serious and potentially fatal form of venous thromboembolism. The Pulmonary Embolism Severity Index (PESI), and its simplified version (sPESI), are widely used for risk stratification and mortality prediction, however, the elevated number of parameters make them difficult to use an apply in everyday practice.
Purpose
To provide a simple and easy-to-perform sensible score based on five clinical and metabolic parameters obtained in arterial blood gas (ABG) at admission: Altered Mental State (AMS), Shock Index (SI), Partial Pressure of Oxygen/Fraction of Inspired Oxygen ratio (PaO2/FiO2), blood pH and arterial lactate concentration (Lac), and to compare its performance to predict 30-day (early) mortality.
Material and methods
In retrospective multicentric observational case-control study, 1037 patients with confirmed PE were admitted in a 24-month period. We evaluated medical charts in order to calculate PESI and sPESI risk scores. Multivariate analysis was performed to identify clinical and ABG independent predictors of all-cause mortality. Discriminative power was accessed by Receiver Operating Characteristic (ROC) curve.
Results
A total of 1037 patients were included in the final analysis. Mean age was 69.5 +16.6 years, 39.5% (n=410) were males. Median length of stay was 11.0 [IQR 7.0–18.0] days. Early mortality was 12.6% (n=131). SI and Lac were significantly higher in patients with early mortality (0.81 [IQR 0.66–1.01] vs 0.68 [IQR 0.57–0.82], and 2.63 [IQR 1.60–4.64] mmol/L vs 1.32 [IQR 1.00–1.90] mmol/L, respectively, p<0.0001 for both). PaO2/FiO2and pH were significantly lower in patients with early mortality (231 +120 vs 303 +103, and 7.39 +0.14 vs 7.43 +0.07, respectively, p<0.0001 for both). There was a significantly higher proportion of patients with altered mental status (Glasgow Coma Scale <15) in patients with early mortality (55.0% vs 18.5%, c2(1)=85.3, p<0.0001). Multivariate analysis is summarized in Table 1. Stratified analysis was based on the approximate cut-off value for the last quartile of SI (0.85) and Lac (2.50 mmol/L) and for the first quartile of PaO2/FiO2 (250) and pH (7.35). Based on the similar beta coefficient values for each variable, we attributed 1 point in the presence of each following conditions: GCS <15, SI >0.85, PaO2/FiO2<250, pH <7.35 and Lac >2.50 mmol/L with a total PoPE scorerange 0–5. The PoPE score yielded a good prognostic performance in predicting in-hospital death using ROC analysis (AUC 0.806, 95% CI 0.767–0.845, p<0.0001). The PoPE score performance was superior when compared with PESI (AUC 0.806 vs 0.695, AUC difference 0.111, p<0.0001) and sPESI (AUC 0.806 vs 0.622, p<0.0001) – Figure 1. A PoPEscore of 1 has a sensitivity of 93% and a specificity of 48% in predicting early all-cause mortality.
Conclusions
The PoPE scoreproves an easy and simple tool with good performance which can predict early eraly 30-day mortality in patients admitted for PE.
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Faria MT, Rodrigues S, Dias D, Rego R, Rocha H, Sa F, Oliveira A, Campelo M, Pereira J, Rocha-Goncalves F, Cunha JPS, Martins E. P5346The effect of seizure type on ictal and early post-ictal Heart Rate Variability in patients with focal resistant epilepsy. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz746.0313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Seizures commonly affect the heart rate and its variability. The increased interest in this area of research is related to the possible connection with sudden unexpected death in epilepsy (SUDEP). Generalized tonic-clonic seizures (GTCS) are reported as the most consistent risk factor for SUDEP. However, the general risk of seizures (and their type) on cardiac function still remains uncertain.
Purpose
To evaluate the influence of seizure type (GTCS vs non-GTCS) on ictal and early post-ictal Heart Rate Variability (HRV) in patients with refractory epilepsy.
Methods
From January 2015 to July 2018, we prospectively evaluated 121 patients admitted to our institution's Epilepsy Monitoring Unit with focal resistant epilepsy. All patients underwent a 48-hour Holter recording. We included only patients who had both GTCS and non-GTCS during the recording and selected the first seizure of each type to analyze. HRV (AVNN, SDNN, RMSSD, pNN50, and LF/HF) was evaluated by analyzing 5-min-ECG epochs, starting with the seizure onset (ictal and early post-ictal period). The study was approved by our Institution Ethics Committee and all patients gave informed consent.
Results
Fourteen patients were included (7 Females, 4 patients with Temporal Lobe Epilepsy). The median age was 39 years (min-max, 18–57). Thirty-six percent presented cardiovascular risk factors without known cardiac disease.
A significant statistical reduction was found for AVNN (p=0.013), RMSSD (p=0.008), pNN50 (p=0.005) and HF (p=0.003), during GTCS when compared with non-GTCS (Wilcoxon test, p<0.05; two tailed).
Conclusion
Our study shows a significant reduced vagal tone during GTCS when compared with non-GTCS. Hence, GTCS had a more pronounced impact on HRV changes than other seizure types, which can be associated with higher SUDEP risk after GTCS.
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Donnelly G, Buch M, McDowell L, Oliveira A, Darlington P, Watson A. 52DESIGNING A FRAILTY SCREENING TOOLKIT TO TRIAGE PATIENTS SEEN IN TRANSCATHERTER AORTIC VALVE IMPLANTATION (TAVI) CLINIC. Age Ageing 2019. [DOI: 10.1093/ageing/afz056.02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Cunha R, Menezes M, Fernandes R, Oliveira A, Carvalho T, Inácio M, Trinca F, Bravo E, Nogueira A, Dinis R. Stage IIa colon cancer: adjuvant chemotherapy in real life. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz155.116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Tomás T, Nogueira-Costa G, Eiriz I, Vitorino M, Baptista MV, Correia M, Pereira T, Oliveira A, da Costa LL, Pimenta J, Liu P, Peixoto I, Luz P, Gil L, Silva D, Caleça T, Neves M, Quintela A, Monteiro A, Atalaia G, Silva M, Fiúza T. Trifluridine/Tipiracil (TAS-102) in refractory metastatic colorectal cancer: Real-world data of 13 oncological centers in Portugal. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz155.319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Lopes AA, Flores F, Ribeiro F, Oliveira A. Pulmonary function and respiratory muscle strength after arthrodesis of the spine in patients who have adolescent idiopathic scoliosis. Pulmonology 2019; 24:194-195. [PMID: 29754719 DOI: 10.1016/j.pulmoe.2018.03.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2017] [Revised: 02/14/2018] [Accepted: 03/14/2018] [Indexed: 10/16/2022] Open
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Faria MT, Oliveira A, Rego R, Rocha H, Sa F, Farinha R, Pereira J, Rocha-Goncalves F, Goncalves H, Martins E. P287HMPAO-Tc-99m cardiac SPECT - a method to detect ischemia in patients with refractory epilepsy? Eur Heart J Cardiovasc Imaging 2019. [DOI: 10.1093/ehjci/jez148.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Faria MT, Oliveira A, Vilas-Boas MC, Maia PM, Rego R, Sousa J, Pereira J, Cunha JPS, Rocha-Goncalves F, Martins E. P278Validation of HMPAO-Tc-99m as a myocardial perfusion radiotracer: preliminary results. Eur Heart J Cardiovasc Imaging 2019. [DOI: 10.1093/ehjci/jez148.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Sobral Torres L, Alves V, Martins E, Oliveira A, Pereira J. P301Diagnostic value of myocardial perfusion SPECT in left bundle branch block and associated artifacts. Eur Heart J Cardiovasc Imaging 2019. [DOI: 10.1093/ehjci/jez148.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Jácome C, Marques F, Paixão C, Rebelo P, Oliveira A, Cruz J, Freitas C, Rua M, Loureiro H, Peguinho C, Simões A, Santos M, Valente C, Simão P, Marques A. Embracing digital technology in chronic respiratory care: Surveying patients access and confidence. Pulmonology 2019; 26:56-59. [PMID: 31160235 DOI: 10.1016/j.pulmoe.2019.05.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2019] [Revised: 05/02/2019] [Accepted: 05/03/2019] [Indexed: 11/25/2022] Open
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Ferreira V, Oliveira A, Neto M, Santo M. The relationship between pain and schoolbag use: a cross-sectional study of program “+CooLuna”. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz034.061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Pinto M, Oliveira A, Mateus T, Santos J. Risk perception of exposure to biological agents on the waste industry. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz034.094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Fernandes AR, Faria MT, Oliveira A, Barata Coelho P, Pereira JG. Assessment of relative uptake by mandibular condyles in a "normal" population. Br J Oral Maxillofac Surg 2019; 57:251-254. [PMID: 30904203 DOI: 10.1016/j.bjoms.2018.12.016] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2018] [Accepted: 12/11/2018] [Indexed: 11/16/2022]
Abstract
Hyperplasia of the mandibular condyle is self-limiting, but can lead to facial asymmetry, malocclusion, pain, and dysfunction of the temporomandibular joint (TMJ). Bone scintigraphy, particularly with single photon emission computed tomography (SPECT), is effective in assessing relative condylar uptake, but we know of no standardised methods or values. Our aim, therefore was to validate the values currently used to measure relative condylar uptake in our population. Between December 2015 and June 2018 44 patients had skull SPECT (15 male and 29 female patients, whose ages ranged from 4-33 years). They were having bone scans (hydroxydiphosphonate (HDP) -99MTc, 740 MBq ev) for unrelated reasons and had no known abnormalities of the head, facial asymmetry, or symptoms of the TMJ. Two research workers measured the relative uptake between the condyles using the summed transaxial images. The Hospital Ethics Committee approved the investigation. The maximum difference in condylar uptake was 8.33% with research worker 1 and 8.77% with research worker 2, and the mean (SD) differences were 3.03 (0.17) % and 3.29 (0.18) %, respectively. Data were tested for normality, and the t test and one-way ANOVA were used to assess the significance of differences. None was found in total counts either between sexes or age groups, and there were none between the total counts measured by the two research workers. We conclude that our results are within the published ranges, and the variation in condylar uptake was less than 5% in 37/44 patients, and in none was it 9% or more. When the results indicate less than 10%, but there is a high clinical suspicion of active hyperplasia, surgeons should use their clinical judgement to decide whether condylar surgery is required.
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Pisco J, Bilhim T, Costa N, Pinheiro L, Torres D, Oliveira A. 03:00 PM Abstract No. 3 ■ DISTINGUISHED ABSTRACT Short-, medium-, and long-term results of first and repeated prostatic artery embolization for benign prostatic hyperplasia: 1500 patients’ follow up to 9 years. J Vasc Interv Radiol 2019. [DOI: 10.1016/j.jvir.2018.12.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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Pisco J, Bilhim T, Costa N, Pinheiro L, Torres D, Oliveira A. 04:03 PM Abstract No. 10 Repeated prostatic artery embolization for patients with benign prostatic hyperplasia and initial clinical failure or recurrence of a previous procedure. J Vasc Interv Radiol 2019. [DOI: 10.1016/j.jvir.2018.12.046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Ghodratitoostani I, Vazirikangolya Z, Nascimento D, Colacique M, Louzada F, Delbem A, Barros C, Oliveira A, Hyppolito M, Leite J. Anodal HD- tDCS of left dlPFC together with Positive Emotion Induction Can Modulate Tinnitus Loudness. Brain Stimul 2019. [DOI: 10.1016/j.brs.2018.12.532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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